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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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Breaking the chains of isolation: A systematic review on family psychoeducation as a catalyst for social function improvement in schizophrenia Steffiani, Laras; Keliat, Budi Anna; Hargiana, Giur
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.v8i9.1277

Abstract

Background: As a catalyst by accelerating social recovery through family empowerment, enabling long term functional improvement and triggering synergistic effects with other therapies, family psychoeducation (FPE) has been effective in reducing relapse rates and improving social functioning among individuals with schizophrenia. Purpose: To evaluate how FPE affected schizophrenic patients' social functioning and social isolation, especially in culturally diverse settings. Method: A systematic review of 10 articles (2015–2024) from PubMed, Sage Journals, and ScienceDirect was conducted. The studies encompassed randomized controlled trials, quasi-experimental approaches, and case series. Critical appraisal using JBI tools assessed risk of bias, with a focus on outcomes such as treatment adherence, social functioning, and hospitalization rates. FPE interventions improved treatment adherence, social functioning, and reduced social isolation in patients with schizophrenia. Results: FPE is effective in enhancing social functioning and mitigating isolation in schizophrenia, particularly when culturally adapted and integrated with multimodal therapies. Conclusion: While clinical symptom outcomes varied, FPE’s role in empowering families and enhancing community-based care is critical.
Analysis of the implementation of capitation policy based on service commitment at Social Security Agency on Health, Semarang-Indonesia Pertiwi, Dian Ratna; Suryoputro, Antono; Adi, Matheus Sakundarno
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.v8i9.1316

Abstract

Background: Performance-based capitation payments are an innovative approach in the health financing system implemented by Social Security Agency on Health (BPJS Health). Purpose: To analyze of the implementation of capitation policy based on service commitment. Method: A descriptive qualitative approach with a case study approach, which aims to analyzing the implementation of the Performance-Based Capitation policy, by taking four variables that are considered most crucial in determining the success of the implementation of the Performance-Based Capitation policy in the city of Semarang, with the policy implementation model approach from Donald Van Meter and Carl Van Horn, namely communication factors, resources, implementer disposition, and implementer characteristics. Results: This approach aims to stimulate the provision of higher quality and more efficient health services, by providing incentives to health service providers based on optimal performance and service outcomes. The implementation of performance-based capitation payments provides several benefits, including increased accountability of health service providers, more effective cost management, and stimulation of innovation in service provision. Conclusion: Performance-based capitation payments by BPJS Health are a step forward in creating a health insurance system that focuses on service quality. Performance-based capitation payments by BPJS Health are a step forward in creating a health insurance system that focuses on service quality.
Risk factors influencing caesarean wound infection (CWI) Putri, Yolanda Salsabila Dwi; Juhamran, Reeny Purnamasari; Rambulangi, Ronaldo August; Mappaware, Nasrudin Andi; Harahap, Muhammad Wirawan
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.v8i9.1342

Abstract

Background: Cesarean section (CS) is a delivery method that continues to increase and carries a risk of complications, one of which is surgical wound infection (SWI). SWI can hinder healing and increase morbidity. Risk factors for infection include preoperative, intraoperative, and postoperative conditions, necessitating analysis to prevent postoperative complications. Purpose: To identify risk factors for surgical site infection in Cesarean section procedures and to determine the association between nutritional status, hemoglobin levels, and wound care with the occurrence of surgical site infection. Method: This study is an observational analytical study using a cross-sectional approach conducted at RSIA Sitti Khadijah 1 Muhammadiyah Makassar from March to June 2025. Data were analyzed using univariate and bivariate analysis with the Chi-square test at a significance level of p < 0.05. Results: There was a significant association between several risk factors and the occurrence of postoperative wound infections following Cesarean section. Based on bivariate analysis, nutritional status, hemoglobin (Hb) levels, wound care, and type of cesarean section procedure were found to influence the occurrence of postoperative wound infections. However, although the duration of surgery showed a statistical association, the data obtained were not varied, so a definitive conclusion regarding the relationship between surgery duration and postoperative wound infections after cesarean section could not be drawn. Conclusion: Nutritional status, hemoglobin levels, wound care, and type of cesarean section are factors associated with the occurrence of postoperative wound infections after cesarean section. These findings highlight the importance of attention to maternal nutritional status, hemoglobin levels, wound care standards, and the selection of Cesarean section type in efforts to prevent postoperative infections. A comprehensive evaluation of these factors is necessary to minimize the risk of complications and improve patient safety.
Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report Yuliani, Anak Agung Ary; Pretangga, Anak Agung Ngurah
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.v8i9.1484

Abstract

Background: Mammae aberrans, also known as accessory or ectopic breast tissue, is a rare congenital condition that arises due to incomplete regression of the embryonic mammary ridge. Although it is often asymptomatic, in some cases it may enlarge, become tender, or resemble other axillary abnormalities, which can complicate diagnosis and management. Given its rarity and similarity to other axillary lesions, clinicians must exercise caution to ensure accurate diagnosis and appropriate management. Purpose: To describe in detail the clinical features, diagnostic process, and surgical management of a 27-year-old female patient presenting with an axillary mass later identified as mammae aberrans. Method: The report is based on a single clinical case involving a young female patient who presented with a progressively enlarging mass in her right axilla. The diagnostic process included physical examination, ultrasonography, and histopathological analysis. The patient underwent surgical excision of the mass under general anesthesia, followed by postoperative observation and follow-up to monitor recovery and possible recurrence. Results: Clinically, the mass was firm, immobile, and measured approximately 12 × 8 × 6 cm. Ultrasonography indicated fibro-glandular tissue, and the histopathological examination confirmed the diagnosis of mammae aberrans. The surgical removal of the mass was successful, with the patient showing good postoperative recovery. No pain, complications, or recurrence were reported during follow-up visits. Conclusion: Highlights the importance of considering accessory breast tissue in the differential diagnosis of axillary masses, especially in women of reproductive age. Early and accurate diagnosis, followed by appropriate surgical management, can lead to complete recovery, prevent misdiagnosis, and improve cosmetic and psychological outcomes for the patient.
Determinants and risk factors influencing stunting among toddlers Muthara, Indah; Desmawati, Desmawati; Ali, Hirowati
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.v8i9.1548

Abstract

Background: Optimal growth and development in toddlers require appropriate food for growing toddlers. Stunting indicates inadequate nutritional intake in children. Purpose: To determine the risk factors and determinants associated with stunted infant development growth. Method: A descriptive quantitative with analytical survey specially focusing on cross-sectional method. The study took place from September 2024 to July 2025 in Dadok Tunggul Hitam Community Health Center, Padang. The independent variables studied were toddler age, gender, birth weight history, exclusive breastfeeding history, number of siblings, mother's age, mother's education, mother's occupation, family income, and gadget use, while the dependent variable was toddler growth. Using random sampling and the Slovin formula, 86 respondents meeting the inclusion and exclusion criteria were selected and categorized into two groups: suspect and normal. Data analysis began with univariate tests to describe the distribution of respondent characteristics, followed by bivariate analysis using the chi-square test and multivariate analysis with logistic regression. Results: The logistic regression results show that the most influential factor on the occurrence of suspicious developmental events is gadget use, especially in the high use category, with an increased risk of up to 18 times (Exp(B) = 18.125; p = 0.000). Toddler age also plays a significant role, with an approximately 5-fold increase in risk (Exp(B) = 5.406; p = 0.008). The number of siblings and family income also contribute each increasing the likelihood of developmental disorders by approximately 3–4 times (p < 0.05). Conclusion: Gadget use is the factor most strongly linked to growth delays in toddlers.
The effect of digital nursing documentation simulation on nursing informatics competency Jatnika, Galih; Yuswandi, Yuswandi; Ismafiaty, Ismafiaty; Badrujamaludin, Asep; Hadiana, Asep Id
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.v8i9.1689

Abstract

Background: Nursing informatics competencies are the skills and knowledge that nurses must master to effectively integrate digital technology into nursing practice. Digital nursing documentation simulation is an innovative learning program that utilizes digital technology to create nursing care documentation. This allows students to train in a safe environment that reflects real life clinical conditions, with a facilitator providing feedback. Purpose: To determine the effect of digital nursing documentation simulation on nursing informatics competency. Method: A quasi-experimental design with a pretest and posttest one-group design. The population was 22 undergraduate nursing students enrolled in the Faculty of Health Sciences, Jenderal Achmad Yani University, year level 4th, with a sample size of 22 participants. The digital nursing documentation simulation was administered in three stages: orientation to digital nursing documentation learning, completing nursing care documentation using a computer-based application program, and evaluation and feedback. Nursing informatics competency among nursing students was compared before and after the intervention using the Self-Assessment Informatics Competency Scale (SICS). Data were analyzed using the Wilcoxon test. Results: The average informatics competency before the intervention was 3.32, while the average informatics competency after the simulation was 3.59. There was a significant effect of digital nursing documentation simulation on nursing informatics competency (p value: 0.014). Conclusion: The application of digital nursing documentation simulation has a positive impact on Nursing Informatics Competency, especially in nursing students, in implementing nursing care.
Physical environment increase the transmission of tuberculosis Metri, Deni
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.v8i9.1711

Abstract

Background: The physical environment is a contributing factor to tuberculosis cases in several developing countries. Indonesia ranks third in the world for tuberculosis cases. According to the World Health Organization (WHO) the increase in cases was attributed to problems with sanitation and poor living conditions. The appropriate method to prevent transmission is to interrupt transmission from three factors: the host, the agent, and the environment to children. The source of tuberculosis (TB) transmission in children is adult patients with smear-positive TB. Purpose: To prevent transmission of pulmonary TB to children, which is related to the physical environment. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place from August 2025 in Community Health Center, Kotabumi. The independent variable was physical environment, meanwhile the dependent variable included tuberculosis transmission. Using random sampling and slovin formula 38 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 and multivariate with logistic regression. Results: Analysis multivariate shows that home lighting and home cleanliness are significantly associated with TB prevention, with OR 8.370 (p = 0.001) and OR 4.825 (p = 0.016). Ventilation (OR 2.091; p = 0.238) and air humidity (OR 2.959; p = 0.060) did not show a significant relationship. Conclusion: Home lighting and home cleanliness was identified as the most influential factor in preventing pulmonary TB transmission.
Effectiveness of non-pharmacological interventions in managing dyspnea among cancer patients: A systematic review Atmajaya, Feri; Allenidekania, Allenidekania; Afiyanti, Yati; Gayatri, Dewi
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.v8i9.1738

Abstract

Background: The management of dyspnea in cancer patients still faces various challenges. Non-pharmacological interventions are increasingly recognized as effective, potentially cost-effective, and effective approaches to managing this symptom. Purpose: To identify, evaluate, and analyze evidence regarding the effectiveness of non-pharmacological interventions in managing dyspnea in cancer patients. Method: This systematic review followed PRISMA guidelines and conducted a literature search across five databases (Sage Journals, PubMed, ScienceDirect, Springerlink, and Google Scholar). Inclusion criteria included English-language articles published between 2015 and 2025, with a randomized controlled trial (RCT) or cohort study design. From 59,225 articles identified, 11 studies met the inclusion criteria for analysis. Results: A total of 1,369 cancer patients were analyzed across 10 RCTs and one cohort study. Various non-pharmacological interventions proven effective in managing dyspnea include Tai Chi, aerobic exercise, Respiratory Distress Symptom Intervention (RDSI), Inspiratory Muscle Training (IMT), home-based education programs, and acupuncture. Conclusion: Non-pharmacological interventions can be an important component in the management of dyspnea in cancer patients, significantly contributing to symptom reduction and overall patient well-being.
Validation of a comprehensive skin risk assessment and management instrument for hospitalized neonatal patients Harjati, Tanty; Rustina, Yeni; Hayati, Happy
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.v8i9.1767

Abstract

Background: Health services have increasingly shifted their focus from treating skin diseases and skin injuries to emphasizing preventive efforts through routine assessments. Various treatment equipment and neonatal conditions such as infant weight, gestational age, clinical status, and underlying diseases have been shown to have a strong association with the risk of skin injury. Early detection using valid assessment instruments is therefore essential in neonate care. Purpose: To determine differences in skin injury risk levels in neonates using the SRAMT and NSRAS Plus instruments, and to examine the relationship between gestational age and birth weight with the risk of skin injury. Method: This short cohort design involving a total of 66 neonates, divided into an exposed group and an unexposed group (historical control). Skin injury risk assessments were conducted using the SRAMT and NSRAS Plus instruments. Data were analyzed by comparing the first and last assessments within the exposed group, comparing exposed and unexposed groups, and testing correlations between gestational age, birth weight, and skin injury risk. Results: The findings showed significant differences in skin injury risk levels between the first and last assessments in the exposed group (p = 0.001). There were also significant differences in skin injury risk levels between the exposed and unexposed groups (p = 0.001). However, no significant correlation was found between gestational age (p = 0.446) or birth weight (p = 0.821) and the level of skin injury risk. Conclusion: The study concludes that preventive monitoring using the SRAMT and NSRAS Plus instruments effectively identifies changes in skin injury risk in neonates. Gestational age and birth weight were not found to have a significant relationship with the level of skin injury risk. Suggestion: Researchers and health professionals are encouraged to integrate nurses’ knowledge regarding factors contributing to skin injury and to consistently re-monitor neonates using the SRAMT instrument. Modification of the instrument is also suggested to align it with current neonatal service conditions in Indonesia, enabling more effective prevention of skin injury, especially among preterm infants.
Enhancing medication compliance in schizophrenia through peer support and motivational interviewing Prasetia, Dwi Indah; Nihyati, Hanik Endang; Kurnia, Iqlima Dwi
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.v8i9.1776

Abstract

Background: Schizophrenia is a chronic mental disorder that requires long-term and continuous treatment. One of the major barriers to optimal recovery is non-adherence to treatment, which frequently leads to relapse, prolonged hospitalization, and reduced functional outcomes. Psychosocial approaches, particularly peer group support and motivational interviewing (MI), have been widely applied to strengthen treatment adherence. However, a systematic synthesis that integrates the effectiveness of these two interventions has not been well established. Purpose: This systematic review aims to identify and analyze the effects of peer group support and motivational interviewing on improving treatment adherence among patients with schizophrenia. Method: A systematic review approach based on PRISMA guidelines. Article searches were conducted through Scopus, PubMed, and ScienceDirect using the keywords “motivational interviewing”, “peer support”, “medication adherence”, and “schizophrenia”. A total of 1.902.305 articles were identified, and after screening through inclusion and exclusion criteria followed by quality assessment using CASP and the JBI Checklist, 12 studies were selected for final synthesis. Results: Of the 12 included studies, seven used randomized controlled trial (RCT) designs and five used quasi-experimental designs. Most interventions demonstrated significant improvements in medication adherence. Both peer support interventions and motivational interviewing showed positive and consistent effects on enhancing treatment adherence among individuals with schizophrenia. Conclusion: Peer group support and motivational interviewing were found to be effective strategies for increasing treatment adherence in patients with schizophrenia. Short-term interventions delivered intensively can produce meaningful improvements, while longer implementation durations tend to yield more stable outcomes. These approaches are recommended for integration into community-based psychiatric nursing practice.

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