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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 180 Documents
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Determinants of fatigue in children and adolescents with type 1 diabetes mellitus: A systematic review Ningsih, Risna; Islamia, Ina; Agustini, Nur; Ramadhani, Dewi Astika; Adawiyah, Robiyatul; Huda, Mega Hasanul; Hayati, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.850

Abstract

Background: Fatigue is one of the most common non-specific symptoms experienced by children and adolescents with type 1 diabetes mellitus (T1DM), yet it often goes unnoticed by clinicians. It can affect quality of life, learning ability, and engagement in daily activities. Fatigue in T1DM patients is not only related to glycemic control, but is also influenced by a complex range of physical, psychological and social determinants. A comprehensive understanding of the factors that contribute to fatigue in this population is essential for the development of more effective and holistic intervention strategies. Purpose: To determine fatigue among children and adolescents with Type 1 Diabetes Mellitus. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The article search was conducted systematically using the keywords: “Child” AND “Children” AND “Adolescent” AND “Adolescence” AND “Teenagers” AND “Diabetes Mellitus Type 1” AND “Type 1 Diabetes” AND “IDDM” AND “Type 1 Diabetes Mellitus” AND “Juvenile Onset Diabetes” AND “Psychosocial Problem” AND “Psychosocial Support System” AND “Psychological Support System” AND “Social Support System”. This study is registered on PROSPERO (CRD42024618445). Results: Aside from anxiety, depression, and behavioral disorders, other psychosocial issues—specifically self-management difficulties—are also observed in children with T1DM. These challenges are often associated with fatigue, which can negatively affect a child's motivation, focus, and ability to consistently carry out essential diabetes care tasks such as taking insulin, monitoring blood sugar levels, managing diet, and engaging in physical activity. Conclusion: The findings related to fatigue as a psychosocial issue may offer evidence-based support for the early identification and intervention of psychosocial challenges in children and adolescents with T1DM.
Effect of red betel (Piper crocatum Ruiz and Pav) leaves extract on blood glucose levels and ankle brachial pressure index (ABPI) among patients with type 2 diabetes mellitus Wigatiningtyas, Bios Cendekia; Ta'adi, Ta'adi; Walin, Walin
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.859

Abstract

Background: Hyperglycemia often occurs in DM patients even though they have received pharmacological therapy, thus encouraging people to consume herbal medicines. The dosage of herbal therapy consumed by the community is not appropriate, only the dosage of community assumptions, resulting in negative impacts. Chronic hyperglycemia causes worsening of the Ankle Brachial Pressure Index (ABPI) score. Giving red betel extract with the right dose can be a solution, because red betel extract contains flavonoids that can inhibit y-amylase and y-glucosidase so that the body can control blood sugar levels and improve ABPI scores. Purpose: To determine effectiveness of red betel extract on fasting blood sugar levels and ABPI. Method: A quasy experiment approach, specially focusing on pretest and posttest group. The study took place from October-November 2024, in Padangsari and Srondol Health Centers, Semarang. The independent variable was red betel leaf extractthe dependent variables is fasting blood sugar levels and ABPI. Using purposive sampling and Lemeshow formula, 70 respondents were selected which were divided into 2 groups, who met specific inclusion and exclusion criteria. Analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using man whitney test. Results: Red betel leaf extract significantly reduced blood sugar levels in patients with type 2 diabetes mellitus with an intervention value of 112.83 ± 15.227 compared to control of 191.46 ± 72277 with a large Cohen's d effect of 0.87 and increased the value of the Ankle Brachial Pressure Index or ABPI in the intervention group by 0.855 ± 0.045 compared to control by 0.674 ± 0.094 with a large d effect of 1.22 These findings suggest that red beet extract has potential as an adjuvant therapy in glycemic control and improvement of peripheral circulation. Conclusion: Betel leaf extract has been shown to be effective in reducing fasting blood sugar levels and improving Ankle Brachial Pressure Index (ABPI) scores in patients with type II diabetes mellitus.
The impact of navigators on the satisfaction of patients with cancer: A Systematic Review Firmus, Herminah Winnie; Allenidekania, Allenidekania; Nuraini, Tuti; Putri, Yossie Susanti Eka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.862

Abstract

Background: Cancer is a disease or part of cells in the body that grows abnormally in parts of the human body and can spread to other parts of the body. Cancer can occur in children and adults. Patient navigators serve as intermediaries between individuals and the healthcare team, assisting patients in addressing and overcoming obstacles that may hinder access to medical services. They offer personalized support throughout the continuum of care, guiding patients through the various stages of their treatment journey. Purpose: To determine the effect of navigators on cancer patient satisfaction. Method: A systematic review approach in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The author used several research article databases, namely PubMed, ProQuest, Science Direct and Sage. 3 articles met the criteria and were analyzed and criticized using the JBI instrument. Results: Patient navigator is an effective strategy to improve diagnosis time, reduce anxiety, and increase patient satisfaction. Conclusion: The role of patient navigator in the context of cancer care can increase patient satisfaction and self-efficacy.
Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review Endah Dessirya; Kusnul Hasanah; Yeni Rustina; Happy Hayati; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.869

Abstract

Background: The transition of premature infants from the intrauterine to the extrauterine environment is a complex and challenging adaptation process for infants and their mother. Empowering parents through education and support is crucial in navigating these challenges. Propose: To review parental empowerment through early kangaroo care a holistic approach to neonatal health. Method: Systematic review research according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This literature research uses seven electronic databases, namely PubMed, Proquest, Sciencedirect, Wiley Online, Emerald insight, Sage Journals, and JSTOR. The data search began on September 30, 2024, using the keywords "parent" or "mother" or "maternal" and "infant" or "preterm" and "early" or "immediately" and "skin-to-skin" or "kangaroo-mother-care". The literature criteria used were full texts that discussed prematurity (newborns with a gestational age of <37 weeks), mothers who performed early KMC, parents who performed early KMC, the outcomes measured in this study were infant outcomes (morbidity, mortality, physiological status, weight, and length of stay) and maternal outcomes (exclusive breastfeeding, maternal mental health), and this study used a randomized control design. This study is registered with PROSPERO (CRD42025633170). Results: The search process identified 318 articles. Further screening resulted in a final sample of 7 articles. The review results showed that early KMC has benefits for both mothers and infants. Benefits of early KMC for mothers include increased exclusive breastfeeding, reduced depression, and increased maternal self-satisfaction in caring for preterm infants. Furthermore, in preterm infants, early KMC has been shown to improve physiological stability, weight gain, reduce mortality, morbidity, infections, weight gain, and reduce length of hospitalization. Conclusion: Early implementation of KMC not only provides clinical benefits for preterm infants, but also contributes to improved maternal mental health. These findings support the promotion of KMC as a standard intervention in neonatal intensive care units to optimize short- and long-term outcomes for mothers and preterm infants.
Sepsis protocol adherence and emergency department overcrowding: An observational study Arifani, Nisa; Mulyati, Leli; Sasmito, Priyo; Sujana, Treesia; Gayatri, Sri Wahyuni; Astuti, Novia Dwi; Librianty, Nurfanida; Lie, Sukirman; Deviana, Elina; Ihsan , Farly
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Abstract

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.
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.
Fathers' involvement in their wives'/partners' breastfeeding: A qualitative study Nur Intan Kusuma; Eka Budiarto; Rini Kristiyanti; Milatun Khanifah
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.v8i4.912

Abstract

Background: Increasing the coverage of breastfeeding can improve survival and protect children from chronic diseases. However, the low coverage of exclusive breastfeeding is a problem caused by internal and external factors. One of the external factors is the lack of support from the husband. Purpose: To explore the involvement of husbands in the process of mothers providing exclusive breastfeeding to their babies. Method: Qualitative research with a generic qualitative approach. Participants in this study were breastfeeding mothers who had babies over six months old and had passed the period of exclusive breastfeeding. The number of breastfeeding mothers was 8 people with the principle of data saturation. The researcher was the main instrument in the study. Other instruments used were interview guidelines, field notes, and audio recorders. The interview results were analyzed thematically. Results: Frequency distribution data were obtained from unemployed mothers as many as 75% with the majority of high school education with an age range of 25-34 years. The results of the study showed that mothers' acceptance of husbands' involvement in the process of providing exclusive breastfeeding included emotional involvement and physical involvement. Conclusion: Mothers believe that husband's involvement is very important in the process of exclusive breastfeeding. The involvement received by mothers can be in the form of emotional involvement in the form of attention and informative advice and physical involvement as a form of practical support in the process of exclusive breastfeeding. Husbands who have sufficient information about exclusive breastfeeding and are aware of the importance of the health and development of babies will decide to be actively involved in the process of exclusive breastfeeding.
The effectiveness of breathing exercises in reducing dyspnea in patients with heart failure: A systematic review Kristian Ade Chandra; Tuti Herawati; Anggri Noorana Zahra
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.913

Abstract

Background: Heart failure is a global health problem with a relatively high prevalence. Dyspnea is one of the typical symptoms of heart failure. Dyspnea can affect various aspects of life of people who are suffering from heart failure. Management of dyspnea is needed to reduce this problem and improve the quality of life of patients. One of the interventions that can be done is breathing exercises. Purpose: To reduce dyspnea in patients with heart failure. Method: A systematic review of articles obtained from several databases including Science Direct, Oxford, EBSCO, PUBMED, and Sage Journals, from 2015 to 2024. Results: Based on the results of article screening based on the criteria in this study, 7 articles were obtained that explained the effectiveness of breathing exercises to reduce dyspnea in heart failure. Conclusion: Breathing exercises can be considered as a non-pharmacological therapy to reduce dyspnea in heart failure.
Use of medium cut-off membrane dialyzer compared to high flux membrane dialyzer in improving the clearance of middle to large molecule uremic toxins: A Systematic Review Wasal Desrial Siregar; Krisna Yetti; Agung Waluyo; yulia yulia
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.934

Abstract

Background: The loss of kidney function in patients with kidney disease leads to the accumulation of dissolved substances known as uremic toxins, which can negatively impact patient health. Membranes with a high number of pores, such as those in high-flux dialyzers, allow some medium-sized molecules like beta-2 microglobulin to pass through. However, these membranes are less effective at filtering out larger dissolved substances. Larger medium-sized molecules (>25 kD) need to be removed either by convection or through the use of highly permeable membranes such as Medium Cut-Off (MCO) membranes. Therefore, it is important to understand the improvement in uremic toxin clearance when using MCO dialyzers compared to high-flux dialyzers. Purpose: To evaluate and compare the effectiveness of using medium cut-off (MCO) membrane dialyzer with high flux membrane dialyzer. 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: Patients with chronic kidney disease undergoing hemodialysis, I: Use of dialyzers with medium cut-off (MCO) membrane, C: Use of dialyzer with high flux membrane, O: Increased clearance of uremic toxins of middle to large molecules, such as β2-microglobulin, kappa and lambda free light chains, S: Randomized controlled trials. The article search was conducted systematically using the keywords: "Medium cut-off dialyzer" AND "High flux dialyzer" AND "Uremic toxins" AND "Middle molecules" AND "Large molecules" AND "Clearance Hemodialysis". Results: The use of MCO membranes was more effective in eliminating medium-to-large uremic toxins while maintaining safety and regulation comparable to conventional hemodialysis with high-flux dialyzers. MCO membranes were also more effective even with low blood flow, without significantly increasing albumin loss. Additionally, MCO membranes contributed to reducing inflammation and allowed for shorter recovery times post-hemodialysis treatment. Conclusion: Given its comparable safety to high-flux dialyzers, the use of MCO membranes can be expanded in clinical practice at hemodialysis centers, including those in resource-limited settings.
Range of motion and rubber ball grasping therapy for improving upper limb function in patient with ischaemic stroke Riyani Wulaningsih; Dian Hudiyawati; Sumarno Adi Subrata
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.939

Abstract

Background: Ischemic stroke can impair hand and arm movements, significantly impacting a patient's ability to perform daily activities and consequently reducing their quality of life. A combined approach of range of motion (ROM) exercises and rubber ball gripping therapy offers a potential avenue for rehabilitation. This combined therapy aims to strengthen muscles, maintain joint flexibility, and retrain movement patterns. Regularly applying this therapy is anticipated to accelerate patient recovery and promote independent function. Purpose: To investigate the effectiveness of a combined range of motion exercise and rubber ball gripping in enhancing arm muscle strength in patients following an ischemic stroke. Method: A comparative study was conducted involving two groups: an intervention group receiving the combined therapy and a control group that did not. Upper extremity muscle strength was assessed in both groups before and after the intervention period using a handgrip dynamometer and clinical scales (MRC scale and MSTS score). Results: The study demonstrated a significant increase in upper extremity muscle strength in the intervention group compared to the control group (p<0.05) as measured by the handgrip dynamometer. These findings indicate that combining ROM therapy and rubber ball gripping is an effective strategy for improving muscle strength in patients after an ischemic stroke. Conclusion: The combination therapy of ROM exercises and rubber ball gripping can be considered an effective rehabilitation method for improving upper extremity muscle strength in patients with ischemic stroke. This study provides valuable evidence for medical professionals in developing more effective rehabilitation strategies for stroke patients.

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