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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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The impact of bed occupancy rate and patient dependency on nurse fatigue in intensive care units Eka Haryanti; Mugi Hartoyo; Shobirun Shobirun; Fika Indah Prasetya; Yetti Syafridawita; Priyo Sasmito; Nisa Arifani
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.v8i3.953

Abstract

Background: Intensive Care Unit (ICU) nurses are frequently exposed to high workloads resulting from elevated Bed Occupancy Rates (BOR) and the intensive care needs of patients with total dependency. These conditions increase the risk of physical and mental fatigue, which may compromise the quality of nursing care and patient safety. Purpose: To examine the association between BOR and patient dependency level with nurse fatigue in the ICU. Method: A quantitative approach, specially focusing on analytical survey and cross-sectional method. The study took place from April 2024 in Kanjeng Raden Mas Tumenggung Wongsonegoro Regional Hospital, Semarang. The independent variable was bed occupancy rate and patient dependency; dependent variable is nurse fatigue. Using total sampling, 81 respondents were selected with a split group of 29 ICU nurses to collect patients’ dependency level test, who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using Kendall Tau correlation. Results: Statistical analysis confirmed a significant correlation between BOR and nurse fatigue (p = 0.043), as well as between patient dependency and nurse fatigue (p = 0.048). Conclusion: The BOR and patient dependency rate were both key factors influencing fatigue among ICU nurses. These findings underscore the critical need for workload regulation informed by operational indicators to protect nurses' well-being and to uphold the quality of care in intensive settings.
The effect of slow deep breathing on lowering blood pressure in the elderly with hypertension: A systematic review Nuridah Nuridah; Etty Rekawati; Yossie Susanti Eka Putri; Ikhwanudin Ikhwanudin
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.v8i4.964

Abstract

Background:  Increasing age causes an increase in blood pressure in the elderly which results in the emergence of various infectious to degenrative diseases, one of which is hypertension. Hypertension is an increase in systolic blood pressure exceeding 140 mmhg and diastolic 90 mmhg. One of the efforts in handling hypertension is with non-pharmacological therapies such as slow deep breathing exercises that play a role in stimulating the work of parasympathetic nerves and inhibiting sympathetic nerves to lower blood pressure in hypertensive elderly. Purpose: To determine the effect of slow deep breathing on lowering blood pressure in elderly with hypertension. Method: Systematic review approach by analyzing selected literature from various sources. Article searches were conducted through online databases, namely ProQuest, ScienceDirect and Goggle Scholar. The results of the article selection obtained 8 articles  that met the criteria and were analyzed and critiqued using the JBI instrument ... Quality assessment is based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) checklist. Results: Slow deep breathing is a nonpharmacological therapy that is proven to be able to reduce blood pressure in elderly people with hypertension. Conclusion: The role of slow deep breathing (SDB) is proven to be effective in helping reduce blood pressure in the elderly with hypertension.
Self-help group therapy interventions for self-harm in adolescents Setia Purbaningrum; Muhammad Ari Arfianto; Ajeng Pramudianingtias; Sefira Khoirotus Salsa; Amelia Wulan Sari; Rafika Azzahra Salsabila Utomo; Al Mar’atul Ahlak
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.v8i4.975

Abstract

Background: Adolescents who are unable to manage negative emotions are more likely to engage in self-harm. Alternative management that can be applied to reduce self-harm symptoms in adolescents is self-group therapy. Purpose: To determine the effectiveness of self-help group therapy in reducing self-harm symptoms in adolescents. Method: A quantitative approach, specially focusing on pre-experimental one-group pretest-posttest method. The study took place from June 2023 in Junior High Schools, Malang. The independent variable was self-help group therapy dependent variable is self-harm symptoms. Using total sampling, 70 respondents were selected who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using paired sample t-test. Results: Self-harm symptoms before the administration of self-help group therapy showed a minimum score of 40 and a maximum score of 79, with a mean score of 58.16. After the implementation of self-help group therapy, the self-harm symptom scores decreased, ranging from a minimum of 22 to a maximum of 67, with a mean score of 36.51. Conclusion: Self-help group therapy has been shown to significantly reduce self-harm symptoms in adolescents. This is evidenced by a notable decrease in the average self-harm score following the intervention, compared to the score prior to receiving self-help group therapy.
Obesity related factors in school-aged children: A qualitative study Santika Santika; Septian Andriyani; Asih Purwandari Wahyoe Puspita
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.v8i4.980

Abstract

Background: Childhood obesity among school-aged children has become an escalating public health concern in Indonesia. It significantly affects children’s physical, mental, and social well-being. Obesity arises from a complex interplay of biological, environmental, behavioral, and parenting-related factors. Purpose: To examine the contributing factors to obesity in school-aged children. Method: A qualitative research design was employed using a phenomenological approach. Data were collected through in-depth interviews with five parents of elementary school children (grades 1–6) who had been diagnosed with obesity. Each interview was conducted in one day, with a duration of no more than 30 minutes per Respondent. The data were analyzed through coding and theme identification. Results: The analysis revealed five primary themes contributing to childhood obesity: a sedentary lifestyle, genetic influences, eating habits and parenting style, frequent consumption of snacks and sugary drinks, and irregular sleep patterns and habits. Conclusion: Obesity in school-aged children is driven by an interaction of sedentary behavior, unhealthy lifestyle habits, parenting practices, high sugar intake, genetic predisposition, and poor sleep routines. Preventive measures should adopt a holistic approach involving families, schools, and the surrounding environment to instill healthy behaviors from an early age.
Self-efficacy and self-care among non-hemorrhagic stroke patients: A cross-sectional study Priyo Sasmito; Mugi Hartoyo; Treesia Sujana; Sudrajat Sudrajat; Sukirman Lie; Novia Dwi Astuti; Adil Setia Gulo; Ultra Madani; Fahrun Nur Rosyid
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.v8i4.1054

Abstract

Background:  Self-care is a vital component in the recovery process of non-hemorrhagic stroke patients, who often encounter physical and psychological challenges that reduce their independence. One influential factor in self-care ability is self-efficacy. Purpose: To determine the relationship between self-efficacy and self-care in non-hemorrhagic stroke patients. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place from December 2023 – December 2024 in Dr. Kariadi General Hospital, Semarang. The independent variable was self-efficacy dependent variable is self-care in non-hemorrhagic stroke patients. Using purposive sampling and lameshow formula 55 participants were selected who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using pearson correlation. Results:  Here strong and statistically significant positive relationship r = 0.698, p = 0.000 between self-efficacy and self-care wiith a mean self-efficacy of 25.57±4.60 and self-care of 56.32±16.8, concluded that greater levels of self-efficacy are significantly correlated with greater self-care ability. Conclusion: The study a significant positive correlation between self-efficacy and self-care in non-hemorrhagic stroke patients, indicating that increased confidence in patients correlates with their ability to engage in self-care independently.
The impact of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients Rustam Ali; Novita Ana Anggraini; Yuly Peristiowati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.725

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) represents a significant global health burden, contributing substantially to long-term morbidity and mortality rates worldwide. Purpose: To evaluate the effectiveness of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients. Method: A quasi-experimental study was conducted using a pre-test and post-test control group design, involving 46 participants divided into intervention and control groups. Data collection tools included questionnaires, respiratory rate observations, and a peak flow meter. For data analysis, inferential statistics were applied: the Independent t-test and Paired t-test were used for normally distributed ratio data, while the Wilcoxon Signed Ranks Test and Mann-Whitney U Test were employed for ordinal data. Results: The combination of diaphragm breathing exercises and cold facial stimulation significantly reduces dyspnea perception in COPD patients. This intervention was also found to be effective in lowering the respiratory rate of COPD patients. Additionally, the results revealed a significant improvement in Peak Expiratory Flow Rate (PEFR) in the intervention group compared to the control group. Conclusion: Peak Expiratory Flow Rate (PEFR) significantly improved in the intervention group compared to the control group, indicating the combined intervention's efficacy in enhancing respiratory function in COPD patients.
Analysis of dietary pattern, physical activity and medication adherence on glycemic stability among patients with type 2 diabetes mellitus Nurwahida Nurwahida; Saimi Saimi; Akhmad Fathoni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.744

Abstract

Background: Diabetes is a non-communicable disease. The number of diabetes cases and the prevalence of the disease have increased continuously in recent decades. Diet and physical activity are considered to be determining factors and are closely linked to the development of diabetes. Purpose: To analyze dietary patterns, physical activity, and medication adherence to glycemic stability in a community with type 2 diabetes mellitus. Method: This quantitative study employed analytical observation with a cross-sectional approach. The population comprised all patients with type 2 diabetes mellitus in the Montong Betok Community Health Center in December 2023. Sample inclusion criteria included residents aged 40 years and above who were willing to participate and had suffered from type 2 diabetes mellitus for more than 1 year and had been taking medication according to the recommended dosage with random blood sugar levels between 100 and 400 mg/dL. Simple random sampling was used to select 199 respondents. The analysis conducted in this study included univariate analysis, bivariate chi-square with SPPS version 20 for Windows, and multivariate analysis using logistic regression test. Results: The logistic regression analysis obtained a significance level of <0.05 for the variables of diet, physical activity, and medication adherence. This indicates that diet, physical activity, and medication adherence significantly influence respondents' blood sugar stability. Of the three variables analyzed, medication adherence had the largest Exp (B) coefficient, namely 1.346. This indicates that medication adherence is the variable that most dominantly influences blood sugar stability compared to diet and physical activity. Conclusion: Eating habits, physical activity, and medication adherence have a significant impact on blood sugar stability in type 2 diabetes mellitus patients. However, medication adherence variables are an important factor that influences type 2 diabetes mellitus patients.
Family support and motivation for recovery among patients with chronic diseases at outpatient clinics Suraya Putri; Syarifa Atika; Dewiyuliana Dewiyuliana; Lisa Fitriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.806

Abstract

Background: Chronic diseases are a global health challenge that has a significant impact on individuals and health systems. Purpose: To analyze the relationship between family support and motivation for recovery in patients with chronic diseases. Method: A descriptive analytical design with a cross-sectional approach involving 315 patients at Syiah Kuala University Teaching Hospital. Data were analyzed using the chi-square test with SPSS. Results: The results showed that patients with good family support had higher motivation to recover (40.2%) compared to those with less support (4.5%). Conversely, low motivation to recover was more often found in patients with less family support (48.2%). Statistical analysis showed a significant relationship between family support and encouragement to recover (p = 0.001). Conclusion: Family support plays an important role in increasing the motivation for recovery of patients with chronic diseases.
Availability of clean water and Acute Respiratory Infection (ARI) cases among fishermen Muslim Hadinata; Dharina Baharuddin; Putri Nahrisah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.809

Abstract

Background: Acute Respiratory Infection (ARI) is one of the diseases with high morbidity, especially in coastal communities. Fishermen face a high risk of ARI due to the work environment, poor sanitation, and limited access to clean water. Purpose: To examining the relationship between the availability of clean water and the incidence of ARI in fishermen in Aceh Jaya District. Method: An analytical observational study with a cross-sectional design was conducted on 200 fishermen in two villages using a total sampling technique. Data were analyzed using the chi-square test and logistic regression using STATA. Results: There is a significant relationship between the availability of clean water (p=0.000), water source (p=0.000), water condition (p=0.000), ease of access (p=0.000), and the availability of clean water within a certain period of time (p=0.000) with the incidence of ARI. Conclusion: Access to clean water plays an important role in preventing ARI. Efforts to increase the availability of clean water and sanitation are needed to reduce the incidence of ARI in fishing communities. Suggestion: To examine other factors contributing to the incidence of ARI, such as air quality.
Risk factor analysis of type 2 diabetes mellitus in rural areas: A systematic review Yoki Arum Sari; Najmah Najmah; Rico Januar Sitorus
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.974

Abstract

Background: Type 2 diabetes mellitus (DM) prevalence continues to increase in rural areas, which is of particular concern due to limited access to health services in these areas. Purpose: To identify various risk factors for the incidence of type 2 DM in rural areas for the development of effective prevention programs. Method: Systematic review is based on PRISMA guidelines. Searches were conducted in Scopus, Science Direct, and SINTA for 2020-2025 articles. Data were extracted and analyzed narratively based on the type of risk factors that were found. Results: Out of 856 articles, 20 studies met the inclusion criteria. Dominant risk factors identified included obesity (OR range 2.15-3.05), family history of DM (OR range 2.13-4.46), and low physical activity (OR range 2.94-7.43). Additional risk factors include hypertension, unhealthy food environment, and unhealthy diet. Several studies reported an increased incidence of type 2 DM in younger populations in rural areas. Conclusion: Obesity, family history of DM, and low physical activity are the dominant risk factors for type 2 DM in rural areas. These factors are important targets for health policy interventions, especially given the increasing incidence in younger populations in rural areas.

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