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INDONESIA
MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : 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.
Articles 1,609 Documents
A Survey Of School-Age Children's Maternal Knowledge and Attitudes About Obese in The Working Area of The Talang Banjar Health Center, Jambi City Ramadani, Ria; Deswita, Deswita; Novrianda, Dwi
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14922

Abstract

ABSTRACT The global incidence of childhood obesity is one of the main public health issues. Indonesia is one of the nations where overweight and obesity rates are rising the fastest, and the country also suffers from severe triple burden malnutrition (TBM). Children who are obese may experience detrimental impacts to their physical and mental health. Parents' knowledge, attitudes, and behaviors—especially those of mothers—have a big influence on how effectively kids manage their weight. Purpose to ascertain the nature of mothers' attitudes and knowledge on obesity in school-age children in the Talang Banjar Health Center's working area in Jambi City. This kind of research was carried out in January 2024 in the Talang Banjar Health Center Working Area, Jambi City, using a cross-sectional design and quantitative analysis. The mothers with school-age children comprise the researcher's population. With the use of a straightforward random sampling technique, the study's sample size was 138. Questionnaires on knowledge and attitudes were the instruments utilized. use SPSS software for data analysis. Sixty-one percent of the respondents were in the late adult (36–45 year) age range. 75.4 percent of respondents have completed high school, MAN, or SMK, and 72.5 percent of respondents are housewives. These are the categories with the most education levels among respondents. The level of maternal knowledge about obesity in school-age children is good knowledge (25.4%), sufficient knowledge (33.3%), lack of knowledge (41.3%), and most of the maternal attitude categories have a negative attitude category (54.3%). The results of this study demonstrate that respondents' attitudes and understanding on childhood obesity are lacking. Keywords: Child Obesity, Maternal Knowledge, Maternal Attitude
Aktivitas Fisik (YOGA) dan Kelelahan (FATIGUE) pada Pasien Wanita Kanker Payudara di RS Kanker Dharmais Dewi, Ratna; Sukarno, Anita; Nurhayati, Ety; Sapitri, Syaida Nur; Kurnia, Melati Putri
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.16477

Abstract

ABSTRACT Breast cancer is common in women, affecting 2.1 million women every year. Cancer treatment is chemotherapy, a side effect of chemotherapy for breast cancer patients that often occurs fatigue. Non-pharmacological therapy yoga physical activity is efficacious in reducing fatigue in breast cancer patients. The purpose of the study was to identify the relationship between physical activity and fatigue in female breast cancer patients at Dharmais Cancer Hospital. The study used a correlation approach Cross Sectional research design. Samples taken 200 people. The study used BFI (Brief Fatigue Inventory) and IPAG-SF (Activity Quitionnair Short Form) questionnaires and bivariate data analysis using Spearman's non-parametric correlation test. The results found that the age of 45-65 years was around 67.5%, the majority of therapy types used chemotherapy 42%, moderate fatigue as much as 48%, and moderate physical activity (yoga) around 52.5%. This study shows a p value of 0.262 there is no relationship between physical activity and fatigue. Conclusion There is no relationship between physical activity (yoga) and fatigue in female breast cancer patients at Dharmais Hospital. Keywords: Breast Cancer, Physical Activity, Fatigue  ABSTRAK Kanker payudara yang sering terjadi pada wanita, berdampak pada 2,1 juta wanita setiap tahun. Pengobatan kanker berupa kemoterapi, efek samping kemoterapi penderita kanker payudara yang sering terjadi kelelahan. Aktivitas fisik yoga terapi non-farmakologis berkhasiat mengurangi kelelahan pada pasien kanker payudara. Tujuan penelitian mengidentifikasi hubungan aktivitas fisik dan kelelahan (fatigue) pada pasien wanita kanker payudara di RS Kanker Dharmais. Penelitian menggunakan pendekatan korelasi desain penelitian Cross Sectional. Sampel yang diambil 200 orang. Penelitian menggunakan kuisioner BFI (Brief Fatigue Inventory) dan IPAG-SF (Activity Quitionnair Short Form) dan  analisis data bivariate menggunakan uji korelasi non parametric Spearman. Hasil ditemukan usia 45-65 tahun sekitar 67,5%, jenis terapi mayoritas menggunakan kemoterapi 42%, kelelahan sedang sebanyak 48%, dan aktivitas fisik (yoga) sedang sekitar 52,5%. Penelitian ini menunjukkan nilai p 0,262 tidak terdapat hubungan Antara aktivitas fisik dan kelelahan. Simpulan tidak terdapat hubungan Antara aktivitas fisik (yoga) dan kelelahan pada pasien wanita kanker payudara di RS Dharmais. Kata Kunci: Kanker Payudara, Aktivitas Fisik, Kelelahan
Gambaran Format dan Kelengkapan Pengisian Sertifikat Kematian di Rumah Sakit : Sebuah Tinjauan Pustaka Marwin, Fikri Alhafizd; Susanti, Rika; Fortuna, Fory; Windasari, Noverika; Rustam, Rony; Hasmiwati, Hasmiwati
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14520

Abstract

ABSTRACT Medical Certificate Cause of Death (MCCD) or death certificate is a letter made by the hospital and filled out by the doctor in charge to explain that someone has died. The standard format and instructions for filling out death certificates in Indonesia are issued by the Research and Development Agency of the Ministry of Health, Republic of Indonesia. In practice, several hospitals in Indonesia produce death certificates that do not comply with the standard format and do not follow the instructions for filling out the information issued by the Research and Development Agency of the Ministry of Health, Republic of Indonesia, so that death certificates are often filled out incompletely. This literature review aims to determine the suitability of the format and completeness of filling out a death certificate as well as the factors causing discrepancies and incomplete filling. This research takes the form of a literature review using provider databases, such as Google Scholar and nationally accredited journal sites with the keywords "Medical Cause of Death Certificate (MCCD)", "Death Certificate", and "Death Certificate (SKK)". The results showed that a total of 4 articles were related to the format of death certificates and 8 articles were related to the completeness of filling out death certificates from 2013-2023. Based on the research that has been carried out, it can be concluded that the format of death certificates issued by hospitals in Indonesia still does not follow the standard format of the Research and Development Agency of the Indonesian Ministry of Health. Overall, the completeness of filling out death certificates in several hospitals in Indonesia is still low. Factors causing format discrepancies are the hospital's ignorance of the standard format and the hospital's failure to evaluate and change the death certificate format. Factors causing incomplete filling in are the absence of guidelines for filling out, the absence of regulations and SOPs for filling out death certificates, lack of attention, and quantitative analysis that has not been optimal. Keywords: Medical Certificate Cause of Death, Death Certificate,  Completeness of Filling  ABSTRAK Sertifikat Medis Penyebab Kematian (SMPK) atau sertifikat kematian adalah surat yang dibuat oleh rumah sakit serta diisi oleh dokter penanggung jawab untuk menerangkan bahwa seseorang telah meninggal. Format baku dan petunjuk pengisian sertifikat kematian di Indonesia dikeluarkan oleh Badan Litbangkes Kemenkes Republik Indonesia. Dalam penerapannya, beberapa rumah sakit di Indonesia membuat sertifikat kematian yang tidak sesuai dengan format baku dan tidak mengikuti petunjuk pengisian yang telah dikeluarkan oleh Badan Litbangkes Kemenkes RI sehingga sering didapatkan pengisian sertifikat kematian yang tidak lengkap. Tinjauan pustaka ini bertujuan untuk mengetahui gambaran kesesuaian format dan kelengkapan pengisian sertifikat kematian serta faktor penyebab ketidaksesuaian dan ketidaklengkapan pengisian. Penelitian ini berupa tinjauan pustaka menggunakan database penyedia, seperti google scholar dan situs jurnal terakreditasi nasional dengan kata kunci “Sertifikat Medis Penyebab Kematian (SMPK)”, “Sertifikat Kematian”, dan “Surat Keterangan Kematian (SKK)”. Hasil didapatkan total 4 artikel terkait dengan format sertifikat kematian dan 8 artikel terkait dengan kelengkapan pengisian sertifikat kematian dari rentang tahun 2013-2023. Berdasarkan penelitian-penelitian yang telah dilakukan dapat disimpulkan bahwa format dari sertifikat kematian yang dikeluarkan oleh rumah sakit di Indonesia masih banyak yang belum mengkuti format baku  dari Badan Litbangkes Kementerian Kesehatan RI. Secara keseluruhan, kelengkapan pengisian sertifikat kematian pada beberapa rumah sakit di Indonesia masih rendah. Faktor penyebab ketidaksesuain format adalah ketidaktahuan pihak rumah sakit terhadap format baku serta pihak rumah sakit yang tidak melakukan evaluasi dan perubahan dari format sertifikat kematian. Faktor penyebab ketidaklengkapan pengisian adalah tidak adanya pedoman pengisian, tidak adanya peraturan dan SOP pengisian sertifikat kematian, kurangnya perhatian, dan analisis kuantitatif yang belum optimal. Kata Kunci: Sertifikat Medis Penyebab Kematian, Sertifikat Kematian, Kelengkapan Pengisian
Pengaruh Blended Learning terhadap Self Eficacy Perawatan Kaki untuk Mencegah Luka Kaki Diabetik pada Penderita Diabetes Melitus Tipe II Wahyuni, Emmi; Irman, Irman
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15129

Abstract

ABSTRACT Diabetes is a metabolic disease characterized by increased levels of glucose in the blood. The number of people suffering from type 2 DM is in­creasing every year, accompanied by complications from diabetic foot wounds. One of the problems that occurs is low self-efficacy regarding foot care to pre­vent diabetic foot wounds. This study aims to determine the effect of the blended learning method on foot care self-efficacy for preventing diabetic foot wounds in people with type 2 diabetes mellitus at the Kapasa Makassar Community Health Center. The research design used was quasi-experimental with pre-post with control group. The total sample was 32 respondents. The statistical tests used are the Wilcoxon and Mann-Withney tests. The instrument used to measure self-efficacy is the general self-efficacy scale questionnaire. This study obtained results with a ρ value of 0.000 which means <0.05 so it can be interpreted that there is an effect of the blended learning method on foot care self-efficacy to prevent diabetic foot wounds in type 2 DM patients. The blended learning method for diabetic foot care can increase self-efficacy in preventing diabetic foot wounds in type 2 DM sufferers. Keywords: Blended Learning, Self Efficacy, Diabetic Foot Wound, Diabetic Foot Care, Type 2 Diabetes Mellitus  ABSTRAK Diabetes merupakan penyakit metabolik yang ditandai dengan ke­naikan kadar glukosa dalam darah. Jumlah penderita DM tipe 2 semakin mening­kat setiap tahunnya, disertai dengan komplikasi luka kaki diabetik. Salah satu permasalahan yang terjadi adalah rendahnya efikasi diri mengenai perawatan kaki untuk mencegah luka kaki diabetik. Penelitian ini bertujuan untuk mengetahui pengaruh metode blended learning terhadap efikasi diri perawatan kaki untuk mencegah luka kaki diabetik pada penderita diabetes melitus tipe 2 di Puskesmas Kapasa Makassar. Penelitian yang digunakan adalah quasi eksperimen dengan pre-post with control group. Jumlah sampel sebanyak 32 responden. Uji statistik yang digunakan adalah uji Wilcoxon dan Mann-Withney. Instrumen yang digunakan untuk mengukur efikasi diri adalah kuesioner skala efikasi diri secara umum. Penelitian ini memperoleh hasil dengan nilai ρ sebesar 0,000 yang berarti <0.05 sehingga dapat diartikan bahwa terdapat pengaruh blended learning ter­hadap efikasi diri perawatan kaki untuk mencegah luka kaki diabetik pada pasien DM tipe 2. Metode blended learning perawatan kaki diabetik dapat mening­katkan efikasi diri mencegah luka kaki diabetik pada penderita DM tipe 2. Kata Kunci: Blended Learning, Efikasi Diri, Luka Kaki Diabetik, Perawatan Kaki Diabetik, Diabetes Melitus Tipe 2  
Faktor Risiko yang Berhubungan dengan Kejadian Skabies Pada Masyarakat Pesisir di Pulau Hiri Ternate Marsaoly, Rian Rinaldy; The, Fera; Wahyudi, Ridwan Bachtiar
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.15443

Abstract

ABSTRACT The majority of Indonesia population are coastal communities. Skin diseases are known as the most common health problems suffered by coastal communities. Scabies is a disease that can be transmitted easily in public places where people congregate. According to the World Health Organization (WHO), scabies is most prevalent in tropical countries and densely populated areas, including coastal areas. Susceptibility to scabies transmission is caused by environmental conditions, habits, and healthy living behaviors that are not optimal. Currently, there are lack of data related to the incidence of scabies in coastal communities, especially in Maluku Utara Province. This study was conducted to identify risk factors associated with the incidence of scabies in coastal communities on Hiri Island, Ternate City. The research design used in this study was a cross-sectional study. Sampling was carried out using accidental sampling techniques totaling 116 samples. The data were analyzed bivariately using the Chi square test. The results showed a significant relationship between age (p = 0.000), occupation (p = 0.000), personal hygiene (p = 0.000), use of shared personal tools (p = 0.000), and knowledge (p = 0.000) on the incidence of scabies. Meanwhile, there was no significant relationship between income above minimum wage and the incidence of scabies (p = 0.155). Based on the results of this study, health education has an important role to prevent scabies in coastal communities on Hiri Island, Ternate City, by initiating awareness-raising program to maintain personal hygiene, keeping eye on the residence hygiene, and bathing regularly Keywords: Risk Factor, Scabies, Hiri Island  ABSTRAK Sebagian besar penduduk Indonesia adalah masyarakat pesisir. Penyakit kulit diketahui sebagai masalah kesehatan yang paling banyak diderita oleh masyarakat pesisir. Skabies merupakan penyakit yang dapat menular dengan mudah di tempat berkumpulnya masyarakat. Menurut World Health Organization (WHO), skabies paling banyak terjadi di negara tropis dan daerah padat penduduk, termasuk daerah pesisir. Kerentanan terhadap transmisi skabies diakibatkan kondisi lingkungan, kebiasaan, dan perilaku hidup sehat yang belum optimal. Saat ini, masih sedikit data terkait kejadian skabies pada masyarakat pesisir, terkhusus di Provinsi Maluku Utara. Penelitian ini dilakukan untuk mengidentifikasi faktor risiko yang berhubungan dengan kejadian skabies pada masyarakat pesisir di Pulau Hiri Kota Ternate. Adapun desain penelitian yang digunakan dalam penelitian ini adalah studi cross sectional. Pengambilan sampel dilakukan dengan menggunakan teknik accidental sampling yang berjumlah 116 sampel. Data dianalisis secara bivariat menggunakan uji Chi square. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara usia (p = 0,000), pekerjaan (p = 0,000), kebersihan diri (p = 0,000), penggunaan alat pribadi bersama (p = 0,000), dan pengetahuan (p = 0,000) terhadap kejadian skabies. Sedangkan, tidak ada hubungan bermakna antara penghasilan di atas upah minimum terhadap kejadian skabies (p = 0,155). Berdasarkan hasil penelitian ini, pendidikan kesehatan memiliki peranan penting untuk mencegah terjadinya skabies pada masyarakat pesisir di Pulau Hiri, Kota Ternate, dengan menginisiasi program penyuluhan untuk menjaga kebersihan diri, memperhatikan kebersihan tempat tinggal, dan mandi secara teratur. Kata Kunci: Faktor Risiko, Skabies, Pulau Hiri
Faktor-Faktor yang Berhubungan dengan Pencapaian Pemberian ASI Eksklusif di Praktik Mandiri Bidan Cut Nurasma Siregar, Elvina Rizki; Pasaribu, Friska Yanti; Waruwu, Febriati; Sari, Hesti Kumala; Taringan, Pebriani Br.; Paninsari, Debora
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15208

Abstract

ABSTRACT Exclusive breast milk is very important for a child's survival to protect against various diseases that are highly susceptible to nature and which can be fatal for the baby. Such as diarrhea & pneumonia. There is a lot of evidence that shows that mothers who exclusively breastfeed their babies can have higher dominant intelligence when compared with babies who do not receive exclusive breast milk from their mothers. In addition, babies who are breastfed have a lower chance of becoming obese and also experiencing DM (Diabetes Mellitus). To determine the internal and external factors related to the successful achievement of providing Exclusive Breast Milk by Midwife Cut Nurasma's Independent Practice. This research uses a type of quantitative research, namely an analytical survey with a cross-sectional research design carried out by interviews and distributing questionnaires to determine the factors in achieving exclusive breastfeeding. Based on the analysis of the chi-square test results on husband's support & knowledge, it shows a p-value of 0.000, on family support it shows a p-value of 0.036 and on mother's attitude it shows a p-value of 0.010, which means <0.05 so Ho rejected and Ha accepted. Conclusion: the researcher can conclude that there are success factors in achieving exclusive breastfeeding. Keywords: Factors, Achievement, Exclusive Breastfeeding  ABSTRAK ASI Eksklusif sangat penting diberikan bagi kelangsungan hidup seorang anak untuk melindungi dari macam-macam penyakit yang sangat rentan di alami serta yang dapat berakibat fatal bagi bayi. Sepertidiare & pneumonia. Sudah banyak bukti yang memperlihatkan bahwa ibu yang menjalankan ASI Eksklusif kepada bayi nya, bayi dapat memiliki kecerdasan yang dominan lebih tinggi ketika kita bandingkan dengan bayi yang tidakmendapatkan ASI Eksklusif dari sang ibu. Selain itu, Bayi yang diberi ASI memiliki kemungkinan lebih rendah mengalami obesitas dan juga mengalami DM (Diabetes Melitus). Untuk mengetahui faktor internal dan eksternal yang berhubungan dengan keberhasilan pencapaian pemberian Asi Eksklusif Praktik Mandiri Bidan Cut Nurasma. Penelitian ini menggunakan jenis penelitian kuantitatif  yaitu survey analitik dengan desain penelitian yang digunakan adalah cross-sectional yang dilaksanakan dengan wawancara danpenyebaran kuesioner untuk mengetahui faktor- faktor dalam pencapaian pemberian asi eksklusif. Hasil: Berdasarkan Analisis hasil uji chi-square pada dukungan suami & pengetahuan menunjukkan nilai p-value sebesar 0,000, padadukungan keluarga menunjukkan nilai p-value sebesar 0,036 dan pada sikap ibu menunjukkan nilai p-value sebesar 0,010 yang berarti<0,05 sehingga Ho ditolakdan Ha diterima. maka peneliti dapat menyimpulkan bahwa adanya faktor-faktor keberhasilan dalam pencapaian pemberian ASI Eksklusif. Kata Kunci: Faktor-Faktor, Pencapaian, ASI Eksklusif
Prolonged Mechanical Ventilation (PMV) in Adult Patients in ICU (Definitions and Factors): a Scoping Review P, Yetti Kusmiati; Emaliyawati, Etika; Kosasih, Cecep E
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15728

Abstract

ABSTRACT Prolonged Mechanical Venilation (PMV) in the Intensive Care Unit can cause several problems including causing various diseases that are not expected, increasing the length of stay (LOS) of patients which ultimately increases the cost of care.This study aims to determine the limitations of the definition and factors associated with the incidence of Prolonged Mechanical Venilation (PMV) in patients in the ICU room. A scoping review was conducted using two databases, PubMed and CINAHL, with keywords Population: adult patients, Concept: Prolonged Mechanical Ventilation (PMV), Context: Intensive Care Unit. Articles included with the criteria are English articles, published in 2012-2022 and have full-text articles. Based on the search results, 38 articles were obtained which were then analyzed and 17 articles were reviewed. The results of the scoping review found that 3 out of 5 articles mentioned PMV was ventilator use above 21 days. Analysis of factors associated with PMV was seen from several approaches such as demographics. Three studies revealed that advanced age as a related factor. 14 out of 17 studies examined factors related to specific body conditions such as anemia, HAP, ARDS, Hematocytes and so on. While three other researchers discussed systems or tools. It can be concluded that almost all the analyzed articles mention that poor health conditions increase the duration of mechanical ventilation use. Keywords: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit  ABSTRAK Prolonged Mechanical Venilation (PMV) di ruang Intensive Care Unit (ICU) dapat menimbulkan beberapa masalah diantaranya menimbulkan berbagai penyakit yang tidak di harapkan, meningkatkan lama rawat pasien length of stay (LOS) pasien yang pada akhirnya meningkatkan biaya perawatan. Penelitian ini bertujuan untuk mengetahui batasan definisi serta faktor-faktor yang berhubungan dengan kejadian PMV pada pasien di ruang ICU.  Metode dilakukan dengan scoping review menggunakan dua database yaitu PubMed dan CINAHLdengan kata kunci yaitu Population: pasien dewasa, Concept: Prolonged Mechanical Ventilation (PMV), Context: ruang Intensive Care Unit. Artikel yang masuk dengan kriteria adalah artikel berbahasa inggris, terbit tahun 2012-2022 dan memiliki artikel full-text. Berdasarkan hasil pencarian didapatkan 38 artikel yang selanjutnya dilakukan analisa data dan artikel yang akan di review 17 artikel. Hasil scoping review didapatkan bahwa 3 dari 5 artikel menyebutkan PMV merupakan penggunaan ventilator diatas 21 hari. Analisis faktor yang berhubungan dengan PMV dilihat dari beberapa pendekatan seperti demografi. Tiga penelitian megungkapkan bahwa usia lanjut sebagai factor yang berhubungan. 14 dari 17 penelitian meneliti faktor yang berkaitan dengan kondisi tubuh secara spesifik seperti anemia, HAP, ARDS, Hematoktit dan lain sebagainya. Sedangkan tiga peneliti lain membahas mengenai sistem atau tools. Kesimpulan studi ini adalah kondisi kesehatan yang buruk meningkatkan durasi penggunaan ventilasi mekanik. Kata Kunci: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit.
Determinants of Patient Loyalty: A Systematic Review Ubery, Yulinda Ferdiana; Ernawaty, Ernawaty
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.15612

Abstract

ABSTRACT Patient loyalty is the key to business success for healthcare providers as well as patient health outcomes. This research aims to identify factors that determine patient loyalty using a systematic review study. Articles published in the last 5 years in Proquest, Google Scholar, and PubMed databases were systematically reviewed. Eight articles that met the inclusion and exclusion criteria were selected for further review. Findings regarding the determinants of patient loyalty to healthcare organizations were systematically synthesized. Publications on factors that determine patient loyalty to screening health care providers and 20 articles were included in this study. Twenty articles explore 14 determinants of patient loyalty such as patient satisfaction, quality, value, hospital brand image, trust, commitment, CRM, patient experience, service delivery, relationship marketing and word-of-mouth (WoM), CSR, perceived value, implementation of innovation, and environmental services. This review identified and modeled the determinants of patient loyalty to healthcare providers. Further research should consider extending this research to general hospitals, clinics and health centers. clinics and health centers to identify the most dominant factors of interest. Keywords: Health Services, Patient Loyalty, Systematic Review
Studi Fenomenologi: Pengalaman Perawat dalam Menegakkan Diagnosis Keperwatan Berdasarkan Standar Diagnosis Keperawatan Indonesia Batu, Yuliana; Hasriana, Hasriana; Damayanti, Ana; Lesmana, Hendy; Zulfia, Rahmatuz; Najihah, Najihah
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.14897

Abstract

ABSTRACT Diagnosis enforcement is an important aspect of the practice of nursing. Nursing diagnosis have been applied at a number of hospitals and other health facilities, but the knowledge of nurses regarding diagnostic indicators for diagnostic enforcement, and diagnosis enforcement is not difficult. The SDKI as a guideline for the formulation of nursing diagnosis has been implemented since 2017, but in reality, the implementation of nursing diagnosis based on SDKI is not optimal yet. The purpose of the research is to explore the experiences of nurses in enforcing their nursing diagnosis based on SDKI. Through a qualitative study with a phenomenological approach, using purposive sampling techniques and total of 14 participants. The results of this study led to four themes namely: new challenges, making it easier for nurses, obstacles of SDKI use, form of support for the implementation of SDKI. The result of this study conluded that the use of SDKI makes it easier to the determination of nursing diagnoses. The hospital committee should conduct in-house training on nursing care plans in accordance with the Indonesian Standard of Nursing Diagnosis. Keywords: Experience of Nurse, SDKI, Nursing Diagnosis  ABSTRAK Penegakan diagnosis merupakan aspek penting dalam praktik keperawatan. SDKI sebagai pedoman perumusan diagnosis keperawatan telah diberlakukan sejak tahun 2017, akan tetapi pada kenyataannya saat ini penerapan diagnosis keperawatan berdasarkan SDKI belum optimal. Tujuan dari penelitian ini adalah mengeksplorasi pengalaman perawat dalam menegakkan diagnosis keperawatan berdasarkan SDKI, Melalui studi kualitatif dengan pendekatan fenomenologi, menggunakan tehnik purposive sampling dan jumlah 14 partisipan. Hasil penelitian ini memunculkan empat tema yaitu: tantangan baru, memudahkan perawat, kendala penggunaan SDKI, bentuk dukungan penerapan SDKI. Hasil penelitian ini menyimpulkan bahwa Penggunaan SDKI memudahkan dalam penentuan diagnosis keperawatan. Komite rumah sakit perlu melakukan inhouse training tentang nursing care plan yang disesuaikan dengan Standar Diagnosis Keperawatan Indonesia. Kata Kunci: Diagnosis Keperawatan, Pengalaman Perawat, SDKI 
Gambaran Self-Management dan Kualitas Hidup Pada Orang Dengan HIV/AIDS Dwinaputri, Adinda Zahira; Witdiawati, Witdiawati; Purba, Chandra Isabella Hostanida
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15101

Abstract

ABSTRACT Human Immunodeficiency Virus is still a major health problem in the world due to its increasing prevalence every year. One of the factors to evaluate the health of people living with HIV is to assess their quality of life; improving the quality of life of this group is an important goal for treatment. HIV is a chronic disease and requires self-management, controlled and prescribed medication, the need for self-care, stigma from the community, and psychological distress. West Java is one of the highest provinces with HIV/AIDS in Indonesia.  The purpose of this study was to identify the description of self-management and quality of life in people with HIV/AIDS at the General Hospital of the Indonesian Army Guntur, Garut. This study used a descriptive cross sectional study approach. The number of samples studied was 111 HIV located in the General Hospital of the Indonesian Army Guntur Garut. Data were collected using the HIV Self-Management Scale instrument and quality of life instruments using the WHOQOL-HIV BREF. Data were analyzed using descriptive statistics to describe the frequency distribution. This study showed that the majority of respondents were male as many as 94 people (84.7%). Most of the respondents were aged 20 - 44 years, namely as many as (83.8%), the final education at the high school education level as many as 68 people (61.3%). Based on the level of self-management, 63 respondents (56.8%) had a poor level of self-management. As for the quality of life, there were 62 respondents who had a bad quality of life category (55.9%). Based on this, nurses can also act as educators by providing regular counseling related to effective self-management which will require cooperation from various health services. As a result, ODHIV will receive support and knowledge that can change their awareness and behavior for the better.  Key words: HIV/AIDS, Quality of Life, PLHIV, Self-Management  ABSTRAK Human Immunodeficiency Virus masih menjadi permasalahan kesehatan utama di dunia karena prevalensi yang meningkat setiap tahunnya. Salah satu faktor untuk mengevaluasi kesehatan orang dengan HIV adalah dengan mengkaji kualitas hidupnya, perbaikan kualitas hidup kelompok tersebut menjadi tujuan penting untuk pengobatan. HIV termasuk kedalam penyakit kronis dan membutuhkan self-management, pengobatan yang harus dikontrol dan ditentukan, adanya kebutuhan akan perawatan diri, stigma dari masyarakat, dan tekanan psikologis. Jawa barat merupakan salah satu provinsi tertinggi penderita HIV/AIDS di Indonesia.  Tujuan penelitian ini untuk mengidentifikasi gambaran self-management dan kualitas hidup pada orang dengan HIV/AIDS di Rumah Sakit Umum TNI AD Tk.IV Guntur, Garut. Penelitian ini menggunakan deskriptif dengan pendekatan cross sectional study. Jumlah sampel yang diteliti adalah 111 HIV yang berlokasi di Rumah Sakit Umum TNI AD Tk.IV Guntur Garut. Data dikumpulkan menggunakan instrumen HIV Self-Management Scale dan instrumen kualitas hidup dengan menggunakan WHOQOL-HIV BREF. Data dianalisis menggunakan statistik deskriptif untuk menggambarkan distribusi frekuensi. Penelitian ini menunjukkan mayoritas responden berjenis kelamin laki-laki sebanyak 94 orang (84.7%). Sebagian besar dari responden berusia 20 – 44 tahun yaitu sebanyak (83.8%), pendidikan akhir di tingkat pendidikan sekolah menengah atas sebanyak 68 orang (61.3%). Berdasarkan tingkat self-management responden yang memiliki tingkat self-management buruk sebanyak 63 orang (56.8%). Sedangkan untuk kualitas hidup besar responden yang memiliki kualitas hidup kategori kurang baik sebanyak 62 orang (55.9%). Berdasarkan hal tersebut, maka perawat juga dapat berperan sebagai edukator dengan memberikan penyuluhan secara berkala terkait manajemen diri yang efektif yang nantinya akan membutuhkan kerja sama dari berbagai pihak pelayanan kesehatan. Sehingga, ODHIV mendapatkan dukungan dan pengetahuan yang dapat mengubah kesadaran dan perilaku ODHIV menjadi lebih baik. Kata Kunci: HIV/AIDS, Kualitas Hidup, ODHIV, Self-Management

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