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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 270 Documents
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Analysis of factors affecting nurses' readiness to handle emergency cases Ornai, João Cristovão Neto Mok; Prasetyo , Joko; Astutik , Reni Yuli; Borges, Francisco; Ximenes , Claudino; Costa , Horacio Sarmento Da
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2315

Abstract

Background: Emergency situations require nurses to be well prepared to provide rapid and effective life-saving interventions. Purpose: To analyze factors influencing nurses’ readiness in managing emergency cases at Hospital Regional Eduardo Ximenes (HoREX), Baucau, Timor Leste. Method: A quantitative descriptive-analytic study with a cross-sectional design was conducted involving 84 nurses selected through total sampling. Data were collected using structured questionnaires and analyzed using univariate, bivariate (Spearman rank), and multivariate (multiple linear regression) analyses. Result: The results showed that knowledge, attitude, training, experience, and availability of Basic Life Support (BLS) equipment were significantly associated with nurses' readiness (p < 0.05). Multivariate analysis revealed that knowledge was the most dominant factor influencing nurses' readiness, followed by attitude, availability of BLS equipment, training, and experience. These variables collectively explained 85.1% of the variance in nurses' readiness. Conclusion: The study concludes that improving nurses' knowledge through continuous education and regular emergency training is essential to enhance readiness in handling emergency cases. Strengthening institutional support for training programs and ensuring adequate emergency equipment are strongly recommended to improve the quality of emergency nursing care.
Sociodemographic determinants and mosquito nest eradication practices of dengue hemorrhagic fever in indonesia: Findings from the Indonesian Health Survey 2023 Lestari, Ikrimah Diyan; Sinaga, Evi Susanti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2494

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is widely distributed in tropical regions and remains a public health concern in Indonesia In 2023, Indonesia reported 114,720 DHF cases with 894 deaths. The occurrence of DHF is influenced by multiple factors, including environmental conditions and community behavior that can be modified through prevention efforts. Puspose: To analyze the association between sociodemographic factors and mosquito nest eradication behavior with the prevalence of DHF in Indonesia. Method: This study employed a cross-sectional design using secondary data from the Indonesian Health Survey 2023, involving 877,531 respondents. Statistical analysis was performed using the Pearson Chi-Square test. Results: There is a significant association between age, place of residence, covering water storage containers, destroying used items, applying larvicide powder to water storage containers, installing mosquito nets on house ventilation, and using mosquito repellents with the prevalence of DHF (p <0.05). Meanwhile, gender, education, and draining bathtubs/large buckets/drums were not significantly associated with the prevalence of DHF (p >0.05). Conclusion: Sociodemographic factors, including age and place of residence, as well as mosquito nest eradication behaviors covering water storage containers, destroying used items, applying larvicide powder to water storage containers, installing mosquito nets on house ventilation, and using mosquito repellents were significantly associated with DHF prevalence. Based on these results, strengthening targeted mosquito nest eradication interventions and public health programs that consider age and residential characteristics is recommended to support DHF prevention efforts in Indonesia.
A multi-target therapeutic strategy: The efficacy of coffea canephora husk extract in mitigating oxidative stress, infection, and inflammation – a systematic review Kamilah, Rona Hawa; Palungan, Juliana
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2537

Abstract

Background: Robusta coffee (Coffea canephora) husk is a massive agro-industrial by-product. Despite possessing a rich phytochemical profile superior to Arabica, it remains underutilized as environmental waste. This review explores its valorization from a pollutant into a functional pharmaceutical resource. Purpose: To synthesize evidence regarding the bioactive potential of Robusta husk as a "natural shield" against oxidative stress and infections, and assess its feasibility in pharmaceutical formulation development. Method: Following PRISMA 2020 guidelines, a search of PubMed, ScienceDirect, and Google Scholar (2020–2026) identified 17 eligible studies. These included in vitro, in vivo, and formulation research selected for synthesis. Results: Robusta husk is exceptionally rich in caffeine and chlorogenic acids. It exhibits potent antioxidant activity (IC50<50 ppm) and antimicrobial efficacy against Enterococcus faecalis, Porphyromonas gingivalis, and Staphylococcus aureus. In vivo studies further confirm anti-inflammatory and wound-healing acceleration. Technically, the extract has been successfully formulated into stable antioxidant gels, lotions, and peel-off masks. Conclusion: C. canephora husk acts as a promising multi-target therapeutic agent. Future research must prioritize standardization and clinical trials to facilitate its translation into standardized herbal medicines.
Transformational leadership and patient safety in hospital nursing practice: A scoping review Gulo, Adil Setia; Siswadi, Yakobus; Eka, Ni Gusti Ayu
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2580

Abstract

Background: Patient safety is a key component of healthcare quality and remains a global priority. Nurses play a central role in maintaining patient safety, and leadership is recognized as an important organizational factor influencing safety outcomes. Transformational leadership has been widely applied in nursing; however, evidence linking it directly to patient safety outcomes remains fragmented. Purpose: To map and synthesize evidence on the role of transformational leadership in influencing patient safety outcomes in hospital nursing practice. Method: This scoping review followed the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Literature searches were conducted in PubMed, MEDLINE with Full Text (EBSCO), and ScienceDirect for studies published between 2020 and 2025. The PCC framework was used as the basis for formulating the research questions and selecting articles. Studies examining transformational leadership and patient safety outcomes among hospital nurses were included. Data were extracted and analyzed using narrative thematic synthesis. Results: Four studies met the inclusion criteria. Four main themes were identified: transformational leadership as a foundation for patient safety culture, indirect influence through psychosocial and work environment factors, impact on nurses’ safety practices and reporting behaviors, and contextual and organizational influences. All studies reported positive associations between transformational leadership and patient safety outcomes. Conclusion: Transformational leadership supports patient safety by promoting a positive safety culture, improving safety practices, and enhancing workforce well-being. Further longitudinal and intervention studies are needed to strengthen causal evidence and guide leadership development.
The effect of a combined intervention of Qur’an recitation, effleurage massage, and autogenic relaxation on pain reduction in patients with gastritis Anggraini, Choriah Geby; Dirdjo, Maridi Marsan; Nurjannah, Misbah; Satria, Andri Praja
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2684

Abstract

Background: Gastritis is an inflammation of the gastric mucosa that is generally caused by irregular eating patterns, which can trigger increased gastric acid production. Gastritis remains a global health problem due to the high number of cases, including in Kutai Kartanegara, Indonesia. One of the nursing efforts to help reduce patient complaints is the application of complementary therapy to decrease the degree of pain in patients with gastritis. Purpose: To analyze the intervention of Qur’an recitation therapy combined with effleurage massage and autogenic relaxation in reducing epigastric pain in patients with gastritis. Method: A quasi-experimental study. The data used were primary data obtained through observation and intervention using nursing care instruments for patients with gastritis. The study was conducted in December 2025 at Aji Muhammad Parikesit Tenggarong Regional General Hospital. The sample consisted of one intervention patient and two control patients. Data were collected through observation, interviews, and case documentation. The results were presented descriptively by comparing the degree of pain reduction between the intervention patient and the control patients. Results: The patient with gastritis who received the combination of Qur’an recitation therapy, effleurage massage, and autogenic relaxation appeared to experience a more marked reduction in epigastric pain than the control patients. The intervention patient showed a decrease in pain scale from moderate to mild, accompanied by improved comfort and relaxation, whereas the control patients showed smaller reductions in pain intensity. Conclusion: The nursing innovation intervention showed potential to support faster and more optimal pain reduction in patients with gastritis.
Effectiveness of gram staining and 10% KOH in detecting STIs from anal swabs of sexual assault victims Nainggolan, Renatha N.H.; Sembiring, Budi Darmanta
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2771

Abstract

Background: Sexually Transmitted Infections (STIs) significantly impact global reproductive health. Sodomy, defined as anal intercourse often involving coercion, poses a high risk for STI transmission. Purpose: To analyze the effectiveness of Gram staining and 10% KOH examinations in detecting pathogens from anal swabs of sexual assault victims. Method: This analytical observational study used a retrospective cross-sectional design. Medical record data from 33 sodomy victims at Dr. Pirngadi Regional Hospital, Medan (2022–2024), were analyzed using total sampling. The reporting of this section adheres to the STROBE. Results: Most victims were male (57.58%), with the 11–20 year age group being most prevalent (69.70%). Gram staining identified Gram-negative diplococci in 17 individuals (51.52%), while 10% KOH detected yeast in 4 individuals (12.12%). McNemar’s analysis yielded a p-value 0.0016 indicates that Gram staining is more effective for STI detection in this context than 10% KOH. Conclusion: Gram staining is a more reliable diagnostic method for detecting STIs in anal swab samples compared to 10% KOH. The high prevalence of bacterial infections highlights the urgent need for early STI screening in sexual assault cases.
Perceptions of holistic hypertension care among female community health workers and elderly women in rural Java, Indonesia Rayanti, Rosiana Eva; Syafaroh, Aura; Panyuwa, Ayu Afriani
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2860

Abstract

Background: Hypertension management in rural Java currently focuses more on physical treatment and traditional herbal remedies, whereas a holistic care approach that integrates physical, psychological, social, cultural, and spiritual aspects is needed to be more effective, relevant, and sustainable. The lack of understanding of holistic care among cadres and older women has led to limited community involvement, so it is necessary to describe their perceptions to develop practical hypertension management appropriate to rural communities' needs. Purpose: To describe the perception of holistic care in hypertension management among female community health workers (locally known as cadres)  and older women in rural Java. Method: The research was conducted during integrated health development post activities and through home visits from July 2025 to February 2026 in a village in Semarang Regency, Central Java. The instruments used were Focus Group Discussion guidelines, semi-structured interview lists, and observation sheets. There were 22 Respondents, including 11 cadres and 11 older women, who met the inclusion criteria: being older adults cadres or older women with hypertension aged >60 years, being Javanese, and having a history of hypertension for >1 year. The exclusion criteria were elderly individuals with disabilities, bedridden individuals, and individuals unable to communicate. Data validity was ensured through triangulation of sources with community health Center nurses, midwives, and village heads. Results: The study revealed four themes: knowledge of the older women and cadres, health practices, dissemination of health information, and the roles of village midwives, elderly cadres, and families. Conclusion: This study found a limited understanding of holistic care among cadres and rural older women who still focus on the physical complaints of hypertension. Comprehensive education through midwives, cadres, families, and nurses is needed for optimal holistic management.
Effectiveness of dialectical behavior therapy (DBT) in reducing suicidal behaviors and improving emotion regulation among adolescents: A systematic review Tangkawarow, Pratiwi; Putri, Yossie Susanti Eka; Hamid, Achir Yani S; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2931

Abstract

Background: Suicidal behavior and non-suicidal self-injury (NSSI) among adolescents are increasing globally, and the WHO ranks suicide as the third leading cause of death among adolescents. In Indonesia, the 2022 I-NAMH Survey shows that 14.4% of adolescents have suicidal thoughts and 4.7% have attempted suicide. This situation highlights the importance of interventions that can improve emotional regulation and reduce self-harming behavior. Dialectical Behavior Therapy for Adolescents (DBT-A) has shown potential, but its effectiveness among adolescents remains inconsistent. Purpose: To evaluate the effectiveness of DBT-A in reducing suicidal behaviors and NSSI and improving emotional regulation in adolescents. Method: A literature search was conducted via PubMed and ScienceDirect for publications from 2011 to 2025. Inclusion criteria included quantitative studies with DBT interventions in adolescents aged 12–19 years, with outcomes of suicidal ideation, self-harm, or emotional regulation. Of the 585 articles identified, 10 studies met the criteria and were assessed for quality using the Joanna Briggs Institute (JBI) instrument. Results: DBT-A consistently reduces self-harm behavior, NSSI, and suicidal ideation. Most studies report significant improvements in emotional regulation, with the highest effectiveness seen in multi-component programs involving families. Studies with shorter durations or limited components show less stable results. Conclusion: DBT is effective in reducing self-harm and suicidal ideation and improving emotional regulation. Structured implementation of DBT involving families, including cultural adaptation and the use of digital platforms, has the potential to expand access to services. Further research is needed to test the long-term effectiveness and application of DBT in more diverse adolescent populations.
The influence of body mass index (BMI) and physical activity changes on the effectiveness of e-health in obesity among adults: A systematic review Mahmuddin, Mahmuddin; Mulyono, Sigit; Rekawati, Etty; Wiarsih, Wiwin
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The use of e-health is now widely used as a new intervention e-health can be applications in smart phones, smart watches, or wearables, as well as telemedicine, interactive video and web-based interventions. Purpose: Submitting the results of exploration related to the impact of e-health use in increasing physical activity and changes in BMI in adults with obesity. Method: Literature reviews on several databases such as clinical key nursing, sage journal, and Pubmed using PRISMA methods. Results: This systematic review study proves that eHealth has an influence on physical activity and BMI in adults with obesity. From the 7 articles that used e-health as an intervention in changing physical activity and BMI showed significant results against changes in physical activity, BMI despite using different types of eHealth, such as virtual reality, smartphone applications/wearable devices and telehealth. Conclusion: The use of e-health can be recommended as part of a body weight management strategy as it has a good impact over time and needs to be integrated with nursing interventions so that nurses can monitor patient progress and adjust recommendations based on the data collected.
Pepe leaf extract (gymnema sylvestre) to reduce blood glucose levels in pregnant women with a history of gestational diabetes mellitus Retno Dewi Prisusanti; Santy Irene Putri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.1581

Abstract

Background: Gestational diabetes mellitus (GDM) is a glucose intolerance disorder that appears during pregnancy and has the potential to cause complications in both mother and fetus. The use of pharmacological therapies such as insulin is often constrained by safety limitations in pregnant women, so a safe and effective adjuvant alternative is needed. Gymnema sylvestre (pepe leaf) is known to have hypoglycemic effects through the mechanism of inhibiting glucose absorption, stimulating β pancreatic cell function, and increasing peripheral glucose utilization. Purpose: To evaluate the effectiveness of pepe leaf extract (gymnema sylvestre) in reducing blood glucose levels in pregnant women with a history of gestational diabetes mellitus. Method: A quasi-experiment with a pretest-posttest control group design. The study took place from August 2025 in Community Health Center Bumiaji, Batu Malang. The independent variables studied were effectiveness of pepe leaf extract (Gymnema sylvestre), while the dependent variable was blood glucose levels. Using purposive sampling and lameshow formula 60 participants were selected devided into two group, who meet specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondents characteristics, followed by bivariate analysis using paired t-test. Results: Before the intervention, the mean fasting blood glucose (FBG) levels were 129.1±6.9 mg/dL in the treatment group and 124.6±4.7 mg/dL in the control group. After the intervention, mean FBG decreased to 117.5±6.2 mg/dL in the treatment group and 113.0±5.4 mg/dL in the control group. The post-intervention difference between groups was statistically significant (p<0.001), demonstrating a significant effect of the intervention on reducing fasting blood glucose levels. Conclusion: Showed that the intervention provided was effective in reducing fasting blood glucose (GDP) levels in pregnant women with a history of gestational diabetes.

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