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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 326 Documents
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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.
Exploring the meaning of lecturer leadership management in nursing education: A phenomenological approach Edison Kabak
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2075

Abstract

Background: Leadership is an important competency in nursing education, but students' experience in understanding lecturer leadership management is still rarely explored. Purpose: To understand students' experiences related to lecturer leadership management in nursing education. Method: A phenomenological approach was employed with in-depth interviews with 12 students as participants. The data was analyzed thematically to identify the experiences and meanings gained by students related to lecturer leadership. Results: The analysis showed four main themes: (1) lecturers as role models in leadership management, (2) guidance and mentoring in the leadership process, (3) open communication and interaction in leadership management, and (4) instilling ethical and leadership values by lecturers. Students assess direct interaction with lecturers, practical experience, and intensive mentorship as important factors in the development of professional leadership competencies. Conclusion: Student experiences confirm that lecturer leadership management shapes the professional understanding, skills, and values applied in nursing practice.
The The effectiveness of dialectical behavior therapy (DBT) in reducing suicide risk among psychiatric patients: A systematic review Irma Sofiani Kusmara; Mustikasari Mustikasari; Novy Helena Catharina Daulima; Yossie Susanti Eka Putri
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2148

Abstract

Background: Suicide is a major public health concern and one of the leading causes of death globally, particularly among individuals with psychiatric disorders. Various psychotherapeutic interventions have been developed to reduce suicide risk, including Dialectical Behavior Therapy (DBT), which has shown promising results in patients with borderline personality disorder (BPD) and other psychiatric diagnoses Purpose: To systematically review the effectiveness of DBT in reducing suicidal ideation, suicide attempts, and self-harm behaviors in adult psychiatric patients. Method: A systematic search was conducted through PubMed, Scopus, and ClinicalKey Nursing for articles published between 2010 and 2025. Inclusion criteria encompassed randomized controlled trials and quasi-experimental studies involving DBT as the main intervention. Results: A total of eight studies (seven RCTs and one quasi-experimental) met the criteria. The results indicate that DBT significantly reduces suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI), particularly when the skills training component is included. DBT was found to be equally or more effective than treatment as usual (TAU), cognitive behavioral therapy (CBT), and other interventions. Key factors influencing effectiveness included therapist fidelity, patient engagement, and contextual implementation. Conclusion: This review concludes that DBT is a robust, evidence-based approach to suicide prevention in psychiatric settings and recommends its comprehensive implementation in clinical practice.
The effectiveness of broccoli and gotu cola extract combination (Brogandi) on executive function and memory in nursing students Dinda Sylvania Raisa; Lisna Anisa Fitriana; Irma Darmawati
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2239

Abstract

Background: Nursing students face high academic and clinical practice demands that can potentially affect cognitive function, particularly executive function and working memory. The combination of broccoli and gotu cola extracts (Brogandi) is thought to support cognitive function through neuroprotective mechanisms. Purpose: To analyze the effectiveness of Brogandi on the executive function and memory of nursing students compared to a non-herbal and control group. Method: A quasi-experimental non-equivalent control group pre-post test design was used on 60 students, divided into three groups: herbal (Brogandi, 2×1000 mg/day), non-herbal (multivitamins with cognitive function enhancement claims; 1 capsule/day), and control. Measurements were taken before and after a 4-week intervention using the Five-Point Test, Trail Making Test B, and Backward Digit Span. Results: Within the group, the Brogandi group showed an increase in the Unique Design FPT and BDS and a decrease in TMT-B time (p<0.05) with varying effect sizes. The non-herbal group also showed an increase in the Unique Design FPT and a decrease in TMT-B time (p<0.05), while the control group showed improvement in TMT-B (p<0.05). Comparison of changes (Δ post–pre) between groups showed significant differences in Unique Design FPT (p<0.001); post-hoc showed that the Brogandi and non-herbal groups were significantly different from the control group, but not from each other. Conclusion: Brogandi for 4 weeks showed domain-specific effects with pre–post improvements in figural fluency, working memory, and set-shifting. However, intergroup differences were only apparent in figural fluency, with an advantage over the control but no significant difference compared to the active multivitamin comparator. Further research should use a placebo-controlled randomized trial design with equalization of regimens between groups to reduce non-specific biases and strengthen findings.
A qualitative descriptive study on the meaning of suicide among college students Darni Darni; M Akbar Nugraha; Ramdya Akbar Tukan
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2477

Abstract

Background: Suicide is a major public health issue, and the underlying causes have not been definitively identified. Suicide instances continue to be prevalent in media coverage, and there is a rise in the incidence of suicides. In 2023, the incidence of suicides among junior high school students was highest in Central Java with 253 cases, followed by East Kalimantan with 128 cases, and North Kalimantan with 4 cases. Purpose: To investigate the significance, understanding, origins, outcomes, and anticipations of students regarding suicide incidents in coastal regions. Method: This was a descriptive qualitative study. The participants in this study were students from coastal areas. The number of respondents was 13. Data collection using in-depth interviews with interview guidelines, field notes, and data collection results was analyzed using Collaizzi. Results: This study identified four themes: comprehension of suicide incidents in coastal border areas, and factors that lead individuals to commit suicide in coastal zones. Events occurring post-suicide and suicide events are absent in coastal villages. Conclusion: Suicide among students in coastal border regions is shaped by limited awareness, personal and familial stressors, and varied social reactions. While some responses to suicide attempts involve sympathy and support, others perpetuate stigma and exclusion, reinforcing negative narratives.
Determinants of medication non-adherence among pulmonary tuberculosis patients: A cross-sectional secondary data analysis Naila Farsya; Evi Susanti Sinaga
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2520

Abstract

Background: Pulmonary tuberculosis is an infectious disease that remains as a major public health problem in Indonesia. Successful tuberculosis treatment largely depends on patients’ adherence to regular and continuous medication intake. Medication adherence behavior can be classified into adherence and non-adherence, with the medication non-adherence behavior increasing the risk of treatment failure, drug resistance, disease relapse, and ongoing transmission. This behavior is determined by a range of factors operating at the individual, social, and health system levels. Purpose: To analyze the determinants associated with medication non-adherence behavior among pulmonary tuberculosis patients based on data from the 2023 Indonesian Health Survey. Method: A cross-sectional observational study was conducted using secondary data from the 2023 Indonesian Health Survey, including 2,435 respondents, all of whom were pulmonary tuberculosis patients recorded in the SKI 2023 dataset. Independent variables consist of predisposing factors (age, gender, education, employment status, place of residence, perception of being cured, use of traditional medicine, intolerance to drug side effects, and boredom or reluctance to take medication regularly), enabling factors (limited availability of medication), and reinforcing factors (presence of a treatment supervisor). Medication non-adherence behavior was the dependent variable in this study and the bivariate analysis was performed using chi-square tests, with statistical significance set at p < 0.05. Results: The findings showed significant associations between medication non-adherence behavior and several predisposing, enabling, and reinforcing factors (p < 0.05). Predisposing factors significantly associated with irregular medication intake including age, education, employment status, place of residence, perception of being cured, use of traditional medicine, intolerance to drug side effects, and boredom or reluctance to take medication regularly. Enabling factors, particularly limited availability of anti-tuberculosis medication at health facilities, were also significantly associated with irregular medication-taking behavior. In addition, reinforcing factors, namely the absence of a treatment supervisor, showed a significant association with irregular medication taking behavior. Conclusion: Medication non-adherence behavior among pulmonary tuberculosis patients is influenced by predisposing, enabling, and reinforcing factors. Improving treatment adherence requires comprehensive strategies, including strengthened patient education, improved access and availability of tuberculosis services, and strengthened treatment supervision through the presence of a treatment supervisor.
Intervention on the impact of exposure to PM2.5 air pollution on airway clearance of asthma sufferers through chest physiotherapy Sholichin Sholichin; Endang Sawitri; Eva Rachmi; Sri Wahyuningsih; Krispinus Duma; Ratna Kusuma; Ika Fikriah; Daniel Tarigan
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2807

Abstract

Background: Exposure to PM2.5 air pollution is a major risk factor for exacerbations and decreased lung function in asthmatics. The World Health Organization has declared air pollution a global health emergency. Fine PM2.5 particles trigger oxidative stress, chronic inflammation, and impaired airway clearance, which exacerbate airway obstruction. Purpose: Analyzing the effectiveness of chest physiotherapy in improving airway clearance in asthma patients exposed to PM2.5. Method: Using a pretest-posttest design, this study compared Peak Expiratory Flow (PEF) values ​​in the first week as a baseline, with values ​​recorded in the second and third weeks after chest physiotherapy intervention. The Wilcoxon test was used to analyze differences in PEF values ​​over time. Results: Analysis showed a significant increase in PEF values ​​between the first and second weeks (Z = -6.88, p < 0.00) and between the first and third weeks (Z = -7.51, p < 0.00). The majority of participants showed an increase in PEF, with positive ratings of 72 in the second week and 75 in the third week, indicating improved airway clearance after the intervention. Conclusion: Chest physiotherapy effectively improves airway clearance and ventilation function in asthma sufferers exposed to PM2.5, thus having the potential to become an applicable and sustainable non-pharmacological, environmentally based nursing intervention.
The relationship between HbA1c levels and erythrocyte sedimentation rate in type 2 diabetes mellitus patients based on hypertension status Hotmaria Simanullang; Tiarnida Nababan; Refi Ikhtiari
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2856

Abstract

Background: Measuring random or fasting blood glucose levels does not fully reflect the quality of long-term blood glucose control. Therefore, more accurate monitoring of glycemic status in patients with diabetes mellitus is performed through the HbA1c test. This test is used as an indicator of successful diabetes mellitus control and to minimize the risk of cardiovascular complications and improve patients' quality of life. Purpose: To determine the relationship between HbA1c levels and erythrocyte sedimentation rate (ESR) values ​​in type 2 Diabetes Mellitus patients based on hypertension status at the Bunda Thamrin Medical Laboratory, Medan. Method: A quantitative approach was employed with a descriptive correlational analytical design. The population was 70 patients with type 2 diabetes mellitus, with a sample size of 70 obtained through a specific sampling method. Data on HbA1c levels and ESR values ​​were analyzed to determine their relationship to the patients' hypertension status. Results: No significant differences in HbA1c levels (p=0.746) or ESR values ​​(p=0.259) were found between the hypertensive and normotensive patient groups. However, a clinically significant trend was found in ESR values, with the hypertensive group having a higher proportion of normal ESR values ​​(p=0.066). Conclusion: No significant differences were found between HbA1c levels and ESR values ​​based on hypertension status. Nevertheless, HbA1c has the potential to be an indirect predictor of inflammatory status. Optimal glycemic control remains crucial to reduce the risk of cardiovascular complications through anti-inflammatory mechanisms, especially in patients with hypertension who require more comprehensive management.
Partner support and prenatal anxiety: A systematic review integrating biopsychosocial and dyadic mechanisms Nurul Jannah; Sri Lestari; Lisnawati Ruhaena
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2912

Abstract

Background: Pregnancy is a critical period characterized by substantial physiological and psychosocial changes that increase vulnerability to stress and prenatal anxiety. Partner support has been identified as a key protective factor; however, existing studies often conceptualize social support broadly, with limited integration of relational and dyadic mechanisms. Purpose: To synthesize evidence on the relationship between partner support and prenatal anxiety within a biopsychosocial and dyadic framework. Method: Following PRISMA 2020 guidelines, systematic searches were conducted in PubMed, Scopus, and Google Scholar, identifying 10 eligible studies published between 2016 and 2025. The included studies were predominantly cross-sectional, with some longitudinal and dyadic designs. Data were extracted using a PICOS framework and synthesized through thematic analysis to identify patterns of association and underlying mechanisms. Results: Evidence across studies consistently indicates that higher levels of partner support are associated with lower prenatal anxiety, although findings are largely derived from observational designs. The relationship operates through both direct and indirect pathways. Relationship quality and dyadic coping emerge as key relational mechanisms that mediate or strengthen the association between support and maternal psychological outcomes. Additionally, dyadic evidence suggests that prenatal anxiety is shaped by interdependent processes within couples, highlighting the relational nature of maternal mental health. Conclusions: This review supports a biopsychosocial and dyadic understanding of prenatal anxiety and proposes a multi-pathway conceptual model integrating partner support, relationship quality, and dyadic coping. While the findings highlight the importance of partner involvement in antenatal care, further longitudinal and theory-driven studies are needed to establish causal pathways and strengthen the evidence base.

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