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Ahmar Metastasis Health Journal (AMHJ)
Published by Yayasan Ahmad Mansyur Nasirah
ISSN : 27976483     EISSN : 27974952     DOI : https://doi.org/10.53770/amhj
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Ahmar Metastasis Health Journal (AMHJ), with registered number ISSN 2797-6483 (Print), 2797-4952 (Online) managed by the AHMAR Foundation, published by Yayasan Ahmad Mansyur Nasirah, which is a scientific forum for publishing articles on research activities in health (midwifery, pharmacy, nursing, public health and nutrition). The journal was first published in June 2021 and subsequently published four times a year, in June, September, December and March. Every article that goes to the editorial staff will be selected through Initial Review processes by the Editorial Board. Then, the articles will be sent to the peer reviewer and will go to the next selection by Double-Blind Preview Process. After that, the articles will be returned to the authors to revised. These processes take three a month for a maximum time. In each manuscript, peer reviewer will be rated from the substantial and technical aspects. The final decision of articles acceptance will be made by Editors according to Reviewers comments.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 183 Documents
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Modeling Dysmenorrhea Using PLS-SEM: The Role of Pain Frequency, Severity, and Self-Management among Female Health Students Karwati Karwati; Heru Santoso Wahito Nugroho
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.815

Abstract

Dysmenorrhea remains a common health issue among young women, yet limited studies have examined the behavioral structure underlying its burden, particularly among female health students. This study aimed to develop and test a structural behavioral model linking menstrual bleeding duration, pain frequency, pain severity, and primary self-management methods. A cross-sectional design was employed involving 215 female health students, with data collected through a structured questionnaire. The analysis was conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate the relationships among variables. The findings indicate that menstrual pain frequency significantly predicts pain severity (p < 0.001) and the choice of primary self-management methods (p = 0.034). In contrast, menstrual bleeding duration showed no significant effect on either pain severity or self-management strategies. These results highlight that pain frequency is the key determinant in shaping dysmenorrhea burden and behavioral responses, providing a novel contribution to understanding self-management patterns among health students. The study suggests that interventions should prioritize managing pain frequency to reduce dysmenorrhea impact.
Forecast of Dengue Hemorrhagic Fever Cases Based on Climate and Population Density Data Using Autoregressive Integrated Moving Average Muhammad Farid Dimjati Lusno; Setya Haksama; Al Hafez Husein; Ririh Yudhastuti; Heru Santoso Wahito Nugroho
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.816

Abstract

Dengue fever remains a major public health problem in Bali, with Denpasar consistently reporting high incidence rates in recent years. However, limited studies have quantitatively examined the influence of climate variability on dengue fever incidence and its temporal trends in this area. This study aimed to predict the trend of dengue fever incidence and to assess the impact of climate factors on dengue occurrence in Denpasar. This observational study used secondary data and was analyzed using cross-correlation, Pearson correlation, and Autoregressive Integrated Moving Average (ARIMA) time series modeling. The results of cross-correlation analysis showed that temperature had a significant negative correlation with dengue incidence, while rainfall showed a significant positive correlation. Humidity was not significantly associated with dengue incidence. The ARIMA model demonstrated good predictive performance with an R-squared value of 0.698, indicating that approximately 69.8% of the variation in dengue incidence could be explained by the model. The model also identified a consistent increase in dengue cases at the beginning of the year. These findings indicate that climate factors, particularly temperature and rainfall, play a significant role in influencing dengue incidence in Denpasar. The ARIMA model provides a reliable tool for early prediction of dengue outbreaks. Therefore, vector control and preventive interventions should be intensified at least one month prior to the expected increase in cases, particularly during periods of high rainfall.
The Mediating Role of Midwifery Support in the Association Between Tokophobia and Elective Caesarean Requests Among Primigravida: A Cross-Sectional Study Neneng Siti Lathifah; Nurliyani Nurliyani; Fijri Rachmawati; Rochmawati Rochmawati
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.845

Abstract

Fear of childbirth remains a significant psychological factor influencing delivery mode preferences among first-time pregnant women. This study aimed to examine the direct effect of tokophobia on non-medically indicated caesarean section (CS) requests among primigravidae and to assess the mediating role of midwifery support in this relationship. A cross-sectional design was employed involving 150 third-trimester primigravid women in Bandar Lampung City, selected through multi-stage cluster sampling across eight sub-districts. Tokophobia was measured using a culturally adapted version of the Wijma Delivery Expectancy Questionnaire Version A, while midwifery support was assessed using a researcher-developed instrument. Preferences for CS were collected through a nominal questionnaire. Data were analyzed using structural equation modeling with bootstrapping. The results showed that tokophobia significantly predicted both CS requests and the level of midwifery support. Furthermore, midwifery support significantly mediated the relationship between tokophobia and CS requests. Interestingly, the mediating effect was positive, indicating that supportive approaches lacking structured cognitive components may unintentionally reinforce CS preference among women experiencing fear of childbirth. These findings highlight tokophobia as a key psychological determinant of non-medically indicated CS demand in urban settings. In practice, integrating structured psychoeducational counseling and cognitive reframing techniques into routine antenatal care is crucial. Additionally, midwifery training programs should be strengthened to include evidence-based psychological intervention skills. Early screening for tokophobia, starting from the first trimester, is strongly recommended to help reduce unnecessary caesarean sections and improve maternal health outcomes.
Family Support and Exclusive Breastfeeding: The Mediating Role of Breastfeeding Self-Efficacy Rochmawati Rochmawati; Qorry Wahyuni Septica; Wina Chairunnisa
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.860

Abstract

Family support is widely acknowledged as a key determinant of breastfeeding; however, the psychological mechanism linking it to exclusive breastfeeding remains inadequately examined in Indonesia, as no published study has formally tested breastfeeding self-efficacy as a mediator using path analysis frameworks. This study aimed to analyze the mediating role of breastfeeding self-efficacy in the relationship between family support and exclusive breastfeeding among postpartum mothers. A cross-sectional analytical study was conducted with 250 postpartum mothers in Tangerang City and Regency, recruited through purposive sampling across multiple healthcare settings. Data were collected using two validated instruments and analyzed via Partial Least Squares Structural Equation Modeling (PLS-SEM), with indirect effects examined through indirect effect analysis. Family support had no significant direct effect on exclusive breastfeeding (β = 0.097; p = 0.422), yet strongly predicted breastfeeding self-efficacy (β = 0.887; p < 0.001). Breastfeeding self-efficacy significantly predicted exclusive breastfeeding (β = 0.761; p < 0.001), and the indirect effect was confirmed (β = 0.675; p < 0.001), indicating full mediation. The model explained 45.1% of variance in exclusive breastfeeding and 78.6% in breastfeeding self-efficacy, though causal inference remains constrained by the cross-sectional design. These findings demonstrate that family support promotes exclusive breastfeeding only insofar as it simultaneously strengthens maternal psychological confidence. Exclusive breastfeeding promotion programs should integrate self-efficacy-building components as a core intervention element rather than targeting family support in isolation.
Community-Based Health Education to Improve Knowledge, Attitudes, and Participation in Visual Inspection of Acetic Acid Testing Intan Gumilang; Lina Sundayani; Dian Remami
Ahmar Metastasis Health Journal Vol. 6 No. 1 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i1.937

Abstract

Cervical cancer remains a major reproductive health problem with low Visual Inspection with Acetic Acid (VIA) screening coverage in Indonesia. This study aimed to evaluate the effects of community-based health education through the “Bincang Asik” program on knowledge, attitudes, and participation in visual inspection with acetic acid (VIA) screening among women of reproductive age. A pre-experimental one-group pretest–posttest design was conducted among 59 women selected via simple random sampling at Primary Health Center, West Lombok. The "Bincang Asik" intervention employed a participatory peer-group discussion approach, meeting weekly for one month to discuss cervical cancer prevention. Knowledge (25 items) and attitudes (10 items) questionnaires were administered, alongside tracking VIA attendance. Because the data violated normality assumptions, pre- and post-intervention scores were analyzed using the Wilcoxon signed-rank test. The results of the study show that  knowledge scores significantly increased from a baseline mean of 45.20 ± 8.13 to 79.77 ± 6.45 (mean difference: 34.57; p<0.001), with 94.9% achieving good knowledge post-test. Similarly, positive attitudes improved from a baseline mean of 52.30 ± 5.42 to 72.40 ± 4.11 (mean difference: 20.10; p<0.001; 94.9% positive attitudes). However, actual VIA screening participation only reached 25%. In conclusion, while the participatory approach of the "Bincang Asik" program positively influences cognitive and affective outcomes, it does not fully translate into behavior.However, actual VIA screening participation only reached 25%. In conclusion, while the participatory approach of the "Bincang Asik" program positively influences cognitive and affective outcomes, it does not fully translate into behavior.  
The Relationship Between Knowledge and Attitudes of Multiparous Mothers Toward Intrauterine Device Contraception Eva Lusia; Veronica Yeni Rahmawati; Jehan Puspasari
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.570

Abstract

The use of long-term contraception, particularly the Intrauterine Device (IUD), remains relatively low among multiparous mothers, despite this method being known for its high effectiveness. This study aimed to analyze the relationship between the level of knowledge and attitudes of multiparous mothers toward the use of IUD contraception. This study employed a quantitative approach with a cross-sectional design. The study involved 133 multiparous mothers in the working area of Sumur Batu Community Health Center, Central Jakarta, selected using purposive sampling techniques. Data were collected using questionnaires and analyzed using the Chi-Square test. The results showed that the majority of respondents were aged 20–56 years, with a mean age of 37.7 years and a standard deviation of 7.85. Most respondents had a low level of knowledge (86.5%), although the majority demonstrated positive attitudes toward IUD use (77.4%). The proportion of IUD use was 37.6%. Bivariate analysis revealed a significant relationship between knowledge level (p = 0.000) and attitudes (p = 0.000) with IUD use. In contrast, no significant relationship was found between age (p = 0.285) and obstetric status (p = 0.799) with IUD use. Educational level also showed a significant relationship with IUD use (p = 0.000). In conclusion, knowledge level, attitudes, and educational level were significantly associated with the use of IUD contraception among multiparous mothers, whereas age and obstetric status were not significantly associated. Therefore, continuous educational and counseling efforts are needed to improve knowledge and foster positive attitudes among multiparous mothers toward IUD contraception in order to increase the use of effective long-term contraceptive methods.
The Impact of Psychoeducation and Spiritual Emotional Freedom Technique on Self-Efficacy Among Chemotherapy Patients with Cancer Septiyanti Septiyanti; Nehru Nugroho; Dwi Wulandari; Jordan Llego
Ahmar Metastasis Health Journal Vol. 6 No. 1 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i1.785

Abstract

Cancer and chemotherapy often cause psychological distress, including anxiety, depression, and reduced self-efficacy, which can negatively affect treatment adherence and quality of life. Strengthening self-efficacy is essential to support emotional resilience and adaptive coping during treatment. This study aimed to evaluate the effectiveness of a psychoeducation program integrated with the Spiritual Emotional Freedom Technique in improving self-efficacy among cancer patients. A quasi-experimental study with a one-group pre-test and post-test design was conducted at Dr. M. Yunus Hospital, Bengkulu Province, from March to May 2024. A total of 40 patients undergoing chemotherapy were recruited using purposive sampling. The intervention consisted of five structured psychoeducation sessions combined with the Spiritual Emotional Freedom Technique, delivered using a standardized protocol. Self-efficacy was measured using the General Self-Efficacy Scale developed by Schwarzer and Jerusalem (1995), with higher scores indicating greater perceived self-efficacy. Data were analysed using the Wilcoxon signed-rank test due to non-normality. Self-efficacy significantly improved after the intervention (Z = −5.44, p < 0.001). The mean score increased from 198.90 to 220.30, indicating a moderate-to-high improvement in patients’ confidence in managing treatment-related challenges. This finding suggests a clinically meaningful enhancement in patients’ ability to cope with the psychological demands of chemotherapy. Psychoeducation integrated with the Spiritual Emotional Freedom Technique significantly improves self-efficacy and may serve as a complementary approach to support psychological well-being among patients undergoing chemotherapy.  
Implementation of Electronic Medical Records: A Qualitative Study of Success Factors Using the HOT-Fit Model Sri Wahyuni; Elsye Maria Rosa
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.828

Abstract

The implementation of Electronic Medical Records (EMR) is a crucial part of the digital transformation of healthcare services, but its success is greatly influenced by the alignment between human, organizational, and technological aspects. This study aims to analyze the success factors and barriers to EMR implementation based on the Human–Organization–Technology Fit (HOT-Fit) model at RSU 'Aisyiyah Ponorogo. This study used a qualitative method with a case study approach. A total of 12 informants, consisting of healthcare workers, IT staff, and management, were selected purposively. Data were collected through in-depth interviews and document reviews, then analyzed using thematic content analysis with a deductive approach based on the HOT-Fit components. The results indicate that the successful implementation of EMR is supported by the integration of three main aspects: (1) adequate technology in the form of an integrated, flexible, and secure system; (2) good user acceptance, demonstrated by ease of use and increased work efficiency; and (3) organizational support through clear policies, structures, and funding. Key success factors include a mandatory EMR policy, the development of adaptive internal systems, a supportive organizational culture, and strong leadership. However, misalignments were still found in the HOT-Fit components, particularly regarding system stability, variations in user adaptation, and suboptimal training and evaluation. In conclusion, the implementation of EMR at RSU 'Aisyiyah Ponorogo has been successful and shows positive results. However, optimal success depends on continuously improving the alignment between human, organizational, and technological aspects.
Evaluation of Creatinine Levels, Ureum Levels, Urine Protein in Diabetes Mellitus Patient as a Predictor of Kidney Failure Ika Nurfajri Mentari; Tri Utari Agustina; Jumari Ustiawaty; Pauzan Pauzan
Ahmar Metastasis Health Journal Vol. 6 No. 1 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i1.865

Abstract

Chronic kidney failure is a common microvascular complication of diabetes mellitus, and kidney function is routinely evaluated using creatinine, urea, and urinary protein tests. However, because creatinine and urea testing requires automated laboratory equipment that is often unavailable in primary healthcare facilities, urinary protein testing remains the most accessible screening method for the early detection of kidney function impairment. The purpose of this study is to evaluate creatinine levels, urea levels, and urine protein in patients with Diabetes Mellitus as predictors of kidney failure. This study is a quantitative descriptive study with a cross-sectional approach. The independent variables are creatinine levels, urea levels, and urine protein, while the dependent variable is blood glucose levels. The study sample consisted of 30 individuals using accidental sampling technique. Data collection was conducted using secondary data. The data were analyzed descriptively and with the Pearson chi-square test. The research results showed that 47% of respondents had high creatinine levels, 83% had high urea levels, and 80% had positive urine protein results, including positive levels 1, 2, and 3. The Pearson chi-square test results indicated that all three variables creatinine, urea, and urine protein had a significant relationship with p-values less than 0.05, specifically creatinine at 0.045, urea at 0.037, and urine protein at 0.032. The conclusion that can be drawn from these results is that the examination of creatinine levels, urea levels, and urine protein can serve as predictors of kidney failure in patients with diabetes mellitus. In particular, urine protein levels can be a simple test used to detect kidney conditions in diabetes mellitus patients and can be performed at community health centers.  
Safety Behavior as a Mediator of Safety Leadership and Safety Climate in Oil and Gas Operation and Maintenance Fuad Hasan; Dewi Kurniasih; Indri Santiasih
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.876

Abstract

Occupational safety is a critical issue in high-risk industries, particularly in oil and gas Operation and Maintenance (O&M) companies, where workplace accidents frequently occur due to unsafe behaviors. Strengthening organizational factors such as safety leadership and safety climate is essential to improve employees’ safety behavior and mitigate occupational accidents. This study aims to analyze the direct and indirect effects of safety leadership and safety climate on occupational accidents, positioning safety behavior as a mediating variable. A quantitative approach with a verificative design was employed, involving 110 employees from an O&M oil and gas company. Data were collected via questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that safety leadership and safety climate significantly and directly reduce occupational accidents. Furthermore, safety behavior acts as a crucial mediating variable, successfully bridging the impact of safety leadership and safety climate on occupational accidents. Out-of-sample prediction using PLSpredict confirmed the model's high predictive relevance. These findings highlight that organizational safety practices are most effective when translated into individual safety behaviors. The study provides actionable managerial implications for HSE professionals to implement behavior-based safety observations and horizontal peer-to-peer safety communication to sustainably reduce workplace accidents in high-risk operational environments.

Page 17 of 19 | Total Record : 183

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