cover
Contact Name
Teguh Pribadi
Contact Email
teguh@malahayati.ac.id
Phone
+6282282204653
Journal Mail Official
nursing@malahayati.ac.id
Editorial Address
Jalan Pramuka No.27 Kemiling Bandar Lampung -Indonesia.
Location
Kota bandar lampung,
Lampung
INDONESIA
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,
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
Articles 217 Documents
Maternal obesity and cesarean surgical wound infection: An evidence-based reassessment of risk Sutardji’in, Sri; Setiowati, Dewi; Famaningrum, Widati
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.v8i8.1572

Abstract

Background: Obesity during pregnancy has been associated with impaired immune response and delayed wound healing, leading to a higher risk of surgical site infection (SSI) after caesarean section (CS). Previous studies have reported that obese women undergoing CS have a 31% increased risk of developing SSI. Purpose: To analyze the correlation between maternal obesity and the incidence of SSI following CS deliveries. Method: This observational analytic study applied a cross-sectional design and involved 100 patients who underwent CS between January and December 2024. Participants were selected using purposive sampling. Obesity was considered the independent variable, while SSI was the dependent variable. Data were collected from medical records and analyzed using Fisher’s exact test, with statistical significance set at p < 0.05. Results: Among the participants, 66% (n = 66) were classified as obese, while the majority, 95% (n = 95), did not experience SSI. The Fisher’s exact test yielded p = 0.163, which exceeded the significance threshold. These findings indicate no statistically significant association between maternal obesity and SSI following CS. Conclusion: Although the prevalence of obesity among the study participants was high, obesity was not significantly correlated with the incidence of SSI after CS. Further research is recommended to identify other contributing factors that may influence postoperative infections.
Social support in an effort to increase the husband's willingness to accept vasectomy family planning: KB MOP Rahmawati, Dechoni; Novitasari, Rahma Kurnia; Kurniawati, Wahyu; Ariningtyas, Ristiana 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.v8i8.1606

Abstract

Background: The Family Planning (KB) Program is an effort designed by the government to assist married couples in planning the number and distance of child births, using various contraceptive methods. It has a legal basis in the form of Law of the Republic of Indonesia Number 52 of 2009 concerning Population Development and Family Development. The family planning program also has a broader purpose, namely controlling population growth to be more balanced with the availability of resources. As of the first semester of 2024, the number of Indonesia's population has reached 282.477.584 people with a density of 143.73 people per square kilometer. Globally, the Family Planning (KB) program has been recognized as one of the important solutions in suppressing uncontrolled population growth and improving the quality of family life. Purpose: To examine the social support factor on the willingness of the husband as an acceptor of vasectomy family planning. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place from March 2025 in Senden, Bantul. The independent variable was social support, meanwhile the dependent variable included Husband’s Willingness to Accept Vasectomy. Using random sampling and lame show formula 105 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: There is a significant relationship between social support and the willingness of husbands to accept vasectomy as a method of family planning p-value 0.003. Odd Ratio showed a value of 9.000 which means that people who receive high social support will be 9 times more likely to be willing to be acceptors of family planning MOP than those who receive low social support. Conclusion: Social support can come from various sources, including the wife, family members, peers, and health workers, which can strengthen the husband's confidence and motivation to undergo a vasectomy.
Evaluating the implementation of hospital management information systems based on the DeLone and McLean model: A systematic review Ariyanto, Teguh; Aji, Budi; Intiasari, Arih Diyaning
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.v8i8.1609

Abstract

Background: The evaluation of information system success continues to attract attention from researchers, practitioners, and management stakeholders alike. Gaining a clear understanding of this success is essential, as it underscores the system’s value and informs future decision-making related to its implementation and improvement. Several methods exist for measuring information system (IS) success, with the DeLone and McLean IS Success Model (D&M model) being the most widely recognized and validated framework. Purpose: To evaluate the effectiveness of Hospital Information Systems (HIS) based on the DeLone and McLean Information Systems Success Model in various healthcare settings. The research focuses on identifying key success factors, challenges in adoption, and implications for future HIS implementations. Method: A systematic review was conducted across five articles published between 2017 and 2024, sourced from Saudi Arabia (1 paper, 20%), Nigeria (1 paper, 20%), South Africa (1 paper, 20%), and Indonesia (2 papers, 40%). The articles were assessed using the DeLone and McLean model, which includes six core dimensions: system quality, information quality, service quality, user satisfaction, usage, and net benefits. Data were collected through user satisfaction surveys, Structural Equation Modeling (SEM), and Partial Least Squares (PLS) techniques. A total of 2,441 participants were involved, including 1,784 healthcare professionals and 657 health information management staff. Results: Findings show that system quality is the most significant factor influencing HIS success, with a positive correlation coefficient of 0.87 between system quality and user satisfaction (p < 0.01). A study in South Africa demonstrated that information quality significantly influenced system usage (β = 0.65, p < 0.05), while service quality impacted user satisfaction with a coefficient of 0.73 (p < 0.01). In Nigeria, although system quality was associated with net benefits (β = 0.53, p < 0.01), user satisfaction did not directly correlate with these benefits (p > 0.05). Common adoption challenges included network disruptions and data storage problems, which were reported in 35% of hospitals using SIMRS in Indonesia. Conclusions: For future HIS implementations to succeed, healthcare institutions must prioritize improving system quality, enhancing information quality, and strengthening service quality. Addressing technical and training challenges will be crucial in overcoming adoption barriers and ensuring the long-term success of HIS.
Buerger Allen exercise in patients with diabetes mellitus type II to improve peripheral blood circulation and blood glucose levels Yammar, Yammar; Fatmawati, Fatmawati; Nurfadilah, Nurfadillah
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.v8i8.1619

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a prevalent chronic metabolic disorder among the elderly, characterized by elevated blood glucose levels and a high risk of complications, including impaired peripheral circulation. Older adults are particularly susceptible due to physiological decline and reduced physical activity. The Buerger Allen exercise is known to enhance peripheral blood flow and assist in controlling blood glucose levels. Purpose: To examine the effect of Buerger Allen exercises on peripheral circulation among elderly individuals with type 2 diabetes mellitus. Method: A quantitative quasi-experimental design with a one-group pretest–posttest approach was applied. The intervention involved performing Buerger Allen exercises three times per week for two weeks, with each session lasting 17 minutes. The study included 10 elderly participants residing in Atakkae Village, with data collected at the Salewangeng Community Health Center. A total sampling technique was employed, resulting in a sample size of 10 respondents. Results: The mean Ankle Brachial Index (ABI) increased from 0.94 mmHg (pretest) to 0.99 mmHg (posttest), indicating improved peripheral circulation. Additionally, the average random blood glucose (RBG) level decreased from 323.6 mg/dL to 308.3 mg/dL after the intervention. Statistical analysis yielded a p-value < 0.05 for both parameters, signifying a significant effect of the Buerger Allen exercise on peripheral blood circulation and glucose reduction. Conclusion: Buerger Allen exercises are effective in enhancing peripheral blood circulation and lowering blood glucose levels among elderly patients with type 2 diabetes mellitus.
Analysis of filling the maternal and child health handbook for antenatal care Aenurida, Aenurida; Syamsiah, Siti; Rukmaini, Rukmaini
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.v8i8.1641

Abstract

Background: Midwife compliance in completely and consistently filling out the Maternal and Child Health (MCH) Handbook is an essential pillar for providing quality Antenatal Care (ANC). The MCH Handbook functions as an instrument for early risk detection, a portable medical record, and a communication tool among healthcare professionals. In practice, however, the level of midwife compliance still faces various challenges that risk diminishing the quality of maternal and child health services.. Purpose: To analysis of the factors influencing midwife compliance in filling out the MCH Handbook using the theoretical framework of the Theory of Planned Behavior (TPB). Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place May - September 2025, in North Cikarang, Bekasi. Using total sampling 16 participants were selected, contributor informant inquired midwives providing ANC services, midwife coordinators, heads of puskesmas, and district health office officials. Data collection was carried out using in-depth interviews. The data were analysed using thematic analysis technique. Results: Midwives’ completion of the Maternal and Child Health (MCH) Handbook is influenced by both intrinsic factors, such as professional duty and commitment to quality care, and external factors, including regulatory requirements and institutional demands like BPJS claims. Despite challenges such as limited training, complex handbook sections, high patient loads, and duplicated documentation, effective teamwork, well-established Standard Operating Procedures (SOPs), and strict supervision can enhance accurate and consistent record-keeping. The handbook is valued as a critical tool for continuity of care, early risk detection, provider communication, maternal education, and professional accountability. Strengthening community engagement can further support compliance, creating bottom-up accountability that complements administrative obligations and sustains quality midwifery practice. Conclusion: Effective completion of the MCH Handbook by midwives depends on a combination of intrinsic motivation, external regulations, supportive systems, and community engagement, which together ensure accurate documentation, quality care, and professional accountability.
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.