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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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An optimization of role of a head nurses to hand hygiene compliance of nurses in outpatient clinic room Gorean, Grace Irma; Novieastari, Enie; Wildani, Andi Amalia; Wigiarti, Sri Herni
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 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.v7i12.726

Abstract

Background: The culture of infection prevention and control, including hand hygiene is often not implemented properly by nurses in health services in outpatient units throughout the world. One of the factors related to nurses' compliance behavior in carrying out hand hygiene at inappropriate moments is the quality and quantity of the direction function of the head of the room as the first line manager. Purpose: To optimize the direction function of the head of the room regarding the implementation of nurse hand hygiene compliance in the outpatient room. Method: A descriptive approach, specifically focusing on case report study. The study took place from September-Oktober 2024, in Hospital X, Jakarta. The independent variable was direction function of head nurse the dependent variables is nurses hand hygiene compliance. Using total sampling, 14 respondent were selected, who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of quistioannare characteristics. Results: The evaluation and optimization by the direction function of the head of the room using the WHO multimodal approach, supervision from 69.2% to 90%, motivation from 69.2% to 90%, effective communication from 76.9% to 90%. Conclusion: The implementation of the directing function by the head of the room using the WHO multimodal approach has succeeded in improving the hand hygiene compliance of nurses in the pediatric outpatient room at X Hospital. This is evidenced by the results of the questionnaire survey which showed a significant increase.
Hard drug in self-medication practices: A qualitative study Zulrahamatulhuda, Zulrahamatulhuda; saimi, saimi; Khalik, Lalu Abdul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.742

Abstract

Background: Self-medication is an act of self-medication without medical consultation, the practice of self-medication in the people of West Nusa Tenggara reaches 66.62% and the community in Bima City is indicated to be 60.44%. This practice risks causing serious side effects and drug resistance. Purpose: To explore why the practice of hard drug self-medication is high in the community of Bima City. Method: Employing a descriptive qualitative approach with an emphasis on exploratory research. Conducted in Bima City starting in August 2024, it involved a total sampling method, selecting 10 participants who served as key informants from the National Agency of Drug and Food Control. Data collection was carried out through triangulation, integrating multiple sources, methods, and theories to enhance result validity. In-depth interviews were used as the primary data collection technique, and the data were analyzed using thematic analysis to extract key insights and interpret the underlying meaning of the findings. Results: Self-medication practices, such as buying antibiotics without a prescription, risk causing drug resistance and side effects. Monitoring drug distribution, especially online purchases, is a challenge for the Health Office and National Agency of Drug and Food Control. People choose practical and cost-effective ways, while pharmacists face pressure in selling drugs without a prescription. Collaboration and education are needed to ensure safe and rational drug use. Conclusion: The high cost of medicine and queues at health facilities encourage self-medication, exacerbated by poor Social Security Administration services. 24-hour pharmacies and online purchasing make it easier to access drugs without a prescription, with weak distribution oversight. Lack of accurate information and distrust of formal health services increase the risk of side effects and drug abuse.
Improving school-age children's knowledge about the ethics of coughing and sneezing Umairahmah, Nafa; Romlah, Siti; Finarti, Dian Rizeki; Susilawati, Susilawati; Faiqatul, Nainie; Nahdah, Nahdah; Ratnasari, Lina; Tyas, Eka Suryaning; Wieminaty, Aldi Febrian; Azmi, Liza Ulil; Yuniardiningsih, Erisa; Erynda, Revina Fiandany; Hanifah, Siti Nur; Sasmito, Priyo
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 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.v7i12.745

Abstract

Background: Coughing is a natural defense mechanism that helps clear the respiratory tract of irritants and pathogens. In addition to being a necessary physiological reflex, coughing can also be caused by diseases that attack the respiratory tract, such as tuberculosis, asthma, pneumonia, acute respiratory infections, and other respiratory diseases. Transmission of the disease occurs when an infected person releases these droplets, which can be inhaled by others. Purpose: To determine the effectiveness of flip chart-based health education in improving children's knowledge about coughing and sneezing etiquette. Method: Pre-experimental quantitative research design with a one-group pretest-posttest design approach. The sample was selected through total sampling involving Al-Huda Elementary School, Jember. This research was conducted in October-December 2024. The independent variable in this study is the use of flip charts, while the dependent variable is knowledge of cough etiquette. The instrument used was a questionnaire on knowledge of coughing and sneezing etiquette consisting of 10 multiple-choice questions. Results:  The average age of the participants was 8.4 years with a standard deviation of 1.0 in the age range of 7-10 years. The number of male and female participants had the same percentage of 12 participants (50%). The average pre-test score was 55.8 with a standard deviation of 25.7, while the post-test score increased to 75.0. Statistical calculations revealed a z value of -3.7 and a significance level (2-tailed) of less than 0.001. This indicates a significant increase in knowledge of cough etiquette pre-post test. Conclusion: Flip chart media is an effective educational tool to improve children's knowledge about coughing and sneezing etiquette. By providing structured, interesting, and visually appealing content, flip charts improve learning outcomes and contribute to the implementation of better health behaviors.
The effect of core stability exercise and functional ability for prevention of recurrences of low‐back pain in patients with herniated nucleus pulposus Nursaputri, Nursaputri; Sudaryanto, Wahyu Tri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.749

Abstract

Background: An intervertebral disc's nucleus pulposus or annulus fibrosus may protrude in part or in its entirety in a condition known as herniated nucleus pulposus (HNP). This can put pressure on the spinal canal or nerve roots through the annulus fibrosus's tear. Over 90% of HNP instances take place in the disc between the L4-L5 lumbar vertebrae or the L5-S1 sacral vertebrae, which is the disc between the fourth and fifth lumbar (L4-L5) vertebrae, which means that pressure is exerted on the L4, L5 and S1 nerves, causing local low back pain and radicular pain in the lower limbs, especially in the back of the lower leg and in the back of the foot. Purpose: To determine the effect of core stability exercise on reducing pain and increasing functional ability in LBP EC HNP patients. Method: A quantitative research method in the form of Quasy Experimental with a Two Group Pretest-Posttest design, namely a control group and a group of 20 respondents who experienced LBP EC HNP. The research instrument uses the ODI questionnaire and Visual Analog Scale (VAS). The data obtained were then analyzed using the Wilcoxon test and the Mann Whitney test. Results: There is a difference in the influence of ODI and Motion Pain between group 1 control and group 2 treatment (p <0.05). While in the pressure pain value (p > 0.05) then the decision was taken to fail to reject H0 which means there is no difference in the influence of pressure pain between group 1 control and group 2 treatment. Conclusion: There is an effect of Core Stability Exercise on reducing pain and increasing the ability of functional activities of daily living in patients with Lumbar Hernia Nucleus Pulposus.
The effectiveness of logotherapy in powerlessness in cancer patients undergoing chemotherapy Romadiansyah, Zulfitrah; Wahyuni, Sri; Huda, Nurul; Dewi, Wan Nishfa; Erika, Erika
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.762

Abstract

Background: Cancer patients undergoing chemotherapy often have physical and psychological impacts. The psychological impact caused is powerlessness. The problem of powerlessness must be handled well because otherwise it can develop into despair and the risk of suicide. The intervention to overcome powerlessness is logotherapy. Logotherapy is a type of psychotherapy that aims to help patients find the meaning of life. Purpose: To determine the effectiveness of logotherapy in cancer patients who experience powerlessness during chemotherapy. Method: A quantitative with a quasi-experimental nonequivalent control design. The total sample was 56 participants and used a nonprobability sampling technique with purposive sampling type. The instrument used was the Powerlessness Assessment Tool for Adult Patients Questionnaire. This research uses statistical tests are the Wilcoxon Sign Rank Test, Mann-Withney U Test, and Independent Sample T Test. Results: Statistical test results showed that there was a significant effect of logotherapy on the powerlessness of cancer patients undergoing chemotherapy with p value (0.000) < alpha (0.05). Conclusion: Logotherapy is effective in overcoming the problem of powerlessness in cancer patients undergoing chemotherapy.
Application of mind-body therapies on anxiety and quality of life in patients undergoing hemodialysis: A systematic review Handayani, Wita; Yetti, Krisna; Masfuri, Masfuri; Yona, Sri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.766

Abstract

Background: Chronic kidney disease is one of the global public health challenges that continues to increase with a significant impact on morbidity, mortality and high health care costs. Hemodialysis, one of the renal replacement therapy methods, often causes anxiety and decreased quality of life. Mind body therapies such as guided imagery, yoga and meditation have the potential to reduce anxiety and improve the quality of life of patients undergoing hemodialysis. Purpose: To evaluate the effectiveness application of mind body therapies on anxiety and quality of life in patients undergoing hemodialysis. Method: This systematic review uses an approach that follows the PRISMA guidelines. Searches were conducted in six electronic databases, namely Scopus, Springerlink, Proquest, EBSCO, Science Direct and Pubmed with appropriate keywords. The included articles were published within the last 10 years, in English and the type of research was RCT or quasi-experimental. After the selection process, 10 articles met the criteria for further analysis. Results: Eight articles were RCT designs and two articles were quasi-experimental designs. The application of mind body therapies including guided imagery, yoga and meditation is a complementary therapy that can reduce anxiety and improve quality of life. In addition, it also affects the improvement of sleep quality, reduces depression, reduces stress levels and emotional regulation in patients undergoing hemodialysis. Conclusion: Mind body therapies have been proven effective in reducing anxiety and improving the quality of life of hemodialysis patients. This therapy can be used both during hemodialysis sessions and when done alone at home. With its various benefits, this therapy has the potential to be integrated into holistic and evidence-based patient care.
Exploring factors predicting Diabetes Distress in patients with type 2 diabetes Susanti, Yuli; Subrata, Sumarno Adi; Hudiyawati, Dian
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.769

Abstract

Background: Diabetes mellitus, a chronic disease resulting from an impaired endocrine system, disrupts glucose regulation and leads to elevated blood glucose levels. Individuals with diabetes may develop complications such as hyperglycemia. Persistent hyperglycemia can negatively affect mental well-being, potentially causing depression, anxiety, and diabetes distress. While numerous studies have explored predictors of diabetes distress, their findings have been inconsistent, and a comprehensive understanding of the contributing risk factors remains elusive. Purpose: To identify the dominant factors influencing the occurrence of diabetes distress. Method: This quantitative descriptive study involved a sample of 150 respondents. Participants were included if they had a diagnosis of type 2 diabetes mellitus, were male or female, and were over 20 years of age, regardless of whether they had diabetes-related complications. Patients with unstable hemodynamic status or those unable to communicate effectively were excluded. The study took place at the Surakarta Islamic Hospital between July and September 2024. Data collection utilized demographic questionnaires, the Diabetes Distress Scale, the Hensarling Diabetes Family Support Scale, and the Medication Adherence Rating Scale. Pearson's test and multiple linear regression were used for data analysis. Results: The study found that the majority of respondents had a mean age of 56 years and were male. The analysis revealed four factors influencing diabetes distress in patients with Type 2 Diabetes Mellitus including treatment regimen (p-value = 0.001, B = -10.792), education level (p-value = 0.042, B = -3.779), age (p-value = 0.015, B = -0.404), and family support (p-value = 0.034, B = -0.333). Conclusion: The treatment regimen emerged as the most significant factor influencing diabetes distress; consistent adherence to the prescribed treatment plan was associated with lower levels of distress among individuals with type 2 diabetes mellitus. Furthermore, education level, age, and family support were identified as additional factors contributing to diabetes distress.
Factors influencing the length of stay in the emergency department Solihin, Jajang Rahmat
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.777

Abstract

Background: Hospitals provide public access to medical care and healthcare services related to health recovery. The Ministry of Health has set a length of stay (LOS) quality standard for Cileungsi Regional Hospital at 6 hours, aiming to deliver fast and timely services to patients from their arrival at the Emergency Department (ED) until their admission to the inpatient ward. Purpose: To determine the factors associated with the length of stay in the Emergency Department. Method: A quantitative descriptive design with a cross-sectional method through observations conducted at Cileungsi Regional Hospital in June 2024. Sampling was carried out using random selection based on Slovin's formula, following pre-determined inclusion and exclusion criteria, resulting in 70 respondents. The independent variables in this study include severity level, nurse response time, and bed availability, while the dependent variable is the length of stay of patients. Results: The majority of respondents were aged 46-55 years (39 respondents, 55.7%). Female respondents accounted for 52 individuals (74.3%). Most respondents had completed high school (48 respondents, 68.6%). The majority of patients had a long length of stay (52 respondents, 74.3%). Statistical tests showed that the p-values for the variables triage, response time, inpatient bed availability, patient arrival time during shifts (morning, afternoon, evening), patient arrival volume, and ancillary examination duration were all < 0.05, indicating a significant relationship with length of stay in the ED. Conclusion: There is a significant relationship between triage, response time, inpatient bed availability, patient arrival time during shifts (morning, afternoon, evening), patient arrival volume, and ancillary examination duration with the length of stay in the ED (p < 0.05).
Effects of cognitive behaviour therapy for anxiety and depression in children's and adolescents' post-disaster: A systematic review Mawaddah, Mawaddah; Keliat, Budi Anna; Chandra, Yudi Ariesta; Putri, Yossie Susanti Eka
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.815

Abstract

Background: Disasters are still one of the major phenomena that occur in Indonesia. In the period of February 2024, there were 173 disasters that hit the territory of Indonesia. Natural cause enormous physical and economic destruction, as well as many lives lost. Another impact of disasters is psychosocial problems, such as anxiety and depression. Anxiety and depression can be experienced by various populations. The most vulnerable population is adolescents. Purpose: To analyse the effects of cognitive behaviour therapy for anxiety and depression in children's and adolescents' post-disaster Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Children and adolescents post-disaster, I: Cognitive Behaviour Therapy (CBT), C: No therapy or standard care, O: Reduction in anxiety and depression, and S: Randomized controlled trial. The article search was conducted systematically using the keywords: “Cognitive Behaviour Therapy” OR “CBT” AND “Anxiety” AND “Depression” AND “Children” AND “Adolescent” AND “Disaster”. Results: A review of eight articles showed that Cognitive Behaviour Therapy is effective in reducing anxiety and depression in children and adolescents post-disaster. Compared to other therapies, CBT demonstrates a higher level of effectiveness, including in its modified and developed forms. Its application, when conducted following general procedures while considering cultural aspects and individual characteristics, yields significant results in psychological recovery. Conclusion: Cognitive Behavioral Therapy (CBT) has been shown to be effective in overcoming anxiety and depression in children and adolescents after disasters, with a better level of effectiveness than other therapies, including in modified forms. The application of CBT that considers cultural aspects and individual characteristics can significantly improve therapy outcomes.
Moringa leaf tea as an antihyperglycemic alternative of type 2 diabetes mellitus in the elderly Prasetya, Fika Indah; Haryanti, Eka; Lie, Sukirman; Sulastri, Afianti; Sumartini, Sri; Astuti, Novia Dwi; Jubaedah, Ade; Anggraeni, Surti; Sasmito, Priyo
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.834

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to insulin resistance or decreased insulin secretion. Herbal complementary therapies are increasingly in demand as an alternative to managing blood sugar levels. However, studies of its effectiveness as a single therapy in the elderly have not been widely researched. Purpose: To evaluate the effectiveness of moringa leaf tea as an antihyperglycemic alternative in elderly patients with type 2 diabetes mellitus. Method: A case report study conducted on one participant to evaluate the effect of moringa leaf tea on fasting blood sugar levels in elderly people with type 2 Diabetes Mellitus (DM). This approach was chosen to document individual responses to herbal interventions in actual clinical conditions and provide an in-depth picture of changes in blood sugar levels after intervention. The patient in this study was a 61-year-old woman who had been diagnosed with type 2 DM for one year and was not taking antihyperglycemic drugs. The participant had a history of non-compliance with pharmacological therapy due to previously felt side effects. Results: Before the intervention, the patient reported experiencing typical symptoms of hyperglycemia, such as frequent thirst, increased urination frequency especially at night, and fatigue that interfered with daily activities. Blood sugar levels were measured before the intervention, and were found to be 256 mg/dL, indicating hyperglycemia. After consuming moringa leaf tea 3 times a day for three consecutive days, blood sugar levels decreased and on the 3rd day it was 220 mg/dL. In addition, the patient also reported improvements in clinical symptoms, such as reduced thirst, increased urination frequency especially at night, and increased energy. Conclusion: Consumption of Moringa leaf tea can lower blood sugar levels in elderly people with type 2 diabetes mellitus without antidiabetic drugs. In addition, improvements in clinical symptoms such as reduced thirst, urination frequency, and increased energy were also observed. Suggestion: Further studies are needed with larger samples and longer intervention periods to evaluate its long-term efficacy and safety. In addition, this study can explore more deeply the molecular mechanisms associated with the antihyperglycemic effects of Moringa leaves and its potential in natural therapy-based diabetes management strategies.

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