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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 1,781 Documents
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Correlation between Handgrip Strength and Pulmonary Function Parameters (% Predicted) in an Urban Adult Population Yohanes Firmansyah; Ajeng Tias Endarti; Nur Asniati Djaali; Ernawati Ernawati
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24324

Abstract

ABSTRACT Handgrip strength is a simple indicator of peripheral muscle strength that may reflect pulmonary function status, particularly in urban adult populations exposed to high levels of air pollution. However, empirical evidence regarding the association between handgrip strength and predicted pulmonary function parameters in Indonesia remains limited. This study aimed to analyze the correlation between handgrip strength and pulmonary function parameters (% predicted) in an urban adult population. An observational analytic study with a cross-sectional design was conducted among 539 adults (≥18 years) across five administrative regions of DKI Jakarta. Pulmonary function parameters assessed included vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and the FEV₁/FVC ratio, all expressed as % predicted. Handgrip strength was measured bilaterally and averaged. Univariate and bivariate analyses were performed using Spearman’s correlation test. Mean handgrip strength showed a significant positive correlation with VC (% predicted) (r = 0.182; p 0.001) and FVC (% predicted) (r = 0.222; p 0.001). A weaker positive correlation was observed between left-hand grip strength and FEV₁ (% predicted) (r = 0.091; p = 0.034). In contrast, the FEV₁/FVC ratio (% predicted) demonstrated consistent and significant negative correlations with right-hand, left-hand, and mean handgrip strength (r ranging from −0.186 to −0.200; p 0.001). Handgrip strength is significantly associated with pulmonary function capacity (% predicted), particularly volume-related parameters, and may serve as a simple screening indicator of pulmonary function in urban adult populations. Keywords: Handgrip, Pulmonary Function, Spirometry, Adults, Urban Population.
Analisis Keterkaitan Motivasi Kerja dengan Kinerja Perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang Dwi Herlinda Lusi Harini; Mundakir Mundakir; Annisa Nurida; Rikhly Faradisy Mursyida
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.23659

Abstract

ABSTRACT This study aims to analyze the relationship between work motivation and nurse performance at the Inpatient Installation of Sukma Wijaya Hospital in Sampang in 2025. Nurse performance plays a crucial role in determining the quality of healthcare services provided to patients. Work motivation is an important factor that influences nurse performance, which is related to both internal (intrinsic) and external (extrinsic) factors. The research method used is a quantitative approach with a descriptive correlational design. The sample consists of 36 nurses working in the Inpatient Installation, selected using a census sampling technique. Data was collected using questionnaires measuring work motivation based on Herzberg's theory and nurse performance based on Locke's theory. Data analysis using Pearson's correlation test showed a significant relationship between work motivation and nurse performance (r = 0.747, p-value = 0.000). The results indicate that higher work motivation leads to better nurse performance. Work motivation contributes 55.80% to nurse performance, while the remaining 44.20% is influenced by other factors such as skills, abilities, and the work environment. This study recommends that hospitals pay attention to factors influencing work motivation and create policies that support nurses' welfare and career development to improve the quality of healthcare services. Keywords: Work Motivation, Nurse Performance, Hospital, Policies, Work Environment.  ABSTRAK Penelitian ini bertujuan untuk menganalisis keterkaitan antara motivasi kerja dan kinerja perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang pada tahun 2025. Kinerja perawat sangat berperan dalam menentukan kualitas pelayanan kesehatan yang diberikan kepada pasien. Motivasi kerja merupakan faktor penting yang mempengaruhi kinerja perawat, yang berhubungan dengan faktor internal (intrinsik) dan eksternal (ekstrinsik). Metode yang digunakan dalam penelitian ini adalah pendekatan kuantitatif dengan jenis penelitian deskriptif korelasional. Sampel penelitian ini terdiri dari 36 perawat yang bekerja di Instalasi Rawat Inap, yang diambil dengan teknik census sampling. Data dikumpulkan menggunakan kuesioner yang mengukur motivasi kerja berdasarkan teori Herzberg dan kinerja perawat berdasarkan teori Locke. Hasil analisis data menggunakan uji korelasi Pearson menunjukkan adanya hubungan yang signifikan antara motivasi kerja dengan kinerja perawat (r = 0,747, p-value = 0,000). Hasil tersebut menunjukkan bahwa semakin tinggi motivasi kerja, semakin tinggi pula kinerja perawat. Faktor motivasi kerja berkontribusi sebesar 55,80% terhadap kinerja perawat, sementara 44,20% lainnya dipengaruhi oleh faktor lain seperti kemampuan, keterampilan, dan dukungan lingkungan kerja. Penelitian ini menyarankan agar rumah sakit memperhatikan faktor-faktor yang mempengaruhi motivasi kerja dan menciptakan kebijakan yang mendukung kesejahteraan dan pengembangan karier perawat untuk meningkatkan kualitas pelayanan kesehatan. Kata Kunci: Motivasi Kerja, Kinerja Perawat, Rumah Sakit, Kebijakan, Lingkungan Kerja.
Pendekatan Anestesi pada Kraniotomi Retromastoid pada Pasien Tumor Cerebellopontine Angle Disertai Hidrosefalus dan Malfungsi Ventriculoperitoneal Shunt I Made Banu Pati; Ida Bagus Krisna Jaya Sutawan
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.27119

Abstract

ABSTRACT Cerebellopontine angle (CPA) tumors are complex intracranial lesions involving critical neurovascular structures and are frequently associated with increased intracranial pressure, hydrocephalus, cranial nerve dysfunction, and perioperative anesthetic challenges. This case report aimed to describe anesthetic management in retromastoid craniotomy for a CPA tumor with hydrocephalus and ventriculoperitoneal (VP) shunt malfunction. This article was prepared as a clinical case report based on anamnesis, physical examination, laboratory and radiologic findings, perioperative anesthetic management, intraoperative monitoring, and postoperative intensive care. A 57-year-old male with a left CPA tumor, acute communicating hydrocephalus due to proximal VP shunt malfunction, and symptomatic epilepsy underwent tumor removal through retromastoid craniotomy in the parkbench position using intraoperative neurophysiological monitoring. Anesthesia was conducted with total intravenous anesthesia using target-controlled infusion of propofol and remifentanil, invasive arterial and central venous monitoring, scalp block, controlled ventilation, mannitol, and multimodal analgesia. Intraoperatively, hemodynamics remained stable, with blood pressure 100-150/70-90 mmHg, heart rate 60-82 beats/minute, SpO2 99-100%, blood loss 900 mL, and urine output 1.9 mL/kg/hour. The frozen section finding was consistent with dermoid cyst. The patient was transferred to the intensive care unit with retained intubation, extubated on postoperative day one, transferred to the ward on day three, and discharged on postoperative day seven. Comprehensive neuroanesthetic management, TIVA-based IONM support, parkbench-position risk anticipation, intracranial pressure control, and systematic postoperative intensive care are essential to optimize outcomes in complex CPA tumor surgery. Keywords: Cerebellopontine Angle, IONM, Neuroanesthesia, Parkbench Position, TIVA.  ABSTRAK Tumor cerebellopontine angle (CPA) merupakan lesi intrakranial kompleks yang melibatkan struktur neurovaskular vital dan sering berkaitan dengan peningkatan tekanan intrakranial, hidrosefalus, disfungsi saraf kranialis, serta tantangan anestesi perioperatif. Laporan kasus ini bertujuan untuk mendeskripsikan manajemen anestesi pada kraniotomi retromastoid pasien tumor CPA disertai hidrosefalus dan malfungsi ventriculoperitoneal (VP) shunt. Artikel ini disusun sebagai laporan kasus klinis berdasarkan anamnesis, pemeriksaan fisik, pemeriksaan laboratorium dan radiologi, manajemen anestesi perioperatif, monitoring intraoperatif, serta perawatan intensif pascaoperasi. Seorang laki-laki usia 57 tahun dengan tumor CPA sinistra, hidrosefalus komunikans akut akibat malfungsi VP shunt proksimal, dan epilepsi simptomatik menjalani pengangkatan tumor melalui kraniotomi retromastoid dalam posisi parkbench menggunakan intraoperative neurophysiological monitoring. Manajemen anestesi dilakukan dengan total intravenous anesthesia berbasis target-controlled infusion propofol dan remifentanil, pemantauan invasif arterial line dan central venous catheter, scalp block, ventilasi terkontrol, pemberian manitol, serta analgesia multimodal. Selama intraoperatif, hemodinamik stabil dengan tekanan darah 100-150/70-90 mmHg, heart rate 60-82 kali/menit, SpO2 99-100%, perdarahan 900 mL, dan urine output 1,9 mL/kgBB/jam. Hasil frozen section sesuai dermoid cyst. Pasien dipindahkan ke ICU dengan retained tube intubation, berhasil diekstubasi pada hari pertama pascaoperasi, pindah ke ruangan pada hari ketiga, dan pulang pada hari ketujuh pascaoperasi. Kesimpulan: Manajemen neuroanestesi komprehensif, dukungan IONM berbasis TIVA, antisipasi risiko posisi parkbench, kontrol tekanan intrakranial, serta perawatan intensif pascaoperasi yang sistematis berperan penting dalam optimalisasi luaran pasien pada pembedahan tumor CPA kompleks. Kata Kunci: Cerebellopontine Angle, IONM, Neuroanesthesia, Posisi Parkbench, TIVA.
Faktor Psikososial dari Stres Kerja Polisi: Studi Literatur Sistematis Devy Maria Kristiani; M. Suharsono; M.Sih Setija Utami
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24119

Abstract

ABSTRACT Psychosocial factors of police occupational stress indicate that the mechanisms of police occupational stress tend to be complex. This is due to the nature of the work itself and its interaction with the social and psychological environment. Identifying psychosocial factors in the workplace means considering how work influences an individual's feelings, thoughts, and behaviors, thus gaining a comprehensive understanding for developing interventions for police occupational stress.To identify psychosocial factors of police occupational stress based on a systematic literature review. A Systematic Review of Literature (SRL) was conducted using the PICOC (Population, Intervention, Comparison, Outcomes, and Context) approach. The review examined 21 empirical research journals from 2019-2024, covering the psychosocial factors of police occupational stress, published in Scopus-indexed international journals, reputable international journals, international journals, and reputable national journals (Sinta). Journals were obtained from a search engine (Google Chrome) and analyzed using narrative meta-synthesis. Psychosocial factors of police work stress span personal, operational, organizational, and socio-political contexts. Gender and urban vs. rural locations are noted personal factors. Operational issues are the most frequently cited psychosocial factors. Administrative burden is the most frequently cited organizational complaint. The psychosocial factors of police work stress encompass personal, operational, organizational, and socio-political contexts. Examining gaps in psychosocial concepts and research methods is important. Keywords: Personal Stressors, Operational Stressors, Organizational Stressors, Socio-Political Contexts, Police.  ABSTRAK Faktor psikososial dari stres kerja polisi memperlihatkan bahwa mekanisme terjadinya stres kerja polisi cenderung kompleks. Hal ini dikarenakan sifat pekerjaan itu sendiri dan interaksinya dengan lingkungan sosial dan psikologis juga kompleks. Mengidentifikasi faktor psikososial di tempat kerja berarti mempertimbangkan bagaimana pekerjaan akan mempengaruhi perasaan, pikiran, dan perilaku individu, sehingga dapat diperoleh pemahaman yang komprehensif untuk mengembangan intervensi stres kerja polisi.Untuk mengidentifikasi faktor psikososial dari stres kerja pada polisi berdasarkan kajian sistematis literatur. Systematic Review Literature (SRL) dilakukan dengan PICOC (Population, Intervention, Comparison, Outcomes, dan Contex). Kajian dilakukan terhadap 21 jurnal penelitian empiris dari tahun 2019-2024, mengenai faktor psikososial dari stress kerja polisi, serta dipublikasikan di jurnal internasional terindeks scopus, jurnal internasional bereputasi, jurnal internasional, dan jurnal nasional bereputasi (Sinta). Jurnal diperoleh dari search engine (google chrome), kemudian dianalisis menggunakan meta-sintesis secara naratif. Identifikasi faktor psikososial dari stres kerja polisi meliputi faktor personal, faktor operasional, organisasional, dan konteks sosial-politik. Gender dan daerah perkotaan vs pedesaan merupakan faktor personal dari psikososial stres kerja. Faktor operasional merupakan faktor psikososial yang paling banyak dikemukakan polisi. Beban administrasi merupakan faktor organisasional yang paling banyak dikeluhkan polisi. Faktor psikososial dari stres kerja polisi meliputi faktor personal, faktor operasional, organisasional, dan konteks sosial-politik. Pentingnya mengkaji lebih lanjut celah kesenjangan yang ada terkait konsep psikososial dan metode penelitian. Kata Kunci: Stressor Personal, Stressor Operasional, Stressor Organisasional, Konteks Sosial-Politik, Polisi.
Pengaruh Pemberdayaan Keluarga terhadap Perilaku Pencegahan Komplikasi Hipertensi dengan Pendekatan Theory of Planned Behavior di Desa Baumata Utara Welmince Paulina Nggorong; Stefania E Tefa
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.23875

Abstract

ABSTRACT Low levels of family support are characterized by non-compliance with self-management so that blood pressure increases and is uncontrolled. The purpose of this study is to determine the effect of family empowerment on preventing hypertension complications. The research method is a quantitative descriptive research design with a Quasi Experiment approach with a Pretest and Posttest two Group Design research design of family assistance on preventing hypertension complications with the Theory of Planned Behavior approach. Pre-test and post-test behavior measurements using a questionnaire were then analyzed using the Wicoxon test. The results of the study showed that knowledge related to hypertension was almost unsure about hypertension prevention measures for 30 people (60%), then Outcome evaluations category for 30 people, Normative belief category for unsure about control belief category for unsure about 30 people (60%), in caring for family members with hypertension. In addition to family empowerment, 30 people (60%) were not sure, 27 people (57%) of families did not know about family health problems, caring for patients with hypertension for 28 people (56%), modification of the physical and psychological environment for 30 people (60%), using health facilities. Conclusion: The conclusion of this study is that the influence of family empowerment based on the theory of planned behavior can be implemented by nurses by considering personal factors, social factors, and information factors in improving the family's complication prevention behavior. Keywords: Family Empowerment, Hypertension, Theory of Planned Behavior, Behavior, Complications.  ABSTRAK Rendahnya tingkat dukungan keluarga ditandai dengan ketidapatuhan terhadap manajemen diri sehingga tekanan darah menjadi meningkat serta tidak terkendali Tujuan mengetahui efektivitas pada pemberdayaan keluarga terhadap pencegahan komplikasi hipertensi. Penelitian ini menggunakan metode kuantitatif dengan pendekatan Quasi Eksperimen dengan rancangan penelitian Pretest and Posttest two Group Design pendampingan keluarga terhadap pencegahan komplikasi hipertensi dengan pendekatan Theory Of Planned Behavior. Pengukuran perilaku pre-test dan post test menggunakan kuesioner kemudian dilakukan analisis dengan uji wicoxon. Hipertensi 30 orang (60%), kemudian Outcome evaluations kategori 30 orang, Normative belief kategori tidak yakin control belief kategori tidak yakin 30 orang (60%), dalam melakukan perawatan pada anggota keluarga yang mengalami hipertensi. Selain pemberdayaan keluarga tidak yakin sebanyak 30 orang (60%), 27 orang (57%) keluarga tidak mengenal masalah kesehatan keluarga, merawat pasien yang mengalami hipertensi 28 orang (56%), modifikasi lingkungan fisik dan psikologis 30 orang (60%), menggunakan fasilitas Kesehatan. Kesimpulan dari penelitian ini yaitu pengaruh pemberdayaan keluarga dapat dilakukan oleh perawat dengan memperhatikan faktor personal, faktor sosial, faktor informasi dalam meningkatkan perilaku pencegahan komplikasi oleh keluarga. Kata Kunci: Pemberdayaan Keluarga, Hipertensi,Theory of Planned Behavior, Perilaku, Komplikasi.
Global Research Trends on Emergency Medical Technicians: A Bibliometric Analysis (2015-2025) Misbahuddin Azis; Shanti Wardaningsih
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24438

Abstract

ABSTRACT Emergency medical technician (EMT) is a frontline responder trained to provide basic emergency care, including CPR, bleeding control, airway management, and patient assessment. Despite growing research, no comprehensive bibliometric analysis has been conducted on this topic. This study systematically maps the scientific landscape, research trends, and thematic structures of emergency medical technician, identifying clusters, gaps, and future directions. A bibliometric analysis of publications in the Scopus database was performed, with visualization, co-occurrence, and trend analyses conducted using VOS viewersoftware (version 1.6.20). From 6,459 relevant publications indicated increasing research activity despiteperiodic fluctuations, Five thematic clusters emerged: (1) EMT, (2) emergency health service, (3) emergency medical service, (4) emergency medical technician, and (5) rescue personnel. Overlay visualisation revealed a recent research shift (2015–2025) toward paramedic personnel, and allied health personnel. China was the country with leading contributor and The most cited work was Bulger et al. (2019), cited 161 times. This bibliometric study on emergency medical technician highlights priorities in The role of Emergency Medical Technicians (EMTs) in the global healthcare and emergency medical systems, the development and increasing complexity of professional practice, and the growing volume of scholarly publications related to EMTs. The findings offer a reference for future research of understanding of the evolution, structure, and direction of global EMT and offers valuable insights for researchers, educators, practitioners, and policymakers seeking to strengthen emergency medical services worldwide.. Keywords: Bibliometric Analysis, Emergency Medical Technician, Paramedic, Vosviewer.
Analisis Implementasi Kebijakan Intervensi Spesifik dalam Keberhasilan Penurunan Kasus Stunting di Wilayah Kerja Puskesmas Martapura Timur, Kabupaten Banjar, Kalimantan Selatan Mega Wasilah; Syamsul Arifin; Edi Hartoyo; Mohammad Isa; Didik Dwi Sanyoto; Adi Nugroho
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24297

Abstract

ABSTRACT Stunting is a public health problem that not only hinders children's physical growth but also impacts their intellectual and emotional development. Reducing stunting prevalence is inseparable from the government's serious efforts to identify and address its causes. The successful implementation of specific intervention policies to reduce stunting rates can be influenced by various factors, including resources and bureaucratic structures. The aim of this study was to analyze the implementation of specific intervention policies in successfully reducing stunting cases in the working area of the East Martapura Community Health Center, Banjar Regency, South Kalimantan. This research employed a qualitative approach, employing a case study design. The study was conducted in the East Martapura Community Health Center (Puskesmas) area, involving the Specific Intervention Program in activities aimed at successfully reducing stunting prevalence. Thirteen informants participated in the study. Data collection methods included in-depth interviews, focused discussions (FGDs), and documentation. Supporting factors from the resource aspect consist of the availability of adequate anthropometric equipment according to standards and sufficient, competent, and trained human resources with high discipline, and supported by an incentive system that can increase motivation in carrying out intervention tasks. Meanwhile, the inhibiting factor is the existence of equipment that is still damaged so that some Posyandu borrow equipment from other Posyandu to conduct measurements. Supporting factors from the bureaucratic structure aspect include a clear bureaucratic structure that includes detailed SOPs and division of authority through official regulations, and supported by monitoring and evaluation mechanisms that are carried out periodically. The implementation of specific intervention policies in successfully reducing stunting cases in the East Martapura Community Health Center Work Area has proven to be successful and effective, as evidenced by supporting factors consisting of the resources and bureaucratic structure owned. Keywords: Stunting, Policy Implementation, Resources, Bureaucratic Structure.  ABSTRAK Stunting adalah masalah kesehatan masyarakat yang tidak hanya menghambat pertumbuhan fisik anak, tetapi jugaberdampak pada perkembangan intelektual dan emosional mereka. Penurunan prevalensi stunting tidak lepas dari keseriusan upaya pemerintah dalam mengidentifikasi dan menangani penyebab stunting. Keberhasilan implementasi kebijakan intervensi spesifik dalam upaya penurunan angka stunting dapat dipengaruhi oleh berbagai factor, salah satunya sumber dan struktur birokrasi. Tujuan penelitian ini adalah menganalisis implementasi kebijakan intervensi spesifik dalam keberhasilan penurunan kasus stunting di wilayah kerja Puskesmas Martapura Timur, Kabupaten Banjar, Kalimantan Selatan. Penelitian ini menggunakan pendekatan kualitatif, rancangan penelitian yang digunakan dalampenelitian ini adalah studi kasus. Penelitian dilakukan di wilayah kerja Puskesmas Martapura Timur dengan melibatkan Program Intervensi Spesifik dalam kegiatan keberhasilan penurunan prevalensi stunting. Informan pada penelitian ini berjumlah 13 orang. Metode pengumpulan data menggunakan metode wawancara mendalam, diskusi terarah (FGD), dan dokumentasi. Faktor pendukung dari aspek sumber daya terdiri dari ketersediaan alat antropometri yang memadai sesuai dengan standar dan SDM yang cukup, kompeten, dan terlatih dengan kedisiplinan tinggi, dan didukung oleh sistem insentif yang mampu meningkatkan motivasi dalam menjalankan tugas intervensi. Sedangkan factor penghambat yaitu masih adanya alat yang sudah rusak sehingga beberapa posyandu meminjam alat posyandu lain untuk melakukan pengukuran.  Faktor pendukung dari aspek struktur birokrasi yaitu struktur birokrasi yang jelas meliputi SOP yang terperinci dan pembagian wewenang melalui regulasi resmi, serta didukung oleh mekanisme pengawasan dan evaluasi yang dilakukan secara berkala.  Pelaksanaan dari implementasi kebijakan intervensi spesifik dalam keberhasilan penurunan kasus stunting di Wilayah Kerja Puskesmas Martapura Timur terbukti berhasil dan efektif dibuktikan dengan factor pendukung yang terdiri dari sumber daya dan struktur birokrasi yang dimiliki. Kata Kunci: Stunting, Implementasi Kebijakan, Sumber Daya, Struktur Birokrasi.
Implementation of Palliative Care in Reducing Hospital Readmission Among Cancer Patients: A Systematic Review Rifqi Alifa Bestari; Tuti Nuraini; Allenidekania Allenidekania
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24174

Abstract

ABSTRACT Cancer patients are a population at high risk of hospital readmissions due to complex symptoms. Palliative care is a multidisciplinary approach that has the potential to reduce these readmissions by providing comprehensive support.This systematic review aimed to systematically assess palliative care interventions in reducing hospital readmission among cancer patients.A systematic literature search was conducted across six major databases (PubMed, Scopus, ScienceDirect, ClinicalKey Nursing, JSTOR, and SAGE Journals) using keywords including “cancer patients”, “palliative care”, and “hospital readmission”. Inclusion criteria encompassed quantitative studies that assessed the impact of palliative care interventions on hospital readmission rates. The methodological quality of each study was appraised using the appropriate JBI Critical Appraisal Tools.Out of 10,565 original records, 8 studies were included. The study looked into both inpatient and home care-based interventions. Results consistently showed that between 7 and 30 days after discharge, palliative care significantly decreased the readmission rate.Palliative care is effective in reducing hospital readmission among cancer patients. Keywords: Hospital Readmission, Palliative Care, Cancer Patients.
Praktik Bapukung dalam Mendukung Regulasi Emosi dan Ketenangan Bayi: Studi Etnografi pada Masyarakat Banjar Uswatun Hasanah; Erliana Puteri; Khalidah Khalidah; Herman Ariadi; Dian Yuliazahra; M. Irfan Naufal
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24751

Abstract

ABSTRACT Sleep is a fundamental need for infants and plays a crucial role in growth and neurological development, particularly through the Rapid Eye Movement (REM) phase. This study aimed to explore the meaning, practice, and implications of the Bapukung tradition on infant sleep quality within the cultural context of the Banjar community. A qualitative study with an ethnographic-interpretative approach was conducted through in-depth interviews and participatory observation, with thematic analysis supported by NVivo 12 software. The findings indicate that Bapukung remains an enduring cultural practice, interpreted as a form of intergenerational care reflecting affection, emotional bonding, and spiritual values between mothers and infants. The practice of Bapukung creates a relatively stable and calm sleep condition, as infants consistently reached the REM phase during sleep sessions, with an average REM duration of approximately 41 minutes per session and a total sleep duration of about 84 minutes. This condition was supported by a quiet environment, gentle rhythmic swinging, and a stable body position, empirically observed through reduced motor activity, more regular breathing patterns, and relaxed facial expressions. In addition to physiological aspects, emotional and spiritual elements such as prayers and soft chanting were found to contribute to infants’ sense of security. However, the application of Bapukung requires careful consideration of infant safety and physical readiness, particularly neck muscle strength. In conclusion, Bapukung represents a form of local wisdom with potential as a non-pharmacological method to support infant sleep quality when practiced appropriately and safely. Keywords: Bapukung, Infant, Sleep Quality, Rapid Eye Movement (REM), Banjar Culture, Ethnography.  ABSTRAK Tidur merupakan kebutuhan dasar bayi yang berperan penting dalam pertumbuhan dan perkembangan sistem saraf, khususnya melalui fase Rapid Eye Movement (REM). Penelitian ini bertujuan untuk memahami makna, praktik, dan implikasi tradisi Bapukung terhadap kualitas tidur bayi dalam konteks budaya masyarakat Banjar. Penelitian menggunakan metode kualitatif dengan pendekatan etnografi-interpretatif melalui wawancara mendalam dan observasi partisipatif, yang dianalisis secara tematik dengan bantuan perangkat lunak NVivo 12. Hasil penelitian menunjukkan bahwa tradisi Bapukung masih eksis dan dimaknai sebagai praktik turun-temurun yang mencerminkan kasih sayang, kedekatan emosional, serta nilai spiritual antara ibu dan anak. Praktik Bapukung menciptakan kondisi tidur bayi yang relatif stabil dan tenang, ditandai dengan tercapainya fase REM secara konsisten selama sesi peniduran, dengan rata-rata durasi sekitar 41 menit per sesi dan total durasi tidur sekitar 84 menit per sesi. Kondisi ini didukung oleh lingkungan yang tenang, ritme ayunan yang lembut, serta posisi tubuh bayi yang stabil, yang secara empiris terlihat dari berkurangnya aktivitas motorik, pola napas yang lebih teratur, dan ekspresi wajah bayi yang relaks. Selain aspek fisiologis, praktik Bapukung juga mengandung dimensi emosional dan spiritual melalui doa dan lantunan lembut yang diyakini meningkatkan rasa aman bayi. Namun demikian, penerapan Bapukung perlu memperhatikan aspek keamanan dan kesiapan fisik bayi, khususnya kekuatan otot leher. Disimpulkan bahwa Bapukung merupakan kearifan lokal yang berpotensi menjadi metode peniduran nonfarmakologis yang mendukung kualitas tidur bayi apabila diterapkan secara tepat dan aman. Kata Kunci: Bapukung, Bayi, Kualitas Tidur, Rapid Eye Movement (REM), Budaya Banjar, Etnografi.
Efektivitas Patch Transdermal Ekstrak Kayu Manis Terhadap Penyembuhan Luka Perineum Pada Ibu Postpartum Tri Karsiti; Mardiyono Mardiyono; Dina Indrati Dyah Sulistyowati
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24110

Abstract

ABSTRACT Perineal wounds are a common condition resulting from vaginal delivery, either due to episiotomy or spontaneus perineal tears. If not properly managed, perineal wounds may reduce maternal health and quality of life. Cinnamon ( Cinnamommun burmanii ) contains active compounds such as flavonoid, tannins and saponins that possess antibacterial and antimicrobial properties, thereby having potential to accelerate wound healing. This study involved two groups, an intervention group and a control group, each consisting of 23 respondents. REEDA scores were measured on days 1, 3, 5, and 7 postpartum. Normality testing showed that the data were not normally distributed (p 0.05), therefore the Mann-Whitney and Friedman tests were used for analysis. Respondent characteristics (age, nutritional status, vulva hygiene) were analyzed using the Chi-Square test. The baseline characteristics of both groups were comparable (age p = 1.000, parity p = 0.351, vulva hygiene p = 1.000). The Friedman test showed significant changes in REEDA scores across the observation days (p = 0.000). The Mann-Whitney test indicated no significant difference in REEDA scores on day 1 (p = 0.121), but significant differences were observed on day 3 (p = 0.000), day 5 (p = 0.000), and day 7 (p = 0.000), with the intervention group demonstrating lower REEDA scores and faster wound healing. The intervention was proven to be effective in accelerating perineal wound healing, indicated by significantly faster reductions in REEDA scores starting from day 3. Keywords: Perineal Wound, Postpartum, Wound Healing, REEDA, Vulva Hygiene.  ABSTRAK Luka perineum merupakan kondisi yang umum terjadi akibat proses persalinan pervaginam baik karena episiotomi maupun robekan spontan.  Apabila tidak  ditangani dengan baik luka perineum dapat menurunkan kualitas kesehatan ibu. Kayu manis (cinnamommun burmanii) mengandung senyawa aktif seperti flavonoid, tanin dan saponin yang memiliki sifat antibakteri dan antimikroba sehingga berpotensi mempercepat penyembuhan luka. Penelitian ini bertujuan untuk menganalisis efektifitas patch transdermal ekstrak kayu manis terhadap penyembuhan luka perineum pada ibu postpartum. Penelitian ini menggunakan desain true experimenal dengan rancangan group pretest- posttest with control group. Pengambilan sampel dlakukan secara acak dengan jumlah sampel sampel 46 orang dibagi menjadi dua kelompok yaitu kelompok intervensi dan kelompok kontrol. Subjek penelitian ini adalah ibu postpartum dengan ruptur perineum derajat II yang telah dilakukan penjahitan. Kelompok intervensi diberikan   patch transdermal ekstrak kayu manis dengan dosis 300 mg ekstrak kayu manis dengan kandungan flavonoid 0,84 mg ,dua kali sehari selama 7 hari sedangkan kelompok kontrol mendapatkan perawatan standar. Penilaian penyembuhan luka perineum dengan skala REEDA pada hari ke-1, 3, 5, dan 7. Analisis menggunakan uji Mann-Whitney dan Friedman karena data berdistribusi tidak normal.  Karakteristik responden dianalisis menggunakan Chi-Square.Karakteristik dasar responden pada  kedua kelompok setara (usia p = 1,000, paritas p = 0,351, vulva hygiene p = 1,000). Uji Friedman menunjukkan perubahan skor REEDA yang signifikan selama periode pengamatan (p = 0,000). Uji Mann-Whitney menunjukkan tidak ada perbedaan skor REEDA pada hari ke-1 (p = 0,121), namun perbedaan signifikan mulai terlihat pada hari ke-3 (p = 0,000), hari ke-5 (p = 0,000), dan hari ke-7 (p = 0,000), dengan skor REEDA kelompok intervensi lebih rendah. Hasil penelitian patch transdermal eksrak kayu manis dengan dosis 300 mg dengan kandungan 0.84 mg flavonoid terbukti efektif mempercepat penyembuhan luka perineum yang ditunjukkan denganpenurunan skor REEDA yang lebih cepat dan berbeda signifikan sejak hari ke-3. Kata Kunci: Luka Perineum, Post Partum, Penyembuhan Luka, REEDA, Vulva Hygiene.

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