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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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Implementing national hospital accreditation standards for patient safety Familiantoro, Familiantoro; Suryawati, Chriswardani; Raharjo, Mursid
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1042

Abstract

Background: Patient safety is a crucial aspect in improving the quality of healthcare and reducing the risk of preventable injuries in hospitals. Incident data suggests that the quality of care still needs to be improved for safe and quality care. Purpose: To examine the implementation of the 2022 national hospital accreditation standards for patient safety goals at RSI PKU Muhammadiyah Pekajangan, evaluate the hospital’s efforts in reducing patient safety incidents, and assess patient satisfaction. Method: Qualitative phenomenological approach with in-depth interview techniques and triangulation. Informants consisted of 3 main informants and 5 triangulation informants. Results: Although the hospital has undertaken various initiatives to reduce risks and enhance patient safety, incidents related to patient safety continue to occur. Nevertheless, the implementation of patient safety measures appears to positively influence patient satisfaction. Survey results indicate an increase in patient satisfaction following the promotion of patient safety programs. Additionally, the hospital achieved a 91.67% score in meeting patient safety goals, reflecting substantial compliance with accreditation standards. The adoption of the Hospital Accreditation Standards in accordance with Ministry of Health Regulation No. 1128 of 2022 has also contributed positively to strengthening patient safety practices. Conclusion: Findings from in-depth interviews across the dimensions of structure, process, and outcomes indicate that, following accreditation, RSI PKU Muhammadiyah Pekajangan has consistently implemented the Hospital Accreditation Standards in accordance with Ministry of Health Regulation No. 1128 of 2022. A notable reduction in Near Miss (NM) incidents was observed, along with a high level of patient satisfaction. The achievement of full accreditation and adherence to the updated standards have had a positive impact on enhancing patient safety within the hospital.
The relationship between househods with proper sanitation and stunting prevalence: A case study Samudra, Ramadhani Jaka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1076

Abstract

Background: Stunting reflects a failure in the optimal growth and development of children and is influenced by a range of factors. The World Health Organization (WHO) sets the global stunting prevalence target at below 20%. In response, the Indonesian government has set a national target of reducing stunting to 14% by the year 2024. While direct causes of stunting include inadequate breastfeeding and poor nutritional intake, indirect factors such as access to safe and proper sanitation at home also play a significant role in stunting prevalence. Purpose: To analyze the relationship between access to proper sanitation facilities in households and the prevalence of stunting. Method: This research utilizes secondary data from the Indonesian Central Bureau of Statistics (BPS) on household sanitation coverage in 2022, along with data on stunting prevalence from the 2022 Indonesian Nutrition Status Survey. The data were analyzed using a bivariate correlation test via SPSS software to determine the strength and direction of the relationship between the two variables. Results: The analysis produced a p-value of 0.00, which is below the significance level (α = 0.05), indicating a statistically significant correlation. The Pearson correlation coefficient was found to be -0.589, suggesting a moderate negative relationship between proper household sanitation and stunting prevalence. This means that as the number of households with proper sanitation increases, the rate of stunting decreases and conversely, lower sanitation access is associated with higher stunting levels. Conclusion: The study concludes that proper sanitation in households has a moderate inverse relationship with the prevalence of stunting in Indonesia.
Self-efficacy and self-care behaviours among adults with antihypertensive medication adherence Len, Jenny Firda; Assegaf, Syarifah Nurul Yanti Rizki Syahab; Ulfah, Ridha
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1100

Abstract

Background: Hypertension is a chronic medical condition characterized by persistently elevated systolic and diastolic blood pressure beyond normal thresholds, often termed a “silent killer.” Increased self-efficacy and effective self-care management have been shown to positively influence adherence to antihypertensive treatment. However, limited research has examined the relationship between intrinsic factors and medication adherence among patients within the Saigon Community Health Center. Purpose: To determine the relationship between self-efficacy, self-care management, and medication adherence among individuals with hypertension. Method: This research employed an analytical observational design with a cross-sectional approach. A total of 100 hypertensive patients participated, assessed using the Morisky Medication Adherence Scale (MMAS-8), the Modified General Perceived Self-Efficacy Scale, and the Hypertension Self-Management Behavior Questionnaire (HSMBQ). Univariate analysis was used to describe respondents’ demographic characteristics, while bivariate analysis was performed using Spearman’s correlation test. Results: The findings showed that 87% of respondents demonstrated good self-care management, 85% had high self-efficacy, and 51% adhered to their prescribed medications. Spearman’s correlation analysis revealed a significant relationship between self-care management and medication adherence (p = 0.002, r = 0.311), as well as between self-efficacy and adherence (p = 0.009, r = 0.262). Conclusion: Both self-efficacy and self-care management were found to have a significant but weak positive correlation with medication adherence. Strengthening patients’ motivation and promoting consistent engagement in hypertension management are essential to reducing related complications.
Sociodemographic, clinical, and environmental determinants of tuberculosis and diabetes mellitus comorbidity: A case-control study Syahti, Fitri Dwi; Nursal, Dien Gusta Anggraini; Djafri, Defriman
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1101

Abstract

Background: Tuberculosis-Diabetes Mellitus comorbidity poses a major challenge in controlling communicable and non-communicable diseases simultaneously. TB-DM comorbidity represents a significant health concern, as both conditions can mutually influence one another, necessitating focused attention in clinical management, prevention, and treatment strategies. Therefore, it is essential to investigate how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity Purpose: To explore how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity of tuberculosis-diabetes mellitus comorbidity. Method: A quantitative research with a case control matching study research design. This study used secondary data from the tuberculosis information system of the West Sumatra Provincial Health Office. Samples were taken as many as 830 people with a ratio of cases (Tuberculosis-Diabetes Mellitus) and controls (Tuberculosis) 1:1. Data collected were comorbidity status of tuberculosis-diabetes mellitus and tuberculosis, sociodemographic, clinical and environmental data. Data were analyzed by univariate, bivariate, multivariate. Results: Univariately, there were 830 cases of tuberculosis-diabetes mellitus comorbidity and 830 cases of tuberculosis.  Age ≥ 45 (81.45%), employment (62.53%), urban residential area (47.21%), health facility referral (12.77%), type of pulmonary tuberculosis (98.3%), history of tuberculosis relapse (10.72%). There was an association between age, occupation, type of tuberculosis, and history of tuberculosis treatment with tuberculosis-diabetes mellitus comorbidity (p<0.05). There was no association between residential area and referral status with the incidence of DR-TB comorbidity (p>0.05). The most dominant risk factor for tuberculosis-diabetes mellitus comorbidity was age with p-value=0.0001 with OR=11.031 (95% CI 8.0143-15.185). Conclusion: Age tends to be the risk probability for tuberculosis-diabetes mellitus comorbidity compared to tuberculosis. It is recommended that routine screening for diabetes mellitus be carried out in tuberculosis patients, especially in the age group ≥ 45 years because this group has the highest risk of experiencing tuberculosis-diabetes mellitus comorbidity.
The effect of reminiscence therapy on psychological well being of the elderly: A systematic review Kusuma, Ceacilia Nika Candra; Rekawati, Etty; Sahar, Junaiti; Putri, Yossie Susanti Eka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1129

Abstract

Background: Aging increases health problems, decreases physical abilities and daily activities that reduce the psychological well-being of the elderly. The aging process is accompanied by psychological problems, such as: increased symptoms of depression, stress, anxiety, and mental well-being problems. Research interventions to improve psychological well-being of elderly have been widely investigated. One of the therapies that has been widely researched and developed is reminiscence therapy, so the research question of the systematic review is how does reminiscence therapy affect psychological well-being of elderly. Purpose: To determine the effect of reminiscence therapy on the psychological well-being of the elderly. Method: A systematic search review of 3 databases: ProQuest, Science Direct, and Wiley Online Library in February 2025 to identify all relevant peer-reviewed journal articles. Based on the search results with the keywords reminiscence therapy and (parents or elderly or elderly) and (psychology of well-being or depression or anxiety or emotional) obtained 63,002. Furthermore, the journal article limiter (scientific journal, the last 5 years 2020-2025, English, nursing psychology journal) obtained 819 articles. Then the screening compiled the title and abstract obtained 23 articles, then the screening by reading the article as a whole obtained 10 articles, after the article criticism/critical assessment was carried out, 8 journals were analyzed in this systematic review. Results: Shows that reminiscence therapy can improve well-being, reduce depression, increase life satisfaction, increase self-esteem, increase meaning in life, increase a sense of cohesion, improve problem-solving skills, reduce anxiety about death, and improve the ability of older adults to adapt to aging.   Conclusion: Reminiscence therapy is effective to improve psychological well-being of the elderly. The application of reminiscence therapy can be carried out in health service practices, both elderly in nursing homes and in the community. Suggestion: It is hoped that a more comprehensive systematic review can be developed by conducting a review of previous literature, searching for articles from various databases, and exploring other sources such as the web and others.
Effect of resistance training on blood glucose fluctuation and painful diabetic peripheral neuropathy in adults with type 2 diabetes mellitus Suparta, Suparta; Sulaeman , Sulaeman; Roni, Roni; Asnuddin, Asnuddin
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1131

Abstract

Background: Diabetes Mellitus (DM) Type 2 is a chronic metabolic disease that can cause serious complications, such as peripheral circulatory disorders and diabetic foot ulcers, if blood glucose levels are not controlled. Resistance Exercise is one form of physical activity intervention that has the potential to prevent these complications. Purpose: To determine the effect of resistance training on blood glucose fluctuation  and painful diabetic peripheral neuropathy in adults with type 2 diabetes mellitus. Method: This study used a pre-experimental design with a two-group pretest-posttest design. A total of 60 participants were selected through simple random sampling, divided into two groups: intervention (n=30) and control (n=30). The intervention group was given Resistance Exercise for a certain period, while the control group was not given any treatment. Data were analyzed using the Paired t-Test . Results: There were significant differences in the intervention group before and after intervention on blood glucose levels (p=0.000), peripheral blood circulation (p=0.000), and leg pain (p=0.000). Meanwhile, the control group did not show significant differences in peripheral blood circulation (p=0.161) and leg pain (p=0.083). Conclusion:​​ Resistance Exercise is effective in lowering blood glucose levels, improving peripheral blood circulation, and reducing leg pain in patients with Type 2 DM. This intervention is recommended as part of DM management at the primary care level.
Comparison between health systems of Indonesia and Singapore: A systematic review Nugraha, Rizki Ahmad; Paskarini, Indriati; Tualeka, Abdul Rohim
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1146

Abstract

Background: The performance of national health systems is influenced by various internal and external factors, including governance models, financing, and geography. While both Indonesia and Singapore operate mixed public-private healthcare systems, the outcomes and challenges they face vary significantly. Understanding these differences provides critical insight into how contextual factors shape health system effectiveness. Purpose: To compare the health systems of Indonesia and Singapore by examining their structural components, similarities, differences, and challenges, with a focus on the integration of public health services. The analysis seeks to determine how contextual elements such as governance structure and geographical characteristics influence system performance. 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: Health systems in southeast asian countries specifically indonesia and singapore. I: Implementation and structure of the health system in Singapore, C: Health system in Indonesia, O: Comparative insights regarding efficiency, equity, accessibility, health outcomes, and quality of care between both countries, S: Systematic Review and Randomized Controlled Trials. The article search was conducted systematically using the keywords: “Health” AND “Workforce,” AND “Record,” “Vaccine Distribution,” AND “Leadership,” AND “Service Delivery,” AND “Financing System,” AND “Information System,” AND “Indonesia” OR “Singapore”. Results: Singapore’s centralized governance and compact geography enable efficient, integrated healthcare services, leading to superior health outcomes such as higher life expectancy and better physician coverage. In contrast, Indonesia’s decentralized system and geographic dispersion cause fragmented service delivery, resulting in lower life expectancy, fewer healthcare workers, and greater reliance on out-of-pocket spending. Conclusion: Singapore’s centralized and well-coordinated health system enables efficient service integration and strong health outcomes, while Indonesia’s decentralized structure and vast geography create challenges in achieving equitable and effective healthcare delivery. Strengthening governance, health workforce distribution, and digital health integration are key for Indonesia to enhance its system performance and reduce disparities.
HER2 positivity as a predictor of brain metastases in breast cancer: A systematic literature review Sanad, Sakinah Mar'ie; Adnyana, I Made Oka; Widyadharma, I Putu Eka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1159

Abstract

Background: Breast cancer remains one of the most prevalent and lethal malignancies among women globally, which leads to the critical importance of early detection and a more comprehensive approach to breast cancer management. Purpose: To investigate HER2 positivity as a predictor of brain metastases in breast cancer. Methods: A total of 23 peer-reviewed studies published between 2015 and 2025 were analyzed, including randomized trials, retrospective cohorts, prediction model studies, and registry-based evaluations. Eligibility was guided by the PICOTS framework, and databases searched included PubMed, Scopus, MDPI, Elsevier, SagePub, and BMC Cancer. Results: The review confirms that HER2 overexpression significantly correlates with earlier brain metastasis onset, increased incidence, and distinctive treatment response profiles. HER2 status also influences survival outcomes and benefits from targeted agents such as trastuzumab, tucatinib, and pyrotinib. HER2-low expression additionally showed intermediate risk profiles, while imaging and circulating tumor cell data added prognostic value. Conclusion: HER2 positivity is a robust, independent predictor of brain metastasis in breast cancer patients. Routine integration of HER2 profiling in CNS risk assessment models may improve early detection and therapeutic precision, ultimately enhancing clinical outcomes for high-risk populations.
Asthma exercise and Buteyko breathing interventions in adolescents: Effects on fitness and exacerbation rates Laily, Dayang; Rita, Erni; Awalliah, Awaliah; Saba, Iba Supra
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1376

Abstract

Background: Asthma in adolescents is a global health challenge. Asthma management includes pharmacological and non-pharmacological approaches. Asthma exercises and Buteyko breathing techniques are non-pharmacological therapeutic alternatives. The lifestyle of adolescents who tend to be less physically active becomes a risk factor that increases the incidence and recurrence of asthma. Purpose: To determine the effect of asthma exercises and Buteyko breathing techniques on physical fitness and recurrence in adolescent with asthma. Method: A pre-experimental design with a one group pre-test post-test without control group approach. The sampling technique used total sampling with 33 participants. The statistical test used was the paired sample t-test. Results: The findings revealed a significant effect of the intervention on both physical fitness and asthma recurrence, with a p-value of 0.001. The combination of asthma exercises and Buteyko breathing techniques proved effective in enhancing physical fitness and reducing the frequency of asthma attacks among adolescents. Conclusion: Asthma exercises and Buteyko breathing techniques significantly improve physical fitness and reduce asthma recurrence in adolescents. Suggestion: Schools should integrate these interventions into health programs. Further research with control groups is recommended.
Factors influencing self-acceptance in cancer patients: A systematic review Samon, Bergita Olivia Hali; Allenidekania, Allenidekania; Waluyo, Agung; Gayatri, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1557

Abstract

Background: A cancer diagnosis often has a significant impact on patients’ psychological aspects, particularly on self-acceptance. Purpose: To identify and summarize various factors influencing self-acceptance in cancer patients. Method: The selection process followed the PRISMA guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases for studies published between 2010 and 2025, including English-language articles with quantitative study designs (cross-sectional, cohort, case-control, or case report), involving cancer patients aged ≥18 years. Results: Nine studies met the criteria for further analysis. Factors influencing self-acceptance included sociodemographic factors (age, gender, education, income, residence, marital status, employment status, social support, educational level, economic status), disease-related factors (TNM stage, metastasis status, disease duration), and psychosocial factors (social support, meaning-making, fear of recurrence). Conclusion: Self-acceptance in cancer patients is influenced by sociodemographic, disease-related, and psychosocial factors. These findings are important for developing more targeted psychosocial interventions to improve the well-being of cancer patients.

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