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Teguh Pribadi
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Malahayati International Journal of Nursing and Health Science
Published by Universitas Malahayati
ISSN : 26209152     EISSN : 26214083     DOI : https://doi.org/10.33024/minh.v7i10
Core Subject : Health,
Health Professions Nursing Public Health
Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and health science, subject areas for publication include nursing and health science core
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 2 Documents
 1 
Search results for , issue "Vol. 8 No. 11 (2026): Volume 8 Number 11" : 2 Documents clear
Exploring family emotions in do-not-resuscitate (DNR) decision-making for hospitalized patients: A systematic review Siagian, Nur Aima; Putri, Yossie Susanti Eka; Daulima, Novy Helena Catharina; Chandra, Yudi Ariesta; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.988

Abstract

Background: End-of-life decision-making, particularly Do-Not-Resuscitate (DNR) decisions for critically ill patients in hospital care, is an extremely difficult and often traumatic issue. This process has a profound impact on the mental health of families, causing anxiety, depression, stress, and even post-traumatic stress disorder (PTSD). There is currently little literature that thoroughly explores the diverse and profound emotional landscape, such as fear, optimism, well-being, and challenges experienced by families during the DNR decision-making process. Purpose: To examine the various emotions experienced by family members during the DNR decision-making process for patients hospitalised in hospital. Understanding these emotional experiences is crucial for improving support interventions, reducing conflict, and avoiding adverse psychological effects on families and healthcare providers. Method: A systematic review (SR) design was used in this study to evaluate and synthesise existing qualitative evidence on the emotional experiences of families. This design was chosen because it provides a better understanding of the family situation. To ensure its relevance to current clinical practice, this review used the PRISMA guidelines and the PICO framework. The publications included were published between 2020 and 2025 and were retrieved from electronic databases such as PubMed, SAGE, and Clinicalkey Nursing. Nine studies in the qualitative synthesis included 28 primary studies that were evaluated, most of which were qualitative or used mixed methods, conducted in several countries (such as the US, Australia, Taiwan, and Chile). The focus of the analysis was to find patterns, similarities, and differences in emotional experiences. Results: Families' experiences with DNR decisions are characterised by significant psychological stress. When families are faced with discussions about Goals of Care (GoC), they often feel unprepared, confused, and shocked. This situation is often exacerbated by time pressure. Families experience the deepest emotions, namely guilt and fear of making the wrong decision, with the family's main goal being to ‘do everything right so there are no regrets’. Conclusion: The DNR process is complex, dynamic, and emotional. This study shows that healthcare professionals must not only provide medical information but also acknowledge, validate, and assist families in coping with their emotional issues. To improve the quality of end-of-life care, clinical practice must shift to a more family-centred and friendly communication model that explicitly addresses the complex emotional dynamics that families face during difficult times in their lives.
Kegel exercises and perineal wound healing among postpartum mothers: A qualitative study Yunitasari, Eva; Saragih, Septina Boru; Nursanti, Indah; Yetiani, Novin
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.1996

Abstract

Background: Perineal wounds following childbirth are common, particularly among women who experience vaginal or perineal tears. When healing is delayed, these wounds may lead to serious postpartum complications, including infection, bleeding, and increased maternal morbidity. Kegel exercises are widely recognized as a simple, non-pharmacological intervention that strengthens pelvic floor muscles and may support the healing process of perineal wounds. However, limited attention has been given to postpartum mothers’ personal experiences in performing these exercises during the recovery period. Purpose: To explore postpartum mothers’ experiences in practicing Kegel exercises as part of perineal wound healing at the Gadingrejo Community Health Center. Method: A qualitative study with a phenomenological approach was employed to capture mothers’ lived experiences. Participants were selected through purposive sampling, involving eight postpartum mothers who met the inclusion criteria. Data were collected through in-depth interviews and direct observation. Thematic analysis was conducted to identify recurring patterns and meanings related to the implementation of Kegel exercises. Results: The findings revealed five main themes: (1) timing of Kegel exercise initiation, (2) initial physical complaints after childbirth, (3) perceived benefits of the exercises, (4) vaginal care practices, and (5) dietary patterns during the postpartum period. Observations of wound healing using the REEDA assessment showed a gradual improvement from day one to day seven. Initially, most participants demonstrated poor wound healing characteristics, which progressed to good wound healing by the end of the observation period. Conclusion: Postpartum mothers who practiced Kegel exercises experienced better perineal wound healing compared to their initial condition. These findings suggest that Kegel exercises may contribute to accelerating the perineal wound healing process. In addition, proper vaginal care and adequate nutritional intake appear to play supportive roles in promoting recovery among postpartum women.

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