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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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Vasoactive-inotropic score for prediction of critical patient mortality: A systematic review Umarmono, Umarmono; Purnawan, Iwan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.481

Abstract

Background: A medical emergency is a clinical situation that requires immediate and planned treatment to prevent permanent disability or death. It involves sudden, progressive, and often life-threatening disturbances in vital body functions, such as cardiovascular, respiratory, or neurological disorders. The Vasoactive-Inotropic Score (VIS) is a clinical tool used to assess the need for vasoactive and inotropic drugs in critically ill patients. The VIS plays an important role as a prognostic indicator in critically ill patients, with higher VIS scores associated with increased risk of death. Purpose: To evaluate vasoactive-inotropic score for prediction of critical patient mortality. Method: A literature review with the aim of reviewing and evaluating previous research related to the use of VIS in predicting mortality in medical emergency patients using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram method. The search for scientific articles was conducted in October-November 2024 by determining the population/problem, intervention, comparison, and outcome (PICO) method. The database search process was carried out through the Publish or Perish application from PubMed, Scopus, Crossref, Semantic Scholar, and CINAHL. Determination of the article year range was focused on articles from 2018-2024 through keywords consisting of ''inotrope'' AND ''predictor'' AND ''mortality'', ''VIS'' AND ''Patient critical ill'', ''VIS'' OR Predictor mortality, ''VIS'' OR ''ICU''. Results: The Vasoactive-Inotropic Score (VIS) is an effective and practical clinical tool to be used as a predictor of mortality in emergency and critical patients. VIS provides a quantitative picture of the severity of hemodynamic disorders as well as the pharmacological need to maintain the patient's cardiovascular stability. Its use has been shown to be significant in a variety of critical conditions, such as postoperative cardiac surgery, cardiogenic shock, sepsis, and out-of-hospital cardiac arrest, where higher VIS values are often correlated with an increased risk of mortality. The accuracy of VIS in predicting mortality risk can be improved through integration with other clinical parameters, such as inflammatory biomarkers and organ dysfunction scores, which provide a more comprehensive picture of the patient's physiological status. Conclusion:  VIS is consistently used as a predictive tool with varying morbidity-mortality thresholds in critically ill patients depending on population size. Factors that influence VIS values ​​include patient demographic characteristics, hemodynamic status, disease severity, and quality of therapy received by the patient.
Effectiveness of application technology-based basic life support training method on cardiopulmonary resuscitation accuracy: A Systematic Review Utami, Mega; Awaludin, Sidik
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.498

Abstract

Background: Professionals' knowledge and abilities can be enhanced by the effective and efficient use of technology in BHD training. In order to better study and assess the impact of application-technology based basic life support training techniques on the precision of cardiopulmonary resuscitation procedures, we plan to assess the existing research, which was published between 2014 and 2024. Purpose: To examine application-technology-based basic life support training approaches affected the precision of cardiac resuscitation techniques. 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: Individuals who received Basic Life Support (BLS) training, I: Technology application-based BLS training method, C: Conventional BLS training method or no app-based training, O: Accuracy in performing cardiopulmonary resuscitation (CPR), and S: Randomized controlled trial. The article search was conducted systematically using the keywords: Basic Support" AND "Cardiopulmonary Resuscitation" AND "CPR training with application guideline" AND "Conventional CPR training" AND "Accuracy of CPR performance. Results: Basic Life Support (BLS) instruction shows varying effects on knowledge and skills in administering Cardiopulmonary Resuscitation (CPR). Training using applications presents both advantages and disadvantages. One notable advantage is the use of digital platforms to deliver learning materials in a more interactive and dynamic way, thereby increasing trainees’ accessibility to relevant and up-to-date information. Conclusion: That technology-based Basic Life Support (BLS) training applications are effective in improving the accuracy of Cardiopulmonary Resuscitation (CPR). Applications featuring real-time feedback, Virtual Reality (VR) simulations, and interactive smartphone guides significantly improve the standard of CPR techniques and chest compressions in comparison to traditional approaches.
Use of technology in efforts to improve cardiac arrest management: A systematic review Andini, Erna Tri; Kamaluddin, Ridlwan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.503

Abstract

Background: Cardiac arrest is a critical medical condition that occurs when the heart suddenly stops beating, causing the blood circulation to the entire body, including the brain, to stop. This can lead to brain damage or death. Basic Life Support (BLS) training is an essential element in creating a community that is responsive to medical emergencies. The implementation of BLS has been shown to increase the chance of Return of Spontaneous Circulation (ROSC) in patients experiencing Out-of-Hospital Cardiac Arrest (OHCA) by 40% each year. Purpose: To review and evaluate studies on the use of technology in efforts to improve cardiac arrest management. Method: A systematic literature review study to review and evaluate previous studies on the use of technology to improve cardiac arrest management skills, especially in Basic Life Support (BLS) training. The analysis focused on improving knowledge and skills among health workers and health students. The search for scientific articles was conducted from October-November 2024 using the PICO framework as a guide for article selection. Results: Based on the 6 articles reviewed, the technologies used in BLS training include applications/software, virtual reality (VR), educational games, and video-based learning. Virtual reality with realistic simulations was identified as the most effective medium for improving participants' cognitive and psychomotor skills. Conclusion: Technology plays a significant role in supporting the BLS learning process and improving the quality of medical actions, especially in cardiac arrest management.
Effectiveness of non-invasive transcranial magnetic stimulation therapy as a therapy for post-stroke visuospatial impairment: A meta-analysis Lapian, Albertus Theo; Warouw, Finny; Momole, Ansye Grace Nancy; Pertiwi, Junita Maja; Tangkudung, Gilbert
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.552

Abstract

Background: Visuospatial disorders refer to deficits in attention, exploration, and interaction with the contralateral side of space that cannot be attributed to primary sensory or motor dysfunction. These disorders are usually caused by lesions in the right hemisphere due to cerebral circulation disorders, such as stroke. Transcranial Magnetic Stimulation (TMS) has emerged as a noninvasive treatment option for addressing visuospatial deficits. Purpose: To evaluate the effectiveness of TMS as a therapy for visuospatial disorders in post-stroke patients. Method: This study was conducted using randomized controlled trials (RCTs) comparing TMS with sham treatment for post-stroke visuospatial impairment identified through searches in Google Scholar, PubMed/Medline, Clinical Key, Wiley Online, Science Direct, ResearchGate, and Neurona. A meta-analysis was conducted to assess the efficacy of TMS therapy for improving visuospatial deficits in post-stroke patients. Results: A total of 189 studies on TMS were identified with four homogeneous articles finally included in the meta-analysis. The analysis combined visuospatial assessments using the Motor-Free Visual Perception Test (MVPT), ​​Star Cancellation Test (SCT), Albert Test (AT), and Line Bisection Test (LBT). The meta-analysis revealed significant findings for the MVPT, with a weighted mean difference (WMD) of 2.43 (95% CI: 1.86 to 3.01, p < 0.001). For LBT, WMD was 2.69 (95% CI: 2.04 to 3.34, p = 0.020). Conclusion: The improvements in visuospatial function observed in participants undergoing TMS suggest that TMS may serve as a potential therapeutic option for post-stroke patients with visuospatial impairment.
The effectiveness of isometric knee exercises as a non-pharmacological therapy for pain reduction in knee osteoarthritis: A systematic review Primanita Ulfah; Arif Setyo Upoyo
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 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.v8i3.614

Abstract

Background: Pain, stiffness, and decreased mobility are the main symptoms of osteoarthritis (OA), a degenerative joint disease that mostly affects the knee. The increasing prevalence of OA worldwide highlights the necessity of efficient non-pharmacological management techniques. Purpose: To evaluate the effectiveness of isometric knee workouts in enhancing functional results and reducing pain in individuals with osteoarthritis. Method: A comprehensive search was conducted using Google Scholar, PubMed, ScienceDirect, and ProQuest to find publications published between 2014 and 2024. The inclusion criteria focused on studies that used isometric exercises as an intervention for knee OA. The Critical Appraisal Skills Program of the Joanna Briggs Institute (JBI) was used to assess the quality of the selected publications. Data were analyzed thematically to compile conclusions on pain alleviation and functional enhancement. Results: Eleven studies totaling 876 participants were included in the review. The treatments, which lasted anywhere from four to twelve weeks, continuously showed notable improvements in joint function and pain reduction. Results were improved by using isometric exercises both on their own and in conjunction with treatments like ultrasound and biofeedback. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Visual Analog Scale (VAS), and the Numerical Rating Scale (NRS) were frequently used to measure pain. Despite certain constraints, such as small sample sizes and brief follow-up periods, the quality assessment showed that the majority of studies had excellent methodological rigor. Conclusion: For individuals with knee OA, isometric knee exercises are useful in lowering discomfort and enhancing functional results. The effectiveness of these exercises can be further increased by combining them with biofeedback or other therapeutic methods. These results provide a useful, low-risk strategy for enhancing patient quality of life and support the incorporation of isometric exercises into non-pharmacological therapy options for knee OA.
Factors influencing balanced diet in patients with type 2 diabetes mellitus based on theory of planned behavior Fentia, Lia; Ginting, Chrismis Novalinda; Chiuman, Linda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.617

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that continues to increase globally, with a significant health and economic burden. A balanced diet is a key component of type 2 DM management. Purpose: To analyze the factors that influence balanced diet behavior in patients with type 2 DM in Pekanbaru using the Theory of Planned Behavior (TPB) approach. Method: This study used a quantitative method with a cross-sectional design. Data were collected from 117 patients with type 2 diabetes who were registered at the Pekanbaru Health Center. The variables studied included knowledge, attitude, family support, and the role of health workers in balanced diet behavior. Data analysis was performed using chi-square and Odds Ratio (OR) tests to determine the relationship and the chance of influence of independent variables on the dependent variable. Results: The results showed that low knowledge (OR=4.9), negative attitude (OR=2.5), lack of family support (OR=2.8), and non-optimal role of health workers (OR=3.2) had a significant influence on balanced diet behavior in patients with type 2 diabetes (p<0.05). Conclusion: Factors such as knowledge, attitude, family support, and the role of health workers significantly influence the balanced diet behavior of patients with type 2 diabetes. Suggestion: Education-based interventions and strengthening social support are needed to improve patient adherence to a balanced diet.
Risk factors associated with type 2 diabetes mellitus in early adulthood within urban populations Eliza Fitria; Ermi Girsang; Ali Napiah Nasution
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 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.v8i3.618

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic metabolic disease whose prevalence is increasing globally, including in Indonesia. Risk factors such as unhealthy diet, low physical activity, smoking, low fiber consumption, and pesticide exposure contribute significantly to the incidence of type 2 DM. Purpose: To analyze the association between pesticide exposure, smoking habit, physical activity, consumption of sweet foods, and fiber consumption with the incidence of type 2 DM in the early adult population. Method: A cross-sectional design was conducted to 110 early adult respondents aged 24-40 years. Data were collected through a structured questionnaire and analyzed using the chi-square test with a significance level of 5%. Odds Ratio (OR) was used to assess the odds of risk. Results: Pesticide exposure (p=0.009; OR=3.4), low physical activity (p=0.004; OR=3.5), excessive consumption of high-sugar foods (p=0.009; OR=3.1), and low fiber consumption (p=0.004; OR=3.7) were significantly associated with the incidence of type 2 DM. However, smoking habit showed no significant association (p=0.453). Conclusion: Factors such as pesticide exposure, low physical activity, excessive consumption of sugary foods, and low fiber consumption are significant predictors of type 2 DM. Healthy lifestyle education and control of environmental risk factors are recommended to reduce the prevalence of type 2 DM.
Factors influencing self-awareness with blood glucose level among patients with type 2 diabetes Carles, Carles; Girsang, Ermi; Nasution, Ali Napiah
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.619

Abstract

Background: Type 2 diabetes mellitus is a global health problem with increasing prevalence, especially in urban areas. Management of the disease requires patient self-awareness of factors such as physical activity, balanced diet, stress control, and medication adherence. Purpose: To analyze the influence of physical activity, balanced diet, stress control, and medication adherence on patients' self-awareness behavior in controlling blood sugar levels in urban communities of Riau Province. Method: Quantitative research with a cross-sectional design involved 105 respondents aged 40-65 years who were registered as type 2 DM patients at a health center in an urban area of Riau Province. Data were collected using a questionnaire and analyzed using the chi-square test and odds ratio. Results: Insufficient physical activity increased the risk of low patient self-awareness by 2.8 times (p=0.016). Unbalanced diet increased the risk by 3.5 times (p=0.004). Poor stress control increased the risk by 4.5 times (p=0.0001). Meanwhile, lack of medication adherence increased the risk by 3.2 times (p=0.007). Conclusion: Physical activity, balanced diet, stress control, and medication adherence significantly influenced patients' self-awareness in diabetes management. Community-based interventions are needed to improve the management of this disease.
Effective application of midwifery early warning in predicting adverse obstetric outcomes and reducing obstetric morbidity in hospitals: A systematic literature review Tri Agus Setyowati; Mekar Dwi Anggraeni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 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.v8i3.629

Abstract

Background: Several iterations of Early Warning Systems used in the birthing domain for the purpose of identifying and addressing early clinical hazards aim to prevent morbidity and mortality. The potential of early warning systems lies in their ability to improve the quality of health care and reduce the likelihood of maternal death. Purpose: To validate the effectiveness, accuracy and sensitivity of implementing different obstetric early warning systems and physiological triggers to predict morbidity in postnatal wards in high-risk women. Method: A systematic review was conducted in accordance with PRISMA guidelines to identify peer-reviewed studies on obstetric Early Warning Systems published between 2016 and 2023. The search spanned multiple databases, including Scopus, ScienceDirect, Research Rabbit, Google Scholar, and PubMed, and was supplemented by a review of relevant reference lists and professional organization websites. The review focused on studies evaluating the effectiveness, accuracy, and sensitivity of MEOWS, MEWC, OEWS, SMO, and SMS in predicting clinical deterioration and improving outcomes in hospitalized maternity patients. Studies involving pediatric or non-obstetric populations and qualitative designs were excluded. Due to heterogeneous findings, a narrative synthesis was applied. Results: Out of 1,152 identified articles, 20 met the inclusion criteria. These studies examined the predictive accuracy and sensitivity of midwifery Early Warning Systems (EWS) in relation to maternal morbidity and mortality. Eight studies focused on the systems’ effectiveness in improving clinical outcomes, while one addressed both aspects. Eight versions of the midwifery EWS were analyzed, most of which incorporated six core clinical parameters: pulse, respiratory rate, temperature, blood pressure, and level of consciousness. Eleven studies specifically evaluated the accuracy of these systems in enhancing clinical outcomes. Additionally, researchers contributed to the development of midwifery-specific EWS tools. Conclusion: The maternal early warning system has shown effectiveness in predicting severe morbidity among obstetric patients and mortality in critically ill cases. These systems hold promise for enhancing service quality, preventing the progression of maternal complications, and improving overall health outcomes. However, current evidence on their impact in reducing maternal mortality across all populations remains limited. Additionally, most versions rely on clinical parameters routinely collected from constrained resources, which may contribute to less-than-optimal outcomes. Suggestion: A validated and standardized national obstetric early warning tool will enable the consistency and uniform approach needed in the assessment and management of potentially deteriorating conditions of pregnant women and compliance of health workers in implementing obstetric early warning tools according to standards.
Maternal knowledge and adherence to iron-rich diet: A multicenter cross-sectional study Yahaya, Jafaru; Abdulrahman Bashir, Yusuf; Magaji, Aisha Abdullahi; Magaji, Umar Faruk; Turaki, Aliyu Abdullahi; Shemishere, Ufuoma Bigila; AbdulRauf, Muhammad Shafiu; Musa, Fatima; Anyebe, Daniel
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 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.v8i2.637

Abstract

Background: The high physiological demand for an iron in pregnancy depend on both the quantity and quality of diet that a woman takes. Inadequate intake of dietary iron, interference with iron absorption, and or increased demands during pregnancy can lead to iron deficiency anemia. Purpose: To assess the relationship between maternal knowledge and adherence to an iron-rich diet. Method: The study employed cross-sectional design, and the population of the study was pregnant women attending antenatal clinic in three tertiary hospitals of Kebbi State, Nigeria. Data were collected using 20 items researcher-constructed self-administered questionnaire generated from reviewed literatures and based on objectives of the study. Results were presented using frequency distribution and simple percentages. Chi-square statistical tool was used for testing the hypotheses using SPSS Version 27. Results: These data indicate that 12.7% of respondents had a low level of adherence with an iron-rich diet. However, only 39.0% were found to have a high level of adherence. It was revealed that there was a significant relationship between the demographic variables assessed and adherence with an iron-rich diet, p<0.01 except for the age group with a p value<0.05. Conclusion: There was a significant relationship between the demographic variables assessed and adherence to iron-rich diet in all variables. Suggestions: There is a need for further efforts to educate pregnant women about iron-rich diet with an emphasis on foods that help the body absorb and use iron and foods that reduce iron absorption. Educating pregnant women about all aspects of pregnancy including health promotion and prevention of complications during pregnancy is primarily the role of midwives.

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