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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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Self-care and quality of life among patients with breast cancer Mega Herawati; Fauzi Ashra; Ayu Nurdiyan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1137

Abstract

Background: Breast cancer is the most common cancer found in women worldwide and is the second cause of cancer-related deaths after lung cancer. Breast cancer has several treatments including chemotherapy, radiotherapy, hormonal therapy, and mastectomy. Impaired physical mobility can cause self-care deficits, self-care dramatically affects the quality of life of Breast Cancer patients, but further research is needed to what extent self-care can affect the quality of life of patients. Purpose: Knowing the relationship between self-care and the quality of life of Breast Cancer patients in the Surgery Room of Dr. Achmad Mochtar Hospital Bukittinggi. Method: Mixed methods with explanatory design. The sampling technique used was a total sampling of 50 respondents for quantitative purposes and a purposive sampling technique of 5 participants for qualitative purposes. Quantitative Self-care measurement using the Barthel Index questionnaire, quality of life measurement using the SF-36 questionnaire, and qualitative using an in-depth interview guide. Qualitative data analysis using the chi square and qualitative statistical test using keywords, subcategories, categories and themes. Results: The quantitative research results show a relationship between self-care and the quality of life of breast cancer patients by sig 0.011. In qualitative research, the lower the self-care of breast cancer patients, the worse the quality of life in breast cancer patients. Conclusion: Self-care in breast cancer patients, qualitative research, the lower the self-care of breast cancer patients, the worse the quality of care. life in breast cancer patients.
The effect of peer support intervention on improving self-efficacy in adolescents with HIV: A systematic review Sri Wulan Widyawati; Etty Rekawati; Agus Setiawan; Indah Permatasari
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1170

Abstract

Background: Adolescents with HIV who have low self-efficacy are less likely to adhere to their treatment plans, experience psychological issues, become socially isolated, and make poor treatment management decisions. Peer support therapy is therefore required to raise these teenagers' self-efficacy. Evaluating self-efficacy is crucial for determining how peer support interventions affect adolescents living with HIV. Purpose: Assessing the impact of peer support interventions on HIV-positive adolescents' self-efficacy is essential. 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: Adolescents with HIV, I: Peer support intervention, C: Individual counseling, standard education, or regular therapy, O: Improving self-efficacy, S: Randomized controlled trials. The article search was conducted systematically using the keywords: “Peer Support,” AND “Self-efficacy,” AND “Adolescents” AND “HIV.” Results: Among adolescents with HIV, the peer support intervention demonstrated an increase in self-efficacy. Participants reported feeling more confident in managing their treatment and navigating daily challenges related to their condition. The supportive peer environment helped reduce feelings of isolation and encouraged adherence to antiretroviral therapy (ART). Conclusion: Peer support interventions effectively enhance self-efficacy in adolescents living with HIV by improving confidence in treatment management, stigma coping, and ART adherence. Their empathetic, equal, and communicative approach makes them more acceptable to adolescents who may be reluctant to share with professionals.
Exploring physical sensor integration in the design of cost-effective and wearable instrumented ankle foot orthosis: A systematic review Fika Trifani; Abdul Halim
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1288

Abstract

Background: The mechanical properties of Ankle-Foot Orthoses (AFOs) play a vital role in enhancing mobility and improving the quality of life in individuals recovering from stroke. Parameters such as stiffness, alignment, and kinetic-kinematic characteristics are critical aspects that require optimization in AFO design and evaluation. Purpose: To investigate the advancement of physical sensor technologies applied in AFO systems. It focuses on enabling practitioners and researchers to obtain objective, real-time data on fitting outcomes, while addressing the limitations associated with traditional, bulky, or high-cost instrumentation. Method:  A literature-based review was conducted to analyze the implementation of various physical sensors integrated into AFOs. Sensor selection was examined in relation to targeted biomechanical outcomes, with attention given to each sensor's operational strengths and constraints to inform optimal usage. Results: Findings indicate that physical sensors significantly enhance data acquisition related to AFO fitting and performance by offering accurate, efficient, and user-friendly measurement capabilities. The diversity of available sensors allows for customization based on specific research or clinical objectives, although careful consideration must be given to each sensor's limitations. Conclusion: The integration of physical sensors into AFO systems represents a promising direction in orthotic development, facilitating evidence-based assessments through wearable and cost-effective technologies. Strategic sensor selection is essential to maximizing the accuracy and utility of AFO outcome measurements in both clinical and research settings.
Factors influencing training competencies of oncology nurses: A systematic review Brigitta Armelia Mairuhu; Enjelika Putri Manalu; Erica Dorelia Pajuk; Kyela Friska Br Sinurat; Ni Gusti Ayu Eka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1364

Abstract

Background: Oncology nursing requires specialized knowledge and skills to provide optimal care for cancer patients. Training and continuous professional development are essential to ensure high-quality patient care. However, various factors may influence nurses' participation and effectiveness in training programs, including institutional support, accessibility to training, individual motivation, and workplace challenges. Understanding these factors is crucial for improving oncology nursing competencies Purpose: To map the factors that influence oncology nurses' training competence in oncology services. 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: Oncology nurses, I: Training and competency development programs, C: compared with those who did not receive or with a variety of training methods, O: Had an impact on competency improvement, S: Randomized controlled trials. The article search was conducted systematically using the keywords: “Nurses,” AND “Nursing Staff,” AND “Registered Nurses,” AND “Oncology Nursing,” AND “Motivation,” AND “Motivational Factors,” AND “Education,” AND “Training Programs” AND “Oncology Service,” AND “Hospital,” AND “Cancer Care Units”. Results: Effective CPD is contextually relevant, culturally aligned, and uses active learning strategies to develop both technical and non-technical skills, with leadership support and clear career pathways further reinforcing competency growth. Conclusion: Oncology nursing competencies improve most effectively through well-structured, adaptive CPD programs reinforced by committed institutional leadership.
The instruments for measuring QoL in hemodialysis patients: A scoping review Baiq Reny Ermayuningsih; Muhammad Zulfatul A'la; Iis Rahmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1403

Abstract

Background: Quality of life (QoL) is a crucial indicator for evaluating the well being of patients undergoing hemodialysis, encompassing physical, psychological, social, and environmental dimensions. Accurate measurement of QoL serves as a fundamental basis for clinical decision making, care planning, and the development of patient centered policies. Purpose: To identify, synthesize, and analyze the instruments used to measure QoL in hemodialysis patients within the international literature. Method: The PRISMA-ScR approach, employing a systematic search across four major databases: ProQuest, BMC, PubMed, Wiley, and other sources. The search yielded seven articles that met the inclusion criteria and were subsequently analyzed thematically. Results: Seven primary instruments were identified, namely the KDQOL-SF™, KDQOL-36, QDIS-7, HARQ, WHOQOL-BREF, EQ-5D-5L, and the Caregiver Quality of Life Inventory. Each instrument demonstrated specific strengths related to construct design, contextual applicability, and target population, with adequate validity and reliability. However, variations in dimensional coverage, limited cross cultural validation, and a predominance of cross-sectional designs without longitudinal evaluation were observed. Conclusion: The findings highlight the importance of contextual adaptation, multi-cultural validation, and integration of QoL instruments into clinical evaluation systems. They also provide a foundation for developing more responsive and culturally relevant tools to improve care quality and patient well-being.
Factors influencing nurses’ readiness in natural disaster emergency response Fibriyanti, Efi; Madyaningrum, Ema; Alim, Syahirul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.947

Abstract

Background: The response phase is crucial in a disaster, nurses at community health center play a strategic role in disaster response phase preparedness; however, the factors that influence the level of nurse preparedness in the disaster response phase have not been widely studied. Purpose: To identify factors contributing to nurse preparedness during the disaster response phase. Method: A quantitative multicenter study using a cross-sectional design was conducted involving nurses from 27 primary healthcare centers located in disaster-prone regions. Convenience sampling was used to recruit 225 nurses, with data collection taking place between February and March 2023. Instruments included a demographic questionnaire and the Emergency Preparedness Information Questionnaire (EPIQ). Data were analyzed using multivariate logistic regression. Results: A total of 50.9% of nurses had low preparedness. Factors associated with preparedness in the response phase include education level (p=0.002), years of service (p=0.049), training (p=0.001), and disaster experience of serving in disaster (p=0.001). The logistic regression analysis identified the dominant factors in increasing preparedness, which include disaster training (20.6%), professional education level (5.16%), 11-20 years of service (1.39%), male gender (1.34%), and experience of serving in disaster (1.16%). Nurses who have received disaster training have higher preparedness compared to those with BTCLS and BLS training. This predictor is identified to improve response phase preparedness. Nurses can be given disaster training to improve preparedness. Conclusion: The average level of nurse preparedness was categorized as low. The most dominant factor influencing nurse preparedness in the natural disaster response phase was disaster training.
Silent threat in early pregnancy: A case of spontaneous heterotopic pregnancy with tubal rupture Oktama, Nizan Dani; Fakhrizal, Edy
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.968

Abstract

Background: Heterotopic pregnancy (HP) is a rare but potentially life-threatening condition characterized by the coexistence of intrauterine and extrauterine pregnancies. While its incidence in natural conception is estimated at 1 in 30,000 cases, the risk increases considerably with the use of assisted reproductive technologies. Because its symptoms often mimic those of ectopic pregnancy, HP remains a diagnostic challenge, particularly in patients without recognized risk factors. Purpose: To highlight the silent yet serious threat of spontaneous heterotopic pregnancy in early gestation, illustrated by a case of tubal rupture in a natural conception. Method: A descriptive case report of a 43-year-old multigravida woman who presented at 7 weeks of gestation with sudden lower abdominal pain and clinical features of intra-abdominal hemorrhage. Diagnostic evaluation included ultrasonography and laboratory investigations, followed by an emergency laparotomy. Results: Ultrasound imaging revealed two intrauterine gestational sacs along with free fluid in the pouch of Douglas. Laboratory tests indicated anemia (hemoglobin 8.1 g/dL) and marked leukocytosis. Emergency laparotomy confirmed a ruptured right fallopian tube with massive intraperitoneal bleeding. The patient underwent right salpingectomy, left tubectomy, and intrauterine curettage at her request. Her postoperative recovery was uneventful, and she was discharged in good condition after two days. Conclusion: This case underscores the diagnostic difficulty of heterotopic pregnancy in spontaneous conceptions. The presence of an intrauterine pregnancy may create false reassurance, masking a concurrent ectopic gestation. Clinicians should consider HP in the differential diagnosis of any reproductive-aged woman with abdominal pain, regardless of conception method, to prevent life-threatening maternal complications.
Autonomy in cardiac patients: A concept analysis Ardani, Madia Yuni; Awaludin, Sidik
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.971

Abstract

Background: Autonomy is a crucial aspect of cardiac patient care, which involves complex medical decisions and necessitates the patient's active participation. The appropriate application of the principles of autonomy can enhance the quality of care and patient satisfaction in managing chronic heart disease. Purpose: To refine the concept of autonomy, analyze it in depth, and formulate an operational definition. Methods: The analysis approach is based on the Avant concept, which was obtained from online databases namely Science Direct, PubMed, and Google Scholar using keywords “Autonomy Concept” AND “Heart”. Results: The concept analysis identified key attributes, including independent decision-making, independence, freedom, and the ability to think logically. Conclusion: The analysis reveals that the independence of heart patients is influenced by their understanding of their health status, the role of their family, and the role of medical personnel in providing accurate and precise information.
Investigating the causes of occupational diseases among fishermen Rahmawati, Eka Muftiana; Roga, Anderias Umbu; Ruliati, Luh Putu; Bale, Jefri; Berek, Noorce Christiani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.973

Abstract

Background: The informal sector, characterized by its lack of structure, formality, and legal recognition, often receives inadequate attention regarding occupational health. In Indonesia, over 60% of the population resides in coastal areas, with the majority working as fishermen. Due to the inherently high-risk nature of fishing at sea, fishermen are frequently exposed to unpredictable ocean conditions, making them susceptible to various work-related health issues, including musculoskeletal disorders, dermatitis, keratopathy, and barotrauma. Purpose: To investigate the factors linked to the occurrence of occupational diseases among fishermen. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place in December 2024 in Kupang City. The independent variable was knowledge, duration of work, unsafe behaviors, and unsafe working conditions. The dependent variable included the incidence of occupational diseases. Using random sampling and Lameshow formula 89 respondents were selected who meet 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 chi-square test. Results: The study found significant associations between length of work and occupational diseases (p = 0.011), and between behavior and occupational diseases (p = 0.001), while knowledge and environmental conditions showed no significant effects. Conclusion: Occupational diseases result from multifactorial determinants, including exposure duration, behavior, and environmental conditions. For informal workers such as fishermen, government involvement in risk management and safety governance is essential. Preventive measures should focus on skill development, occupational safety culture, proper use of protective equipment, health education, and access to health insurance.
Management of pregnancy-associated breast cancer: A case series and review of multidisciplinary treatment approaches Fadilla, Fania Pancar; Febriani, Febriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.976

Abstract

Background: Pregnancy-associated breast cancer (PABC) refers to breast cancer identified either during gestation or within the first year following childbirth. Managing PABC presents distinct clinical complexities, as it necessitates a careful balance between effective maternal therapy and ensuring fetal safety. Purpose: This case series seeks to detail the clinical characteristics, diagnostic procedures, and treatment approaches utilized in managing PABC. Method: We report multiple cases involving pregnant women diagnosed with breast cancer at different stages of gestation. Information was gathered regarding clinical presentation, gestational age at diagnosis, types and timing of treatment interventions (such as surgery and chemotherapy), as well as maternal and fetal outcomes. Results: The cases underscore the critical role of early detection and a multidisciplinary team approach. Treatment strategies were tailored according to gestational age and cancer stage. Chemotherapy was generally administered without significant complications during the second and third trimesters, and surgical procedures were planned to prioritize both maternal and fetal health. Conclusion: Effective management of PABC demands close coordination between oncology and obstetrics teams. With appropriate planning and individualized care, it is possible to treat breast cancer during pregnancy without substantially endangering fetal health.

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