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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 15 Documents
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Search results for , issue "Vol. 8 No. 4 (2025): Volume 8 Number 4" : 15 Documents clear
How does coumarin work in insulin resistance for diabetes mellitus type 2? (A literature review) Arwani Arwani; Afifah Salsabila
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.722

Abstract

Background: Coumarin is a natural compound found in various plants, including Cinnamomum cassia and Cinnamomum zeylanicum, and has been widely studied for its potential role in metabolic regulation, particularly in diabetes mellitus type 2. While coumarin has shown potential benefits in improving glycemic control, concerns regarding its hepatotoxic and carcinogenic effects remain. Purpose: To review the literature on how coumarin works in insulin resistance in people with type 2 diabetes. Method: A literature review was conducted using the ClinicalKey, Science Direct, and Google Scholar databases. Boolean operators (AND, OR, NOT) were used to refine the search. Inclusion criteria included research articles published between 2015 and 2024 in accredited national or internationally reputable journals, with a JBI critical appraisal tools score above 65%. The PRISMA diagram was used for article selection, resulting in five eligible articles for analysis. Results: The findings indicate that coumarin, predominantly found in cinnamon, has glucose-lowering effects in diabetes mellitus type 2 patients by reducing blood glucose levels, controlling glucose spikes, and lowering HbA1c. Additionally, coumarin derivatives in Opuntia ficus-indica and Smallanthus sonchifolius (yacon) may contribute to metabolic homeostasis through antioxidant activity. However, coumarin also poses hepatotoxic and carcinogenic risks at high doses. Conclusion: While coumarin-containing compounds show promise in improving glycemic control. Further research is needed to determine safe and effective therapeutic doses for clinical application.
Evaluation of the implementation of the safewards model within inpatient mental health services in West Nusa Tenggara, Indonesia Nita Sudiarsini; Saimi Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.723

Abstract

Background: The safewards model of psychiatric care  is an approach developed to improve the safety and quality of care in psychiatric wards. this approach aims to reduce incidents of violence, improve therapeutic relationships between patients and healthcare workers, and create a safer inpatient environment and support patient recovery. Purpose: To analyze the evaluation of the implementation of the safewards inpatient model in mental hospitals. Method: Qualitative research with explorative descriptive design. Data and information sources come from 15 informants consisting of: hospital management (A-1), head of nursing (A-2), head of education and training (A-3), head of medical services (A-4), head of nursing (A-5), head of facilities (A-6), head of finance (A-7), implementing doctors (B-8, B-9), implementing nurses (C-10, C-11, C-12, C-13, C-14, C-15). To obtain complete information, in-depth interviews and focus group discussions (FGD) were conducted with informants. Furthermore, thematic, narrative, inductive, and explanatory data analysis were carried out, then reduction and triangulation were carried out. Results: The implementation of the safewards model with 10 intervention strategies has been proven effective in mental health services. In addition, the implementation of this intervention has been proven effective in reducing conflict, improving therapeutic communication, and accelerating the patient's recovery process. With the right strategy, this model can be increasingly integrated into the mental health service system that is oriented towards patient recovery and well-being. Conclusion: The implementation of the safewards model is effective in mental health services. Although there are still various challenges, such as limited professional human resources and other supporting facilities and infrastructure, the high commitment of health workers and management is a key factor in ensuring the sustainability of this program.
Strategies for preventing sexual harassment among adolescents: A literature review Afaf Najibah; Endang Triyanto
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.727

Abstract

Background: Sexual harassment refers to any unwelcome verbal, non-verbal, or physical conduct intended to, or resulting in, the violation of an individual's dignity, particularly through the creation of an intimidating, degrading, humiliating, or hostile environment. This form of harassment can lead to both immediate and long-term adverse effects on adolescent health. As previously noted, adolescents constitute a vulnerable group that must be safeguarded against such acts. One of the essential strategies for ensuring their protection involves the implementation of preventive measures. Purpose: To find out preventive measures that could be taken to prevent sexual harassment. Method: A systematic literature review guided by the PICO framework was employed. Literature searches were conducted using specific keywords combined with Boolean operators. The final selection of articles obtained through this process served as the basis for review in this study. Selected articles were subsequently extracted, evaluated for quality, and analyzed in a tabulated format. Results: The initial database search yielded a total of 1,447 articles. Following the screening and selection process based on the PRISMA flow diagram, 7 articles met the inclusion criteria and were included in the final analysis. The literature review identified several preventive programs targeting sexual harassment among adolescents, including Self-Defense Training, the RISE Program, policy development initiatives, as well as school-based interventions such as Benzies & Batchies and Boys, and the GlobalConsent program. Conclusion: Efforts to prevent sexual harassment in adolescents include self-defense training, awareness programs like RISE and Globalconsent, school policies, and resilience-building initiatives, all aimed at increasing knowledge and protection.
Fasting plasma glucose and serum uric acid levels in the peri‐urban region Cynthia Tjitradinata; Perigrinus Hermin Sebong; Edward Hartono; Henrita Ernestia; Eviana Budiartanti Sutanto; Alberta Widya Kristanti; To Lidwina Prillya Indra Christyana; Vania Angeline Bactiar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.730

Abstract

Background: The prevalence of hyperuricemia has increased, yet there is a gap in empirical studies regarding the association between hyperuricemia and diabetes mellitus in Indonesia. Purpose: To determine the baseline association between serum uric acid and fasting blood glucose in the peri-urban population. Method: A quantitative approach was employed, with particular emphasis on a formative method. The study was conducted in Sampangan, Semarang, from January to April 2023. Uric acid levels served as the independent variable, while fasting blood glucose was designated as the dependent variable. A total of 44 participants were selected through total sampling, based on predetermined inclusion and exclusion criteria. Data analysis involved univariate testing to assess the frequency distribution of participant characteristics, followed by bivariate analysis utilizing one-way ANOVA and Kruskal-Wallis tests. Results: Significant differences were observed in fasting blood glucose, serum uric acid, and systolic blood pressure levels across the healthy, prediabetic, and type 2 diabetic groups, as well as between individuals with normal uric acid levels and those with hyperuricemia. Conversely, no significant differences were found for age, diastolic blood pressure, body mass index (BMI), or cholesterol levels. Conclusion: This study offers a deeper understanding of serum uric acid levels among healthy individuals, prediabetic patients, and individuals with type 2 diabetes mellitus. Factors such as uric acid concentration, presence of hypertension, and patient initiative contribute to decisions regarding the continuation of screening.
Relationships of blood pressure with body mass index and total cholesterol among adults aged 19 or older, Bandar Lampung-Indonesia Putri Agape Ramschie
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.739

Abstract

Background: High blood pressure, obesity, and elevated cholesterol are significant risk factors for cardiovascular diseases, making their interrelationship an important area of research. Purpose: To investigate the correlation between blood pressure, body mass index (BMI), and total cholesterol levels in adults residing. Method: Using a cross-sectional approach, data were collected from a sample of adults aged 25–60 years. Blood pressure was measured using a digital sphygmomanometer, BMI was calculated based on height and weight measurements, and total cholesterol levels were assessed through laboratory testing. Results: The findings indicate a positive correlation between BMI and blood pressure, suggesting that individuals with higher BMI are more likely to experience elevated blood pressure. Similarly, a significant relationship was observed between total cholesterol levels and both systolic and diastolic blood pressure. These results underscore the need for integrated health interventions targeting weight management and cholesterol control to reduce the risk of hypertension and associated health complications in the community. Conclusion: The study highlights the importance of routine health monitoring and lifestyle modifications in promoting cardiovascular health among adults.
Emergency care for palliative patients in the emergency room: A literature review Ni Luh Putu Inca Buntari Agustini; Ni Luh Dwi Indrayani; I Nyoman Widiadnyana; Ni Luh Putu Yudi Aprianini; Putu Indah Jelita Lestari; Ni Ketut Erawati; I Made Jaya Kusuma; Vinda Ekabudiningsih
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.743

Abstract

Background: A lot of research has been done on the treatment of palliative patients who come to the emergency department. Although there are several models, it is still difficult to integrate palliative care into the ED. Purpose: To determine how emergency care for palliative patients is implemented in the emergency department.   Method: The PCC framework (Population: palliative patients, Concept: emergency care, Context: emergency department) was used to generate the article questions for this literature review. A search for articles was conducted during November and December, 2024. Pubmed, the ScientDirect database and other resources were used as data sources. “Palliative care" OR "palliative medicine" OR "hospice and palliative care nursing" AND "emergency treatment" OR "emergency medical services" AND "emergency room" OR "ER" were used as keywords. Results: Emergency care for palliative patients in emergency room has been implemented with a focus on symptom management and reducing the patient's suffering, maintaining patient comfort and involving families in decision making, with effective communication being essential. However, there are still serious barriers and challenges such as lack of staff education, problems with current emergency department systems and processes. Conclusion: The knowledge and skills of nurses and other health workers need to be improved and more in-depth studies need to be carried out so the implementation of palliative patient care in emergency cases can be optimized.
Combination therapy for postinflammatory hyperpigmentation: A systematic review Rini Tri Utari
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.748

Abstract

Background: Post-inflammatory hyperpigmentation (PIH) poses a considerable dermatological concern, affecting individuals of various ethnic backgrounds, with a notably higher prevalence among those with darker skin tones. The intricate pathophysiology of PIH, which involves inflammatory mediators and melanogenic pathways, necessitates a multifaceted treatment approach to achieve the best possible clinical results. Purpose: This systematic review evaluates the effectiveness, safety, and clinical outcomes of various combination therapies for managing post-inflammatory hyperpigmentation (PIH), with a focus on their synergistic effects and suitability for diverse skin types. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Individuals of any age and skin type diagnosed with post-inflammatory hyperpigmentation (PIH), I: Any combination therapy involving two or more active ingredients or treatment methods, C: Single therapy, alternative combination therapies, or placebo, O: Clinical improvement in PIH, patient satisfaction, adverse effects, and treatment duration, S: Randomized controlled trials. The article search was conducted systematically using the keywords: “post-inflammatory hyperpigmentation” AND “combination therapy” AND “hyperpigmentation treatment” AND “topical therapy” AND “skin pigmentation” AND “melanin” AND “tyrosinase inhibitors” AND “retinoids” AND “kojic acid” AND “hydroquinone” AND “tranexamic acid” AND “niacinamide” AND “Boolean operators”. Results: The review of eight studies found that combination therapies were more effective than monotherapy for treating post-inflammatory hyperpigmentation (PIH). Dual treatments, such as glycolic acid cream with peeling and TCA with PRP, showed notable improvements. Combining chemical peels with topical agents was especially effective for stubborn cases. Success depended on proper patient selection, personalized plans, and timing. Overall, targeting multiple pigmentation pathways improved outcomes and was safe, particularly for darker skin types (Fitzpatrick IV–VI). Conclusion: Combination therapy is the most effective approach for treating PIH, as it utilizes synergistic treatment methods tailored to individual patient factors like skin type and PIH severity.
The utility of a care model to individualize rehabilitation for critically ill patients: A scoping review Adesulistyawati Adesulistyawati; Suhartini Ismail; Meira Erawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.790

Abstract

Background: Individualized care in intensive care units (ICUs) refers to holistic nursing care provided to critically ill patients, which takes into account their clinical conditions, personal life circumstances, and encourages their active involvement in the decision-making process.  Purpose: To synthesize the impact of individualized care on the rehabilitation outcomes of critically ill patients. Method: A scoping review approach was employed. The literature search was conducted using PubMed, ScienceDirect, and EBSCO databases, utilizing a keyword strategy with Boolean operators "OR" and "AND" combining the terms: Individualized care and Rehabilitation. Results: The review revealed cross-country differences in nurses’ perceptions of individualized care. Nurses from Nordic countries and the United States generally rated the Individualized Care Scale–Nurse (ICS-Nurse) variables more highly, whereas nurses from Mediterranean and Southern European countries tended to provide lower ratings. Conclusion: Overall, nurses are committed to supporting patient individuality through comprehensive nursing practices, although certain barriers persist. It is recommended that nurses more consistently integrate patients’ personal life contexts into their care to enhance individualized care delivery.
Physical exercise and blood pressure control for hypertension in menopausal women Iba Supra Saba; Irna Nursanti; Wati Jumaiyah; Dhea Natashia; Mira Rosmiatin
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.823

Abstract

Background: Hypertension is one of the non-communicable diseases that is a concern throughout the world, including Indonesia. Hypertension occurs frequently in menopausal women, because at menopause there is a decrease in estrogen hormones, so there is a risk of suffering from hypertension. One of the non-pharmacological therapies to control blood pressure in menopausal women is aerobic exercise. Sejati intervention is aerobic exercise that can cause a decrease in heart rate, which will reduce cardiac output, which ultimately causes a decrease in blood pressure. Purpose: To see the effectiveness of Sejati intervention on blood pressure in menopausal women. Method: The research design used was a quasy experiment, namely with a pre-test and post-test research design with a control group. The number of samples in this study was 36 respondents with 18 respondents in the intervention group and 18 respondents in the control group. The inclusion criteria in this study were menopausal women with hypertension who have blood pressure ≥140/90 mmHg and the exclusion criteria of this study were respondents with comorbidities. The statistical analysis used in this study was a linear regression test. Results: There was the effect of sejati intervention on blood pressure in menopausal women with hypertension at the Bojonggambir Health Center, Tasikmalaya Regency with a p value of 0.000 < α 0.05. Conclusion: The sejati intervention has an effect on reducing blood pressure in menopausal women. Suggestion: This research can be used as a reference material for further research.
Evaluation of recurrent esophageal variceal rupture post-endoscopic band ligation: A case report Tasya Fabiola Alim
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.895

Abstract

Background: One serious side effect of portal hypertension that is often seen in individuals with liver cirrhosis is esophageal varices.  Even after Endoscopic Band Ligation (EBL), there is a significant chance that these varices may bleed again.  Uncontrolled portal pressure, therapeutic noncompliance, and concomitant gastrointestinal disorders are often linked to rebleeding. Purpose: To evaluate the risk factors influencing the success of Endoscopic Band Ligation (EBL) in preventing rebleeding in patients with a history of esophageal variceal rupture. Method: Using a descriptive case study approach with an eye on one patient undergoing treatment at a hospital, this research medical records provided data, which were then descriptively examined to assess clinical factors, forms of treatment given, and patient condition over time. Results: Results revealed that individuals with hepatic cirrhosis brought on by a hepatitis B infection are very likely to rebleed. Among the contributing causes were uncontrolled portal hypertension, congestive gastropathy, gastrointestinal bleeding-related chronic anemia, and inadequate therapeutic adherence. Furthermore important were eating behaviors that aggravate gastrointestinal problems. Conclusion: Stopping rebleeding calls for a multidisciplinary strategy. Monitoring portal pressure, following beta-blocker and antiviral treatment, and teaching patients about long-term care are among these aspects. To confirm these results, further research using bigger sample sizes is required.

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