Malahayati International Journal of Nursing and Health Science
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
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<![CDATA[Subcutaneous endometriosis associated with adenomyosis: A complex multidisciplinary surgical case ]]>
<![CDATA[Wulandari, Riza]]>;
<![CDATA[Saputra, Nicko Pisceski Kusika]]>;
<![CDATA[Lubis, Munawar Adhar]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1944
<![CDATA[Background: Abdominal wall endometriosis is an uncommon extrapelvic form of endometriosis, most often developing at a previous gynecologic surgical scar. Patients typically report cyclical pain with or without a palpable mass, and diagnosis is frequently delayed because the presentation can mimic hernia, granuloma, lipoma, or desmoid tumor. Purpose: To describe the clinical presentation, imaging findings, perioperative optimization, surgical management, and histopathological confirmation of abdominal wall endometriosis coexisting with adenomyosis in a patient with significant medical comorbidities. Method: A case report was performed in a 45-year-old multiparous woman with a five-year history of progressive lower abdominal pain that worsened during menstruation and localized to a prior surgical scar. Pelvic ultrasonography identified adenomyosis and a 6.9 × 3.9 cm hypoechoic lesion in the anterior abdominal wall, raising suspicion of subcutaneous endometriosis. Results: Surgical exploration showed a lesion extending through the subcutaneous tissue and fascia, with focal involvement of the rectus muscle. Complete excision was achieved after preoperative optimization, and the postoperative course was uneventful. Histopathological examination of two specimens (9 × 6 × 4 cm and 5 × 2 × 1 cm) demonstrated fibrocollagenous tissue, adipose tissue, and skeletal muscle infiltrated by endometrial glands, confirming abdominal wall endometriosis. Conclusion: Abdominal wall endometriosis should be considered in women presenting with cyclical pain at a surgical scar. Imaging supports assessment of lesion extent and surgical planning, while histopathology remains essential to confirm the diagnosis and to exclude rare malignant transformation.]]>
<![CDATA[Nurses’ experiences of learning tasks in career development: A phenomenological study ]]>
<![CDATA[Kabak, Edison]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1991
<![CDATA[Background: Learning assignments are an important strategy in increasing the capacity and career path of nurses, but this process often leads to role changes, academic pressures, and professional identity dynamics that are not fully understood. Purpose: To examine the meaning of the experience of nurses undergoing learning tasks in career development. Method: A phenomenological approach by involving twelve nurses who had completed a learning task. Data was collected through in-depth interviews and thematically analyzed to uncover consistent patterns of experiences among participants. Results: Five themes emerged: competency and career development through learning tasks, institutional and mentor support, emotional responses to academic pressure and dual roles, evolving professional values and identity, and work–family–study balance challenges. Overall, learning tasks support both technical growth and reflective professional maturity. Conclusion: Assignments are transformative experiences that provide career development opportunities, but require policy support and ongoing mentoring for nurses to be able to go through this process optimally.]]>
<![CDATA[The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus ]]>
<![CDATA[Khasanah, Uswatun]]>;
<![CDATA[Putri, Yossie Susanti Eka]]>;
<![CDATA[Mustikasari, Mustikasari]]>;
<![CDATA[Susanti, Herni]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1993
<![CDATA[Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life. Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2. Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data. Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation. Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.]]>
<![CDATA[Integrating palliative care into comprehensive cancer management: A systematic review of components and impacts on patient quality of life ]]>
<![CDATA[Tarigan, Ade Margaretha Lister]]>;
<![CDATA[Basabih, Masyitoh]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.2227
<![CDATA[Background: The integration of palliative care into comprehensive cancer management has been shown to confer benefits, yet its influence on patient quality of life remains inconsistently reported across studies. Purpose: To assess the impact of incorporating palliative care components into cancer treatment on patient‑reported quality of life outcomes. Method: A systematic review was conducted in accordance with PRISMA guidelines. Literature searches were performed in PubMed, Scopus, and ProQuest Health and Medicine using keywords related to palliative care, comprehensive cancer treatment, and quality of life. Studies were eligible if they compared patients receiving integrated palliative and oncological care with those receiving standard oncological care with minimal or no palliative involvement. Data extraction and risk of bias assessments were undertaken using standardized protocols. Results: Integration of palliative care was associated with improvements in patient‑reported quality of life, particularly in domains such as pain control, psychosocial well‑being, and communication. Multidisciplinary coordination yielded significant benefits in reducing symptom burden and enhancing emotional support. Conclusion: Incorporating palliative care into cancer treatment enhances patient quality of life. Future investigations should prioritize the development and standardization of intervention protocols to maximize clinical outcomes.]]>
<![CDATA[Risk factors for type 2 diabetes mellitus in rural communities in South Sumatra, Indonesia ]]>
<![CDATA[Sari, Yoki Arum]]>;
<![CDATA[Najmah, Najmah]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1709
<![CDATA[Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by elevated blood sugar levels caused by insulin resistance or impaired insulin secretion. The prevalence of type 2 diabetes mellitus continues to increase, especially in rural areas due to low public awareness and limited access to non-communicable disease control. Method: To case-control design involving patients undergoing outpatient treatment at the Indralaya Community Health Center. The study sample consisted of 143 cases and 143 controls. Sampling in the control group was performed using a “non-matching” technique. Data were collected through questionnaires and medical record analysis. Results: Data analysis used the Chi Square test with a 95% confidence level. Of the 143 respondents, 143 were found to have diabetes mellitus. The results of the analysis showed a significant relationship between gender, income, family history of DM, diet, physical activity, and blood pressure on the incidence of type 2 DM in the Indralaya Community Health Center area after controlling for the IMT variable. Meanwhile, age, occupation, education, and smoking were confounding variables and did not have a significant relationship with the incidence of type 2 DM. The dominant variables associated with the incidence of type 2 DM were income and family history of DM. Conclusion: Income and family history of DM are the most dominant determinants causing type 2 DM in rural areas. Gender, diet, physical activity, and blood pressure are also associated with the incidence of type 2 DM in the Indralaya Community Health Center area after controlling for the BMI variable. The dissemination of information and education is very important for health workers to provide to high-risk communities in order to prevent this disease.]]>
<![CDATA[The impact of smart checklist implementation on bedside handover quality: A quasi-experimental study ]]>
<![CDATA[Nela, Ari Sukma]]>;
<![CDATA[Patria, Armen]]>;
<![CDATA[Nurwinda, Nova]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1716
<![CDATA[Background: Bedside handover of patients in inpatient rooms is an important element in the continuity of nursing care. Suboptimal bedside handover quality often leads to ineffective communication and potential risks to patient safety. The implementation of a smart checklist as a structured tool is expected to improve the quality of bedside handover by primary nurses. Purpose: To investigate the effect of smart checklist implementation on the quality of bedside handovers. Method: A quasi-experimental design with a pretest–posttest control group was employed. Twelve primary nurses were recruited through total sampling based on inclusion criteria. Bedside handover quality was assessed using a validated questionnaire encompassing information completeness, communication clarity, patient involvement, and timeliness, alongside observation sheets documenting checklist use. Data were analyzed using paired and independent t-tests, with statistical significance set at p < 0.05. Results: The intervention group demonstrated a significant improvement in bedside handover quality following smart checklist implementation, whereas no significant changes were observed in the control group. Conclusion: Smart checklist utilization positively influences the quality of bedside handovers by primary nurses. Routine adoption of this tool is recommended to strengthen communication, patient engagement, and safety in inpatient care settings.]]>
<![CDATA[Readiness for implementing a case management based long-term care program for older people ]]>
<![CDATA[Suyasa, I Gede Putu Darma]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1742
<![CDATA[Background: Indonesia faces a rapidly ageing population, with Bali designated as a pilot province for implementing the Case Management Program for Long-Term Care (CMP-LTC). Assessing readiness among nurses and community cadres is crucial to ensure program success and sustainability. Purpose: To explored the readiness of nurses and community cadres to implement the CMP-LTC program for older people in Bali, Indonesia. Method: A descriptive qualitative design was applied using focus group discussions involving two nurses and eight community cadres selected purposively. Data were analyzed thematically based on Braun and Clarke’s approach while ensuring credibility through triangulation and member checking. Results: Six major themes emerged: (1) enhanced knowledge and skills after training, (2) the need for continuous and advanced learning, (3) limited resources and unclear legal authority, (4) sociocultural and community challenges, (5) teamwork and collaboration, and (6) increased empathy and motivation. Conclusion: Readiness for CMP-LTC implementation is multidimensional, encompassing personal competence, structural support, and sociocultural acceptance. Strengthening continuous education, resource provision, legal clarity, and intersectoral collaboration will enhance the effectiveness and sustainability of Indonesia’s long-term care services for older people.]]>
<![CDATA[The influence of customer perceived value and service quality on customer loyalty through customer satisfaction: A case study report ]]>
<![CDATA[Nurita, Dewanti Putri]]>;
<![CDATA[Paramarta, Vip]]>;
<![CDATA[Kosasih, Kosasih]]>;
<![CDATA[Yuliaty, Farida]]>;
<![CDATA[Asnar, Etty Sofia Mariati]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.1800
<![CDATA[Background: Preliminary findings indicate a patient loyalty issue at XYZ Hospital, Tangerang. Purpose: To analyze the partial effect of Customer Perceived Value and Service Quality on Customer Loyalty, both directly and indirectly through the mediation of Customer Satisfaction. Method: A quantitative approach with an asymmetric causal design was employed. This study employed descriptive and verification methods and adopted a survey-based approach. The study was conducted at XYZ Hospital, Tangerang, Banten, in 2025. The population included all hospital outpatients, with a sample size of 123 respondents. Data were collected through a survey and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). Results: This study indicates that customer perceived value significantly influences customer satisfaction and loyalty. Service quality also has a positive and significant impact on customer satisfaction and loyalty. Furthermore, customer satisfaction has a significant positive effect on customer loyalty. Furthermore, customer satisfaction mediates the relationship between service quality and customer loyalty. However, it does not mediate the relationship between customer perceived value and customer loyalty. Conclusion: increasing service quality and customer perceived value can increase satisfaction and loyalty, with satisfaction acting as a mediator, particularly in the relationship between service quality and customer loyalty.]]>
<![CDATA[Clean and healthy living behaviors and hypertension among elderly people in the community ]]>
<![CDATA[Makmun, Armanto]]>;
<![CDATA[Cahyani, Nafila]]>;
<![CDATA[Sabir, Nurani Islami]]>;
<![CDATA[Nirwana, Nirwana]]>;
<![CDATA[Mulyadi, Melan Septiany]]>;
<![CDATA[Husen, Siti Hajar Abdul]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.2640
<![CDATA[Background: Hypertension is a major public health problem among older adults and a leading contributor to cardiovascular morbidity and mortality in Indonesia. Clean and healthy living behavior (PHBS) has been recognized as a key preventive strategy for reducing lifestyle-related risk factors associated with hypertension, including unhealthy diet, physical inactivity, and poor health monitoring. Purpose: To determine the relationship between clean and healthy living behavior and the incidence of hypertension among elderly individuals at Maccini Sawah Health Center and Tamangapa Health Center. Method: A quantitative analytic observational study with a cross-sectional design was conducted. The study involved 98 elderly respondents recruited from Maccini Sawah Health Center (n=50) and Tamangapa Health Center (n=48). Clean and healthy living behavior status was assessed using a validated 12-item questionnaire, while hypertension was identified through medical records and direct blood pressure measurements. Data were analyzed using the Chi-Square test with a significance level of p<0.05. Results: The majority of respondents in both locations showed low levels of clean and healthy living behavior (63.3% overall). The prevalence of hypertension was 62.00% at the Maccini Sawah Community Health Center and 64.58% at the Tamangapa Community Health Center. Bivariate analysis showed that elderly individuals with low levels of clean and healthy living behavior had a significantly higher prevalence of hypertension (85.48%) compared to those with moderate (11.29%) and high (3.23%) levels. Statistical analysis revealed a highly significant association between clean and healthy living behavior and the incidence of hypertension (p=0.000). Conclusion: Clean and healthy living behaviors (Health-Based Drug Consumption Guidelines) are significantly associated with the incidence of hypertension among the elderly in Makassar City. Low adherence to clean and healthy living behaviors is a major risk factor, while moderate to high adherence is correlated with a lower prevalence of hypertension. Strengthening health promotion programs focused on clean and healthy living behaviors in primary healthcare settings is crucial to reduce the burden of cardiovascular disease and improve health outcomes for the elderly.]]>
<![CDATA[Effectiveness of digital media for basic life support training among laypersons: A systematic review ]]>
<![CDATA[Hasami, Muhammad Riandi]]>;
<![CDATA[Kamaluddin, Ridlwan]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/minh.v8i12.2748
<![CDATA[Background: Basic Life Support (BLS) training among laypersons plays a crucial role in improving survival rates following out-of-hospital cardiac arrest. Early cardiopulmonary resuscitation (CPR) performed by bystanders can significantly increase the likelihood of survival. However, conventional face-to-face training is often limited by accessibility, time constraints, and resource availability. The rapid development of digital technology offers alternative approaches to delivering BLS education that may overcome these barriers. Purpose: To examine the effectiveness of digital media in BLS training among laypersons, particularly in improving knowledge and practical skills related to CPR. Method: This systematic review was conducted in accordance with the PRISMA guidelines. A comprehensive search was performed in Scopus, PubMed, ScienceDirect, CINAHL, Crossref, and Google Scholar for studies published between January 2020 and December 2025. Eligible studies evaluated digital media–based BLS training for laypersons and reported outcomes related to knowledge or skill performance. The methodological quality of included studies was assessed using the JBI Critical Appraisal Checklist. This review was registered in PROSPERO (CRD420251249898). Results: Seven studies met the inclusion criteria. The findings consistently indicated that digital media, particularly virtual reality and video-based learning, were effective in enhancing participants’ knowledge and practical BLS skills. Several studies also reported improved engagement and accessibility compared to conventional training methods. Nevertheless, variations in instructional design, content quality, and evaluation methods influenced the overall effectiveness of the interventions. Conclusion: Digital media represents a promising approach to BLS training among laypersons. When appropriately designed, digital interventions can enhance learning outcomes, increase accessibility, and support independent practice. Future research should explore long-term skill retention and standardized outcome measures to strengthen the evidence base.]]>
