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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 227 Documents
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Successful resolution of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host: A case report Aristia, Lintang Briliana; Subianto, Aries
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1750

Abstract

Background: Secondary spontaneous pneumothorax (SSP) occurs in approximately 1-1.5% active tuberculosis (TB) cases, frequently progressing to a bronchopleural fistula (BPF) with a 2.89-fold increased risk. TB remains the primary etiology of SSP in high-burden regions like Indonesia, causing 46.15% of cases. Purpose: To describe the clinical presentation, diagnostic challenges, and successful multimodal management of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host. Method: This descriptive analytic research used a case study approach involving a 43-year-old man patient with left-sided Secondary Spontaneous Pneumothorax attributed to underlying pulmonary tuberculosis at the Achmad Yani Surabaya Islamic Hospital. Data were collected through interviews, observation, physical examinations, medical records, and diagnostic documentation, using a head-to-toe assessment format. Data analysis was conducted concurrently with data collection, comparing findings with existing theories to support discussion and intervention recommendations. The analysis was narrative and observational, aiming to interpret the patient’s condition in relation to theoretical knowledge. Results: This case uniquely highlights tuberculous SSP in an immunocompetent host, underscoring the critical need for a high index of suspicion for TB, even without classic constitutional symptoms. Conservative therapy became innefective due to a persistent air leak which strongly indicated a BPF, a recognized complication in 69.2% of similar cases. This finding justified escalation to surgical management, aligning with international guidelines. The integrated multimodal management strategy proved crucial for a successful outcome. Conclusion: Active TB must be considered a primary differential diagnosis for SSP in endemic settings, regardless of typical clinical presentation. A persistent BPF demands definitive surgical intervention. The combination approach of ATT followed by VATS wedge resection and pleurodesis represents a highly effective and conclusive management strategy for these challenging cases.
The impact of digital interventions on stress levels in caregiver of people with mental disorders: A systematic literature review Utami, Ima Safitri Puji; Yusuf, Ahmad; Tristiana, Rr Dian
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1784

Abstract

Background: Informal caregivers of people with mental disorders (ODGJ) often experience complex and multidimensional burdens, including psychological stress, emotional exhaustion, and limited access to professional support. With technological advances, digital interventions have begun to be utilized as an innovative approach to alleviate caregiver burden. However, evidence regarding the effectiveness and characteristics of these interventions remains scattered and has not been systematically analyzed. Purpose: To systematically review and analyze the effectiveness and characteristics of digital interventions in alleviating the psychological burden of informal caregivers of people with mental disorders Method: A systematic review using PRISMA guidelines. Articles were searched using three databases: PubMed, ScienceDirect, and Scopus. A total of 332,609 articles were identified (PubMed n = 27,118; ScienceDirect n = 305,460; Scopus n = 31), then selected based on inclusion and exclusion criteria. The variables analyzed were digital interventions (web, mobile, or a combination) and caregiver psychological outcomes (stress, anxiety, and depression levels). The research instrument used the PICO framework. The analysis was conducted using thematic qualitative methods. Each article was assessed using the JBI critical appraisal tools. Results: Twelve articles met the inclusion criteria and were of good methodological quality. Results indicated that most digital interventions—whether mobile app-based, web-based, or telehealth-based—were effective in reducing caregiver stress, improving mental well-being, and enhancing caregiving skills. Technology-based interventions were generally well-received and considered practical and flexible, although not all were proven superior to traditional approaches. Conclusion: Digital interventions have a positive impact on caregivers of patients with mental illness in terms of psychological aspects and caregiving competency. Policy support and integration of digital services into the mental health system are important recommendations for the future.
Does quality of sleep determine the menstrual cycle? A cross-sectional study on teenager Susilowati, Dewi; Yulaikah, Siti; Nurlaili, Helmi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1789

Abstract

Background: Irregularities in the menstrual cycle are a frequent occurrence and may negatively impact daily productivity. In Indonesia, approximately 32% of women aged 17–29 report experiencing irregular menstruation. Disturbances in sleep quality can interfere with melatonin and estrogen regulation, thereby contributing to menstrual cycle disruption. Purpose: To investigate the association between sleep quality and menstrual cycle regularity. Method: A cross-sectional design was employed involving 111 female students who met the inclusion criteria: maintaining records of the first day of menstruation between December 2024 and February 2025 and having no diagnosed reproductive system disorders. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while menstrual cycle data were obtained through questionnaires. Statistical analysis was performed using the chi-square test. Results: Among the respondents, 37 students (33.3%) with good sleep quality reported regular menstrual cycles, whereas 40 students (36%) with poor sleep quality experienced irregular cycles. The analysis yielded a p-value of 0.001, indicating statistical significance. Conclusion: Sleep quality was found to be significantly associated with menstrual cycle regularity.
Determinant factors of psychological well-being and parental resilience in parents of children with cancer: A systematic review Nurrohmah, Azizah; Chodidjah, Siti; Lestari, Ayu Widya; Huda, Mega Hasanul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1798

Abstract

Background: Childhood cancer remains a major global health concern, significantly impacting parents psychological well-being. A child’s cancer diagnosis often triggers emotional distress, anxiety, and long-term uncertainty for the family. Purpose: To identify the determinant factors of psychological well-being and parental resilience among parents of children with cancer. Method: Observational studies evaluating psychological well-being and resilience in parents of children with cancer were systematically searched in the databases PubMed, ScienceDirect, EBSCOhost, Sage Journals, and Scopus. Data were extracted independently by two reviewers. We included seven studies involving a total of 892 parents from various countries who have children with cancer. Results: Protective factors that were found to significantly enhance resilience and psychological well-being include spiritual well-being, social support, self-efficacy, and coping strategies. Conversely, psychological factors such as trauma, depression, anxiety, and general health status were significantly negatively correlated with both psychological well-being and resilience (p < 0.05). Conclusion: The reviewed studies consistently demonstrate that parental resilience and well-being are strongly influenced by spiritual well-being, social support, self-efficacy, and coping strategies. Negative psychological variables such as depression, anxiety, and trauma significantly contribute to the decline in psychological well-being and resilience.
The influence of service quality, physician communication, and patient trust on outpatient satisfaction in hospitals Kingwijati, Syahriza Naufal; Sharma, Jessica; Poernomo, Sinta; Bhoki, Florida
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1896

Abstract

Background: Patient satisfaction is a key indicator of hospital service quality and is influenced by service quality, doctor–patient communication, and patient trust, particularly in outpatient care. Purpose: To analyze the effects of service quality, doctor communication, and patient trust on outpatient satisfaction based on patients' experiences in hospitals. Method: Quantitative cross-sectional study involved 182 participants who had used outpatient services and were asked to rate one hospital they had previously visited. Data were collected using a Likert-scale questionnaire measuring service quality, doctor communication, patient trust, and patient satisfaction, and were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with SmartPLS 4.1 through evaluation of the measurement and structural models. Results: The model yielded an R² of 0.711 for patient satisfaction, a Q² of 0.449, and a Goodness of Fit of 0.679. Service quality (β=0.458; p<0.001), doctor communication (β=0.304; p=0.001), and patient trust (β=0.175; p=0.039) had positive and statistically significant effects on patient satisfaction, with service quality being the most dominant predictor. Conclusion: These findings highlight the importance of improving service quality, strengthening doctor, patient communication, and fostering patient trust to enhance patient satisfaction.
Shallot vs. Dadap Serep leaf compresses: Non-pharmacological approaches to fever management in toddlers with ARIs Mulyati, Leli; Septiansah, Hendra; Haryani, Sri; Camilla, Vhebyta; Sasmito, Priyo
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1908

Abstract

Background: Fever is one of the most common symptoms of Acute Respiratory Infections (ARIs) in toddlers, and non-pharmacological interventions such as traditional compresses are widely used in community settings. Shallot (Allium cepa L) compresses and dadap serep (Erythrina subumbrans) leaf compresses are two conventional methods believed to have antipyretic effects, yet direct comparative evidence remains limited. Purpose: To compare the effectiveness of shallot compresses and dadap serep leaf compresses in reducing fever among toddlers diagnosed with ARIs. Method: A quasi-experimental design with a pre-test and post-test control group was employed. A total of 34 toddlers aged 12–59 months were selected using purposive sampling and evenly divided into two groups: shallot compress (n = 17) and dadap serep compress (n = 17). Body temperature was measured before and 15 minutes after the intervention. Data were analyzed using paired t-tests, independent t-tests, and N-Gain scores. Results: Both interventions significantly reduced body temperature (p < 0.001). The dadap serep group showed a slightly higher absolute temperature reduction (0.60°C) compared to the shallot group (0.50°C). However, the shallot compress demonstrated a higher N-Gain score, indicating greater proportional effectiveness. Conclusion: Shallot and dadap serep leaf compresses are both effective, low-cost, and accessible non-pharmacological interventions for reducing fever in toddlers with ARIs. Shallot compresses provide more stable proportional effectiveness, while dadap serep compresses offer a slightly greater immediate reduction. Both methods hold value for home-based fever management and primary healthcare settings.
Recognizing Poland syndrome at birth: Chest wall and hand manifestations Kasminata, Laysa; Sihotang, Jojor
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1943

Abstract

Background: Poland syndrome is a rare congenital anomaly defined by unilateral agenesis or hypoplasia of the sternocostal head of the pectoralis major, with possible involvement of the pectoralis minor and variable ipsilateral chest wall and upper-limb abnormalities, including syndactyly. The presentation is typically unilateral, more often affecting the right hemithorax, while bilateral involvement is uncommon. Purpose: To report a neonatal case of Poland syndrome and describe the clinical manifestations and early management to support timely intervention and appropriate care planning. Method: A case study was conducted at Dumai Hospital involving a preterm neonate delivered to a 27-year-old woman (G2P1A0) at 27 weeks of gestation who presented with uterine contractions and stable vital signs. Prenatal ultrasonography was performed prior to delivery. After birth, the neonate underwent a structured physical examination focusing on the chest wall and upper extremities to identify congenital anomalies, followed by initial stabilization and referral based on clinical findings. Results: The patient was a female preterm neonate with findings consistent with Poland syndrome, including unilateral absence of the pectoralis major and pectoralis minor on the affected side and ipsilateral hand syndactyly. The infant was referred to the perinatology unit for ongoing monitoring and multidisciplinary management, while the mother received routine postpartum care according to hospital protocol. Conclusion: Poland syndrome may be recognizable at birth through unilateral thoracic muscle absence with ipsilateral limb anomalies, requiring careful newborn examination and early coordinated care.
Subcutaneous endometriosis associated with adenomyosis: A complex multidisciplinary surgical case Wulandari, Riza; Saputra, Nicko Pisceski Kusika; Lubis, Munawar Adhar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1944

Abstract

Background: Abdominal wall endometriosis is an uncommon extrapelvic form of endometriosis, most often developing at a previous gynecologic surgical scar. Patients typically report cyclical pain with or without a palpable mass, and diagnosis is frequently delayed because the presentation can mimic hernia, granuloma, lipoma, or desmoid tumor. Purpose: To describe the clinical presentation, imaging findings, perioperative optimization, surgical management, and histopathological confirmation of abdominal wall endometriosis coexisting with adenomyosis in a patient with significant medical comorbidities. Method: A case report was performed in a 45-year-old multiparous woman with a five-year history of progressive lower abdominal pain that worsened during menstruation and localized to a prior surgical scar. Pelvic ultrasonography identified adenomyosis and a 6.9 × 3.9 cm hypoechoic lesion in the anterior abdominal wall, raising suspicion of subcutaneous endometriosis. Results: Surgical exploration showed a lesion extending through the subcutaneous tissue and fascia, with focal involvement of the rectus muscle. Complete excision was achieved after preoperative optimization, and the postoperative course was uneventful. Histopathological examination of two specimens (9 × 6 × 4 cm and 5 × 2 × 1 cm) demonstrated fibrocollagenous tissue, adipose tissue, and skeletal muscle infiltrated by endometrial glands, confirming abdominal wall endometriosis. Conclusion: Abdominal wall endometriosis should be considered in women presenting with cyclical pain at a surgical scar. Imaging supports assessment of lesion extent and surgical planning, while histopathology remains essential to confirm the diagnosis and to exclude rare malignant transformation.
Nurses’ experiences of learning tasks in career development: A phenomenological study Kabak, Edison
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1991

Abstract

Background: Learning assignments are an important strategy in increasing the capacity and career path of nurses, but this process often leads to role changes, academic pressures, and professional identity dynamics that are not fully understood. Purpose: To examine the meaning of the experience of nurses undergoing learning tasks in career development. Method: A phenomenological approach by involving twelve nurses who had completed a learning task. Data was collected through in-depth interviews and thematically analyzed to uncover consistent patterns of experiences among participants. Results: Five themes emerged: competency and career development through learning tasks, institutional and mentor support, emotional responses to academic pressure and dual roles, evolving professional values and identity, and work–family–study balance challenges. Overall, learning tasks support both technical growth and reflective professional maturity. Conclusion: Assignments are transformative experiences that provide career development opportunities, but require policy support and ongoing mentoring for nurses to be able to go through this process optimally.
The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus Khasanah, Uswatun; Putri, Yossie Susanti Eka; Mustikasari, Mustikasari; Susanti, Herni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1993

Abstract

Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life. Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2. Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data. Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation. Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.

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