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MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : Health,
Dentistry Health Professions Nursing Public Health
MAHESA : Malahayati Health Student Journal, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh DIII Keperawatan Universitas Malahayati Lampung. MAHESA : Malahayati Health Student Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA : Malahayati Health Student Journal terbit sebanyak 4 kali yaitu pada bulan Maret, Juni, September, Desember.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 1,690 Documents
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Pengalaman Pembelajaran Transformatif Mahasiswa Keperawatan Selama Praktik Klinik: Studi Kualitatif Reflektif Maria Julieta Esperanca Naibili
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23504

Abstract

ABSTRACT Clinical practice is a pivotal phase in nursing education and serves as a foundation for the formation of students’ professional identity. However, this phase is often accompanied by emotional tension, adaptation challenges, and complex learning dynamics that influence students’ readiness and personal transformation. This study aimed to explore the process of self-transformation among nursing students through their first clinical practice experience. A reflective qualitative design was employed, involving 34 undergraduate nursing students from classes IA and IC at the University of Timor (UNIMOR) who completed their initial clinical practice for the Fundamentals of Nursing course at Mgr. Gabriel Manek, SVD Hospital, Atambua, from 5 May to 28 June 2025. Data were obtained from in-depth written reflections and analyzed using reflective thematic analysis to identify patterns of personal and professional change. Four major themes emerged: (1) emotional transition from fear to confidence; (2) reframing the role and responsibilities of professional nurses; (3) strengthening communication skills, empathy, and self-regulation; and (4) professional identity formation through continuous reflection. Findings indicate that clinical practice plays a substantial role in shaping students’ emotional, ethical, and professional competencies. Clinical practice strengthens not only students’ technical abilities but also serves as a crucial space for personal transformation and the development of professional identity. Educational institutions are encouraged to enhance reflective support and emotional guidance to facilitate student growth during clinical placements. Keywords: Self-Transformation, Clinical Practice, Nursing Students, Reflection, Professional Identity.  ABSTRAK Pengalaman praktik klinik merupakan fase fundamental dalam pendidikan keperawatan dan menjadi landasan pembentukan identitas profesional mahasiswa. Namun, fase ini sering disertai ketegangan emosional, tuntutan adaptasi, dan dinamika pembelajaran yang kompleks yang dapat memengaruhi kesiapan dan proses transformasi diri mahasiswa. Penelitian ini bertujuan mengeksplorasi proses transformasi diri mahasiswa keperawatan melalui pengalaman praktik klinik pertama. Penelitian menggunakan desain kualitatif reflektif dengan melibatkan 34 mahasiswa Program Studi Keperawatan UNIMOR dari kelas IA dan IC yang telah menyelesaikan praktik klinik perdana pada mata kuliah Keperawatan Dasar di RSUD Mgr. Gabriel Manek, SVD Atambua, periode 5 Mei–28 Juni 2025. Data dikumpulkan melalui refleksi tertulis mendalam dan dianalisis menggunakan analisis tematik reflektif untuk mengidentifikasi pola perubahan personal dan profesional selama praktik. Empat tema utama ditemukan, yaitu: (1) transisi emosional dari ketakutan menuju kepercayaan diri; (2) pemaknaan ulang peran dan tanggung jawab profesional perawat; (3) penguatan keterampilan komunikasi, empati, dan regulasi diri; dan (4) pembentukan identitas profesional melalui refleksi berkelanjutan. Temuan menunjukkan bahwa praktik klinik berperan signifikan dalam pengembangan kompetensi emosional, etis, dan profesional mahasiswa. Praktik klinik tidak hanya memperkuat keterampilan teknis, tetapi juga menjadi ruang penting bagi transformasi personal dan pembentukan identitas profesional mahasiswa keperawatan. Institusi pendidikan perlu memperkuat dukungan reflektif dan pembinaan emosional untuk memfasilitasi perkembangan mahasiswa selama praktik klinik. Kata Kunci: Transformasi Diri, Praktik Klinik, Mahasiswa Keperawatan, Refleksi, Identitas Profesional.
Severe Omphalocele, Exstrophy of The Cloaca, Imperforate Anus, and Spinal Defects (Oeis) : A Case Report Fahreza L Nasution; Noviardi Noviardi; Sofyan Andri; Dhini Ayulie Novri; Akbar Husaini Angkat
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.24070

Abstract

ABSTRACT The OEIS complex—comprising Omphalocele, Exstrophy of the cloaca, Imperforate anus, and Spinal defects—is one of the rarest and most severe congenital malformation syndromes, with an estimated incidence of 1 in 200,000–400,000 live births. Early prenatal detection plays a critical role in facilitating appropriate counseling and multidisciplinary perinatal planning. We report a prenatally diagnosed case of severe OEIS complex in a 21-year-old primiparous woman referred for suspected abdominal wall defect and fetal tachycardia. Ultrasound revealed a single live fetus at 32 weeks' gestation with a large omphalocele, protruding bowel loops, and features suggestive of cloacal exstrophy. Postnatal examination confirmed omphalocele, cloacal exstrophy, imperforate anus, ambiguous genitalia, and right-sided congenital talipes equinovarus. These findings were consistent with the classical presentation of severe OEIS. This case underscores the importance of early prenatal diagnosis and coordinated multidisciplinary management in severe OEIS complex. Timely recognition through imaging and delivery planning at a tertiary care center are crucial for optimizing immediate neonatal outcomes. Long-term prognosis remains dependent on the extent of anomalies and access to comprehensive surgical and supportive care. Keywords: OEIS, Omphalocele, Exstrophy of the Cloaca, Imperforate Anus, and Spinal Defects, Ccongenital Anomaly.
Potensi Ekstrak Kunyit (Curcuma Longa) Terhadap Kadar Prostaglandin dan Skala Nyeri Dismenore Remaja Brigita Galuh Pradhanasti; Ari Suwondo; Sri Wahyuni
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23954

Abstract

ABSTRACT Dysmenorrhea is a common complaint among adolescents and can increase uterine contractions as well as prostaglandin hormone levels. Turmeric extract, which is rich in curcumin, possesses analgesic, antispasmodic, and anti-inflammatory properties, especially when formulated in capsules that support optimal absorption in the body. This study aimed to evaluate the potential of turmeric extract (Curcuma longa) on prostaglandin levels and dysmenorrhea pain scale in adolescents.This study used a quasi-experimental design involving a control group and an intervention group. The intervention group received turmeric extract capsules during the menstrual period. The measured variables included prostaglandin levels using ELISA and pain intensity using the Numeric Rating Scale (NRS). Data analysis was performed using the Wilcoxon and Mann-Whitney tests.The mean pain intensity in the intervention group decreased from 5.26 to 2.26 (p = 0.000), while in the control group it decreased from 5.00 to 3.00 (p = 0.000). The difference between the two groups was significant (p = 0.030) with a large effect size (d = 1.62). Prostaglandin levels in the intervention group also decreased from 170.67 to 118.20 pg/mL (p = 0.000), whereas in the control group they decreased from 156.47 to 108.48 pg/mL. The difference between groups was significant (p = 0.038) with a large effect size (d = 0.85). These findings indicate that turmeric extract capsules are effective in reducing both pain intensity and prostaglandin levels. Turmeric extract capsules are proven to effectively decrease dysmenorrhea pain and prostaglandin hormone levels in adolescents. This suggests that turmeric extract could be a potential non-pharmacological intervention for managing adolescent dysmenorrhea and alleviating menstrual complaints safely and naturally. Keywords: Turmeric Extract Capsule, Curcuma longa, Prostaglandin, Dysmenorrhea, Menstrual Pain, Adolescents.  ABSTRAK Dismenore merupakan keluhan yang sering dialami remaja dan dapat meningkatkan kontraksi uterus serta kadar hormon prostaglandin. Ekstrak kunyit yang kaya akan kurkumin memiliki aktivitas analgesik, antispasmodik, dan antiinflamasi, terutama ketika diformulasikan dalam bentuk kapsul yang mendukung penyerapan optimal di dalam tubuh. Tujuan penelitian ini membuktikan adanya potensi ekstrak kunyit (curcuma longa) terhadap kadar prostaglandin dan skala nyeri dismenore remaja. Penelitian ini menggunakan desain quasi experiment dengan melibatkan kelompok kontrol dan kelompok intervensi. Pada kelompok intervensi diberikan kapsul ekstrak kunyit selama periode menstruasi. Variabel yang diukur meliputi kadar prostaglandin melalui pemeriksaan ELISA serta tingkat nyeri menggunakan skala NRS. Analisis data dilakukan menggunakan uji Wilcoxon dan Mann-Whitney. Rerata intensitas nyeri pada kelompok intervensi menurun dari 5.26 menjadi 2.26 (p=0.000), sementara pada kelompok kontrol turun dari 5.00 menjadi 3.00 (p=0.000). Perbedaan antara kedua kelompok menunjukkan hasil yang signifikan (p=0.030) dengan effect size besar (d=1.62). Kadar prostaglandin pada kelompok intervensi juga mengalami penurunan dari 170.67 menjadi 118.20 pg/mL (p=0.000), sedangkan pada kelompok kontrol hanya turun dari 156.47 menjadi 108.48 pg/mL. Perbedaan antar kelompok signifikan (p=0.038) dengan effect size besar (d=0.85). Temuan ini menunjukkan bahwa kapsul ekstrak kunyit efektif dalam menurunkan intensitas nyeri dan kadar prostaglandin. Kapsul ekstrak kunyit terbukti efektif menurunkan intensitas nyeri dismenore dan kadar hormon prostaglandin pada remaja. Temuan ini menunjukkan bahwa ekstrak kunyit dapat menjadi salah satu intervensi nonfarmakologis yang potensial dalam mengatasi dismenore remaja serta mengurangi keluhan menstruasi secara aman dan alami. Kata Kunci: Kapsul Ekstrak Kunyit, Curcuma Longa, Prostaglandin, Dismenore, Nyeri Haid, Remaja.
Escalation of Anesthesia In Vitrectomy for Chronic Kidney Disease Patients: From Peribulbar Block to General Anesthesia Ida Bagus Indrayoga Permana; I Made Gede Widnyana
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.26006

Abstract

ABSTRACT Patients with Stage V Chronic Kidney Disease (CKD) face a significantly higher risk of ocular pathologies, notably Tractional Retinal Detachment (TRD) resulting from proliferative diabetic retinopathy. Anesthetic management for these patients is complex due to impaired drug clearance, cardiovascular comorbidities (CHF, HHD), and the necessity for absolute ocular immobility during vitreoretinal surgery. Regional anesthesia is typically preferred to minimize systemic complications, though technical escalation may be required. A 43-year-old male with Stage V CKD on regular hemodialysis, CHF (FC II), and Type II Diabetes Mellitus was scheduled for a left eye vitrectomy. An initial peribulbar block (8 mL Lidocaine 2% and Bupivacaine 0.5%) resulted in partial akinesia (score 4/8). A rescue Sub-Tenon block successfully achieved total akinesia (score 0/8). However, intraoperative agitation necessitated propofol sedation, which led to oversedation and airway obstruction. Due to limited airway access during the procedure, the technique was escalated to general anesthesia. Induction utilized dose-adjusted fentanyl (75 mcg), propofol (100 mg), and atracurium (30 mg) to ensure renal-independent metabolism. The surgery proceeded with stable hemodynamics. A "deep" extubation was performed to prevent Valsalva-induced increases in intraocular pressure. The patient recovered well with an initial Aldrete score of 8/10. Peribulbar blocks are safer for uremic patients but success is volume-dependent and failure may require rescue techniques like Sub-Tenon blocks. When regional techniques and sedation fail or compromise the airway, conversion to general anesthesia is a necessary last resort. In CKD, the choice of agents and careful dose titration of opioids are critical to prevent prolonged respiratory depression and neuromuscular blockade. While regional anesthesia is the primary choice for fragile CKD patients, clinicians must remain prepared for technical escalation. Success in such cases depends on the timely conversion to general anesthesia using renal-independent agents and smooth emergence techniques to protect surgical outcomes. Keywords: Chronic Kidney Disease, General Anesthesia Conversion, Peribulbar Block, Vitrectomy.
Evaluasi Determinan Gangguan Psikologis pada Karyawan dan Tenaga Kesehatan: Studi di Rumah Sakit Ibu dan Anak di Jakarta Christian Wijaya; Febiola Kristina; Refiansyah Tri Anggoro Ramadhani; Kadek Febby Selia Cesio
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23789

Abstract

ABSTRACT Healthcare workers in maternal–neonatal facilities face high workloads, emotional strain, and complex clinical demands. These conditions place them at increased risk of psychological disorders such as stress, anxiety, and depression. Work-related factors, including task intensity and emotional demands, are often major triggers of mental distress. Work stress and burnout are two key factors frequently associated with decreased psychological well-being among healthcare workers. This study aims to identify the determinants of psychological disorders among employees and healthcare workers in a Mother and Child Hospital in Jakarta by assessing the influence of age, work stress, and burnout on mental health outcomes. A cross-sectional design was employed involving 53 respondents who met the inclusion criteria. Data were collected using structured questionnaires measuring work stress, burnout, and symptoms of stress, anxiety, and depression. Correlation analysis and Partial Least Squares modelling were conducted to evaluate direct and indirect relationships among the study variables. Work stress demonstrated strong correlations with psychological disorders, including quantitative overload (r = 0.66), qualitative overload (r = 0.70), role conflict (r = 0.64), and role ambiguity (r = 0.63). Burnout showed significant associations through emotional exhaustion (r = 0.70) and depersonalization (r = 0.51). The SEM-PLS model indicated that work stress had a substantial direct effect on psychological disorders (β = 0.517) and an indirect effect through burnout (β = 0.240). Conversely, age showed no meaningful correlation with stress (r = –0.13), anxiety (r = –0.12), or depression (r = –0.13). Situational job-related factors exert a greater influence on psychological disorders than demographic characteristics. Organizational interventions focusing on workload management, emotional support, mental health monitoring, and burnout prevention programs are essential to improve healthcare workers’ well-being. Keywords: Anxiety, Burnout, Depression, Healthcare workers, Work stress. ABSTRAK Tenaga kesehatan di fasilitas maternal–neonatal menghadapi beban kerja tinggi, tekanan emosional, dan tuntutan klinis yang kompleks. Kondisi tersebut menjadikan mereka rentan mengalami gangguan psikologis seperti stres, ansietas, dan depresi. Faktor-faktor pekerjaan, termasuk intensitas tugas dan tuntutan emosional, sering menjadi pemicu utamanya. Stres kerja dan burnout merupakan dua faktor yang banyak dikaitkan dengan penurunan kesejahteraan psikologis tenaga kesehatan. Penelitian ini bertujuan mengidentifikasi determinan gangguan psikologis pada karyawan dan tenaga kesehatan di sebuah Rumah Sakit Ibu dan Anak di Jakarta, dengan menilai pengaruh usia, stres kerja, dan burnout terhadap kondisi mental. Penelitian menggunakan desain potong lintang dengan melibatkan 53 responden yang memenuhi kriteria inklusi. Data dikumpulkan menggunakan kuesioner terstruktur yang menilai stres kerja, burnout, serta gejala stres, ansietas, dan depresi. Analisis korelasi dan pemodelan Partial Least Squaresdigunakan untuk mengevaluasi hubungan langsung dan tidak langsung antarvariabel penelitian. Stres kerja menunjukkan korelasi kuat dengan gangguan psikologis, yaitu beban berlebih kuantitatif (r = 0,66), beban berlebih kualitatif (r = 0,70), konflik peran (r = 0,64), dan ketaksaan peran (r = 0,63). Burnout menggambarkan hubungan signifikan melalui kelelahan emosional (r = 0,70) dan depersonalisasi (r = 0,51). Model SEM-PLS menunjukkan bahwa stres kerja memiliki pengaruh langsung yang besar terhadap gangguan psikologis (β = 0,517) dan efek tidak langsung melalui burnout (β = 0,240). Sebaliknya, usia tidak menunjukkan korelasi berarti dengan stres (r = –0,13), ansietas (r = –0,12), maupun depresi (r = –0,13). Faktor pekerjaan yang bersifat situasional lebih berpengaruh terhadap gangguan psikologis dibandingkan faktor demografis. Intervensi organisasi melalui perbaikan sistem kerja, dukungan emosional, pemantauan kesehatan mental, serta program pencegahan burnout diperlukan untuk meningkatkan kesejahteraan tenaga kesehatan. Kata Kunci: Ansietas, Burnout, Depresi, Stres Kerja, Tenaga Kesehatan.
Penerapan Passive Stretching Exercise Pada Pasien Diabetes Melitus Tipe 2 Terhadap Penurunan Kadar Glukosa Darah Harwina Widya Astuti; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Uswatun Hasanah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23507

Abstract

ABSTRACT Type 2 Diabetes Mellitus is a chronic disease caused by unstable blood sugar levels that exceed normal limits, or hyperglycemia, and disorders of carbohydrate, protein, and fat metabolism. Hyperglycemia can cause complications in form of macrovascular and microvascular blood vessel disorders. Efforts to controls blood sugar include physical activity, such as passive stretching exercise, which are beneficial for increasing cellular glucose uptake, thereby reduce blood glucose levels. This study aims to provide an overview of the impact of implementing passive stretching exercise in type 2 diabetes mellitus patients for reduce blood glucose levels through Evidence-Based Nursing Practice (EBNP). This study used a systematic approach by reviewing various articles and literature, namely PubMed and Google Scholar. The selected articles focused on passive stretching exercise interventions in patients type 2 diabetes mellitus to reduce blood glucose levels. The review identified one article in the form of systematic review with meta-analysis, which examined 13 studies. The results of the analysis showed that passive stretching exercises were effective in reduce blood glucose levels. The implementation of passive stretching exercise has been shown to reduce blood glucose level in patients with type 2 DM. Keywords: Blood Glucose Levels, Diabetes Mellitus Type 2, Hyperglycemia, Passive Stretching Exercise.  ABSTRAK Diabetes Melitus tipe 2 merupakan penyakit menahun yang disebabkan oleh ketidakstabilan kadar gula darah yang melebihi batas normal atau hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak. Hiperglikemia dapat menimbulkan komplikasi berupa gangguan pembuluh daik makrovaskuler atau mikrovaskuler. Upaya kontrol gula darah yaitu dengan melakukan aktivitas fisik, salah satunya adalah latihan passive stretching exercise. Latihan ini bermanfaat untuk meningkatkan serapan glukosa seluler sehingga menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk memberikan gambaran tentang dampak pada penerapan latihan passive stretching exercise pada pasien DM tipe 2 dalam menurunkan kadar gula darah melalui praktik keperawatan berbasis bukti. Studi ini menggunakan pendekatan sistematis dengan meninjau berbagai artikel dan literatur, yaitu PubMed dan google scholar. Artikel-artikel yang dipilih berfokus pada intervensi latihan passive stretching exercise pada pasien DM tipe 2 untuk menurunkan kadar glukosa darah berbasis bukti dalam keperawatan. Tinjauan ini mengindetifikasi satu artikel dalam bentuk tinjauan sistematis dengan meta-analisis, yang meneliti 13 penelitian. Hasil analisis menunjukkan bahwa latihan passive stretching exercise efektif menurunkan kadar glukosa darah.  Penerapan passive stretching exercisemenunjukkan hasil dapat menurunkan kadar glukosa darah pada pasien DM tipe 2.  Kata Kunci: Diabetes Melitus Tipe 2, Hiperglikemia, Kadar Glukosa Darah, Latihan Peregangan Pasif.
Analisis Faktor-Faktor yang Mempengaruhi Loyalitas Pasien Klinik Fisioterapi Bebas Cedera di Telkom Bsd Tangerang Selatan Ester Lita Maratade; Indasah Indasah; Nurwijayanti Nurwijayanti
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23592

Abstract

ABSTRACT Patient loyalty plays a crucial role in the sustainability of physiotherapy services, especially amid increasing demands for high-quality and patient-centered care. Key determinants such as service quality, patient satisfaction, and trust are often identified as essential components in fostering long-term relationships between patients and healthcare providers. However, empirical evidence examining the interplay among these variables within physiotherapy clinic settings remains limited.This study aims to examine the relationship between service quality, patient satisfaction, and trust toward patient loyalty at the Bebas Cedera Physiotherapy Clinic in South Tangerang (Telkom BSD).A quantitative research design was employed using accidental sampling, involving 109 participants. Data were analyzed using multiple linear regression and mediation testing through PROCESS Macro Model 4. The study assessed the influence of service quality, patient satisfaction, and trust on patient loyalty.The results indicate that both service quality and trust have a positive and significant effect on patient loyalty. Patient satisfaction, while positive, shows an insignificant influence. Furthermore, patient satisfaction does not mediate the relationship between service quality or trust and patient loyalty. These findings highlight trust as the most dominant factor shaping patient loyalty. Trust emerges as a key determinant of patient loyalty in physiotherapy services. Enhancing communication, empathy, and consistent service delivery is recommended to strengthen long-term patient–clinic relationships. Keywords: Physiotherapy, Patient Satisfaction, Patient Trust, Patient Loyalty, Service Quality.  ABSTRAK  Patient loyalty merupakan aspek penting dalam keberlangsungan layanan fisioterapi, terutama dalam konteks meningkatnya kebutuhan pelayanan kesehatan yang berorientasi pada kualitas. Faktor-faktor seperti kualitas layanan, kepuasan pasien, dan kepercayaan menjadi determinan utama dalam membangun hubungan jangka panjang antara pasien dan penyedia layanan. Namun, bukti empiris mengenai hubungan di antara variabel-variabel tersebut dalam konteks klinik fisioterapi masih terbatas. Penelitian ini bertujuan untuk menguji hubungan antara kualitas layanan, kepuasan pasien, dan kepercayaan terhadap loyalitas pasien di Klinik Fisioterapi Bebas Cedera, South Tangerang (Telkom BSD). Penelitian kuantitatif ini menggunakan teknik accidental sampling dengan total 109 responden. Analisis data dilakukan menggunakan regresi linier berganda dan uji mediasi melalui PROCESS Macro Model 4. Variabel yang dianalisis meliputi kualitas layanan, kepuasan pasien, kepercayaan, serta loyalitas pasien. Hasil penelitian menunjukkan bahwa kualitas layanan dan kepercayaan berpengaruh positif dan signifikan terhadap loyalitas pasien. Sementara itu, kepuasan pasien berpengaruh positif tetapi tidak signifikan. Selain itu, kepuasan pasien tidak memediasi hubungan antara kualitas layanan maupun kepercayaan terhadap loyalitas. Temuan ini menegaskan bahwa kepercayaan merupakan faktor paling dominan dalam membentuk loyalitas pasien. Kepercayaan pasien menjadi faktor kunci dalam meningkatkan loyalitas pada layanan fisioterapi. Upaya meningkatkan komunikasi, empati, dan konsistensi pelayanan direkomendasikan untuk memperkuat hubungan jangka panjang antara pasien dan klinik. Kata Kunci: Fisioterapi, Kepuasan Pasien, Kepercayaan Pasien, Loyalitas Pasien, Kualitas Layanan.
Kepercayaan dan Ritual Sebagai Penghambat atau Pendukung Dalam Pencegahan Stunting: Studi Literatur Review Badrul Hisyam; Tantut Susanto; Suhari Suhari
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23374

Abstract

ABSTRACT Hereditary beliefs and rituals have a significant role in shaping children. Most of these traditions can contribute positively to children's health, but in some cases, beliefs that are not based on science have the potential to hinder stunting prevention efforts. Research Objectives: this study aims to identify the rituals and cultures that play a role in inhibiting or preventing stunting as well as identifying community-based approaches that can be applied. Methods: this study used a literature review design. In the literature selection and evaluation process, the protocol uses Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The literature search was conducted between September to October 2025 in various journal databases, such as PubMed, Scopus, and Google Scholar, focusing on publications from the last five years (2021-2025) Results: traditional rituals and beliefs support stunting prevention efforts, such as the provision of nutritious, natural foods and the prohibition of the consumption of unhealthy processed foods. However, on the other hand, there are cultural practices that can hinder health interventions, such as the taboo on certain nutritious foods for pregnant women and children under five due to myths that are not based on nutrition science Conclusion: traditional beliefs and rituals have a dual role in stunting prevention. Some traditions support healthy eating and the maintenance of children's nutrition, but there are also beliefs that hinder the implementation of evidence-based health policies. Keywords: Stunting, Beliefs and Rituals, and Prevention of Stunting.  ABSTRAK Kepercayaan dan ritual yang diwariskan secara turun-temurun memiliki peran signifikan dalam membentuk anak. Sebagian besar tradisi ini dapat berkontribusi positif terhadap kesehatan anak, namun dalam beberapa kasus, kepercayaan yang tidak berbasis pada ilmu pengetahuan justru berpotensi menghambat upaya pencegahan stunting. Penelitian ini bertujuan untuk mengidentifikasi ritual dan budaya berperan dalam menghambat atau mencegah stunting serta mengidentifikasi pendekatan berbasis komunitas yang dapat diterapkan. Metode: penelitian ini menggunakan desain tinjauan literatur. Dalam proses seleksi dan evaluasi literatur, protokol menggunakan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian literatur dilakukan antara September hingga Oktober 2025 di berbagai database jurnal, seperti PubMed, Scopus, dan Google Scholar, dengan fokus pada publikasi dari lima tahun terakhir (2021-2025) Hasil: ritual dan kepercayaan tradisional dukung upaya pencegahan stunting, seperti pemberian makanan alami yang kaya gizi dan larangan terhadap konsumsi makanan olahan yang kurang sehat. Namun, di sisi lain, terdapat praktik budaya yang dapat menghambat intervensi kesehatan, seperti pantangan terhadap makanan bergizi tertentu bagi ibu hamil dan anak balita akibat mitos yang tidak berbasis pada ilmu gizi Kesimpulan: kepercayaan dan ritual tradisional memiliki peran ganda dalam pencegahan stunting. Beberapa tradisi mendukung pola makan sehat dan pemeliharaan gizi anak, namun ada juga kepercayaan yang menghambat penerapan kebijakan kesehatan yang berbasis bukti. Kata Kunci: Stunting, Kepercayaan Dan Ritual, Pencegahan Stunting.
Analisis Determinan Inisiasi Menyusui Dini Pada Ibu Nifas di Kecamatan Tualang Ruth Cindy Sitorus; Noviardi Noviardi; Nastiti Hemas Mayangsari
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23817

Abstract

ABSTRACT Early Initiation of Breastfeeding (EIBF) is a critical intervention recommended by WHO to reduce neonatal mortality and improve exclusive breastfeeding outcomes. Despite its proven benefits, EIBF coverage in Indonesia remains below the global target. Multiple social, economic, psychosocial, and health system factors influence EIBF success, yet comprehensive evidence remains limited in industrial regions such as Tualang District.To analyze the distal and intermediate determinants associated with successful EIBF among postpartum mothers in Tualang District, Siak Regency, in 2025.A cross-sectional analytical study was conducted using consecutive sampling. Data were collected through structured questionnaires and verified with delivery records. Statistical analysis included chi-square tests for bivariable associations and multivariable logistic regression to identify dominant determinants.EIBF success was significantly associated with parity, maternal knowledge, husband and family support, and health worker support. Logistic regression identified health worker support as the strongest determinant, followed by maternal knowledge and parity. Education, employment, and household income were significant in bivariable analysis but lost significance after controlling for intermediate determinants. Health worker support, maternal knowledge, and parity are the key determinants influencing EIBF success. Strengthening lactation education, improving health worker capacity, and involving husbands and families during antenatal and delivery care are essential strategies to enhance EIBF coverage. Keywords: Early Initiation of Breastfeeding, Social Determinants, Parity, Health Worker Support, Maternal Knowledge.  ABSTRAK Inisiasi Menyusu Dini (IMD) merupakan intervensi penting yang direkomendasikan WHO untuk menurunkan mortalitas neonatal dan meningkatkan keberhasilan menyusui eksklusif. Namun, cakupan IMD di Indonesia masih di bawah target global. Faktor sosial, ekonomi, psikososial, dan kualitas layanan kesehatan berperan dalam keberhasilan IMD, namun belum banyak diteliti secara komprehensif di wilayah dengan karakteristik industri seperti Kecamatan Tualang. Menganalisis determinan jauh dan determinan antara yang memengaruhi keberhasilan IMD pada ibu nifas di Kecamatan Tualang, Kabupaten Siak, tahun 2025. Penelitian analitik dengan desain cross-sectional dilakukan pada ibu nifas menggunakan consecutive sampling. Data dikumpulkan melalui kuesioner terstruktur dan diverifikasi melalui catatan persalinan. Analisis data meliputi uji chi-square untuk menilai hubungan bivariat dan regresi logistik multivariat untuk menentukan faktor dominan. Keberhasilan IMD dipengaruhi oleh beberapa determinan, terutama paritas, pengetahuan ibu, dukungan suami, serta dukungan tenaga kesehatan. Regresi logistik menunjukkan bahwa dukungan tenaga kesehatan merupakan faktor paling dominan, diikuti oleh pengetahuan ibu dan paritas. Variabel pendidikan, pendapatan, dan pekerjaan signifikan pada analisis awal namun tidak berpengaruh setelah dikontrol oleh variabel antara. Faktor yang paling memengaruhi keberhasilan IMD adalah dukungan tenaga kesehatan, pengetahuan ibu, dan paritas. Intervensi untuk meningkatkan cakupan IMD perlu difokuskan pada penguatan edukasi laktasi, peningkatan kapasitas tenaga kesehatan, serta pelibatan suami dan keluarga dalam perawatan antenatal dan persalinan Kata Kunci: Inisiasi Menyusui Dini, Determinan Social, Paritas, Dukungan Tenaga Kesehatan, Pengetahuan Ibu.
Tinjauan Literatur tentang Faktor Penghambat dan Pendorong Imunisasi di Daerah yang Sulit Dijangkau Titin Ismawati Launuru; Ernawaty Ernawaty
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23912

Abstract

ABSTRACT Immunization coverage in rural and remote areas remains low due to geographical barriers, limited health resources, and socio-behavioral challenges. This review aims to identify key barriers and facilitators of immunization in hard-to-reach settings by synthesizing literature published between 2020 and 2025 retrieved from Scopus and PubMed. From 853 identified articles, nine met the inclusion criteria and were analyzed through narrative synthesis. Findings indicate that difficult geographic access, insufficient health infrastructure and workforce, low socioeconomic conditions, limited health literacy, and distrust toward vaccines constitute major barriers. In contrast, outreach and mobile services, strong community and family support, integration with maternal and child health services, effective health communication, and the use of mHealth technologies serve as important facilitators. This review concludes that improving immunization in remote areas requires comprehensive strategies that enhance service accessibility, strengthen the health workforce, build community trust, and adopt innovative, community-based approaches to achieve equitable and sustainable immunization coverage. Keywords: Immunization, Remote Areas, Health Access, Coverage.  ABSTRAK Cakupan imunisasi di wilayah rural dan terpencil masih rendah karena hambatan geografis, keterbatasan sarana dan tenaga kesehatan, serta faktor sosial-ekonomi dan perilaku masyarakat. Kajian ini bertujuan mengidentifikasi faktor penghambat dan pendorong imunisasi di daerah sulit dijangkau melalui literature review terhadap publikasi tahun 2020–2025 yang ditelusuri pada Scopus dan PubMed. Dari 853 artikel yang ditemukan, proses seleksi ketat menghasilkan 9 artikel yang dianalisis menggunakan sintesis naratif. Hasil kajian menunjukkan bahwa jarak dan akses sulit, terbatasnya infrastruktur dan tenaga kesehatan, rendahnya literasi dan kepercayaan terhadap vaksin, serta kondisi sosial-ekonomi menjadi hambatan utama. Sebaliknya, layanan outreach dan mobile, dukungan komunitas dan keluarga, integrasi imunisasi dengan layanan ibu–anak, komunikasi kesehatan yang efektif, serta pemanfaatan teknologi seperti mHealth terbukti menjadi faktor pendorong penting. Kajian ini menyimpulkan bahwa peningkatan imunisasi di daerah terpencil memerlukan pendekatan komprehensif yang menggabungkan perbaikan akses layanan, penguatan kapasitas tenaga kesehatan, peningkatan kepercayaan masyarakat, dan inovasi layanan berbasis komunitas agar pemerataan imunisasi dapat tercapai secara berkelanjutan. Kata Kunci: Imunisasi, Daerah Terpencil, Akses Kesehatan, Cakupan Imunisasi.

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