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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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Analysis of Self-Care Behavior Factors Among Patients with Hypertension at the Rasau Jaya Community Health Center in 2025 Dedi Alamsyah; Selviana Selviana; Linda Suwarni
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.v6i1.1068

Abstract

Hypertension, known as “The Silent Killer,” is a global health challenge with an ever-increasing prevalence. In the service area of the Rasau Jaya Community Health Center, 5,662 cases were recorded from January through October 2025. Management of this chronic disease relies heavily on self-care behavior. This study aims to analyze factors associated with self-care behavior among patients with hypertension at the Rasau Jaya Community Health Center in 2025. A quantitative analytical study with a cross-sectional design was conducted from June to October 2025. A sample of 252 respondents was selected using purposive sampling from the population of patients with hypertension. Data were analyzed univariately and bivariately using the Chi-Square test (α=0.05; CI=95%). The results showed that the majority of respondents with good self-care behaviors were in the 31–44 age group (94.7%), male (78.3%), highly educated (93.7%), had a family history (82.9%), and had been living with the condition for >5 years (89.1%). However, the majority of respondents had knowledge and self-efficacy levels in the “poor” category (83.3%). Bivariate analysis showed a significant association between family history (p=0.009; PR=1.20) and duration of hypertension (p=0.026; PR=2.41) with self-care behavior. The variables of age, gender, educational level, knowledge level, and self-efficacy did not show statistically significant associations. In conclusion, family history and duration of hypertension are factors associated with self-care behavior in patients with hypertension. Patients are recommended to improve self-management through family support for home care and by regularly participating in the Prolanis program at community health centers to maintain long-term treatment motivation.  
Determinants of Chronic Energy Deficiency Among Pregnant Women in Keruak East Lombok: A Case-Control Study Mutiara Rachmawati Suseno; Miftahurrizky Amelia; Fitra Arsy Nur Cory’ah
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.v6i1.1096

Abstract

Chronic Energy Deficiency (CED) among pregnant women remains an important public health problem because it is associated with adverse maternal and neonatal outcomes, including anemia, low birth weight, and pregnancy complications. Keruak Primary Health Center reported one of the highest CED rates in East Lombok, with a prevalence of 13.67% in 2024. This study aimed to identify factors associated with CED among pregnant women in the working area of Keruak Primary Health Center, East Lombok. This quantitative analytical study used an unmatched case-control design based on secondary data from maternal health records from January to December 2024. The study population consisted of 1,117 pregnant women, and the sample included 338 respondents, comprising 169 pregnant women with CED and 169 pregnant women without CED selected using a 1:1 case-control ratio. Data were analyzed using chi-square tests and multivariate logistic regression. Bivariate analysis showed significant associations between CED and maternal education, parity, body mass index (BMI), frequency of antenatal care (ANC) visits, hemoglobin level, and iron tablet consumption. BMI in this study referred to the BMI recorded during pregnancy in the maternal health records. In the final multivariate model, BMI showed the strongest association with CED (OR=23.209; 95% CI: 8.463–63.651), followed by parity (OR=2.754; 95% CI: 1.554–4.880), hemoglobin level (OR=2.527; 95% CI: 1.385–4.612), and ANC attendance (OR=1.925; 95% CI: 1.027–3.609). These findings indicate that maternal nutritional status, parity, ANC utilization, and anemia are important factors associated with CED among pregnant women. Strengthening nutritional screening, preconception care, ANC follow-up, hemoglobin monitoring, iron-folic acid supplementation counseling, and targeted nutritional support may help improve early identification and management of pregnant women at risk of CED.
Community-Based Health Education and Personal Hygiene Knowledge Among Hypertensive Older Adults: A Gerontologic Nursing Perspective Dwi Widyastuti; Deby Krisna Yuwanda; Milkhatun Milkhatun
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.v6i1.770

Abstract

Hypertension is a major global health problem with increasing prevalence among older adults and requires comprehensive management beyond pharmacological treatment. From a gerontic nursing perspective, strengthening self-care, including personal hygiene, is essential to prevent complications and improve health outcomes. However, age-related cognitive and sensory changes often reduce the effectiveness of conventional health education. This study aimed to evaluate the effectiveness of a community-based educational video in improving personal hygiene knowledge among older adults with hypertension. A quantitative pre-experimental study using a one-group pretest–posttest design was conducted among 38 adults aged ≥60 years recruited through purposive sampling at a public health center in Samarinda, East Kalimantan, Indonesia. Knowledge was assessed using a validated and reliable structured questionnaire before and after participants viewed a seven-minute educational video developed according to gerontic nursing principles. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test. Personal hygiene knowledge improved significantly following the intervention. Before the intervention, most participants had good or moderate knowledge, whereas after the intervention all participants achieved a good level of knowledge, with a statistically significant improvement (p < 0.001). These findings demonstrate that community-based educational videos are an effective, practical, and age-appropriate strategy for improving personal hygiene knowledge among older adults with hypertension and support their integration into promotive and preventive gerontic nursing services in primary health care and community settings.
Factors Associated with Pre-Hospital Clinical Improvement in Non-Trauma Emergencies: A Cross-Sectional Analysis Zulmah Astuti; Okdwi Ganda Arianto; Maridi M Dirdjo
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.v6i1.774

Abstract

Ambulance response time is a key performance indicator of Emergency Medical Services (EMS) and is essential for early patient stabilization. However, evidence on factors associated with pre-hospital clinical improvement, particularly changes in the Australasian Triage Scale (ATS), remains limited in developing countries. This study aimed to identify factors associated with pre-hospital clinical improvement among non-trauma emergency patients. A cross-sectional analytical study was conducted involving 113 non-trauma emergency patients transported by ambulance to a tertiary referral hospital in Samarinda, East Kalimantan, Indonesia. ATS improvement was defined as a positive shift to a lower-acuity category between the initial assessment at the emergency scene and reassessment at the emergency department. Data were analyzed using multivariate logistic regression controlling for age, transport distance, diagnosis, and pre-hospital interventions. Ambulance response time of ≤15 minutes was the strongest factor associated with ATS improvement (p < 0.001; adjusted OR = 0.019; 95% CI = 0.003–0.122). Circulation management during pre-hospital care also significantly improved clinical status (p = 0.039), whereas age (p = 0.298) and transport distance (p = 0.114) showed no significant association. These findings indicate that rapid ambulance response and appropriate pre-hospital interventions are strongly associated with improved clinical outcomes in non-trauma emergencies. Although the cross-sectional, single-center design limits causal inference and generalizability, strengthening EMS dispatch systems and timely pre-hospital care remains essential for optimizing patient outcomes.
The Effectiveness of Role-Play Basic Life Support Training in Improving Knowledge and Attitudes Toward Cardiac Arrest Among the Laypersons Misbah Nurjannah; Herdianti Herdianti; Wenty Amelia; Afifah Nur Madaniya; Taharuddin Taharuddin
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.v6i1.775

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a leading cause of death worldwide, and early Basic Life Support (BLS) provided by laypeople is critical for improving survival before emergency medical services arrive. However, public knowledge and attitudes toward BLS remain inadequate because many individuals have never received formal training. This study aimed to evaluate the effectiveness of role play-based BLS training in improving laypeople’s knowledge and attitudes toward cardiac arrest first aid. A quasi-experimental one-group pretest–posttest design was conducted among 68 lay participants recruited through consecutive sampling. Participants received role play-based BLS training, and knowledge and attitudes were assessed using structured questionnaires before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test, with additional analyses examining associations between demographic characteristics and study outcomes. Following the intervention, participants demonstrated significant improvements in both knowledge and attitudes. The proportion with good knowledge increased from predominantly moderate (63.6%) to 97.0%, while positive attitudes increased from 72.7% to 93.9%. Significant differences were observed in knowledge and attitude scores (both p < 0.001), with a large intervention effect (r = 0.62). No significant associations were found between demographic factors and outcomes. Role play-based BLS training effectively improves laypeople’s knowledge and attitudes regardless of demographic characteristics, supporting its implementation as an inclusive, practical strategy to strengthen community preparedness for cardiac arrest emergencies.
Key Factors Associated with Nursing Care Intensity for Nursing Service Management in a Psychiatric Hospital: A Cross-Sectional Study Approach Milkhatun Milkhatun; Yudhi Fajar Saputra; Alfi Ari Fakhrur Rizal; Ni Wayan Wiwin Asthiningsih; Rusni Masnina; Maridi M Dirdjo
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.v6i1.789

Abstract

Nursing care intensity is an important indicator of nursing service quality and patient safety. However, in many clinical settings, nursing workload and care demand assessments are still largely based on medical diagnoses rather than psychosocial and cognitive conditions that may better reflect patients’ actual nursing needs. This study examined the association between patient-related factors across four domains (health history and genetic factors, emotional and cognitive functioning, self-concept, and social–interpersonal relationships) and nursing care intensity levels. A cross-sectional study was conducted at RSJD Atma Husada Mahakam Samarinda, Indonesia, using data from 491 patients collected through a standardized nursing care intensity assessment instrument based on the NANDA–NIC–NOC framework. Nursing care intensity was categorized into low, moderate, and high levels, with most patients classified in the moderate category. Associations between variables and nursing care intensity were analyzed using Chi-square tests, and the strength of associations was evaluated using Cramer’s V and Phi coefficient to identify key associated factors. The result showed that most psychosocial, emotional, cognitive, and social variables showed significant associations with nursing care intensity. The strongest associationships were observed for self-esteem (V = 0.487), socialization in the community (V = 0.408), emotion (V = 0.405), perception (V = 0.290), and intelligence (V = 0.280). In contrast, genetic factors and medical diagnosis showed no significant association with nursing care intensity. Nursing care intensity is more strongly associated with psychosocial and cognitive factors than by traditional medical indicators. These findings highlight key associated factors identified through bivariate analysis and suggest that integrating these domains into routine nursing assessments may support evidence-based staffing allocation, reduce missed nursing care, and improve nursing service quality.
Correlation between Family Support and Quality of Life Among Post-Stroke Patients Thomas Wibowo; Wantasya Febriani
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.v6i1.795

Abstract

Stroke is one of the leading causes of disability that can reduce patients’ quality of life. Post-stroke patients often experience physical, psychological, and social limitations, thereby requiring family support to manage their daily lives. Family support plays a crucial role in assisting the care process, rehabilitation, and patients’ adaptation to post-stroke conditions. This study aimed to determine the relationship between family support and quality of life among post-stroke patients. This research design uses a quantitative research approach. The approach method taken is a cross-sectional approach with analysis using Spearman’s rank. The study results, with a p-value of 0.001 < 0.05, showed that there was a relationship between family support and quality of life among post-stroke patients. The correlation coefficient (r = 0.712) indicated a strong positive relationship, suggesting that greater family support is associated with improved quality of life. In conclusion,  according to the findings of this study, there is a correlation between family support and quality of life among post-stroke patients. A recommendation of the research is that family support can be used to help post-stroke patients with medication.
The Impact of First Aid Training on Knowledge and Practical Skills Among Sports Vocational Students Alfi Ari Fakhrur Rizal; Agung Sugiarto; Ayuthya Safitri Nuraz’mi; Nuraini Sri Agustina; Ririn Aliya Putri; Nina Maulida; Tassya Indri Fadillah
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.v6i1.803

Abstract

Musculoskeletal injuries represent a significant challenge in youth athletics, necessitating effective immediate management to prevent complications. This study aimed to evaluate the effectiveness of a targeted musculoskeletal injury first aid training program on the knowledge and practical skills of Grade 10 student-athletes at the Indonesian Special Sports School (SKOI), East Kalimantan. Utilizing a pre-experimental, one-group pretest-posttest design, 30 student-athletes participated in a structured intervention covering dislocations, sprains and strains, fractures, bleeding, and muscle cramps. The findings revealed statistically significant improvements across all injury categories (p<0.001), with substantially large effect sizes indicating the program's strong efficacy. Notably, the sprain and strain category showed the most pronounced advancement, with practical skills rising from a low baseline to high proficiency (Cohen's d=7.06). Furthermore, robust practical skill acquisitions were consistently documented for fractures (d=3.66), bleeding (d=3.09), muscle cramps (d=2.63), and dislocations (d=2.49). These results demonstrate that the training successfully bridged the gap between theoretical comprehension and on-field application. In conclusion, structured first aid education significantly enhances student-athlete competence, supporting its integration as a sustainable core component of sports school curricula to mitigate injury-related risks.
Determinants of Cesarean Section Decision-Making Beyond Clinical Indications: A Qualitative Study Aprilia Wulandari; Sastrawan Sastrawan; Sismulyanto Sismulyanto
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.v6i1.807

Abstract

Cesarean section (CS) rates have increased substantially worldwide, with a growing proportion performed without clear medical indications, raising concerns about avoidable maternal and neonatal risks, healthcare costs, and health system inefficiencies. In Mataram City, Indonesia, hospital-based CS rates exceed 60%, substantially higher than national levels and international recommendations, yet evidence regarding the decision-making processes underlying this pattern remains limited. This study aimed to explore how clinical, sociocultural, and health system factors interact to shape CS decision-making in Mataram City. A qualitative case study was conducted from June to August 2025 using in-depth interviews with women who voluntarily chose CS without emergency indications, obstetricians, and nursing staff, as well as focus group discussions with midwives recruited purposively from public and private healthcare settings. Data were analyzed thematically using the Health Belief Model as an analytical framework. Five interrelated domains shaped CS decision-making: medical considerations, maternal and family perceptions, social interactions, healthcare provider authority, and childbirth financing mechanisms. Relative medical indications emerged as critical triggers that legitimized maternal preferences for CS by amplifying perceived risks within asymmetrical patient provider relationships. Overall, CS decision-making was shaped by the interaction of clinical assessments, sociocultural norms, provider authority, and health system financing. Strengthening shared decision-making, standardizing antenatal counseling, improving maternal health literacy, and addressing financial incentives may help reduce unnecessary CS while preserving maternal autonomy and ensuring maternal and neonatal safety.  
The Role of School Mental Health Resources and the Implementation of Anti-Bullying Policies in Adolescents Nida Amalia; Ardi Rizqi Ramdhani; Yurisda Priyanti; Erni Wingki Susanti; Niken Agus Tianingrum
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.v6i1.809

Abstract

Adolescent mental health is an important aspect of individual development but is vulnerable to challenges such as academic pressure, social problems, and bullying. Schools have a strategic role in supporting adolescent mental health through the availability of mental health services and the implementation of anti-bullying policies. However, evidence regarding the relationship between these factors and students’ mental health at the local vocational school level remains limited. This study aimed to analyze the relationship between school mental health service resources and the implementation of anti-bullying policies with students’ mental health at SMK Muhammadiyah 1 Samarinda City. This quantitative study used a cross-sectional design involving 125 students. Data were collected using questionnaires assessing mental health service resources, anti-bullying policy implementation, and students’ mental health measured by the General Health Questionnaire-12 (GHQ-12). Data were analyzed using multiple linear regression. The results showed that school mental health service resources (p=0.01) and anti-bullying policy implementation (p=0.0001) were significantly associated with students’ mental health. The regression model explained 21.6% of the variation in students’ mental health (R²=0.216), while the remaining variation was associated with other factors. This study provides local evidence on the role of school-based mental health resources and anti-bullying policies in supporting adolescent psychological well-being, particularly in a vocational school setting. Strengthening mental health services and consistently implementing anti-bullying policies may support the development of safer and more supportive learning environments.

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