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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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Drug- Related Problem (Drps) pada Pasien Pediatric dengan Tuberculosis: Systematic Review Meia Yevi Setiawati; Zakky Cholisoh
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.v6i6.24878

Abstract

ABSTRACT Drug-Related Problems (DRPs) are a common issue in the treatment of childhood tuberculosis due to the complexity of treatment regimens, the long duration of therapy, and the immature physiological condition of children. The occurrence of DRPs has the potential to reduce treatment success and increase the risk of side effects and drug resistance. Objective: To systematically review the incidence, types, severity, and risk factors of DRPs in pediatric patients with tuberculosis. Methods: This systematic review was compiled based on the Preferred Reporting Items For Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A literature search was conducted thru the PubMed, ScienceDirect, and Google Scholar databases for publications from the past 15 years. The included studies involved pediatric patients aged 0–18 years and reported data related to DRPs, primarily Adverse Drug Reactions (ADRs). Data analysis was conducted descriptively and narratively. Results: A total of 6 studies met the inclusion criteria. The prevalence of DRPs in children with tuberculosis ranges from 13.2% to 44.7%. The most frequently reported type of DRP is Adverse Drug Reactions (ADRs), particularly gastrointestinal disorders and hepatotoxicity. Most DRPs are classified as mild to moderate. The main risk factors for DRP include poor nutritional status, lack of patient or parent education, high-dose use without individual adjustment, and the use of combination drugs. Some studies report that educational interventions can improve adherence and reduce the incidence of DRP. Conclusion: Drug-related problems (DRPs) in children remain a serious challenge in the treatment of tuberculosis in children. Increased therapy monitoring, patient and family education, and clinical pharmacist involvement are essential for effectively preventing and managing DRPs to improve therapeutic outcomes. Keywords: Tuberculosis, Children, Drug-Related Problems, Adverse Drug Reactions, Anti-Tuberculosis Drugs.  ABSTRAK Drug-Related Problems (DRPs) merupakan permasalahan yang sering terjadi pada terapi tuberkulosis anak akibat kompleksitas regimen pengobatan, durasi terapi panjang, dan kondisi fisiologis anak yang masih berkembang. Kejadian DRPs berpotensi menurunkan keberhasilan terapi dan meningkatkan risiko efek samping serta resistensi obat. Tujuan: Meninjau secara sistematis kejadian, jenis, tingkat keparahan, dan faktor risiko DRPs pada pasien anak dengan tuberkulosis.  berpotensi menurunkan keberhasilan terapi. Metode:Tinjauan sistematis ini disusun berdasarkan pedoman Preferred Reporting Items For Systematic Reviews and Meta-Analyses (PRISMA). Pencarian literatur dilakukan melalui basis data PubMed, ScienceDirect, dan Google Scholar untuk 15 tahun terakhir. Artikel yang disertakan melibatkan pasien anak berusia 0–18 tahun dan melaporkan data terkait DRPs, terutama adverse drug reactions (ADR). Analisis data dilakukan secara deskriptif naratif. Hasil: Sebanyak 6 artikel memenuhi kriteria inklusi. Prevalensi DRPs pada anak dengan tuberkulosis berkisar antara 13,2% hingga 44,7%. Jenis DRPs yang sering dilaporkan yaitu Adverse Drug Reactions (ADR) terutama gangguan saluran cerna dan hepatotoksisitas. Sebagian besar DRPs diklasifikasikan sebagai ringan hingga sedang. Faktor risiko utama DRPs meliputi status gizi buruk, kurangnya edukasi pasien atau orang tua, penggunaan dosis tinggi tanpa penyesuaian individual, dan terapi kombinasi obat. Beberapa artikel melaporkan bahwa intervensi edukatif dapat meningkatkan kepatuhan dan menurunkan kejadian DRPs. Kesimpulan:Drug-Related Problems (DRPs) pada anak masih menjadi tantangan serius dalam terapi tuberkulosis pada anak. Peningkatan pemantauan terapi, edukasi pasien dan keluarga, serta keterlibatan apoteker klinis sangat diperlukan untuk mencegah dan mengelola DRPs secara efektif guna meningkatkan keberhasilan terapi.  Kata Kunci: Tuberkulosis, Anak, Drug-Related Problems, Adverse Drug Reactions, Obat Anti-Tuberkulosis.
Deteksi Dini Kanker Ovarium Menggunakan International Ovarian Tumor Analysis (IOTA) Sania Utari; Renardy Reza Razali
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.v6i7.23671

Abstract

ABSTRACT Ovarian cancer is one of the most lethal gynecological malignancies, with approximately 70% of cases diagnosed at an advanced stage. It ranks as the fourth leading cause of cancer-related deaths among women. The prognosis of ovarian cancer improves significantly when detected early, but the disease is often asymptomatic in its initial stages, leading to delayed diagnosis and poorer outcomes.  Because of its low cost and accessibility, ultrasound has proved to be the most useful diagnostic tool for adnexal masses. Ultrasound can be used to distinguish benign from malignant adnexal masses using IOTA simple rules. Early detection of ovarian cancer is important for reducing mortality from ovarian cancer.  A case report of Mrs. SW, a 34-year-old woman came to Arifin Achmad Hospital who presented with palpable of abdominal mass. The patient underwent a series of diagnostic tests, including physical examination, ultrasound, abdominal CT scan, and histopathology. On ultrasound examination, found an adnexal mass suspected ovarian cancer by using International Ovarian Tumor Analysis (IOTA). The IOTA simple rules describe five typical features of benigna (B) tumours and five typical features of malignant (M) tumours. It had high sensitvity and specificity for discriminating between malignant and benign adnexal tumour. Preoperative diagnose of malignant adnexal mass using IOTA simple rules were confirmed by postoperative pathology analysis shown a bilateral fibrosarcoma ovary. Early diagnosis is important for reducing mortality from ovarian cancer. Imaging techniques, such as ultrasound (US) have been used in the preoperative assessment of adnexal tumours. IOTA simple rules can distinguish benign from malignant adnexal masses. It can provide an important reference for clinical decision making. Keywords: Ovarian Cancer, International Ovarian Tumor Analysis (IOTA), Adnexal Mass.
Tingkat Kecemasan Keluarga dan Pasien Gagal Jantung Saat Menjalani Rawat Inap: Studi Deskriptif Hanifah Eka Ningtyas; Beti Kristinawati
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.v6i6.23440

Abstract

ABSTRACT Heart failure is a chronic disease that has a widespread impact on the physical and psychological condition of patients and their families, including causing anxiety during hospitalization. This study aims to determine the level of anxiety experienced by families and patients with heart failure at Surakarta Regional Hospital. The research design is a quantitative descriptive study with 290 heart failure patients and their families as the population, yielding a total sample of 580 respondents selected using purposive sampling. The data collection instrument used the Hamilton Anxiety Rating Scale (HARS) questionnaire. The results showed that most heart failure patients experienced moderate anxiety (32.8%), with the majority experiencing mild anxiety (27.2%). These results indicate that anxiety is a common psychological problem experienced by patients and families during heart failure treatment. In conclusion, continuous psychological support and a holistic nursing approach are needed to help patients and families cope with anxiety and improve their quality of life during the treatment process. Keywords: Anxiety, Patient and Family Care, Heart Failure. ABSTRAK Gagal jantung merupakan penyakit kronis yang berdampak luas terhadap kondisi fisik dan psikologis pasien serta keluarga, termasuk menimbulkan kecemasan selama proses rawat inap. Penelitian ini bertujuan mengetahui gambaran tingkat kecemasan keluarga dan pasien gagal jantung di RS Daerah Surakarta. Jenis penelitian yang digunakan adalah deskriptif kuantitatif. Populasi penelitian mencakup pasien gagal jantung dan keluarganya, masing-masing sebanyak 290 orang, sehingga total sampel berjumlah 580 responden yang dipilih menggunakan teknik purposive sampling. Instrumen pengumpulan data menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS). Hasil penelitian menunjukkan bahwa sebagian besar pasien gagal jantung mengalami tingkat kecemasan sedang (32,8%), mayoritas mengalami kecemasan sedang (27,2%). Hasil ini menunjukkan bahwa kecemasan merupakan masalah psikologis umum yang dialami pasien dan keluarga selama perawatan gagal jantung. Kesimpulannya, diperlukan dukungan psikologis berkelanjutan dan pendekatan keperawatan holistik untuk membantu pasien dan keluarga mengatasi kecemasan serta meningkatkan kualitas hidup selama proses perawatan. Keywords: Kecemasan, Perawatan Pasien dan Keluarga, Gagal Jantung.
Upaya Memperbaiki Pola Napas Pada Pasien Asma Melalui Buteyko Breathing Technique Julianto Laia; Rahma Jumila; Yufi Aliyupiudin; Chuchum Sumiarty; Ipa Haryanti; Muhammad Rizal Chaidir
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.v6i7.23547

Abstract

ABSTRACT Asthma is a problem that is close to the community because the number of people suffering from asthma is increasing. There are 300 million cases of asthma worldwide, and this number is predicted to increase to 400 million by 2030. Asthma can interfere with the fulfillment of needs and reduce the productivity of sufferers. This study aims to determine the efforts to improve breathing patterns in asthma patients through the Buteyko breathing technique. The method used in this study is a quasi-experiment with a nonequivalent control group design. The instruments used are observation sheets, oximeters, and stopwatches/timers. There are 30 respondents divided into 2 groups (15 intervention respondents and 15 control respondents) using purposive sampling. Data analysis used the paired t-test and independent t-test. The results showed that the Buteyko breathing technique was effective in improving breathing patterns in asthma patients.  Health workers are advised to introduce and train asthma patients in the Buteyko Breathing Technique as part of non-pharmacological therapy and asthma management education programs in health centers and hospitals. Asthma sufferers are encouraged to practice BBT regularly to obtain optimal benefits in improving breathing patterns and preventing recurrence. Keywords: Breathing Pattern, Buteyko, Asthma, Oxygen Saturation.  ABSTRAK Penyakit asma menjadi masalah yang dekat dengan masyarakat karena jumlah populasi yang menderita asma semakin bertambah. Kasus asma di seluruh dunia mencapai 300 juta jiwa dan diprediksi akan bertambah pada tahun 2030 menjadi 400 juta jiwa. Asma dapat mengakibatkan terganggunya pemenuhan kebutuhan dan menurunkan produktivitas penderitanya. Penelitian ini bertujuan untuk mengetahui upaya memperbaiki pola napas pada pasien asma melalui buteyko breathing technique. Metode yang digunakan dalam penelitian berupa quasi eksperimen dengan desain nonequivalent control group design. Instrumen yang digunakan berupa lembar observasi, oksimeter, stopwatch/timer. Jumlah responden sebanyak 30 yang terbagi menjadi 2 kelompok (15 responden intervensi dan 15 responden kontrol) dengan teknik purposive sampling. Analisa data menggunakan uji sample paired t test dan uji independent t test. Hasil penelitian menunjukkan teknik pernapasan buteyko efektif digunakan untuk memperbaiki pola napas pada pasien asma.  Bagi tenaga kesehatan disarankan untuk memperkenalkan dan melatih pasien asma mengenai Buteyko Breathing Technique sebagai bagian dari terapi non farmakologis dan program edukasi manajemen asma di puskesmas maupun rumah sakit. Bagi penderita asma diharapkan dapat mempraktikkan BBT secara teratur untuk mendapatkan manfaat optimal dalam memperbaiki pola napas dan mencegah kekambuhan. Kata Kunci: Pola Napas, Buteyko, Asma, Saturasi Oksigen.
The Essence of Social Support, Psychological Well – Being, and Self – Love : A Key to Long – Term Marriage Endri Yeni Astuti; Rulita Hendriyani
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.v6i7.26127

Abstract

ABSTRACT This study aims to examine the effect of social support, psychological well-being, and self-love on long-term marriage sustainability. A multiple regression analysis was used to test the relationship between the three independent variables and marital sustainability. The results show that social support and psychological well-being have a positive and significant influence on long-term marriage, with p-values below 0.05. This means that people who receive strong support from others and have good mental health are more likely to maintain a stable and lasting marriage. However, self-love does not have a significant effect (p 0.05), suggesting that loving oneself alone may not be enough to keep a marriage strong without mutual care and relationship-focused behavior. The R-squared value of 0.873 indicates that the three variables explain 87.3% of the variation in long-term marriage sustainability. These findings highlight the importance of social and emotional support in building a lasting relationship. Keywords: Marriage Sustainability, Social Support, Psychological Well-Being, Self-Love, Multiple Regression.
Pemanfaatan Nano Patch Peppermint Terhadap Hormon Kortisol Saliva dan Skala Nyeri Disminore Pada Remaja Yuni Nidaul Khasanah; 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.v6i7.23955

Abstract

ABSTRACT Dysmenorrhea is a common complaint among adolescents and can trigger increased uterine contractions and elevated cortisol levels. Peppermint has analgesic, antispasmodic, and anti-inflammatory effects, particularly when formulated as a nano patch, which enhances skin absorption. This study aimed to determine the effect of peppermint nano patches on reducing cortisol levels and alleviating dysmenorrhea in adolescents.A quasi-experimental design with intervention and control groups was used. The intervention group received the peppermint nano patch during menstruation. Variables measured included pain intensity using a numerical rating scale and salivary cortisol levels assessed via ELISA. Data were analyzed using paired t-tests and independent t-tests.The results showed that the mean pain intensity in the intervention group decreased from 7.40 to 3.65 (p = 0.000), while in the control group it decreased from 6.40 to 6.00 (p = 0.000). The difference between groups was significant (p = 0.000) with a large effect size (d = 1.91). Salivary cortisol levels in the intervention group decreased from 17.02 to 15.84 ng/ml (p = 0.001), whereas in the control group it changed only from 11.08 to 11.00 ng/ml. The difference between groups was significant (p = 0.042) with a moderate effect size (d = 0.42).The peppermint nano patch was effective in reducing pain intensity and salivary cortisol levels. This intervention can be considered a non-pharmacological alternative for alleviating menstrual complaints in adolescents. Keywords: Peppermint Nano Patch, Salivary Cortisol, Dysmenorrhea, Menstrual Pain, Adolescents.  ABSTRAK Dismenore merupakan keluhan yang sering dialami remaja dan dapat memicu peningkatan kontraksi uterus serta kadar hormon kortisol. Peppermint memiliki efek analgesik, antispasmodik, dan antiinflamasi, terutama ketika diformulasikan dalam bentuk nano patch yang meningkatkan absorpsi kulit. Penelitian ini bertujuan untuk mengetahui pengaruh nanopatch peppermint dalam menurunkan hormon kortisol dan menurunkan disminore pada remaja.Penelitian menggunakan desain quasi experiment dengan kelompok intervensi dan kontrol. Kelompok intervensi diberikan Nano Patch Peppermint selama menstruasi. Variabel yang diukur meliputi intensitas nyeri menggunakan skala numerik dan kadar hormon kortisol saliva melalui pemeriksaan ELISA. Analisis data menggunakan paired t-testdan independent t-test. Hasil penelitia rerata intensitas nyeri pada kelompok intervensi menurun dari 7,40 menjadi 3,65 (p=0,000), sedangkan pada kontrol dari 6,40 menjadi 6,00 (p=0,000). Perbedaan antar kelompok signifikan (p=0,000) dengan effect size besar (d=1,91). Kadar kortisol saliva pada kelompok intervensi turun dari 17,02 menjadi 15,84 ng/ml (p=0,001), sedangkan pada kontrol hanya dari 11,08 menjadi 11,00 ng/ml. Perbedaan antar kelompok signifikan (p=0,042) dengan effect size sedang (d=0,42). Nano Patch Peppermint efektif menurunkan nyeri dan kortisol saliva. Nano Patch Peppermint terbukti efektif menurunkan intensitas nyeri dismenore dan kadar hormon kortisol saliva pada remaja. Intervensi ini dapat menjadi alternatif nonfarmakologis dalam mengurangi keluhan menstruasi. Kata Kunci: Nano Patch Peppermint, Kortisol Saliva, Dismenore, Nyeri Haid, Remaja.
Hubungan Motivasi Keluarga, Teman dan Lingkungan Terhadap Keberhasilan Menyusui Bagi Ibu Pekerja di PMB Bidan Eka Rahayu Khairiah; Eka Kristiani
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.v6i6.19640

Abstract

ABSTRACT Successful breastfeeding for working mothers is influenced by various factors, including motivation from family, friends, and the work environment. Good social support can improve breastfeeding success rates, but many working mothers face challenges in maintaining exclusive breastfeeding due to a lack of supportive facilities and policies in the workplace. To determine the relationship between family, friend, and environmental motivation to breastfeeding success for working mothers at PMB Bidan Eka in 2024.  This study used a quantitative analytic method with a cross-sectional approach. The study sample was 69 working mothers with babies aged 0-6 months, who were selected using purposive sampling technique. Data were collected through a questionnaire that assessed the motivation of family, friends, work environment, and breastfeeding success. Data were analyzed using the chi-square test to see the relationship between variables. The results showed that 78.3% of mothers with high family motivation succeeded in exclusive breastfeeding, compared to 35.7% of mothers with low family motivation (p = 0.002), friend motivation (p = 0.015), and work environment (p = 0.001) with breastfeeding success. Mothers with high support had a higher success rate than mothers with low support. There is a significant relationship between the motivation of family, friends, and work environment to breastfeeding success for working mothers. Therefore, efforts are needed to increase family awareness and the work environment to be more supportive of breastfeeding practices, including the provision of lactation room facilities and flexible policies in the workplace Keywords: Exclusive Breastfeeding, Working Mothers, Family Motivation, Friend Support, Work Environment.  ABSTRAK Keberhasilan menyusui bagi ibu pekerja dipengaruhi oleh berbagai faktor, termasuk motivasi dari keluarga, teman, dan lingkungan kerja. Dukungan sosial yang baik dapat meningkatkan tingkat keberhasilan menyusui, tetapi banyak ibu pekerja menghadapi tantangan dalam mempertahankan pemberian ASI eksklusif karena kurangnya fasilitas dan kebijakan yang mendukung di tempat kerja. Mengetahui hubungan antara motivasi keluarga, teman, dan lingkungan terhadap keberhasilan menyusui bagi ibu pekerja di PMB Bidan Eka tahun 2024.  Penelitian ini menggunakan metode kuantitatif analitik dengan pendekatan cross-sectional. Sampel penelitian sebanyak 69 ibu pekerja dengan bayi usia 0–6 bulan, yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner yang menilai motivasi keluarga, teman, lingkungan kerja, serta keberhasilan menyusui. Analisis data dilakukan menggunakan uji chi-square untuk melihat hubungan antar variabel. Hasil penelitian menunjukkan bahwa 78,3% ibu dengan motivasi keluarga tinggi berhasil menyusui secara eksklusif, dibandingkan dengan 35,7% ibu dengan motivasi keluarga rendah (p= 0,002), motivasi teman (p = 0,015), dan lingkungan kerja (p = 0,001) dengan keberhasilan menyusui. Ibu dengan dukungan tinggi memiliki tingkat keberhasilan lebih tinggi dibandingkan ibu dengan dukungan rendah. Terdapat hubungan yang signifikan antara motivasi keluarga, teman, dan lingkungan kerja terhadap keberhasilan menyusui bagi ibu pekerja. Oleh karena itu, diperlukan upaya untuk meningkatkan kesadaran keluarga dan lingkungan kerja agar lebih mendukung praktik menyusui, termasuk penyediaan fasilitas ruang laktasi serta kebijakan fleksibel di tempat kerja. Kata Kunci: ASI Eksklusif, Ibu Pekerja, Motivasi Keluarga, Dukungan Teman, Lingkungan Kerja.
Effectiveness of Scoring Systems in Preventing Abdominal Trauma Emergencies Dance Nong Daniel nong dance; Sriyono Sriyono; Erna Dwi Wahyuni; Siska Ayu
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.v6i7.23841

Abstract

ABSTRACT Abdominal trauma is one of the leading causes of morbidity and mortality in emergency cases, with an incidence rate of 7-10% of all trauma cases. Accurate and timely assessment is crucial to determine the need for surgical intervention and prevent fatal complications. Evaluating the effect of scoring system-based abdominal assessment instruments on the prevention of emergencies and patient clinical outcomes. A systematic review of quantitative studies was conducted. Full-text articles were retrieved from four databases: Web of Science, ScienceDirect, ProQuest, and PubMed for the period 2020-2025. The keywords used were: Abdominal Trauma OR Abdominal Injury AND Assessment OR Scoring OR Initial Assessment OR Preliminary OR Evaluation AND Emergency. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) criteria. A narrative analysis was conducted to present the effectiveness of scoring-based abdominal assessment in preventing emergencies. A comprehensive analysis of 15 studies evaluated five major scoring systems: CASS, BATSS, ISS, RTS, and TRISS. BATSS showed the best diagnostic performance with excellent surgical intervention prediction capabilities, achieving sensitivity of up to 100% and specificity of nearly 97%. CASS showed wider performance variability but still provided satisfactory prediction accuracy. ISS proved effective in predicting morbidity and mortality, with critical values indicating very high-risk patients. TRISS demonstrated superior performance as a predictor of mortality with near-perfect prediction accuracy, making it a highly reliable instrument for mortality risk stratification. Abdominal assessment instruments based on scoring systems significantly influence the prevention of emergencies through early identification of high-risk patients, optimization of the use of diagnostic modalities such as CT scans, and facilitation of timely clinical decision-making. BATSS shows superiority in predicting the need for surgical intervention, while TRISS excels in predicting mortality. Implementation of this scoring system can improve the quality of triage and initial management of abdominal trauma in the emergency room. Keywords: Abdominal Trauma , Assestment,  Emergency.
Analisis Kesiapan Fasilitas Kesehatan dalam Penerapan Kelas Rawat Inap Standar Menurut Perpres Nomor 59 Tahun 2024 tentang Jaminan Kesehatan di Rumah Sakit Umum Daerah Soe Apnel Yohanis Tode; Apris A. Adu; Fransiskus Geroda Mado; Anderias Umbu Roga; Yendris K. Syamruth
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.v6i6.23528

Abstract

ABSTRACT The implementation of the Standard Inpatient Class (KRIS) under Presidential Regulation No. 59 of 2024 is a national policy aimed at improving equitable access and the quality of inpatient care for all participants of the National Health Insurance (JKN). RSUD Soe, as a referral hospital in Timor Tengah Selatan Regency, is required to meet 12 KRIS criteria, including the readiness of human resources, medical equipment, and inpatient room infrastructure. This study aims to analyze the readiness of RSUD Soe in implementing KRIS according to the established standards. This research used a descriptive qualitative method. Data were collected through in-depth interviews, direct observation, and document review, and were analyzed using content analysis techniques. The results show that RSUD Soe has fulfilled several KRIS components, but several indicators still require adjustments, particularly in building infrastructure, the ratio and competency of health workers, the availability of medical equipment, and non-medical facilities. The study concludes that RSUD Soe is not yet fully ready to implement KRIS and requires phased improvements, especially in room restructuring, fulfillment of competent human resources, and upgrading medical and non-medical facilities. Keywords: Standard Inpatient Class, KRIS, National Health Insurance, RSUD Soe, Presidential Regulation 59/2024.  ABSTRAK Penerapan Kelas Rawat Inap Standar (KRIS) berdasarkan Perpres Nomor 59 Tahun 2024 merupakan kebijakan nasional yang bertujuan meningkatkan pemerataan akses dan mutu pelayanan kesehatan bagi seluruh peserta Jaminan Kesehatan Nasional. RSUD Soe sebagai rumah sakit rujukan di Kabupaten Timor Tengah Selatan dituntut untuk memenuhi 12 kriteria KRIS, yang mencakup kesiapan sumber daya manusia, alat kesehatan, serta infrastruktur ruang rawat inap. Penelitian ini bertujuan untuk menganalisis kesiapan RSUD Soe dalam mengimplementasikan KRIS sesuai standar yang ditetapkan. Penelitian menggunakan metode deskriptif dengan pendekatan kualitatif. Data dikumpulkan melalui wawancara mendalam, observasi langsung, dan telaah dokumen, kemudian dianalisis menggunakan teknik analisis isi. Hasil penelitian menunjukkan bahwa RSUD Soe telah memiliki sebagian komponen pendukung KRIS, namun masih terdapat beberapa indikator yang memerlukan penyesuaian, terutama pada aspek infrastruktur bangunan, rasio tenaga kesehatan, ketersediaan alat kesehatan, serta pemenuhan fasilitas non-medis sesuai standar KRIS. Kesimpulan dari penelitian ini adalah bahwa RSUD Soe belum sepenuhnya siap menerapkan KRIS dan membutuhkan perbaikan bertahap terutama terkait penataan ruang rawat, pemenuhan SDM sesuai standar kompetensi, serta pembaruan sarana dan prasarana medis maupun non-medis. Kata Kunci: Kelas Rawat Inap Standar, KRIS, JKN, RSUD Soe, Perpres 59/2024.
Penerapan SIK dalam Peningkatan Kinerja Layanan Kesehatan Arie Afriantara; Haryna Septa Rahima; Ida Ayu Swathi Antari; I Komang Sutrisna Budiyasa; Sulis Dwi Endang Windari; Syarif Hidayatullah; Nila Imtihani; Vina Budi Lestari
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.v6i7.23627

Abstract

ABSTRACT Digital transformation in the healthcare sector has become a fundamental necessity in the era of industrial revolution 4.0, where Health Information Systems (HIS) play a strategic role in optimizing medical service quality. This research aims to analyze the implementation of HIS, particularly Electronic Health Records (EHR) and Hospital Management Information Systems (HMIS), in improving healthcare service performance through a systematic literature review approach. The research method employed narrative synthesis of 20 selected scientific articles from the 2020-2024 publication period obtained through Google Scholar, PubMed, and ScienceDirect database searches. Research findings demonstrate that HIS implementation contributes significantly to operational efficiency improvement with service waiting time reduction up to 67%, clinical service quality enhancement through medication error reduction of 22-41%, and patient satisfaction elevation correlated with administrative process acceleration and more effective therapeutic communication. Determinant factors for successful implementation include top management support, reliable system quality, user competency, and continuous training programs. Main challenges identified encompass financial resource and infrastructure limitations, data security issues, digital literacy gaps, and resistance to change. This research concludes that effective HIS implementation requires a holistic approach integrating technological, organizational, and human factors aspects to achieve sustainable and comprehensive healthcare service performance optimization. Keywords: Health Information System, Healthcare Service Performance, Digital Transformatio.  ABSTRAK Transformasi digital dalam sektor kesehatan telah menjadi kebutuhan fundamental di era revolusi industri 4.0, dimana Sistem Informasi Kesehatan (SIK) berperan strategis dalam mengoptimalkan mutu pelayanan medis. Penelitian ini bertujuan menganalisis penerapan SIK, khususnya Electronic Health Record (EHR) dan Sistem Informasi Manajemen Rumah Sakit (SIMRS), dalam meningkatkan kinerja layanan kesehatan melalui pendekatan tinjauan pustaka sistematis. Metode penelitian menggunakan sintesis naratif terhadap 20 artikel ilmiah terpilih dari periode publikasi 2020-2024 yang diperoleh melalui penelusuran basis data Google Scholar, PubMed, dan ScienceDirect. Hasil penelitian menunjukkan bahwa implementasi SIK berkontribusi signifikan terhadap peningkatan efisiensi operasional dengan reduksi waktu tunggu pelayanan hingga 67%, peningkatan kualitas pelayanan klinis melalui penurunan medication error sebesar 22-41%, serta elevasi kepuasan pasien yang berkorelasi dengan akselerasi proses administrasi dan komunikasi terapeutik yang lebih efektif. Faktor determinan keberhasilan implementasi meliputi dukungan manajemen puncak, kualitas sistem yang reliable, kompetensi pengguna, serta program pelatihan berkelanjutan. Tantangan utama yang teridentifikasi mencakup keterbatasan sumber daya finansial dan infrastruktur, isu keamanan data, kesenjangan literasi digital, serta resistensi terhadap perubahan. Penelitian ini menyimpulkan bahwa penerapan SIK yang efektif memerlukan pendekatan holistik yang mengintegrasikan aspek teknologi, organisasional, dan human factors untuk mencapai optimalisasi kinerja layanan kesehatan yang berkelanjutan dan komprehensif. Kata Kunci: Sistem Informasi Kesehatan, Kinerja Layanan Kesehatan, Transformasi Digital.

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