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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. 9 (2025): Volume 8 Number 9" : 15 Documents clear
Unveiling the unseen: Parental experiences in nurturing children with intellectual disabilities: A systematic review Anggoh, Sophia Euodia; Putri, Yossie Susanti Eka; Hamid, Achir Yani Syuhaimie; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1208

Abstract

Background: Parents of children with intellectual disabilities face a lifelong caregiving responsibility with multidimensional burdens, including chronic stress, financial pressure, and limited culturally sensitive mental health support. Previous studies have focused more on psychological aspects, so the holistic understanding of resilience and cultural dynamics is still limited. Purpose: To examine the experiences of parents in caring for children with intellectual disabilities Method: Literature search using PRISMA guidelines on PubMed, ScienceDirect, and Google Scholar (2015–2025) with related keywords. Quantitative studies on caregivers of children with intellectual disabilities were selected, while non-parents and non-intelectual disability were excluded. Study selection and methodological quality assessment (Joanna Briggs Institute checklist) were conducted by more than one researcher. Narrative synthesis was applied due to the heterogeneity of the data. Results: Analysis of 10 studies (2,473 participants) revealed high emotional burdens (stress and anxiety) due to children's behavior, stigma, and lack of support. Resilience strategies such as mindful parenting and recreational activities enhance parent-child bonding and self-efficacy. Culture influences coping mechanisms, while father involvement is often hindered by traditional norms. Compared to previous reviews, these findings emphasize cross-cultural resilience and the urgency of community-based gender-inclusive interventions. Conclusion: Caregivers of children with intellectual disabilities demonstrate resilience despite facing complex challenges. Interventions need to integrate psychosocial training, community support, as well as culturally sensitive policies and father participation.
A comparative study of processed Moringa leaves and Fe tablet supplementation on hemoglobin levels among mildly anemic pregnant women Narulita, Sari; Chairiyah, Royani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1212

Abstract

Background: Anemia is a condition characterized by hemoglobin (Hb) levels below normal physiological values based on age and sex. Among pregnant women, anemia poses serious health risks to both the mother and the fetus, including miscarriage, preterm birth, infection, hemorrhage, intrauterine fetal death, low birth weight, congenital anomalies, perinatal mortality, and reduced infant intelligence. In Bekasi City, the prevalence of anemia among pregnant women increased from 14.3% in 2021 to 20% in 2022, largely due to poor adherence to iron (Fe) tablet supplementation, often caused by side effects such as nausea and unpleasant taste. Purpose: To compare the effectiveness of processed Moringa leaves (Moringa oleifera) and Fe tablets in improving hemoglobin levels among pregnant women with mild anemia. Method: A quantitative experimental design with a two-group pretest–posttest approach was used. The study was conducted at Mrs. Ida Roningsih’s Independent Midwife Practice from August 1 to September 31, 2024, involving all pregnant women in the working area, totaling 44 participants. Data were collected through hemoglobin measurements before and after intervention and questionnaire responses. Statistical analyses included univariate and bivariate analysis, the Shapiro–Wilk normality test, and T-test or Wilcoxon test as appropriate. Results: The mean increase in hemoglobin levels among pregnant women in the Moringa leaf group was 1.35 g/dL (6.15%), compared to only 0.09 g/dL (0.4%) in the Fe tablet group. A significant difference was observed between the intervention and control groups (p = 0.000). The relative risk (RR) of 2.375 indicates that pregnant women receiving Moringa leaf capsules were 2.375 times more likely to experience an increase in Hb levels compared to those taking Fe tablets. Conclusion: Processed Moringa leaves (Moringa oleifera) were proven to be more effective than Fe tablets in increasing hemoglobin levels among pregnant women with mild anemia, showing a more than twofold greater improvement in Hb levels.
Early gestational diagnosis of alobar holoprosencephaly with omphalocele: A case report Frymonalitza, Ninda; Febriani, Febriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1241

Abstract

Background: Holoprosencephaly (HPE) is the most frequent congenital brain malformation, with alobar HPE representing the most severe form. It is often accompanied by other structural anomalies such as omphalocele, significantly complicating fetal prognosis and perinatal management. Purpose: To present the early gestational diagnosis of alobar holoprosencephaly with omphalocele. Method: A descriptive case report of a 40-year-old gravida 2 para 1 woman whose fetus was diagnosed via ultrasound at 17–18 weeks' gestation with alobar HPE and omphalocele. The case was managed through routine antenatal care and serial ultrasound monitoring. Results: Serial imaging revealed progressive ventriculomegaly and worsening abdominal wall defect. Despite the fatal nature of the anomalies, legal constraints in Indonesia prevented pregnancy termination. The fetus survived until intrauterine demise at 37–38 weeks, after which labor was induced and a stillborn delivered vaginally. Conclusion: This case underscores the importance of early gestational diagnosis and highlights the ethical and legal challenges in managing lethal fetal anomalies in restrictive settings. Comprehensive parental counseling and genetic evaluation are crucial components in delivering informed care.
Variability of blood pressure, pulse pressure, and mean arterial pressure in hypertensive individuals Berek, Pius Almindu Leki; Amaral, Fransiska; Akoit, Handrianus; Nahak, Maria Paula Marla; Mau, Djulianus Tes; Fouk, Maria Fatimah Wilhelmina Abuk; Made, Yovita
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1258

Abstract

Background: Hypertension is a major risk factor for cardiovascular disease and remains a public health issue, particularly in areas with limited access to healthcare services, such as the Indonesia–Timor Leste border region. Blood pressure variability, pulse pressure (PP), and mean arterial pressure (MAP) are important indicators for assessing the risks of long-term complications. Purpose: To determine the profile and variability of blood pressure, PP, and MAP among hypertensive individuals, as well as the relationship between sociodemographic characteristics and these parameters. Method: A quantitative descriptive design with a cross-sectional approach was employed. Data were collected from 124 respondents through blood pressure measurements taken at three different time points. Mean systolic and diastolic blood pressure (SBP and DBP), PP, and MAP were analyzed, along with comparisons between measurement times and respondent characteristics. Result: The mean systolic blood pressure (SBP) was 151.27 mmHg, and the mean diastolic blood pressure (DBP) was 89.86 mmHg, indicating that most participants fell into hypertension grade 1–2 categories. The mean PP was 61.43 mmHg and MAP was 110.32 mmHg, both exceeding normal thresholds, suggesting potential vascular complications. Significant fluctuations were found in SBP and PP between the second and third measurements (p=0.014 and p=0.032, respectively), while DBP and MAP remained relatively stable. No significant associations were found between sex, education level, or occupation with the blood pressure parameters. Conclusion: Blood pressure was relatively high and tended to be stable between measurements, with significant variability in systolic and pulse pressures (p<0.05). Meanwhile, sociodemographic characteristics such as age, gender, education, and occupation did not show a significant association with blood pressure, PP, or MAP. Suggestion: Hypertension control programs need to focus on an individualized approach with routine blood pressure monitoring using HBPM, stabilizing blood pressure variability, and improving patient education. Programs must also be tailored to sociocultural conditions and supported by simple digital technology for early detection in border communities.
Utilization of virtual and digital technologies in reducing psychological problems in the elderly with chronic illness: A systematic review Pulungan, Indira Mastura; Rekawati, Etty; Kurnia, Dikha Ayu; Rachmawati, Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1268

Abstract

Background: Globally the prevalence of chronic diseases continues to increase every year. In 2021, it is estimated that around 43 million people will die from chronic diseases, with 73% of them being prevalent in low-income or developing countries. Purpose: To conduct an analysis related to the use of virtual and digital technology in reducing psychological problems in the elderly with chronic diseases. Method: This paper is a review of the literature related to the topic of the use of virtual and digital technology in the elderly with chronic diseases on its effect on psychological problems. The analysis begins with a literature search across several databases, including PubMed, Google Scholar, Sage Journals, ProQuest, ScienceDirect, and SpringerLink. The article search was conducted using the PICO form (P = Elderly with chronic diseases; (2) Intervention = Utilization of virtual technology, utilization of digital technology; (3) Outcomes = Reducing psychological problems, elderly rehabilitation). The author identified 33 articles for analysis and filtered them, resulting in 5 articles that employed the Randomized Controlled Trial (RCT) research method. Furthermore, the author conducted an analysis using a critical appraisal form, namely the CASP (Critical Appraisal Skill Program) form. Results: The virtual technologies can minimise depression, anxiety, and increase self-efficacy in elderly people with chronic disease. The digital application technologies give a psychological impact based on the features and the basic purpose of making that application. Conclusion: Virtual and digital technologies have an impact on the psychological well-being of the elderly, based on the features that these technologies provide for them.
Breaking the chains of isolation: A systematic review on family psychoeducation as a catalyst for social function improvement in schizophrenia Steffiani, Laras; Keliat, Budi Anna; Hargiana, Giur
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1277

Abstract

Background: As a catalyst by accelerating social recovery through family empowerment, enabling long term functional improvement and triggering synergistic effects with other therapies, family psychoeducation (FPE) has been effective in reducing relapse rates and improving social functioning among individuals with schizophrenia. Purpose: To evaluate how FPE affected schizophrenic patients' social functioning and social isolation, especially in culturally diverse settings. Method: A systematic review of 10 articles (2015–2024) from PubMed, Sage Journals, and ScienceDirect was conducted. The studies encompassed randomized controlled trials, quasi-experimental approaches, and case series. Critical appraisal using JBI tools assessed risk of bias, with a focus on outcomes such as treatment adherence, social functioning, and hospitalization rates. FPE interventions improved treatment adherence, social functioning, and reduced social isolation in patients with schizophrenia. Results: FPE is effective in enhancing social functioning and mitigating isolation in schizophrenia, particularly when culturally adapted and integrated with multimodal therapies. Conclusion: While clinical symptom outcomes varied, FPE’s role in empowering families and enhancing community-based care is critical.
Analysis of the implementation of capitation policy based on service commitment at Social Security Agency on Health, Semarang-Indonesia Pertiwi, Dian Ratna; Suryoputro, Antono; Adi, Matheus Sakundarno
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1316

Abstract

Background: Performance-based capitation payments are an innovative approach in the health financing system implemented by Social Security Agency on Health (BPJS Health). Purpose: To analyze of the implementation of capitation policy based on service commitment. Method: A descriptive qualitative approach with a case study approach, which aims to analyzing the implementation of the Performance-Based Capitation policy, by taking four variables that are considered most crucial in determining the success of the implementation of the Performance-Based Capitation policy in the city of Semarang, with the policy implementation model approach from Donald Van Meter and Carl Van Horn, namely communication factors, resources, implementer disposition, and implementer characteristics. Results: This approach aims to stimulate the provision of higher quality and more efficient health services, by providing incentives to health service providers based on optimal performance and service outcomes. The implementation of performance-based capitation payments provides several benefits, including increased accountability of health service providers, more effective cost management, and stimulation of innovation in service provision. Conclusion: Performance-based capitation payments by BPJS Health are a step forward in creating a health insurance system that focuses on service quality. Performance-based capitation payments by BPJS Health are a step forward in creating a health insurance system that focuses on service quality.
Risk factors influencing caesarean wound infection (CWI) Putri, Yolanda Salsabila Dwi; Juhamran, Reeny Purnamasari; Rambulangi, Ronaldo August; Mappaware, Nasrudin Andi; Harahap, Muhammad Wirawan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1342

Abstract

Background: Cesarean section (CS) is a delivery method that continues to increase and carries a risk of complications, one of which is surgical wound infection (SWI). SWI can hinder healing and increase morbidity. Risk factors for infection include preoperative, intraoperative, and postoperative conditions, necessitating analysis to prevent postoperative complications. Purpose: To identify risk factors for surgical site infection in Cesarean section procedures and to determine the association between nutritional status, hemoglobin levels, and wound care with the occurrence of surgical site infection. Method: This study is an observational analytical study using a cross-sectional approach conducted at RSIA Sitti Khadijah 1 Muhammadiyah Makassar from March to June 2025. Data were analyzed using univariate and bivariate analysis with the Chi-square test at a significance level of p < 0.05. Results: There was a significant association between several risk factors and the occurrence of postoperative wound infections following Cesarean section. Based on bivariate analysis, nutritional status, hemoglobin (Hb) levels, wound care, and type of cesarean section procedure were found to influence the occurrence of postoperative wound infections. However, although the duration of surgery showed a statistical association, the data obtained were not varied, so a definitive conclusion regarding the relationship between surgery duration and postoperative wound infections after cesarean section could not be drawn. Conclusion: Nutritional status, hemoglobin levels, wound care, and type of cesarean section are factors associated with the occurrence of postoperative wound infections after cesarean section. These findings highlight the importance of attention to maternal nutritional status, hemoglobin levels, wound care standards, and the selection of Cesarean section type in efforts to prevent postoperative infections. A comprehensive evaluation of these factors is necessary to minimize the risk of complications and improve patient safety.
Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report Yuliani, Anak Agung Ary; Pretangga, Anak Agung Ngurah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1484

Abstract

Background: Mammae aberrans, also known as accessory or ectopic breast tissue, is a rare congenital condition that arises due to incomplete regression of the embryonic mammary ridge. Although it is often asymptomatic, in some cases it may enlarge, become tender, or resemble other axillary abnormalities, which can complicate diagnosis and management. Given its rarity and similarity to other axillary lesions, clinicians must exercise caution to ensure accurate diagnosis and appropriate management. Purpose: To describe in detail the clinical features, diagnostic process, and surgical management of a 27-year-old female patient presenting with an axillary mass later identified as mammae aberrans. Method: The report is based on a single clinical case involving a young female patient who presented with a progressively enlarging mass in her right axilla. The diagnostic process included physical examination, ultrasonography, and histopathological analysis. The patient underwent surgical excision of the mass under general anesthesia, followed by postoperative observation and follow-up to monitor recovery and possible recurrence. Results: Clinically, the mass was firm, immobile, and measured approximately 12 × 8 × 6 cm. Ultrasonography indicated fibro-glandular tissue, and the histopathological examination confirmed the diagnosis of mammae aberrans. The surgical removal of the mass was successful, with the patient showing good postoperative recovery. No pain, complications, or recurrence were reported during follow-up visits. Conclusion: Highlights the importance of considering accessory breast tissue in the differential diagnosis of axillary masses, especially in women of reproductive age. Early and accurate diagnosis, followed by appropriate surgical management, can lead to complete recovery, prevent misdiagnosis, and improve cosmetic and psychological outcomes for the patient.
Determinants and risk factors influencing stunting among toddlers Muthara, Indah; Desmawati, Desmawati; Ali, Hirowati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1548

Abstract

Background: Optimal growth and development in toddlers require appropriate food for growing toddlers. Stunting indicates inadequate nutritional intake in children. Purpose: To determine the risk factors and determinants associated with stunted infant development growth. Method: A descriptive quantitative with analytical survey specially focusing on cross-sectional method. The study took place from September 2024 to July 2025 in Dadok Tunggul Hitam Community Health Center, Padang. The independent variables studied were toddler age, gender, birth weight history, exclusive breastfeeding history, number of siblings, mother's age, mother's education, mother's occupation, family income, and gadget use, while the dependent variable was toddler growth. Using random sampling and the Slovin formula, 86 respondents meeting the inclusion and exclusion criteria were selected and categorized into two groups: suspect and normal. Data analysis began with univariate tests to describe the distribution of respondent characteristics, followed by bivariate analysis using the chi-square test and multivariate analysis with logistic regression. Results: The logistic regression results show that the most influential factor on the occurrence of suspicious developmental events is gadget use, especially in the high use category, with an increased risk of up to 18 times (Exp(B) = 18.125; p = 0.000). Toddler age also plays a significant role, with an approximately 5-fold increase in risk (Exp(B) = 5.406; p = 0.008). The number of siblings and family income also contribute each increasing the likelihood of developmental disorders by approximately 3–4 times (p < 0.05). Conclusion: Gadget use is the factor most strongly linked to growth delays in toddlers.

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