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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 189 Documents
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The Effectiveness of Audiovisual Education on the Level of Pre-Elderly's Knowledge about Healthy Lifestyle and Hypertension Prevention Rusni Masnina; Fitri Kholisah; Gusnawati Sulaeman; Milkhatun Milkhatun; Ghozali Ghozali
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.v6i1.818

Abstract

As humans age, there are physiological changes that reduce the elasticity of blood vessel walls, which can cause increased blood pressure. In addition, unhealthy lifestyles can also cause high blood pressure. For example, lack of physical activity, stress, and poor eating habits are factors that increase the incidence of high blood pressure. Individuals aged 45-59 years (pre-elderly) need to prepare themselves to carry out self-care in order to face the emergence of hypertension. This study aims to analyze the effectiveness of audiovisual education on the level of knowledge of pre-elderly about healthy lifestyle to prevent hypertension. The research design One-group Pretest-posttest was conducted on 30 pre-elderly respondents in Samarinda City. Data collection on respondent characteristics and level of knowledge about lifestyle used a structured questionnaire. The results showed that the characteristics of pre-elderly respondents based on an average age of 52 years, while the average systolic blood pressure was 131.07 mmHg and diastolic was 84.07 mmHg. The results of statistical analysis showed that there was significant difference in the average knowledge score of respondents between before being given education (6.27) and after being given audiovisual education (7.60). The statistical test results using the Wilcoxon Signed Rank Test obtained a p-value of 0.001 (<0.05). This indicates that audiovisual education can effectively increase pre-elderly knowledge about healthy lifestyle to prevent hypertension.
The Relationship between Stress Level and Self-Harm Behavior among Nursing and Midwifery Students Gajali Rahman; Shendy Maulita Yusnanda; Rizky Setiadi
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.v6i1.830

Abstract

Self-harm is an emerging public mental health concern among university students, particularly those enrolled in health science programs who are exposed to academic and clinical stressors. Although several international studies have examined the stress–self-harm relationship, empirical evidence from Indonesian health polytechnic students remains limited, especially regarding gender-imbalanced cohorts and early clinical-placement semesters. This study aimed to analyze the relationship between stress levels and self-harm behavior among Nursing and Midwifery students at the Polytechnic of the Ministry of Health, East Kalimantan. A quantitative cross-sectional design with a correlational approach was employed. Respondents were selected through proportionate stratified random sampling from 1,148 active students; 186 respondents met the inclusion criteria and completed the questionnaire. Stress levels were measured using the Indonesian-adapted 14-item stress subscale of the Depression Anxiety Stress Scales (DASS-42; Cronbach's α = 0.87 in the study sample), and self-harm behavior was measured using the Self-Harm Inventory (SHI; 22 items; Cronbach's α = 0.82). Data were analyzed using univariate frequency distribution and bivariate Chi-Square test (α = 0.05), supplemented by the prevalence ratio (PR) to quantify the strength of association. The results showed that 24.2% of respondents experienced severe stress, and 38.2% reported self-harm behavior. Among students with severe stress, 66.7% engaged in self-harm, compared with 24.1% among those with normal stress (PR = 2.77; 95% CI = 1.82–4.21). The Chi-Square test revealed a significant association between stress level and self-harm behavior (p = 0.001). These findings underscore the urgent need for institutionally embedded mental health screening, structured clinical-placement orientation, and cognitive-behavioral coping training to mitigate maladaptive coping among future health professionals.
Husband Support and Maternal Mental Health Among Pregnant Women in Independent Midwifery Practices Damai Yanti Simanjuntak; Karwati Karwati; Sri Maryati
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.v6i1.833

Abstract

Evidence on the role of husband support in maternal mental health remains limited in community-based midwifery services in Indonesia. This study aimed to examine the relationship between husband support and maternal mental health among pregnant women attending independent midwifery practices in Cimahi City and to explore the psychosocial mechanisms underlying this relationship. A convergent mixed-methods design was employed, involving 72 pregnant women for the quantitative component and 20 participants for in-depth qualitative interviews. Husband support, antenatal anxiety, and emotional wellbeing were assessed using validated questionnaires. Quantitative data were analyzed using Pearson correlation and multiple linear regression, while qualitative data were examined through thematic analysis. Husband support was significantly associated with lower antenatal anxiety and higher emotional wellbeing and remained an independent predictor of maternal mental health after controlling for maternal age, education, parity, and economic status. Descriptive findings indicated that a considerable proportion of participants experienced moderate to severe antenatal anxiety. Qualitative analysis identified emotional presence, shared responsibility, and affirmation of maternal identity as key mechanisms through which husband support strengthened maternal coping capacity. These findings demonstrate that husband support serves as an important protective psychosocial factor for maternal mental health. Integrating family empowerment strategies into routine antenatal care may improve psychological wellbeing and strengthen community-based maternal health services.
Maternal and Neonatal Outcomes in Maternity Mothers Who Received Oxytocin Induction Laksmitha Janasti; Dewi Candra Kumarasari; Nadia Rahma Putri; Anita Dewi Anggraini; Novi Paramitasari
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.640

Abstract

Oxytoxin induction of labour is widely used to stimulate uterine contractions during early labour, and its use has increased globally over the past decade. Although effective, oxytocin induction is associated with potential maternal and neonatal risks, including uterine tachysystole, postpartum haemorrhage (PPH), foetal distress, and emergency caesarean section. This retrospective case-control study was conducted at Dr. Koesnadi Hospital and involved 329 parturients who met the predetermined inclusion and exclusion criteria. Total sampling was applied, and data were analysed using the chi-square test with a significance level of p<0.05. Oxytocin induction was routinely administered at a standard dose of 10 IU dissolved in 500 mL of D5% solution. Significant differences were observed in several outcomes compared to those who did not receive induction, including PPH (p=0.004), foetal distress (p=0.017), and perineal tears (p=0.006). No significant difference was found in the caesarean section rate between the two groups. In neonatal outcomes, the incidence of asphyxia (p=0.024) and the need for admission to the NICU (p=0.046) were significantly higher in the induction group. These findings suggest that oxytocin induction is associated with certain maternal and neonatal complications, although the observational study design limits causal conclusions. Potential confounding factors that were not fully controlled may influence this relationship, and further research with more robust analytical methods is needed to confirm these findings and support safer clinical decision-making.  
Effectiveness of Theory of Planned Behavior-Based Health Education on Postpartum Depression Prevention Behaviors among Postpartum Mothers Ni Putu Mirah Yunita Udayani; Ni Putu Yunita Sri Lestari; Ni Putu Dian Fitriyani; Ni Putu Tresiani Manutami
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.793

Abstract

Postpartum depression is a mental health disorder that negatively affects mothers, infants, and families. Health education based on the Theory of Planned Behavior (TPB) may improve preventive behaviors by addressing attitudes, subjective norms, perceived behavioral control, and intentions. This study evaluated the effectiveness of TPB-based health education in improving postpartum depression prevention behaviors among mothers in Badung Regency, Bali. A quasi-experimental study employed a non-equivalent control group design involving 100 postpartum mothers on days 0–7 after childbirth, with 50 participants each in the intervention and control groups. Participants were selected using simple random sampling. The intervention group received TPB-based health education, while the control group received standard health education. Sessions lasted one hour weekly for six weeks. Data were collected using questionnaires before and after the intervention and analyzed descriptively and inferentially. The intervention significantly improved knowledge, attitudes, subjective norms, perceived behavioral control, intentions, and preventive behaviors related to postpartum depression (p < 0.001). A significant difference in postpartum depression levels was also observed between the groups after intervention (p < 0.001), indicating reduced depressive symptoms. These findings demonstrate that TPB-based health education effectively improves psychological and behavioral determinants of postpartum depression prevention. Integrating this approach into postpartum care may strengthen preventive practices and support maternal mental health.
Analysis of Healthcare Service Quality on Patient Satisfaction: A SERVQUAL Method in the Radiology Department Sriyatun Sriyatun; Fatimah Azzahra; Mahfud Edy Widiatmoko
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.821

Abstract

Patient satisfaction reflects the comparison between expectations and experiences of healthcare services. This study aimed to describe patients’ perceptions of radiology service quality and satisfaction using the SERVQUAL framework. A descriptive quantitative study involved 80 patients who had undergone radiological examinations. Data were collected using a structured questionnaire covering five SERVQUAL dimensions and a four-point Likert scale. Univariate analysis described respondent characteristics and dimension scores, while the Mann–Whitney U test examined differences in overall service quality scores by gender, age, and payment type, with statistical significance set at p < 0.05. Most respondents were female (61.3%), aged ≥20 years (86.3%), and covered by National Health Insurance (73.8%). Very high satisfaction was reported across all dimensions, ranging from 87.5% for responsiveness to 93.8% for tangibles and assurance. Mean scores ranged from 3.84 to 3.89. Reliability and assurance received the highest scores (3.89 ± 0.26 each), followed by empathy (3.88 ± 0.26), tangibles (3.85 ± 0.26), and responsiveness (3.84 ± 0.31). The overall service quality score was 3.87 ± 0.25. No significant differences were found by gender (p = 0.77), age (p = 0.33), or payment type (p = 0.17). Patients reported highly favorable perceptions of radiology services. Reliability and assurance were rated highest, whereas responsiveness received the lowest score. Overall service quality did not differ significantly across respondent characteristics.
Effectiveness of Probiotic Milk Supplementation on Blood Pressure in Pregnant Women with Hypertension Finta Isti Kundarti; Dwi Estuning Rahayu; Ririn Indriani; Anis Nurlaili; Esyuananik Esyuananik
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.825

Abstract

Hypertensive disorders in pregnancy can affect pregnancy and birth outcomes. One non-pharmacological intervention is probiotic milk, which may be beneficial for hypertension in pregnancy. The purpose of this study was to determine the effectiveness of probiotic administration on blood pressure in pregnant women with hypertension. This study uses a quasi-experimental design (pretest-posttest with a control group). In this design, there are two groups: the intervention group (n = 30) and the control group (n = 30). This study uses simple random sampling. Data collection was conducted at health service facilities, namely health centres in the Kediri city area. Data collection began from March to July 2024. Probiotic milk supplementation of 125 ml was administered once daily for 63 days, while the control group received standard care. The results of the study using the t-test obtained the average post-test blood pressure in the intervention group, namely m = 124.07 mmHg, SD = 5.521 and the average diastolic pressure m = 75.60 mmHg, SD = 7.356. The average post-test systolic pressure in the control group was m = 141.83 mmHg, SD = 7.091, and the average diastolic pressure was m = 87.67 mmHg, SD = 9.132, with a p-value = 0.000. This shows that blood pressure (systolic and diastolic) in the intervention group was lower than in the control group. Probiotic milk supplementation given to pregnant women with hypertension has a greater potential to reduce blood pressure compared to the control group. Health workers need to be able to recommend probiotic consumption to pregnant women with hypertension. Further research should consider improved study designs and long-term monitoring of probiotic milk supplementation with a larger number of participants.
Social, Spiritual, and Economic Factors Associated with Postpartum Depression among Indonesian Mothers: A Cross-Sectional Study Noviyati Rahardjo Putri; Ika Sumiyarsi Sukamto; Angesti Nugraheni; Niken Bayu Argaheni; Iffah Indri Kusmawati
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.894

Abstract

Postpartum depression (PPD) is a major maternal mental health problem that affects mother-baby bonding and may hurt child development, with global prevalence rangingfrom 17% to 20%. In developing countries such as Indonesia, PPD is complicated by underdiagnosis, inadequate treatment options, and social stigma. Although social and spiritual support are recognized protective factors and socioeconomic status is a known risk factor, their combined effect in multicultural populations remains understudied. This study aimed to examine the relationship between social support, spiritual support, socioeconomic status, and postpartum depression among postpartum women in Surakarta, Central Java, Indonesia. A cross-sectional design was conducted, with 125 postpartum women recruited from primary health centers and community health posts using a consecutive sampling technique. Data were collected via a structured interview and a questionnaire measuring social and spiritual support, as well as the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses included bivariate correlation, multiple linear regression, and multivariable logistic regression. The prevalence of high-risk postpartum depression (EPDS ≥13) was 22.4%. Bivariate correlation showed that both social and spiritual support were significantly inversely related to depressive symptoms. Multivariable logistic regression revealed that lower social support was associated with almost a ninefold increase in the risk of high-risk depression (OR 8.92, p < 0.001), while low income was associated with a threefold increase in risk (OR 3.01, p = 0.045). Educational level, employment status, and age were not significant predictors after controlling for psychosocial factors. In conclusion, these findings highlight the necessity of implementing routine screening for PPD in primary care and developing culturally sensitive interventions that integrate family, spiritual, and economic support to improve maternal mental health outcomes.
Preventing Childhood Stunting Through Integrated Life-Course Intervention Models: A Scoping Review Heni Voni Rerey; Sri Wahyuni; Martina Mogan; Eyllonggia Eunike Libertyen Mawene; Jufri Hidayat; Dang Thi Loan
Ahmar Metastasis Health Journal Vol. 6 No. 2 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v6i2.1226

Abstract

Childhood stunting remains a major global public health challenge associated with chronic growth restriction beginning during pregnancy and continuing through early childhood. Its determinants include maternal nutrition, fetal growth, feeding practices, infections, caregiving, household resources, and environmental conditions. This scoping review aimed to map intervention models, delivery platforms, implementation approaches, and evidence gaps in stunting prevention across the life course, emphasizing intervention timing. The review followed established scoping review methodology and the PRISMA-ScR reporting guidelines. Literature was identified through PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library, supplemented by relevant World Health Organization reports. Eligibility criteria followed the Population Concept Context framework, focusing on children under five years, particularly during the first 1,000 days, and interventions targeting linear growth in vulnerable populations. Data were charted by intervention type, timing, delivery platform, outcomes, and implementation factors, then synthesized narratively. Twenty-nine sources met the inclusion criteria. Interventions included maternal nutrition, breastfeeding support, complementary feeding, fortified foods, water, sanitation and hygiene, social protection, and early childhood development. The evidence revealed substantial variation in intervention timing, delivery platforms, implementation strategies, and growth-related outcomes. Effectiveness appeared to depend on implementation quality, caregiver engagement, intervention intensity, and health-system and community support. The findings support coordinated nutrition-specific and nutrition-sensitive interventions beginning during pregnancy and continuing throughout the first 1,000 days. Future research should prioritize integrated delivery models, context-specific implementation strategies, and longitudinal evaluations to strengthen evidence on sustainable stunting prevention.

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