MAHESA : Malahayati Health Student Journal
type: channel
description: Nama Jurnal: MAHESA : Malahayati Health Student Journal Initials: MAHESA Online ISSN: 2746-3486 Print ISSN: 2746-198X Editor in Chief: Dr. Usastiawaty Cik Ayu, M.Kes Frekuensi Terbitan: Setiap Bulan Publisher: Universitas Malahayati Lampung Terakreditasi Sinta 3 No: 152/E/KPT/2023 MAHESA : Malahayati Health Student Journal tekah terakreditasi SINTA 3 No: 152/E/KPT/2023, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh Universitas Malahayati Lampung. MAHESA : Malahayati Health Student Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang kesehatan. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA: Malahayati Health Student Journal sejak 2023 terbit setiap bulan, yang sebelumnya hanya 4 kali atau 3 bulanan. barbartoto barbartoto barbartoto barbartoto barbartoto barbartoto barbartoto barbartoto barbartoto barbartoto toto slot toto slot barbartoto barbartoto Strategy Mahjong Ways 2 Membangun Wild Confidence untuk Menemukan Versi Terbaik Diri Sendiri di Tahun 2025 Putaran Gratis Mahjong Ways 2 Masuk Tren Media Sosial Jadi Simbol Kebebasan Baru di Dunia Virtual Strategy Mahjong Ways 2 dan Budaya Fokus di Tengah Era Multitasking yang Melelahkan Strategy Mahjong Ways 2 Diperbincangkan di Forum Digital sebagai Metafora Hidup yang Tak Bisa Ditebak Mahjong Ways 3 dan Wild Harmony di Tengah Kehidupan Urban yang Penuh Tantangan dan Inspirasi Strategy Mahjong Ways 2 dan Semangat Hidup Minimalis yang Mulai Mendominasi Tren Perkotaan Mahjong Ways 3 Menyusup ke Dunia Mode dari Warna, Pola, hingga Filosofi Desain Modern barbartoto …
publisher: Universitas Malahayati
language: id-ID
publication name: MAHESA : Malahayati Health Student Journal
issn: 2746-198X
copyright: Hak Cipta Atas seluruh artikel yang dipublikasikan dalam jurnal MAHESA: Malahayati Health Student Journal tetap dipegang oleh penulis. Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License.
items: Strategi Pemanfaatan Layanan Medis dan Non-Medis untuk Penguatan Pendapatan Rumah Sakit: Literature Review
items: Efektivitas Rekam Medis Elektronik dalam Menunjang Kinerja di Instalasi Rekam Medis RSUD Provinsi NTB
items: Tren Global dan Perkembangan Electronic Medical Record : Analisis Bibliometrik 2001-2026
items: Evaluasi Kolaborasi Puskesmas dengan LSM dalam Penanggulangan HIV pada Kelompok Risiko LSL di Puskesmas PDP Kota Mataram
items: The Effectiveness of Audiovisual-Based Health Education on Anxiety Levels Among Families of ICU Patients: an Analysis Using Roy’s Adaptation Model
items: Gambaran Pemanfaatan Tanaman Obat Tradisional oleh Masyarakat untuk Perawatan Luka di Desa Genteng Kecamatan Sukasari Kabupaten Sumedang
items: Analisis Faktor-Faktor yang Mempengaruhi Kepuasan Pasien Pada Instalasi Rawat Jalan (IRJ) di RSUD Dr. R. Soedjono Selong
items: Hubungan Lama Menderita Diabetes Melitus, Kadar HbA1c, dan Hipertensi dengan Tingkat Keparahan Retinopati Diabetik di Rumah Sakit Mata Bali Mandara
items: Uji Daya Bunuh Ekstrak Daun Belimbing Wuluh (Averrhoa Bilimbi) Terhadap Larva Nyamuk Aedes Aegypti
items: Tren Global dan Perkembangan Penelitian tentang Dampak Kekerasan Seksual Terhadap Praktik Keperawatan Kesehatan Mental (Depresi, Kecemasan, PTSD) pada Mahasiswa: Studi Bibliometrik
items: Analisa Bibliometric; Peran Autophagy Dalam Patofisiology Stroke Ischemic
items: Faktor-Faktor yang Mempengaruhi Kejadian Drug Related Problems (DRPs) pada Pasien dengan Penyakit Kardiovaskular
items: Motivasi dan Dukungan Keluarga sebagai Determinan Utama Kepatuhan Minum Obat Pada Pasien TB-HIV
items: Karakteristik Pasien Otitis Media Supuratif Kronis di Rumah Sakit Mangusada
items: Profile of Dyspepsia Patients in Mangusada Hospital
items: Analisis Faktor-Faktor yang Mempengaruhi Tingginya Kesenjangan Antara Cakupan Persalinan Dengan Cakupan ANC di Puskesmas Penujak
items: Karakteristik Pasien Rhinitis di Rumah Sakit Umum Daerah Tabanan
items: Tinjauan Efek Neuroprotektif Fukoidan terhadap Model Tikus Stroke Iskemik
items: Hubungan Jenis Kelamin, Hipertensi, dan Hiperkolesterolemia dengan Tipe Stroke di RSUD Kota Mataram
items: Hubungan Usia, Diabetes Melitus, dan Hipertrigliseridemia dengan Tipe Stroke di RSUD Kota Mataram
items: Respons Imun Pada Penyakit Impetigo:Biomarker Kuantitatif untuk Diagnosis dan Evaluasi Terapi
items: Pengaruh Tingkat Kepuasan Penggunaan Rekam Medis Elektronik dan Beban Kerja Terhadap Risiko Burnout pada Dokter di Rumah Sakit Tipe C Kabupaten Pesawaran
items: Exclusive Breastfeeding Among Working Mothers: The Impact of Self-Efficacy and Family Support
items: Analisis Faktor yang Mempengaruhi Penulisan E-Resep Obat di Puskesmas Se-Kabupaten Lombok Timur
items: Hubungan Efikasi Diri, Kualitas Tidur dan Motivasi Belajar dengan Tingkat Kecemasan Pada Mahasiswa yang Akan Menghadapi Ujian Mcq Tahap Akademik Fakultas Kedokteran Universitas Islam Al-Azhar
items: Hubungan Efikasi Diri, Kualitas Tidur, dan Dukungan Sosial dengan Tingkat Stres Pada Mahasiswa Fakultas Kedokteran Universitas Islam Al-Azhar Angkatan 2024
items: Hubungan Kontrol Glikemik dengan Komplikasi Mikrovaskular pada Pasien Diabetes Melitus: Literature Review
items: Hubungan Aktivitas Fisik dengan Kejadian Dismenore Pada Remaja Putri di SMPN 3 Simpang Raya
items: Gambaran Tingkat Kecemasan Pada Pasien Pre Operasi dengan Anestesi Umum dan Regional di Rumah Sakit Pluit
items: Strategi Penanganan Overcrowding di Ruang Gawat Darurat : Scoping Review
items: Pengaruh Pendampingan Self Awareness Terhadap Peningkatan Psychological Capital dan Kepuasan Kerja Perawat di RS Panti Rapih Yogyakarta
items: Pengaruh Status Gizi, Komorbid, dan Riwayat Pengobatan Sebelumnya terhadap Kejadian Tuberkulosis Resistan Obat pada Pasien Dewasa di Kota Medan
items: Gambaran Radiologi Toraks Pada Pasien TB Paru Atipikal dengan Diabetes Melitus Tipe 2 Berdasarkan Status Kontrol Glikemik dan Indeks Massa Tubuh di RSU Royal Prima
items: Hubungan Burnout dengan Gangguan Kualitas Tidur Pada Mahasiswa Fisioterapi Universitas Muhammadiyah Malang
items: Efektivitas Pemberian Jus Timun (Cucumis Sativus) terhadap Penurunan Tekanan Darah Pada Ibu Hamil dengan Hipertensi Fase 1 di Desa Kutagandok Wilayah Kerja Puskesmas Kutamukti Karawang Tahun 2024
items: Hubungan Pendidikan dan Tingkat Pengetahuan yang Menyebabkan Pemberian MP-ASI Sebelum Bayi Berusia 6 Bulan di Puskesmas Distrik Pelebaga
items: Pelaksanaan Pengawasan Keamanan Pangan dalam Rangka Penerbitan Izin Edar Pirt (Produk Industri Rumah Tangga) di Dinas Kesehatan Kabupaten Bengkulu Utara
items: Hubungan Tingkat Pendidikan, Pengetahuan, dan Sikap Dengan Stigma Diri Pada Pasien TB Paru Sensitif Obat di RSUD Kota Mataram
items: Hubungan dukungan Keluarga dengan Kepatuhan Minum Obat Pada Penderita Tuberkulosis Paru di Poli Paru RSU Mitra Medika Tanjung Mulia
items: Pengaruh Edukasi Berbasis Video terhadap Kemampuan Penggunaan Injeksi Insulin pen dan Kadar Gula Darah pada Pasien Diabetes Melitus di Rumah Sakit X Bekasi: Literatur Review
items: Hubungan Stres Kerja, Beban Kerja, dan Dukungan Sosial Terhadap Kesejahteraan Psikologis Caregiver Formal Pasien Kanker di RSUD Provinsi NTB
items: Peran Zat Gizi dan Senyawa Bioaktif Daun Kelor (Moringa oleifera) dalam Pengendalian Diabetes Melitus: Literature Review
items: Pengaruh Penggunaan Herichat-Tb Berbasis Web- Mobile-Ai sebagai Dukungan Asuhan Keperawatan terhadap Kepatuhan Minum Obat dan Self- Efficacy Pasien Tuberkulosis di RS Bhayangkara Surabaya

Strategi Pemanfaatan Layanan Medis dan Non-Medis untuk Penguatan Pendapatan Rumah Sakit: Literature Review
type: item
description: ABSTRACT Hospitals in the modern era face complex challenges such as rising operational costs, competition between institutions, and changes in health financing patterns. Efforts to strengthen revenue are key to financial sustainability and service quality. This study aims to identify effective strategies for utilizing medical and non-medical services to strengthen hospital revenue using the PICO method (Population, Intervention, Comparison, Outcome). Literature searches were conducted in internationally and nationally indexed journals from 2019–2025. The results show that interventions such as diversifying medical services, digitalizing services, optimizing non-medical services, and public-private partnerships significantly strengthen hospital revenue compared to hospitals that rely solely on inpatient revenue. Keywords: Hospital Revenue, Medical Services, Non-Medical Services, PICO, Financial Management. ABSTRAK Rumah sakit di era modern dihadapkan pada tantangan kompleks berupa peningkatan biaya operasional, persaingan antar-institusi, serta perubahan pola pembiayaan kesehatan. Upaya memperkuat pendapatan menjadi kunci keberlanjutan finansial dan mutu layanan. Kajian ini bertujuan untuk mengidentifikasi strategi efektif pemanfaatan layanan medis dan non-medis dalam penguatan pendapatan rumah sakit menggunakan metode PICO (Population, Intervention, Comparison, Outcome). Penelusuran literatur dilakukan pada jurnal terindeks internasional dan nasional periode 2019–2025. Hasil menunjukkan bahwa intervensi berupa diversifikasi layanan medis, digitalisasi pelayanan, optimalisasi layanan non-medis, dan kemitraan publik-swasta secara signifikan memperkuat pendapatan rumah sakit dibandingkan rumah sakit yang hanya bergantung pada pendapatan rawat inap. Kata Kunci: Pendapatan Rumah Sakit, Layanan Medis, Layanan Non-Medis, PICO, Manajemen Keuangan.
creator: Nurul Hikma
creator: Vip Paramarta
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 1
ending page: 7
doi: 10.33024/mahesa.v6i9.24437

Efektivitas Rekam Medis Elektronik dalam Menunjang Kinerja di Instalasi Rekam Medis RSUD Provinsi NTB
type: item
description: ABSTRACT Digital transformation in the healthcare sector is one of the government's steps to improve service quality, one of which is through the implementation of Electronic Medical Records (EMR) in various healthcare facilities. EMR is an innovative solution to support work efficiency, speed of information access, and accuracy of medical data recording. The NTB Provincial Hospital, as a provincial referral hospital, has implemented the EMR system since December 2023. However, the effectiveness of its implementation still needs to be assessed determine its actual impact in improving the performance of the Medical Records Installation. This study aims to evaluate the extent to which the EMR system supports the effectiveness of medical records installations in terms of accelerating administrative services, accurately recording patient information, facilitating data access between service units, and saving time and money. Furthermore, this study also aims to identify various obstacles encountered during the implementation process. This research used a descriptive qualitative method with a case study approach, conducted at the Medical Records Installation of the NTB Provincial Hospital in June 2025. The research informants consisted of 10 people consisting of medical records officers, installation heads and RME system technicians selected through purposive sampling techniques. Data collection techniques were carried out through semi-structured interviews and analyzed using thematic analysis techniques. The use of EMR was deemed quite effective in accelerating patient data recording and retrieval, improving the accuracy of medical information, and streamlining coordination between units. However, the implementation of the EMR system still faces several challenges, such as limited technological infrastructure, suboptimal integration of the EMR system with other platforms, and minimal training provided to staff. Improving managerial support, strengthening human resource t…
creator: Sukriani Sukriani
creator: Menap Menap
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 8
ending page: 17
doi: 10.33024/mahesa.v6i9.21790

Tren Global dan Perkembangan Electronic Medical Record : Analisis Bibliometrik 2001-2026
type: item
description: ABSTRACT Studies analysis on Electronic Medical Records (EMR) in nursing are critically important for systematically mapping the evolution, structure, and intellectual foundations of research in this rapidly expanding field. Evidence from analyses demonstrates a consistent growth in EMR related nursing publications over the past two decades, reflecting increasing scholarly attention to digital documentation, clinical decision support, and nursing informatics as essential components of contemporary healthcare systems. This study aims to map the development of Electronic Medical Record research in nursing documentation, with a particular focus on publication trends, implementation benefits, challenges, and future research directions. This study adopted a bibliometric methodology guided by the Preferred Reporting Items for Systematic Reviews and Meta analyses (PRISMA) framework. EMR related publications were systematically retrieved from the Scopus. The analysis included publication characteristics, annual publication growth, and keyword co occurrence patterns. Bibliometric network visualizations were employed to identify thematic research clusters and to examine the intellectual structure and interrelationships among major research topics within the EMR literature. The analysis revealed a significant increase in the number of EMR related publications over time, indicating growing global attention to this topic. Electronic medical record emerged as the most dominant keyword and was strongly associated with themes such as electronic health record, nursing, retrospective study, and healthcare settings including intensive care units and nursing homes. In addition, recent research trends demonstrate an increasing integration of EMRs with advanced analytics and machine learning to support clinical prediction and improve healthcare service quality. The identified studies primarily focused on patient safety, quality of care, geriatric care, and the use of EMRs in clinical dec…
creator: Risfi Ariyanti
creator: Erna Rochmawati
creator: Novita Kurniasari
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 18
ending page: 39
doi: 10.33024/mahesa.v6i9.24475

Evaluasi Kolaborasi Puskesmas dengan LSM dalam Penanggulangan HIV pada Kelompok Risiko LSL di Puskesmas PDP Kota Mataram
type: item
description: ABSTRACT HIV prevention among Men who have Sex with Men requires collaboration between primary health facilities and community-based organizations to overcome service access barriers and deeply rooted social stigma in society. Objective to evaluate the implementation, process, outcomes, and challenges of collaboration between Community Health Centers and Non-Governmental Organizations in HIV prevention among Men who have Sex with Men risk groups in Mataram City. Descriptive evaluative qualitative research using in-depth interviews, participatory observation, and documentation studies involving seventeen informants including Community Health Center heads, HIV program managers, Non-Governmental Organization staff, People Living with HIV/AIDS, and Health Office officials conducted during October to November 2025 at four Care Support and Treatment Community Health Centers. Collaboration functioned effectively and adaptively with complementary role division that improved service access, antiretroviral treatment adherence, and continuity of care for key populations. Coordination mechanisms combined informal and formal communication with a single-door reporting system through Community Health Centers. Main constraints included limited human resources, absence of standardized collaboration operational procedures, dependence on personal relationships, and persistent strong social stigma toward HIV. Collaboration proved effective in enhancing HIV program achievements but requires strengthening of institutional aspects, formal governance, and policy support to ensure long-term sustainability. Keywords: Community Health Center Collaboration, Non-Governmental Organizations, HIV Prevention. ABSTRAK Penanggulangan HIV pada kelompok Laki-laki Seks dengan Laki-laki memerlukan kolaborasi antara fasilitas kesehatan primer dengan organisasi berbasis komunitas untuk mengatasi hambatan akses layanan dan stigma sosial yang masih mengakar di masyarakat. Tujuan mengevaluasi pelaksanaan, pro…
creator: Nila Imtihani
creator: Menap Menap
creator: Sabar Setiawan
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 40
ending page: 57
doi: 10.33024/mahesa.v6i9.24477

The Effectiveness of Audiovisual-Based Health Education on Anxiety Levels Among Families of ICU Patients: an Analysis Using Roy’s Adaptation Model
type: item
description: ABSTRACT The Intensive Care Unit (ICU) is a hospital unit equipped with specialized staff and medical equipment to care for patients in critical and life-threatening conditions. This situation often causes family members of ICU patients to experience stress, fear, and anxiety regarding the patient’s condition. Anxiety experienced by ICU patients’ families can have both physical and psychological impacts. Interventions are needed to help families adapt and manage this anxiety, one of which is audiovisual-based health education. This study to determine the effectiveness of audiovisual-based health education in reducing anxiety among families of ICU patients using Roy’s Adaptation Model.This study was quasi-experimental with a two-group pretest-posttest control group approach. The research was conducted from December 2024 to January 2025 at RSUD dr. Loekmono Hadi Kudus. The population consisted of 65 family members of patients admitted to the ICU. Using purposive sampling, 55 respondents were selected, divided into an intervention group (28 respondents) and a control group (27 respondents). The intervention used audiovisual media in the form of a video accessed through smartphones. The instruments included video, smartphone (belonging to the family), and the Hospital Anxiety and Depression Scale (HADS) questionnaire. Data were analyzed using an independent sample t-test. This study has obtained an Ethical Clearance Certificate with number 69/KEPK/RSLH/VIII/2024. The independent sample t-test analysis showed a p-value of 0.017 (p < 0.05). Audiovisual-based health education is effective in reducing anxiety among families of ICU patients using Roy’s Adaptation Model. It is recommended that hospitals provide audiovisual-based health education as part of a family support program in the ICU. Keywords: Anxiety, Audiovisual, Family, ICU, Roy’s Adaptation Model.
creator: Anis Windari
creator: Fery Agusman
creator: Anny Rosiana M
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 58
ending page: 69
doi: 10.33024/mahesa.v6i9.24478

Gambaran Pemanfaatan Tanaman Obat Tradisional oleh Masyarakat untuk Perawatan Luka di Desa Genteng Kecamatan Sukasari Kabupaten Sumedang
type: item
description: ABSTRACT The use of traditional medicinal plants for wound care remains common among communities, particularly in rural areas where local wisdom is strongly preserved. This practice has the potential to support promotive and preventive health efforts when supported by scientific evidence. This study aimed to describe the utilization of traditional medicinal plants for wound care among the community in Genteng Village, Sukasari District, Sumedang Regency. A descriptive quantitative approach was employed, involving 60 respondents selected through purposive sampling with the criterion of having previously used traditional medicinal plants for wound treatment. Data were collected using a structured questionnaire covering the types of plants used, methods of preparation and application, duration of use, sources of knowledge, and community perceptions regarding effectiveness. Data were analyzed descriptively using frequency and percentage distributions. The results showed that the most commonly used plants were Ageratum conyzoides (billygoat weed), Piper betle (betel leaf), and banana sap. The predominant method of application was crushing or pounding the plant material and applying it directly to the wound, with a typical duration of use of 5–10 minutes. Most respondents obtained their knowledge from family traditions and personal experience and believed that traditional medicinal plants were effective in accelerating the healing of minor wounds. In conclusion, the utilization of traditional medicinal plants remains a primary choice for minor wound care in the community and has significant potential to be integrated into culturally based health education. The findings of this study may serve as a foundation for nurses and healthcare professionals in developing holistic and context-appropriate community nursing interventions. Keywords: Traditional Medicinal Plants, Wound Care, Local Wisdom, Community Nursing, Health Promotion. ABSTRAK Pemanfaatan tanaman obat tradisional …
creator: Anri Anri
creator: Sri Mulyati Rahayu
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 70
ending page: 79
doi: 10.33024/mahesa.v6i9.24151

Analisis Faktor-Faktor yang Mempengaruhi Kepuasan Pasien Pada Instalasi Rawat Jalan (IRJ) di RSUD Dr. R. Soedjono Selong
type: item
description: ABSTRACT Quality health services in outpatient installations are important indicators in assessing hospital performance, where patient satisfaction is the main measure of the success of services provided. This study aims to analyze the factors that influence patient satisfaction in the Outpatient Installation at RSUD dr. R. Soedjono Selong using a descriptive exploratory qualitative approach. Informants in this study consisted of five outpatient patients selected purposively and five supporting informants from health workers and hospital management. Data collection was carried out through in-depth interviews, documentation studies, and field notes, then analyzed using qualitative analysis techniques with stages of data reduction, data presentation, and drawing conclusions. The results showed that patients have a positive perception of the quality of outpatient services which are considered good, fast, and friendly. Factors that influence patient satisfaction include the quality of interaction with health workers, orderly registration process, clarity of information provided by officers, and cleanliness of physical facilities. However, there are several aspects that need improvement such as waiting times for pharmacy and laboratory services, comfort of waiting rooms during busy hours, and queue management. Although there are technical complaints regarding waiting times, overall patient satisfaction remains good because it is supported by responsive and communicative staff attitudes. This study recommends the need to improve the efficiency of supporting services and improve waiting room facilities to optimize outpatient satisfaction. Keywords: Patient Satisfaction, Outpatient Installation, Service Quality. ABSTRAK Pelayanan kesehatan yang berkualitas di Instalasi Rawat Jalan menjadi indikator penting dalam menilai kinerja rumah sakit, dimana kepuasan pasien merupakan tolok ukur utama keberhasilan pelayanan yang diberikan. Penelitian ini bertujuan untuk menganalisis fa…
creator: Haryna Septa Rahima
creator: Menap Menap
creator: Sismulyanto Sismulyanto
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 80
ending page: 94
doi: 10.33024/mahesa.v6i9.24509

Hubungan Lama Menderita Diabetes Melitus, Kadar HbA1c, dan Hipertensi dengan Tingkat Keparahan Retinopati Diabetik di Rumah Sakit Mata Bali Mandara
type: item
description: ABSTRACT Diabetic retinopathy is a chronic and progressive complication resulting from uncontrolled diabetes mellitus. Diabetic retinopathy occurs due to damage to the small blood vessels in the retina caused by prolonged hyperglycemia and other factors such as hypertension, and it can threaten vision if left untreated. Risk factors that cause patients with diabetes mellitus to develop diabetic retinopathy complications include a long duration of having diabetes mellitus, uncontrolled HbA1c levels, high blood pressure, age, sex, obesity, pregnancy, and smoking habits. This study employed an analytic observational method with a cross-sectional design. Data were obtained from the medical records of diabetic retinopathy patients at Bali Mandara Eye Hospital, with a total sample of 94 patients selected using total sampling. The variables examined were duration of diabetes mellitus, HbA1c levels, and hypertension in relation to the severity of diabetic retinopathy. Data analysis was performed using univariate and bivariate analyses with the Chi-square test with a significance level of p-value <0,05. The results of this study showed a significant relationship between the duration of diabetes mellitus and the severity of diabetic retinopathy (p-value 0,002), a significant relationship between HbA1c levels and the severity of diabetic retinopathy (p-value 0,001), and no relationship between hypertension and the severity of diabetic retinopathy (p-value 0,986). There is a relationship between the duration of diabetes mellitus and HbA1c levels with the severity of diabetic retinopathy. Keywords: Severity of Diabetic Retinopathy, Duration of Diabetes Mellitus, HbA1c Levels, Hypertension. ABSTRAK Retinopati diabetik merupakan komplikasi kronis dan progresif akibat diabetes melitus yang tidak terkontrol. Retinopati diabetik terjadi karena kerusakan pembuluh darah kecil di retina akibat hiperglikemia berkepanjangan serta faktor lain seperti hipertensi, dan dapat mengancam penglih…
creator: I Putu Gede Eka Pratama Putra
creator: Sri Subekti
creator: Kadek Dwi Pramana
creator: Rizki Mulianti
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 95
ending page: 110
doi: 10.33024/mahesa.v6i9.24531

Uji Daya Bunuh Ekstrak Daun Belimbing Wuluh (Averrhoa Bilimbi) Terhadap Larva Nyamuk Aedes Aegypti
type: item
description: ABSTRACT Aedes aegypti is the primary vector of dengue fever, and chemical larvicides are still widely used even though they may cause environmental pollution and insect resistance. Therefore, plant-based larvicides are needed as safer alternatives. Daun belimbing wuluh (Averrhoa bilimbi) contains secondary metabolites that are suspected to have larvicidal activity. Purpose to determine the larvicidal effect of Averrhoa bilimbi leaf extract on Aedes aegypti larvae. This experimental study used a Posttest With Control Group design with four treatment groups: control, 0.15%, 0.30%, and 0.60%. Each group consisted of 10 larvae and was replicated three times. Mortality was observed for 24 hours, followed by statistical analysis (Kruskal–Wallis, Mann–Whitney) and probit analysis to determine LT50. Mean mortality increased with higher concentrations, reaching 36% at 0.15%, 56% at 0.30%, and 76% at 0.60%, while no mortality occurred in the control group. The Kruskal-Wallis test showed a significant difference among groups (p < 0.05). The Mann-Whitney test revealed significant differences between the control and each concentration (p = 0.034) as well as among concentrations (p = 0.043). Probit analysis indicated LT50 values of 19.8 hours at 0.30% and 14.6 hours at 0.60%, whereas 0.15% did not reach 50% mortality within 24 hours. Bilimbi leaf extract demonstrates significant larvicidal activity against Aedes aegypti, with increasing effectiveness at higher concentrations and longer exposure times. The extract shows potential as a plant-based larvicide; however, further research with broader concentration ranges and larger sample sizes is recommended. Keywords: Aedes Aegypti, Averrhoa Bilimbi, Plant-Based Larvacide. ABSTRAK Aedes aegypti merupakan vektor utama demam berdarah. Penggunaan insektisida kimia dalam jangka panjang dapat menimbulkan resistensi dan dampak lingkungan, sehingga diperlukan alternatif larvasida berbahan nabati. Daun belimbing wuluh (Averrhoa bilimbi) dik…
creator: Adhrian Yoel Amalo
creator: Soni Doke
creator: Agus Setyobudi
creator: Mustakim Sadan
creator: Tanti Rahayu
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 111
ending page: 124
doi: 10.33024/mahesa.v6i9.24534

Tren Global dan Perkembangan Penelitian tentang Dampak Kekerasan Seksual Terhadap Praktik Keperawatan Kesehatan Mental (Depresi, Kecemasan, PTSD) pada Mahasiswa: Studi Bibliometrik
type: item
description: ABSTRACT Sexual violence has emerged as a critical global concern within higher education institutions due to its profound and persistent effects on students’ mental health. Despite the rapid growth of empirical studies examining the relationship between sexual violence and psychological outcomes, the literature remains fragmented across disciplines, limiting a coherent understanding of the intellectual structure and research trajectories of this field. This study aims to systematically map the scientific landscape and evolution of research on the mental health impacts of sexual violence among university students using a bibliometric approach. A total of 571 peer-reviewed articles indexed in Scopus and published between 2015 and 2025 were analyzed. Descriptive and network-based analyses were conducted using VOSviewer to examine publication trends, conceptual structures, thematic clusters, and the temporal evolution of research foci. The results demonstrate a substantial increase in scholarly output over the past decade, with depression, anxiety, and post-traumatic stress disorder (PTSD) consistently identified as the most prevalent psychological outcomes. Keyword co-occurrence analysis revealed five dominant thematic clusters, highlighting the interconnected roles of sexual violence, individual vulnerability, social victimization, institutional contexts of higher education, and psychological responses. These findings position sexual violence as a key determinant of students’ mental health and emphasize the need for more integrative, interdisciplinary research frameworks alongside evidence-informed and institutionally responsive campus policies. Keywords: Sexual Violence, Mental Health, Depression, Anxiety, PTSD. ABSTRAK Kekerasan seksual merupakan isu global yang serius di lingkungan pendidikan tinggi karena dampaknya yang signifikan terhadap kesehatan mental mahasiswa. Meskipun penelitian mengenai kekerasan seksual dan gangguan psikologis telah berkembang pesat, ka…
creator: Abdul Salam
creator: Shanti Wardaningsih
creator: Titih Huriah
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 125
ending page: 142
doi: 10.33024/mahesa.v6i9.24535

Analisa Bibliometric; Peran Autophagy Dalam Patofisiology Stroke Ischemic
type: item
description: ABSTRACT Ischemic stroke is a leading cause of long-term disability and mortality worldwide, posing a significant health burden. Standard therapies, such as intravenous thrombolysis and mechanical thrombectomy, are limited by a narrow therapeutic window, leaving many patients without optimal care. Autophagy, a cellular degradation and recycling process, has been increasingly linked to ischemic stroke pathophysiology. Controlled activation of autophagy can confer neuroprotective effects, while dysregulation may exacerbate neuronal injury. This study aims to map global research trends, thematic focus, and knowledge gaps related to autophagy in ischemic stroke, and to explore its implications for neurological nursing practice. A bibliometric analysis was conducted using publications indexed in Scopus. Quantitative indicators included publication counts, citation analysis, keyword co-occurrence, and international collaboration networks, visualized using bibliometric software. A total of 737 articles were analyzed, showing a significant increase in publications since 2016. China was the leading contributor, followed by the United States. Research was dominated by the fields of Biochemistry, Genetics, and Molecular Biology, as well as Neuroscience. Co-occurrence analysis identified autophagy as a central node closely associated with neuroprotection and ischemia via key molecular pathways such as AMPK and PI3K/Akt/mTOR. Autophagy plays a critical role in the pathophysiology of ischemic stroke and represents a potential therapeutic target. These findings provide a scientific basis for neurological nurses to develop mechanism-based interventions that support patient recovery and enhance the quality of nursing care. Keywords: Autophagy, Stroke ischemic, Bibliometric. ABSTRAK Stroke iskemik merupakan penyebab utama kecacatan jangka panjang dan kematian di dunia, dengan beban kesehatan yang signifikan. Terapi standar, seperti trombolisis intravena dan trombektomi mekanik, terba…
creator: Husnur Husnur
creator: Erna Rochmawati
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 143
ending page: 155
doi: 10.33024/mahesa.v6i9.24537

Faktor-Faktor yang Mempengaruhi Kejadian Drug Related Problems (DRPs) pada Pasien dengan Penyakit Kardiovaskular
type: item
description: ABSTRACT Drug-related problems (DRPs) in patients with cardiovascular diseases (CVDs) represent a major global clinical challenge, contributing to suboptimal therapeutic outcomes and worsen the quality of life. Sociodemographic, clinical, and treatment-related factors significantly influence the risk of DRPs, especially among patients requiring long-term pharmacotherapy. This systematic review aims to identify factors associated with the occurrence of DRPs among patients with cardiovascular diseases across different countries and to map the predominant risk patterns. Systematic review were conducted in PubMed, Scopus, and Google Scholar for penelitianes published between January 2015 and June 2025. 21 eligible penelitianes were included. DRPs were found to be a widespread issue with varying prevalence across regions. Key contributing factors included polypharmacy, comorbidities, advanced age, and the number of prescribed medications. In developing countries, non-adherence, educational level, and lack of medication understanding were more prominent, whereas in developed countries clinical vulnerability factors such as frailty, renal impairment, and cognitive decline were major contributors. Polypharmacy, comorbidities, and older age consistently emerged as the primary predictors of DRPs. Multidisciplinary interventions—including deprescribing, adherence monitoring, and strengthening the clinical pharmacist’s role—are essential to reduce DRPs in cardiovascular patients. Keywords: Drps, Polypharmacy, Cardiovascular Diseases, Comorbidities. ABSTRAK Drug-related problems (DRPs) pada pasien dengan penyakit kardiovaskular merupakan masalah klinis global yang dapat mengakibatkan penurunan efektivitas terapi dan memperburuk kualitas hidup pasien. Variasi kondisi sosiodemografis, klinis, dan pengobatan menyebabkan tingginya insidensi DRPs, terutama terhadap populasi dengan kebutuhan terapi jangka panjang. Tinjauan sistematis ini bertujuan untuk mengidentifikasi faktor-faktor …
creator: Aulia Ishthofa Hanindita
creator: Zakky Cholisoh
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 156
ending page: 179
doi: 10.33024/mahesa.v6i3.24501

Motivasi dan Dukungan Keluarga sebagai Determinan Utama Kepatuhan Minum Obat Pada Pasien TB-HIV
type: item
description: ABSTRACT Pulmonary tuberculosis remains a major global health threat with high morbidity and mortality, including in Indonesia, where hundreds of thousands of cases and TB-HIV coinfections continue to occur. The complexity of therapy, social stigma, and psychological factors worsen poor treatment adherence, highlighting the need for interventions based on knowledge, motivation, and social support. This study aimed to identify factors influencing medication adherence among TB-HIV patients. This study employed a quantitative analytic observational design with a cross-sectional approach, involving 16 TB-HIV patients at Pasar Rebo General Hospital from November to December 2025. Research instruments included a modified MMAS-8 and questionnaires based on motivational theory and social support. The results showed that most respondents were male, aged 40–50 years, had a senior high school education, good knowledge (62.5%), high motivation (56.3%), and strong family support (62.5%). Medication adherence was generally moderate to high (93.7%), although 6.3% of respondents remained non-adherent. Bivariate analysis revealed strong and significant positive correlations between knowledge (ρ=0.740; p=0.001), motivation (ρ=0.817; p=0.000), and family support (ρ=0.707; p=0.002) with medication adherence. Motivation was the most dominant factor influencing medication adherence among TB-HIV patients. Therefore, healthcare providers are encouraged to integrate family-based approaches and continuous education, families are expected to provide active support, and policymakers should strengthen community-based interventions to reduce stigma and improve TB-HIV treatment success. Keywords: Pulmonary Tuberculosis, TB-HIV Coinfection, Medication Adherence, Motivation, Family Support. ABSTRAK Tuberkulosis paru masih menjadi ancaman kesehatan global utama dengan angka kesakitan dan kematian yang tinggi, termasuk di Indonesia, di mana ratusan ribu kasus serta koinfeksi TB-HIV terus terjadi. Kom…
creator: Tresna Dwi Andarbeni
creator: Eli Indawati
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 180
ending page: 194
doi: 10.33024/mahesa.v6i9.24630

Karakteristik Pasien Otitis Media Supuratif Kronis di Rumah Sakit Mangusada
type: item
description: ABSTRACT Chronic suppurative otitis media (CSOM) remains a significant health problem as it contributes to hearing impairment and serious complications, particularly in developing countries. Although the number of CSOM cases at Mangusada Hospital has increased in recent years, local data on the characteristics of CSOM patients at this hospital remain limited. This study aimed to describe the characteristics of CSOM patients at Mangusada Hospital, including age, sex, clinical symptoms, history of infection, and comorbidities. This study used a cross-sectional design with a descriptive observational approach. Data were obtained from the medical records of CSOM patients who met the inclusion and exclusion criteria. A total of 141 patients were included using consecutive sampling. The results showed that most CSOM patients were in the adult age group (18–59 years), with a higher proportion of females than males. The most common clinical symptom was otorrhea, and the majority of patients experienced only one clinical symptom. More than half of the patients had no documented history of infection or comorbidities in their medical records. Middle-aged females need to improve ear hygiene to prevent the incidence of suppurative media otitis. Keywords: Characteristics, Chronic, Hearing, Otitis Media, Suppurative. ABSTRAK Otitis media supuratif kronis (OMSK) masih menjadi masalah kesehatan yang signifikan karena berkontribusi terhadap gangguan pendengaran dan komplikasi serius, terutama di negara berkembang. Meskipun jumlah kasus OMSK di Rumah Sakit Mangusada menunjukkan peningkatan dalam beberapa tahun terakhir, hingga saat ini belum tersedia data lokal yang menggambarkan karakteristik pasien OMSK secara komprehensif. Penelitian ini bertujuan untuk menggambarkan karakteristik pasien OMSK di Rumah Sakit Mangusada berdasarkan usia, jenis kelamin, gejala klinis, riwayat infeksi, dan penyakit penyerta. Penelitian ini menggunakan desain cross-sectional dengan pendekatan deskriptif …
creator: Ni Putu Eka Widiantari
creator: Agus Santosa
creator: Ni Wayan Armerinayanti
creator: Saraswati Laksmi Dewi
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 195
ending page: 202
doi: 10.33024/mahesa.v6i9.24576

Profile of Dyspepsia Patients in Mangusada Hospital
type: item
description: ABSTRACT Dyspepsia is a common upper gastrointestinal disorder that may reduce patients’ quality of life. The high number of dyspepsia visits at Mangusada Regional General Hospital, Badung, throughout 2024 highlights the need to understand patient characteristics as a basis for clinical evaluation and decision-making. This study aimed to describe the characteristics of patients with dyspepsia based on age, sex, clinical symptoms, comorbidities, medication use, andendoscopic examinations at Mangusada Regional General Hospital in 2024. This study employed a descriptive observational design with a cross-sectional approach. Data were obtained from the medical records of dyspepsia patients attending the Internal Medicine outpatient clinic during 2024. Samples were selected using simple random sampling, and the data were analyzed descriptively. The results showed that dyspepsia patients were generally olderadults and more frequently female. Common clinical symptoms included epigastric pain, nausea, and bloating, withsome patients experiencing multiple complaints. A proportion of patients had comorbid conditions, most commonly hypertension and diabetes mellitus. Dyspepsia management in this study was predominantly empirical, with acid-suppressive therapy, particularly Proton Pump Inhibitors (PPIs), being the most commonly used treatment. Endoscopic examinations were performed selectively based on clinical indications. In conclusion, dyspepsia patients at Mangusada Regional General Hospital in 2024 were mainly older adults presenting with upper gastrointestinal symptoms and were primarily managed using an empirical approach. These findings emphasize the importance of comprehensive clinical assessment and the selective use of therapeutic and diagnostic interventions in the management of dyspepsia. Keywords: Dyspepsia, Endoscopy, Medication Use, Patient Characteristics.
creator: Dewa Ayu Erica Fleury
creator: Putu Indah Budi Apsari
creator: Sri Masyeni
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 203
ending page: 211
doi: 10.33024/mahesa.v6i9.24574

Analisis Faktor-Faktor yang Mempengaruhi Tingginya Kesenjangan Antara Cakupan Persalinan Dengan Cakupan ANC di Puskesmas Penujak
type: item
description: ABSTRACT The high gap between antenatal care coverage and delivery services at Penujak Health Center shows an interesting phenomenon where pregnant women undergo pregnancy examinations but choose to deliver outside the health center. Data shows a declining trend in delivery coverage from 60 percent to 41 percent with widening gap reaching 59 percent. To explore and understand in depth the factors influencing pregnant women's decisions in choosing delivery services outside the working area of Penujak Health Center. Qualitative research with exploratory approach involving 15 informants selected purposively consisting of mothers who delivered at health center, hospital, private clinic, midwives, and head of health center. Data were collected through in-depth interviews and documentation study which were analyzed using data reduction, data display, and conclusion drawing with validity testing through triangulation. Influencing factors include medical reasons and referrals, social environment influence, service access, knowledge level, psychosocial dimensions, and health center resource limitations. The gap occurs due to complex interactions of medical, social, psychological, and structural factors that require comprehensive approaches to improve utilization of delivery services at health center. Keywords: Service Gap, Antenatal Care, Delivery. ABSTRAK Kesenjangan tinggi antara cakupan antenatal care dan persalinan di Puskesmas Penujak menunjukkan fenomena menarik dimana ibu hamil melakukan pemeriksaan kehamilan namun memilih bersalin di luar Puskesmas. Data menunjukkan tren penurunan cakupan persalinan dari 60 persen menjadi 41 persen dengan kesenjangan yang semakin melebar mencapai 59 persen. Tujuan: Mengeksplorasi dan memahami secara mendalam faktor-faktor yang mempengaruhi keputusan ibu hamil dalam memilih persalinan di luar wilayah kerja Puskesmas Penujak. Metode: Penelitian kualitatif dengan pendekatan eksploratif melibatkan 15 informan yang dipilih secara purposif…
creator: Bq.Zulia Husnawati
creator: Lalu Sulaiman
creator: Akhmad Fathoni
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 212
ending page: 225
doi: 10.33024/mahesa.v6i9.24664

Karakteristik Pasien Rhinitis di Rumah Sakit Umum Daerah Tabanan
type: item
description: ABSTRACT Rhinitis is one of the upper respiratory tract disorders with a continuously increasing global prevalence. Although it is considered a common condition, the characteristics of rhinitis patients vary across regions and are influenced by demographic, environmental, and genetic factors. This study aimed to describe the characteristics of patients with rhinitis at RSUD Tabanan during 2020–2023, based on age group, sex, family history of atopy, and main clinical complaints. This study employed a descriptive, cross-sectional design, using retrospective data from the medical records of patients attending the otorhinolaryngology outpatient clinic. The sampling technique used was non-probability sampling with a total sampling method. Data analysis was performed univariately and presented as frequency distribution tables. The results showed that the 10–19-year age group was the most common (24.6%), the majority of patients were male (62.3%), most patients had no history of atopy (92.8%), Tabanan District was the area with the highest number of cases (23.2%), which may be influenced by the location of RSUD Tabanan in Tabanan District, and the main presenting complaint was nasal obstruction (66.7%). This study provides an overview of the characteristics of patients with rhinitis at Tabanan Regional General Hospital, which is expected to serve as a basis for improving diagnostic accuracy and planning more effective management and preventive strategies. Keywords: Allergic Rhinitis, Non-Allergic Rhinitis, Patient Characteristics, Clinical Complaints. ABSTRAK Rhinitis merupakan masalah kesehatan global akibat morbiditas yang ditimbulkan. Meskipun tergolong umum, karakteristik pasien rhinitis bervariasi di setiap wilayah, dipengaruhi oleh faktor demografis, lingkungan, dan genetik. Penelitian ini bertujuan untuk mengetahui karakteristik pasien rhinitis di RSUD Tabanan selama periode tahun 2020-2023 berdasarkan kelompok usia, jenis kelamin, riwayat atopi dalam keluarga, dan …
creator: Putu Surya Nandana
creator: Agus Santosa
creator: Ni Wayan Sri Ekayanti
creator: Saraswati Laksmi Dewi
creator: Gita Ratnasari
creator: Diana Sudan
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 226
ending page: 235
doi: 10.33024/mahesa.v6i9.24577

Tinjauan Efek Neuroprotektif Fukoidan terhadap Model Tikus Stroke Iskemik
type: item
description: ABSTRACT Ischemic stroke is the most common type of stroke and remains the leading cause of disability and the second leading cause of death worldwide. The definitive therapies recommended by the Food and Drug Administration (FDA) for acute ischemic stroke are tissue plasminogen activator (t-PA) and mechanical thrombectomy, which have a very narrow therapeutic window. Therefore, additional supportive therapy is needed to achieve more optimal functional improvement and reduce post-stroke morbidity. Fucoidan, as one of the active compounds in brown algae, plays a role as an antioxidant, anti-inflammatory, anti-adhesive, and anti-apoptotic agent in management of ischemic stroke. to study the pharmacological properties of the active compound fucoidan derived from brown algae and analyze the neuroprotective role of fucoidan in ischemic stroke through a systematic review of various studies that have been conducted. The literature review method used the narrative review technique. Literature searches were conducted in the PubMed Central, Google Scholar, EMBASE/Elsevier, and Wiley Library databases for articles published between 2015 and 2025. The keywords used were a combination of disease terms, exposure, and molecular pathways combined with Boolean operators (AND/OR) and adjusted for each database. The synthesis results show that fucoidan belongs to the sulfated polysaccharide group, which is rich in α L-fucose and sulfate groups that determine various biological activities of fucoidan. The molecular mechanism of fucoidan in complementary therapy for ischemic stroke has been studied in various in vitro experimental, plays a role as an anti-inflammatory, antioxidant, antiapoptotic, mitochondrial damage protection, blood-brain barrier repair, and neurogenesis enhancement. Fukoidan has neuroprotective effects against ischemic stroke through anti-inflammatory, antioxidant, anti-apoptotic, mitochondrial damage protection, blood-brain barrier repair, and neurogenesis enhanceme…
creator: Fidha Rahmayani
creator: Muhammad Irsan Saleh
creator: Nur Arfian
creator: Zen Hafy
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 236
ending page: 247
doi: 10.33024/mahesa.v6i9.24593

Hubungan Jenis Kelamin, Hipertensi, dan Hiperkolesterolemia dengan Tipe Stroke di RSUD Kota Mataram
type: item
description: ABSTRACT Stroke is one of the leading causes of death and disability worldwide, including in Indonesia, with an incidence that continues to increase. Stroke is classified into non-hemorrhagic stroke and hemorrhagic stroke. This study aimed to analyze the association of sex, hypertension, and hypercholesterolemia with stroke type at Mataram City Regional General Hospital. This research was an analytic observational study with a cross-sectional design conducted at Mataram City Regional General Hospital. The data used were secondary data obtained from the medical records of stroke patients. The study sample consisted of 100 stroke patients who met the inclusion and exclusion criteria and were selected using a purposive sampling technique. The independent variables included sex, hypertension, and hypercholesterolemia, while the dependent variable was stroke type. The results showed that of the 100 samples, 50 patients experienced non-hemorrhagic stroke and 50 patients experienced hemorrhagic stroke. Bivariate analysis demonstrated a significant association between sex, hypertension, and hypercholesterolemia with stroke type (p < 0.05). Multivariate analysis indicated that sex, hypertension, and hypercholesterolemia had a significant effect on stroke type, with hypertension and hypercholesterolemia having the greatest influence. The conclusion of this study is that male sex acts as a protective factor. The risk factors affecting stroke type include sex, hypertension, and hypercholesterolemia. Keywords: Stroke Type, Sex, Hypertension, Hypercholesterolemia. ABSTRAK Stroke merupakan salah satu penyebab utama kematian dan kecacatan di dunia, termasuk di Indonesia, dengan angka kejadian yang terus meningkat. Stroke diklasifikasikan menjadi stroke non hemoragik dan stroke hemoragik. Tujuan penelitian ini adalah untuk menganalisis hubungan jenis kelamin, hipertensi, dan hiperkolesterolemia dengan tipe stroke di RSUD Kota Mataram. Metode penelitian ini merupakan penelitian obser…
creator: Nyoman Ayu Vany Shanita
creator: Rohmania Setiarini
creator: Bayu Setia
creator: Sukandriani Utami
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 248
ending page: 260
doi: 10.33024/mahesa.v6i9.24755

Hubungan Usia, Diabetes Melitus, dan Hipertrigliseridemia dengan Tipe Stroke di RSUD Kota Mataram
type: item
description: ABSTRACT Stroke is a leading cause of death and disability worldwide and represents a significant public health problem in Indonesia. Clinically, stroke is classified into non-hemorrhagic stroke and hemorrhagic stroke. This study aimed to analyze the relationship between age, diabetes mellitus, and hypertriglyceridemia with stroke type at Mataram City Regional General Hospital (RSUD Kota Mataram). This study was an analytical observational study with a cross-sectional design using medical record data of hospitalized stroke patients at RSUD Kota Mataram. The dependent variable was stroke type, classified into non-hemorrhagic and hemorrhagic stroke. The independent variables included age, diabetes mellitus, and hypertriglyceridemia. A total of 100 samples were included in the study. The results showed that 59% of patients were in the adult group and 41% were in the elderly group. Diabetes mellitus was found in 51% of patients, and hypertriglyceridemia in 43% of patients. Bivariate analysis demonstrated a significant association between age, diabetes mellitus, and hypertriglyceridemia with stroke type. Multivariate analysis showed that age had a significant effect on stroke type, while diabetes mellitus and hypertriglyceridemia increased the risk of certain stroke types. The risk factors influencing stroke type include age, diabetes mellitus, and hypertriglyceridemia. Keywords: Age, Diabetes Mellitus, Hypertriglyceridemia, Stroke Type. ABSTRAK Stroke merupakan penyebab utama kematian dan kecacatan di dunia serta menjadi masalah kesehatan masyarakat yang signifikan di Indonesia. Secara klinis, stroke diklasifikasikan menjadi stroke non hemoragik dan stroke hemoragik. Tujuan penelitian ini dilakukan untuk menganalisis hubungan usia, diabetes melitus dan hipertrigliseridemia dengan tipe di RSUD Kota Mataram. Metode penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional menggunakan data rekam medis pasien stroke rawat inap di RSUD Kota Mat…
creator: Pande Made Yoga Adi Dwipayana
creator: Rohmania Setiarini
creator: Sukandriani Utami
creator: I Putu Dedy Arjita
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 261
ending page: 273
doi: 10.33024/mahesa.v6i9.24754

Respons Imun Pada Penyakit Impetigo:Biomarker Kuantitatif untuk Diagnosis dan Evaluasi Terapi
type: item
description: ABSTRACT Impetigo is a common bacterial skin infection in children. Impetigo, primarily caused by Staphylococcus aureus and Group A Streptococcus (GAS). Along with changes in microbiological patterns and increasing antibiotic resistance, a better understanding of immunopathogenesis and measurable biological parameters is needed to assist in the diagnosis and evaluation of therapy in impetigo. This study aims to discusses innate and adaptive immune responses in impetigo and identifies quantitative biomarkers that have the potential to be used in clinical practice and research. The literature search was conducted using Google Scholar, ProQuest, PubMed, ScienceDirect, and the Wiley Online Library for publications from 2015 to 2025. The results of the synthesis show that activation of the innate immune response begins with pathogen recognition through PRRs on keratinocytes, followed by the release of proinflammatory cytokines, recruitment of neutrophils/macrophages, formation of NETs, and an increase in antimicrobial proteins. In S. aureus infection, colonization is influenced by adhesins (ClfB, SasG) and tissue damage is mediated by exfoliative toxins (ET), while immune evasion involves SpA, leukocidins, and inhibition of adaptive immune response formation. In GAS infection, virulence is influenced by M protein and various toxins/enzymes that can disrupt chemotaxis and neutrophil function. Potential quantitative biomarkers include leukocyte and neutrophil counts, CRP, IL-6, ROS, as well as more specific candidates such as ET-A/ET-B, PVL-SA, and SpyCEP. In the adaptive immune response, anti-SpA IgG3 has the potential to be a more specific marker for S. aureus infection, whereas ASO and ADB can support confirmation of GAS infection by considering age and geographic variation. The combination of general inflammatory biomarkers and more pathogen-specific biomarkers has the potential to accelerate diagnostic confirmation and assist in monitoring therapeutic response in impe…
creator: Dwi Indria Anggraini
creator: Irfannudin Irfannudin
creator: Yuli Kurniawati
creator: Nita Parisa
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 274
ending page: 291
doi: 10.33024/mahesa.v6i9.24672

Pengaruh Tingkat Kepuasan Penggunaan Rekam Medis Elektronik dan Beban Kerja Terhadap Risiko Burnout pada Dokter di Rumah Sakit Tipe C Kabupaten Pesawaran
type: item
description: ABSTRACT The implementation of Electronic Medical Records (EMR) is part of the digital transformation of healthcare services aimed at improving efficiency and quality of care. However, in practice, EMR use may increase physicians’ administrative workload and potentially contribute to burnout. Type C hospitals in Pesawaran Regency have implemented EMR, yet evaluations of user satisfaction and its association with workload and burnout risk among physicians remain limited. This quantitative cross-sectional study was conducted from October to December 2025 at RSUD Pesawaran and RSU Gladish Medical Center Pesawaran. A total of 64 physicians were included using total sampling. EMR satisfaction was assessed using the End User Computing Satisfaction (EUCS) questionnaire, workload was measured using the RAW NASA-TLX, and burnout risk was evaluated using the Maslach Burnout Inventory–Human Services Survey (MBI-HSS). Data were analyzed using univariate and bivariate analyses with the Chi-square test. Most respondents reported being satisfied with EMR use (65.6%). The majority of physicians experienced moderate (39.1%) to high (37.5%) workload. Burnout risk was predominantly categorized as mild (65.6%) and moderate (34.4%), with no cases of severe burnout identified. Bivariate analysis showed no significant association between EMR satisfaction and burnout risk (p=0.177), nor between workload and burnout risk (p=0.374). EMR satisfaction and workload were not significantly associated with burnout risk among physicians in Type C hospitals in Pesawaran Regency. Keywords: Electronic Medical Records, Workload, Burnout, Physicians. ABSTRAK Implementasi Rekam Medis Elektronik (RME) merupakan bagian dari transformasi digital pelayanan kesehatan yang bertujuan meningkatkan efisiensi dan mutu layanan. Namun, penggunaan RME berpotensi menambah beban kerja administratif dokter dan memengaruhi risiko burnout. Di rumah sakit tipe C Kabupaten Pesawaran, evaluasi terkait kepuasan penggunaan RME…
creator: Hasyim Adhafizh Sofyan
creator: T.A Larasati
creator: Anisa Nuraisa Jausal
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 292
ending page: 308
doi: 10.33024/mahesa.v6i9.24715

Exclusive Breastfeeding Among Working Mothers: The Impact of Self-Efficacy and Family Support
type: item
description: ABSTRACT This study examined the impact of maternal self-efficacy and family support on exclusive breastfeeding among working mothers in DKI Jakarta, the region with the lowest exclusive breastfeeding rates on Java despite gradual increases from 65.63% in 2021 to 76.39% in 2023, which remain below the national target of 80%. This study aims to determine the relationship between maternal self-efficacy, family support, and exclusive breastfeeding among working mothers in Jakarta. A quantitative cross-sectional design was used from August 2024 to August 2025 across five administrative regions, involving 77 purposively selected working mothers. Data collection utilized structured interviews with validated and reliable questionnaires. Statistical analyses included univariate analysis, simple logistic regression, and multiple logistic regression. The findings revealed a significant relationship between maternal self-efficacy and exclusive breastfeeding (OR = 0.243; 95% CI = 0.09–0.71; p = 0.006), while family support showed no significant association (OR = 0.418; 95% CI = 0.127–1.285; p = 0.094). These results highlight the key role of maternal confidence in promoting exclusive breastfeeding among working mothers. Interventions and educational programs to enhance maternal self-efficacy are, therefore, recommended to increase breastfeeding rates. However, the cross-sectional design, small sample size, and purposive sampling limit causal interpretation and generalizability. Future longitudinal or experimental studies are encouraged to confirm results and identify additional influencing factors. Keywords: Exclusive Breastfeeding, Working Mothers, Self-Efficacy, Family Support, Cross-Sectional Study, Jakarta.
creator: Zalfadila Fahira
creator: Asti Dewi Rahayu Fitrianingsih
creator: Fajria Saliha Puspita Prameswari
creator: Widya Astuti
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 309
ending page: 321
doi: 10.33024/mahesa.v6i9.24670

Analisis Faktor yang Mempengaruhi Penulisan E-Resep Obat di Puskesmas Se-Kabupaten Lombok Timur
type: item
description: ABSTRACT Conventional prescription systems face significant limitations regarding handwriting illegibility and interpretation errors that delay healthcare services. This study aims to analyze policy, facility, workload, and interest factors influencing electronic prescription writing in Community Health Centers across East Lombok Regency. The research method employs a descriptive quantitative approach with cross-sectional design involving 93 medical personnel through online surveys. Data analysis uses Path Analysis with Partial Least Square-based Structural Equation Modeling. Results show interest as the strongest predictor of e-prescription writing (β=0.601; p<0.001) with 92.5% adoption rate. Workload has dominant influence on interest (β=0.489; p<0.001) and significantly affects e-prescription writing both directly (β=0.296; p=0.014) and indirectly through interest mediation (β=0.294; p<0.001). Policy significantly influences interest (β=0.289; p=0.001) and e-prescription writing (β=0.281; p=0.002) with interest mediation effect (β=0.174; p=0.006). Facilities only directly influence e-prescription writing (β=0.227; p=0.023). The model explains 59.3% variance in e-prescription writing. Recommendations include prioritizing workload management, policy strengthening, technological facility improvement, and continuous interest enhancement programs. Keywords: Electronic Prescription, Facilities, Interest, Policy, Workload. ABSTRAK Sistem peresepan konvensional menghadapi keterbatasan signifikan terkait ketidakjelasan tulisan dan kesalahan interpretasi yang memperlambat pelayanan kesehatan. Penelitian ini bertujuan menganalisis faktor kebijakan, fasilitas, beban kerja, dan minat yang mempengaruhi penulisan resep elektronik di Puskesmas se-Kabupaten Lombok Timur. Metode penelitian menggunakan pendekatan kuantitatif deskriptif dengan desain cross-sectional terhadap 93 tenaga medis melalui survei daring. Analisis data menggunakan Path Analysis dengan Structural Equation Mod…
creator: Normala Candra Puspita
creator: Menap Menap
creator: Sabar Setiawan
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 322
ending page: 337
doi: 10.33024/mahesa.v6i9.24729

Hubungan Efikasi Diri, Kualitas Tidur dan Motivasi Belajar dengan Tingkat Kecemasan Pada Mahasiswa yang Akan Menghadapi Ujian Mcq Tahap Akademik Fakultas Kedokteran Universitas Islam Al-Azhar
type: item
description: ABSTRACT Anxiety is an emotional condition characterized by feelings of worry or fear arising from thoughts or expectations. According to the 2020 Riskesdas, the prevalence of anxiety in Indonesia is approximately 6.1% among individuals aged 15 years and above. Anxiety is commonly experienced by university students, particularly medical students. Global data indicate that the prevalence of anxiety among medical students ranges from 29.2% to 38.7%. Anxiety in medical students is often associated with a heavy academic workload. One condition that frequently triggers anxiety is the period preceding MCQ examinations. This study aims to determine whether there is a relationship between self-efficacy, sleep quality, and learning motivation with the level of anxiety of academic stage students at the Faculty of Medicine, Al-Azhar Islamic University who will face the MCQ exam. This study employed a cross-sectional study design and was conducted at the Faculty of Medicine, Universitas Islam Al-Azhar in October 2025. The research sample consisted of 222 respondents. The instruments used were the DASS-42 questionnaire to measure anxiety levels, the GSES to assess self-efficacy, the PSQI to evaluate sleep quality, and the MSLQ to measure learning motivation. Data were analyzed using the Spearman rank correlation test with a significance level of p-value ≤ 0.05. Bivariate analysis showed a significant relationship between self-efficacy and anxiety levels (p-value = 0.000, correlation coefficient = 0.415), between sleep quality and anxiety levels (p-value = 0.000, correlation coefficient = 0.432), and between learning motivation and anxiety levels (p-value = 0.000, correlation coefficient = 0.224). There is a significant relationship between self-efficacy, sleep quality, and learning motivation with anxiety levels among medical students at Universitas Islam Al-Azhar who are facing MCQ examinations. Keywords: Anxiety Level, Self-efficacy, Sleep Quality, Learning Motivation. ABSTRAK…
creator: I Made Putra Satia Dharma
creator: Ronanarasafa Ronanarasafa
creator: Dany Karmila
creator: Yolly Dahlia
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 338
ending page: 351
doi: 10.33024/mahesa.v6i9.24748

Hubungan Efikasi Diri, Kualitas Tidur, dan Dukungan Sosial dengan Tingkat Stres Pada Mahasiswa Fakultas Kedokteran Universitas Islam Al-Azhar Angkatan 2024
type: item
description: ABSTRACT Academic stress is a common problem experienced by medical students due to high and complex academic demands. Internal and external factors such as self-efficacy, sleep quality, and social support are thought to play a role in influencing students' stress levels. However, previous studies have shown inconsistent findings. The purpose of this study was to determine the relationship between self-efficacy, sleep quality, and social support with stress levels in students of the Faculty of Medicine, Al-Azhar Islamic University, class of 2024. This study was a quantitative study with an observational analytical design using a cross-sectional approach. The sample was students of the Faculty of Medicine, Al-Azhar Islamic University, class of 2024, selected using the Simple Random Sampling technique. The instruments used included the General Self-Efficacy Scale (GSES), Pittsburgh Sleep Quality Index (PSQI), Multidimensional Scale of Perceived Social Support (MSPSS), and Perceived Stress Scale-10 (PSS-10). Data analysis used a correlation test with Spearman's rank test to assess the relationship between the dependent and independent variables with a p-value <0.05. Bivariate analysis showed a significant relationship between self-efficacy, sleep quality, and social support with stress levels. There was a significant relationship between self-efficacy, sleep quality, and social support with stress levels in students of the Faculty of Medicine, Al-Azhar Islamic University, class of 2024. Interventions focused on improving self-efficacy, improving sleep quality, and strengthening social support should be considered as an effort to reduce student academic stress. Keywords: Self-Efficacy, Sleep Quality, Social Support, Stress. ABSTRAK Stres akademik merupakan permasalahan yang sering dialami mahasiswa kedokteran akibat tuntutan akademik yang tinggi dan kompleks. Faktor internal dan eksternal seperti efikasi diri, kualitas tidur, dan dukungan sosial diduga berperan dalam me…
creator: Thalia Atifah
creator: Lalu Yogi Imam Prasetio
creator: Deny Sutrisna Wiatma
creator: Irwan Syuhada
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 352
ending page: 374
doi: 10.33024/mahesa.v6i9.24825

Hubungan Kontrol Glikemik dengan Komplikasi Mikrovaskular pada Pasien Diabetes Melitus: Literature Review
type: item
description: ABSTRACT Diabetes mellitus is a global health problem with a continuously increasing prevalence, significantly contributing to morbidity, mortality, and the economic burden due to chronic complications, particularly microvascular complications. Glycemic control is a key component in diabetes management and is commonly evaluated thru HbA1c and other glycemic parameters. This literature review aims to analyze the relationship between glycemic control and microvascular complications in patients with diabetes mellitus. A literature search was conducted on the PubMed, Scopus, and ScienceDirect databases for English articles from 2020–2025 with cohort and cross sectional study designs. The selection and critical appraisal process using JBI tools resulted seven articles that met the inclusion criteria. The synthesis results show that glycemic control in this case HbA1c is an indicator associated with microvascular complications (diabetic retinopathy, nephropathy, and neuropathy) across populations and study designs. Keywords: Diabetes Mellitus, Glycemic Control, Hba1c, Microvascular Complications. ABSTRAK Diabetes melitus merupakan masalah kesehatan global yang prevalensinya terus meningkat dan berkontribusi signifikan terhadap morbiditas, mortalitas, serta beban ekonomi akibat komplikasi kronik, khususnya komplikasi mikrovaskular. Kontrol glikemik menjadi komponen utama dalam manajemen diabetes dan umumnya dievaluasi melalui HbA1c serta parameter glikemik lainnya. Literatur review ini bertujuan untuk menganalisis hubungan antara kontrol glikemik dan komplikasi mikrovaskular pada pasien diabetes melitus. Penelusuran literatur dilakukan pada database PubMed, Scopus, dan ScienceDirect untuk artikel berbahasa Inggris periode 2020–2025 dengan study kohort dan cross sectional studi. Proses seleksi dan critical appraisal menggunakan tools JBI menghasilkan tujuh artikel yang memenuhi kriteria inklusi. Hasil sintesis menunjukkan bahwa kontrol glikemik dalam hal ini HbA1c menjadi i…
creator: Wenny Anugraini
creator: Yanuar Primanda
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 375
ending page: 389
doi: 10.33024/mahesa.v6i9.24743

Hubungan Aktivitas Fisik dengan Kejadian Dismenore Pada Remaja Putri di SMPN 3 Simpang Raya
type: item
description: ABSTRACT Dysmenorrhea is a prevalent reproductive health condition among adolescent girls and may disrupt daily functioning, including school-related academic activities. physical activity is considered one of the factors associated with the occurrence of dysmenorrhe. Insufficient physical activity may affect blood circulation and hormonal balance, thereby increasing the risk of menstrual pain. The objective of this study was to assess the relationship between physical activity and dysmenorrhea among female adolescents at SMP Negeri 3 Simpang Raya.The investigation applied quantitative techniques via a cross-sectional study design. All adolescent girls at SMP Negeri 3 Simpang Raya constituted the study population, and the entire population of 107 respondents was included using total sampling. Data collection was conducted using a physical activity questionnaire and a menstrual pain scale. The data analysis involved univariate analysis to depict respondent characteristics and bivariate analysis to examine the association between physical activity and dysmenorrhea. Participant demographics showed that respondents clustered around early adolescence, with a mean age of 13.64 ± 0.97 years, while the mean age at menarche was 11.63 ± 1.06 years. Most respondents experienced dysmenorrhea with mild to moderate pain intensity. The majority of respondents had low levels of physical activity. Bivariate analysis indicated a significant relationship between physical activity and the incidence of dysmenorrhea among adolescent girls. In conclusion, there is a significant relationship between physical activity and dysmenorrhea among adolescent girls at SMP Negeri 3 Simpang Raya. Regular physical activity can help reduce menstrual pain intensity by improving blood circulation and stimulating endorphin release. Therefore, it is recommended that adolescent girls engage in regular physical activity as a non-pharmacological strategy to prevent and reduce dysmenorrhea. Keywords: Physical …
creator: Reza F.A.A
creator: Deswinda Deswinda
creator: Puswati D
creator: Adelia G
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 390
ending page: 401
doi: 10.33024/mahesa.v6i9.24691

Gambaran Tingkat Kecemasan Pada Pasien Pre Operasi dengan Anestesi Umum dan Regional di Rumah Sakit Pluit
type: item
description: ABSTRACT Anxiety is an emotional state involving fear, unease, and worry about perceived threats. Excessive anxiety can trigger increases in blood pressure, heart rate, and respiratory rate, as well as increased cortisol levels, which can hinder post-operative wound healing. Nurses play a crucial role at every stage of surgical procedures, including providing clear explanations of the procedures to help reduce patient anxiety. Anesthesia is a crucial component of surgical procedures, and providing clear information about both the anesthetic and surgical procedures can help reduce patient anxiety before surgery. To know the description of the level of anxiety of pre-operative patients with general anesthesia and regional anesthesia. A descriptive study with a quantitative approach. The sample in this study was all 82 patients scheduled for surgery in the Pluit Hospital Surgical Room Installation between November and December 2025. The sampling technique used was random sampling. The majority of respondents were aged 36-45 years (23.2%), male (54.9%), high school education (43.9%), civil servant (81.7%), and had no history of surgery (70.7%). The majority of respondents underwent general anesthesia (70.7%) and had moderate anxiety levels (47.6%). Respondents undergoing regional anesthesia mostly experienced mild anxiety (66.7%), and respondents undergoing general anesthesia mostly experienced moderate anxiety (53.4%). The majority of respondents undergoing regional anesthesia experienced mild anxiety, while the majority of respondents undergoing general anesthesia experienced moderate anxiety. Nurses are expected to implement appropriate nursing interventions to help reduce patient anxiety levels before surgery. Keywords: Anxiety, Preoperative, General Anesthesia, Regional Anesthesia. ABSTRAK Kecemasan merupakan keadaan emosional yang melibatkan rasa takut, kegelisahan, serta kekhawatiran terhadap keadaan yang dipandang sebagai ancaman. Kecemasan yang berlebihan dapat…
creator: Siti Aminah
creator: Nurjalila Nurjalila
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 402
ending page: 412
doi: 10.33024/mahesa.v6i9.24820

Strategi Penanganan Overcrowding di Ruang Gawat Darurat : Scoping Review
type: item
description: ABSTRACT Overcrowding in an Emergency Department (ED) is a global crisis that can lead to errors in triage and result in increased patient mortality. An integrated overcrowding management strategy can be used to address and resolve the density issues that occur. This study aims to map and analyze strategies that are effectively used to handle overcrowding in EDs. The research method used is a Scoping Review with the Population-Concept-Context (PCC) framework. Articles were accessed from four databases, namely Scopus, PubMed, Wiley, and Springer, published between 2021-2026. The study results indicate that there are three strategies that can be used: training healthcare personnel, utilizing digital systems and technology, and integrated room management. Three strategies have been proven effective in addressing overcrowding, but in their implementation, they must be carried out continuously and involve all units within a hospital. Keywords: Overcrowding, Emergency Department, Strategy, Management. ABSTRAK Overcrowding di ruang Gawat Darurat adalah sebuah krisis global yang dapat menyebabkan kesalahan dalam melakukan triase dan berdampak pada meningkatnya mortalitas pasien. Strategi penanganan overcrowding yang terintegrasi dapat digunakan untuk mengurai dan mengatasi masalah kepadatan yang terjadi. Penelitian ini bertujuan untuk memetakan dan menganalisis strategi yang efektif digunakan dalam menangani overcrowding di ruang gawat darurat. Metode penelitian yang dilakukan yaitu Scoping Review dengan kerangka kerja Population-Concept-Context(PCC). Artikel di akses dari empat database yaitu Scopus, Pubmed, Wiley dan Springer yang dipublikasikan pada tahun 2021-2026. Hasil penelitian menunjukkan terdapat tiga strategi yang dapat digunakan yaitu pelatihan tenaga kesehatan, penggunaan sistem dan teknologi digital dan managemen ruangan terintegrasi. Ketiga strategi ini terbukti efektif dalam mengatasi overcrowding namun dalam pelaksanaanya harus dilakukan secara berkesinambu…
creator: Ahmad Bahri
creator: Al- Afik
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 413
ending page: 424
doi: 10.33024/mahesa.v6i9.24823

Pengaruh Pendampingan Self Awareness Terhadap Peningkatan Psychological Capital dan Kepuasan Kerja Perawat di RS Panti Rapih Yogyakarta
type: item
description: ABSTRACT Self-awareness is an important aspect in the development of psychological capital and job satisfaction of nurses. Self-awareness mentoring program based on ICARE organisational culture is expected to increase psychological capital and job satisfaction of nurses at Panti Rapih Hospital Yogyakarta. This study aims to analyse the effect of self-awareness mentoring on improving psychological capital and job satisfaction of nurses at Panti Rapih Hospital Yogyakarta using a quasi-experimental pre-test and post-test design with a control group. A total of 35 nurses in the intervention group received self-awareness support through training and focus group discussion (FGD), while the control group only received reading material. Psychological capital and job satisfaction were measured before and after the intervention using the PCQ and MCQ questionnaires. Data were analysed using Wilcoxon signed rank test and chi-square test. The results showed Self-Awareness mentoring had a significant effect on improving nurses' psychological capital (p = 0.012), but characteristics (age, education level, length of service) had no significant effect (p > 0.05). Self-awareness mentoring has a significant effect on increasing job satisfaction (p = 0.016), but characteristics (age, level of education, length of service) have no significant effect (p > 0.05). Keywords: Self-Awareness, Psychological Capital, Job Satisfaction, Organisational Culture, Nurses. ABSTRAK Self-Awareness merupakan aspek penting dalam pengembangan Psychological Capital dan kepuasan kerja perawat. Program pendampingan Self-Awareness berbasis budaya organisasi ICARE diharapkan dapat meningkatkan Psychological Capital dan kepuasan kerja perawat di Rumah Sakit Panti Rapih Yogyakarta. Penelitian ini bertujuan untuk menganalisis pengaruh pendampingan self awareness terhadap peningkatan Psychological Capital dan kepuasan kerja perawat di RS Panti Rapih Yogyakarta.Penelitian ini menggunakan desain quasi-experimental pr…
creator: Ari Widyastuti
creator: Cicilia Ika Wulandari
creator: Sudibyo Supardi
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 425
ending page: 438
doi: 10.33024/mahesa.v6i9.26542

Pengaruh Status Gizi, Komorbid, dan Riwayat Pengobatan Sebelumnya terhadap Kejadian Tuberkulosis Resistan Obat pada Pasien Dewasa di Kota Medan
type: item
description: ABSTRACT Drug-Resistant Tuberculosis (DR-TB) is a major challenge in tuberculosis control because it requires more complex treatment and has a lower success rate than drug-sensitive tuberculosis. Various factors, such as nutritional status, comorbidities, and previous treatment history, are suspected to play a role in the incidence of DR-TB. This study aims to analyze the influence of nutritional status, comorbidities, and previous treatment history on the incidence of DR-TB in Medan City. This study was an observational analytical study with a case-control approach. The study population was all tuberculosis patients registered at health care facilities in Medan City. The sample consisted of 44 DR-TB cases and 44 SO-TB controls selected using a purposive sampling technique. Data were collected through interviews using questionnaires and medical record reviews. Data analysis was performed univariately, bivariately using the Chi-square test, and multivariately using multiple logistic regression with a significance level of 95% (α = 0.05). Bivariate analysis results showed that nutritional status (p=0.003) and previous treatment history (p=0.012) were associated with the incidence of DR-TB, while comorbid status (p=0.522) was not. Multivariate analysis showed that nutritional status (p=0.050) and previous treatment history (p=0.036) influenced the incidence of DR-TB. Previous treatment history was the most dominant factor influencing the incidence of DR-TB. The incidence of DR-TB in Medan City is influenced by nutritional status and previous treatment history. DR-TB prevention efforts need to focus on improving patient nutritional status and strengthening the success of TB treatment from the first treatment episode. Keywords: Drug-Resistant Tuberculosis, Nutritional Status, Comorbidities, Previous Treatment History. ABSTRAK Tuberkulosis Resistan Obat (TB RO) merupakan salah satu tantangan utama dalam pengendalian tuberkulosis karena memerlukan pengobatan yang lebih kom…
creator: Khoiro Futri Ayumi
creator: Sri Novita Lubis
creator: Rahayu Lubis
rights: ##submission.copyrightStatement##
date: 2026-08-17
publication date: 2026-08-17
volume: 6
number: 9
starting page: 439
ending page: 451
doi: 10.33024/mahesa.v6i9.26688

Gambaran Radiologi Toraks Pada Pasien TB Paru Atipikal dengan Diabetes Melitus Tipe 2 Berdasarkan Status Kontrol Glikemik dan Indeks Massa Tubuh di RSU Royal Prima
type: item
description: ABSTRACT Due to compromised immunological responses brought on by hyperglycemia, type 2 diabetes mellitus (DM) impairs radiological manifestations and increases the risk of pulmonary tuberculosis (TB). Patients with type 2 diabetes who have atypical pulmonary TB often show lower zone/lower lobe involvement and more extensive lesions on chest radiography. Although there is currently little evidence in Indonesia, it is believed that body mass index (BMI) influences radiological features in addition to glycemic control. This study looked at the radiographic features of the chest in patients with atypical pulmonary tuberculosis and type 2 diabetes at Royal Prima Medan General Hospital based on their body mass index and glycemic control status. Research Methods: This observational analytical study with a retrospective cross-sectional design analyzed the medical records of 120 atypical pulmonary tuberculosis patients with type 2 diabetes who received treatment at Royal Prima Medan General Hospital between January 2024 and December 2025. The sample was selected using a comprehensive sampling strategy. For both univariate and bivariate data analysis, Fisher's Exact Test, Chi-square test, and Independent Samples t-test were employed, with a significance level of p<0.05. Results: Most patients had uncontrolled glycemic control (58.3%), lower zone/lower lobe involvement (51.7%), and multilobar lesions (61.7%). Glycemic control level was substantially associated with lung lesion size (p<0.001) and lower zone/lower lobe involvement (p<0.001). Furthermore, there was a significant correlation between BMI category and lung lesion size (p=0.002) and lower zone/lower lobe involvement (p=0.010). Age and gender did not significantly correlate with either radiological result (p>0.05). Conclusion: Chest radiographic features were associated with BMI category and glucose control level in atypical pulmonary TB patients with type 2 diabetes, but not with age or gender. Keywords: Atypical Pu…
creator: T Abelio Simbolon
creator: Adi Soekardi
creator: Qori Fadillah
rights: ##submission.copyrightStatement##
date: 2026-08-18
publication date: 2026-08-18
volume: 6
number: 9
starting page: 452
ending page: 465
doi: 10.33024/mahesa.v6i9.27214

Hubungan Burnout dengan Gangguan Kualitas Tidur Pada Mahasiswa Fisioterapi Universitas Muhammadiyah Malang
type: item
description: ABSTRACT University students commonly report burnout as a mental-health concern, and physiotherapy students face a particularly demanding version of it: thesis completion, laboratory practicum, and clinical-practice preparation all compete for their time and energy at once. When academic pressure runs high, sleep is frequently what suffers first, which can undercut both the physical and mental readiness and the academic performance of students approaching graduation. This study examined the relationship between burnout and sleep quality disturbance in the 2023 cohort of the Physiotherapy Study Program at Universitas Muhammadiyah Malang, using an analytical-observational design with a cross-sectional approach. All 106 students within the population were enrolled as the sample through total sampling. Burnout levels were measured with the School Burnout Inventory (SBI; Salmela-Aro et al. 2016), which reports a Cronbach's Alpha of 0.80 to 0.88, while sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI; Buysse et al. 1989), whose Indonesian-language version carries a reliability of 0.83. Data were checked for normal distribution with the Shapiro-Wilk test before the Pearson correlation was applied. Most respondents were female (73.6%); burnout most often fell into the above-average level (54.7%), and 93.4% of respondents reported poor sleep quality. The Pearson correlation analysis produced p = 0.000 (p < 0.05) and r = 0.351, indicating a weak yet positive correlation, meaning students who reported higher burnout also tended to report poorer sleep. Burnout therefore appears to be one contributor to sleep disturbance among final-year physiotherapy students, pointing to a need for academic-workload management and psychological-support strategies capable of protecting students' readiness for both coursework and clinical practice. Keywords: School Burnout Inventory, Pittsburgh Sleep Quality Index, Academic Exhaustion, Sleep Quality. ABSTRAK Burnout menja…
creator: Aprilia Ayu Putri
creator: Zidni Imanurrohmah Lubis
creator: Nurul Aini Rahmawati
rights: ##submission.copyrightStatement##
date: 2026-08-18
publication date: 2026-08-18
volume: 6
number: 9
starting page: 466
ending page: 479
doi: 10.33024/mahesa.v6i9.27497

Efektivitas Pemberian Jus Timun (Cucumis Sativus) terhadap Penurunan Tekanan Darah Pada Ibu Hamil dengan Hipertensi Fase 1 di Desa Kutagandok Wilayah Kerja Puskesmas Kutamukti Karawang Tahun 2024
type: item
description: ABSTRACT pregnant mothers including pharmacological and non-pharmacological approaches. Natural resources like cucumbers, proven to lower high blood pressure, can serve as non-pharmacological treatments. The aim of this study is to find out how effective the administration of Cucumis sativus juice is against the decrease in blood pressure in pregnant women with phase 1 hypertension in the village. I will give the work area of public health center, which I will prove to be 2024. The study used a quasi-experimental method with 30 respondents divided into intervention groups who were given 100 grams or 150 ml of cucumber juice therapy in the morning 15–30 minutes before meals for 7 days and the control group who were not given cucumber juice treatment. The result of the statistical analysis is a p value of<0,001. If this indicates a p-value of <0.05, then H1 is accepted in the sense that there is a significant difference between systolic and diastolic blood pressure before and after the administration of cucumber juice therapy. Cucumber juice contains potassium, postasium, magnesium, and phosphorus, helping the body maintain a balance of salts, sodium, and fluids in the body. Potassium ions are the main component of the intracellular fluid due to the vasodilating properties of the blood vessels. This causes an increase in the concentration of intra-cellular fluids and a tendency to pull fluids from the extra-cellular part, resulting in a decrease in blood pressure. Keywords: Hypertension, Cucumber Juice, Pregnant Women. ABSTRAK Hipertensi dalam kehamilan dapat membahayakan ibu dan janin, pengobatan hipertensi ibu hamil termasukfarmakologi dan non farmakologi. pengobatan non farmakologi dapat menggunakan sumber daya alam seperti mentimun, yang bisa dikonsumsi sebagai minuman yang telah terbukti menurunkan tekanan darah tinggi. Tujuan penelitian ini untuk mengetahui bagaimana efektivitas pemberian jus timun (cucumis sativus) terhadap penurunantekanan darah pada ibu hamil…
creator: Riza Faulina
creator: Regita Septiany
rights: ##submission.copyrightStatement##
date: 2026-08-18
publication date: 2026-08-18
volume: 6
number: 9
starting page: 480
ending page: 494
doi: 10.33024/mahesa.v6i9.20430

Hubungan Pendidikan dan Tingkat Pengetahuan yang Menyebabkan Pemberian MP-ASI Sebelum Bayi Berusia 6 Bulan di Puskesmas Distrik Pelebaga
type: item
description: ABSTRACT A preliminary study at the Pelebaga District Health Center in November 2024 showed that out of 150 infants aged 0-6 months, 95 infants (63%) received exclusive breastfeeding, while 55 infants (37%) had been given early complementary feeding. A survey on November 13, 2024 found that out of 10 mothers, 7 (70%) had given complementary feeding before the baby was 6 months old. This shows that the practice of early complementary feeding is still high. In fact, exclusive breastfeeding is the best nutrition for infants up to 6 months old without additional food or drink, except for medicines, vitamins, or minerals. After 6 months, complementary feeding is given gradually. To determine the relationship between education and level of knowledge that causes complementary feeding before the baby is 6 months old at the Pelebaga District Health Center in 2024. This study uses a quantitative method with an observational design and a cross-sectional approach, which measures independent and dependent variables simultaneously. Shows that mothers with Poor Knowledge mostly Provide Complementary Feeding as many as 9 respondents (15%) and Do Not Provide Complementary Feeding as many as 1 respondent (1.7%). While mothers with Good Knowledge mostly Do Not Provide Complementary Feeding as many as 47 respondents (78.3%) and those who Provide Complementary Feeding as many as 3 respondents (5%). The results of the statistical test obtained a P-Value <.001 (p <0.05) which means that there is a relationship between knowledge and the provision of complementary feeding to infants under 6 months of age at the Pelebaga District Health Center. The OR value = 30,850, shows that mothers with poor knowledge have a 30,850 times greater tendency to provide complementary feeding to infants under 6 months of age compared to mothers with good knowledge. The OR value = 30,850, shows that mothers with poor knowledge have a 30,850 times greater tendency to provide complementary feeding to infants unde…
creator: Lili Farlikhatun
creator: Emma Emmy Yoku
rights: ##submission.copyrightStatement##
date: 2026-08-18
publication date: 2026-08-18
volume: 6
number: 9
starting page: 495
ending page: 503
doi: 10.33024/mahesa.v6i9.22073

Pelaksanaan Pengawasan Keamanan Pangan dalam Rangka Penerbitan Izin Edar Pirt (Produk Industri Rumah Tangga) di Dinas Kesehatan Kabupaten Bengkulu Utara
type: item
description: ABSTRACT Distribution licenses for Household Industry Products (PIRT) are issued by the North Bengkulu Regency Health Office, which carries out food safety monitoring. In order to guarantee that food items made by home enterprises are safe for people to eat, food safety oversight is essential. Research techniques used in this project include documentation studies, in-depth interviews, and observations, all part of a descriptive qualitative approach. Policies, resources, procedures, and supervisory outcomes are examined using the CIPP (Context, Input, Process, and Product) assessment paradigm. Inquiry into the North Bengkulu Regency Health Office's Food Safety Supervision Program as It Relates to the Distribution Permitting of Pirt (Household Industry Products). This study use a qualitative descriptive methodology to conduct an evaluation. The purpose of this study is to use the CIPP (Context, Input, Process, and Product) model to define, analyze, and evaluate the North Bengkulu District Health Office's food safety monitoring program for PIRT distribution licenses. Even though it was founded on relevant rules, the study is still facing a number of challenges, including a lack of operating funds, human resources, and food safety training materials for business players. Unfortunately, not all business actors have been able to participate in the Food Safety Extension Training (PKP) program because of restrictions on quotas and distribution medium. To provide thorough and sustainable supervision, it is necessary to enhance education, digitize information, and foster cross-sector synergy, even if more business actors are acquiring PIRT licenses. The goal of this research is to encourage more businesses to take responsibility for managing PIRT permits so that consumers may buy items made by these companies with peace of mind. Referring to national rules like the BPOM Regulation and the Minister of Health Regulation, the policy environment for food safety monitoring has a s…
creator: Wulan Angraini
creator: Via Dariska Ulandari
creator: Eva Oktavidiati
creator: Hasan Husin
creator: Riska Yanuarti
rights: ##submission.copyrightStatement##
date: 2026-08-18
publication date: 2026-08-18
volume: 6
number: 9
starting page: 504
ending page: 524
doi: 10.33024/mahesa.v6i9.22082

Hubungan Tingkat Pendidikan, Pengetahuan, dan Sikap Dengan Stigma Diri Pada Pasien TB Paru Sensitif Obat di RSUD Kota Mataram
type: item
description: ABSTRACT Indonesia ranks second globally in the number of tuberculosis (TB) cases. TB patients experience not only physical impacts but also social problems in the form of self-stigma. Self-stigma is the process of internalizing stigma from the surrounding environment, which can lead to psychological stress, reduced social functioning, and low adherence to medication. Factors such as educational level, knowledge, and attitudes are thought to play a role in the development of self-stigma among TB patients. This study aimed To determine the relationship between educational level, knowledge, attitudes, and self-stigma among drug-sensitive pulmonary tuberculosis patients at Mataram City Regional General Hospital 2025. This study employed a quantitative analytic observational design with a cross-sectional approach. The sampling technique used was consecutive sampling, with a total of 78 respondents. Data were analyzed using the Spearman rank dan Chi-square test. The results of the univariate analysis showed that most respondents had low levels of self-stigma 69 (88,5%), basic educational attainment 29 (37,2%), sufficient knowledge 58 (74,4%), and positive attitudes 68 (87,2%). Bivariate analysis There was no significant relationship between attitudes and self-stigma (p=0,324). In contrast, educational level (p=0,017) and knowledge (p=0,000) showed significant relationships with self-stigma. Educational level and knowledge have a significant relationship with selfstigma among drug-sensitive pulmonary tuberculosis patients, whereas attitudes do not show a significant relationship. Keywords: Educational Level, Knowledge, Attitude, Self-Stigma, Tuberculosis, Drugsensitive. ABSTRAK Indonesia merupakan negara dengan jumlah kasus tuberkulosis (TB) tertinggi kedua di dunia. Pasien TB tidak hanya mengalami dampak fisik, tetapi juga masalah sosial berupa stigma diri. Stigma diri adalah proses internalisasi stigma dari lingkungan sekitar yang dapat menyebabkan stres psikologis, pen…
creator: Sofiatuddinia Sofiatuddinia
creator: Risky Irawan Putra Priono
creator: Wendy Handayani
creator: Alfian Muhajir
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 525
ending page: 539
doi: 10.33024/mahesa.v6i9.24731

Hubungan dukungan Keluarga dengan Kepatuhan Minum Obat Pada Penderita Tuberkulosis Paru di Poli Paru RSU Mitra Medika Tanjung Mulia
type: item
description: ABSTRACT Long-term adherence to anti-tuberculosis (OAT) therapy is a crucial factor for the successful treatment of Tuberculosis (TB) and the prevention of Multidrug-Resistant Tuberculosis (MDR-TB), in which family support is identified as one of the key psychosocial determinants. Non-adherence cases are suspected to persist at Mitra Medika Tanjung Mulia General Hospital and may be associated with the level of family support. This study aimed to analyze the relationship between family support and medication adherence among pulmonary TB patients at this facility.This research employed a quantitative analytic design with a cross-sectional approach involving 30 respondents diagnosed with drug-sensitive pulmonary TB who had undergone at least one month of treatment at the Pulmonary Clinic. Participants were recruited using a total sampling technique. Family support was assessed using a 16-item questionnaire encompassing emotional, instrumental, informational, and appraisal dimensions, while adherence was measured using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using univariate and bivariate methods (Fisher’s Exact Test). The results showed that the majority of respondents demonstrated “Good” family support (28 individuals; 93.3%) and “Good” medication adherence (27 individuals; 90.0%), with no respondents falling into the “Poor” category for either variable. Bivariate analysis revealed no statistically significant relationship between family support and medication adherence (p=0.193). Furthermore, there were no significant associations between demographic characteristics (age, sex, education, occupation, and ethnicity) and adherence (p > 0.05). Within this study population, both family support and medication adherence were very high; however, no statistically significant association was observed between the two variables. Keywords: Tuberculosis, Medication adherence, Family Support, Anti-Tuberculosis Drugs. ABSTRAK Kepatuhan minum obat antitube…
creator: Merry Theresia
creator: Sri Wahyuni Nasution
creator: Yolanda Eliza Putri Lubis
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 540
ending page: 552
doi: 10.33024/mahesa.v6i9.25188

Pengaruh Edukasi Berbasis Video terhadap Kemampuan Penggunaan Injeksi Insulin pen dan Kadar Gula Darah pada Pasien Diabetes Melitus di Rumah Sakit X Bekasi: Literatur Review
type: item
description: ABSTRACT Diabetes mellitus is a rapidly growing chronic disease and a major global health challenge, particularly in middle‑income countries such as Indonesia, which requires optimal management through improved patient skills in using insulin pens. Video‑based education has emerged as an innovative approach that can overcome the limitations of conventional education and has the potential to enhance patients’ technical skills in insulin injection as well as glycemic control. This study is a literature review using a systematic review approach guided by the PRISMA 2020 statement, with article searches conducted in PubMed, Elsevier, ResearchGate, Medknow, Sage Publication, MDPI, and Google Scholar for the years 2020–2025, including interventional studies that evaluated video‑based education on insulin pen injection skills and or blood glucose and HbA1c levels among patients with diabetes mellitus. Of the 25 articles initially identified, 12 met the inclusion criteria and were further analyzed, demonstrating that video‑based education consistently improves knowledge and technical skills in insulin pen injection and, in several studies, contributes to reductions in fasting blood glucose, two‑hour postprandial glucose, and HbA1c. This literature review concludes that video‑based education is an effective strategy to support diabetes mellitus management by enhancing insulin pen use skills and improving glycemic control, and is therefore recommended to be integrated systematically into patient education programs in healthcare facilities such as X Hospital Bekasi. Keywords: Diabetes Mellitus, Insulin Injection, Educational Video. ABSTRAK Diabetes melitus merupakan penyakit kronis dengan pertumbuhan tercepat di dunia dan menjadi tantangan kesehatan global, termasuk di Indonesia, sehingga diperlukan manajemen yang optimal melalui peningkatan keterampilan penggunaan insulin pen pada pasien. Edukasi berbasis video muncul sebagai pendekatan inovatif yang mampu mengatasi keterbata…
creator: Putri Valentine
creator: Dewi Prabawati
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 553
ending page: 573
doi: 10.33024/mahesa.v6i9.24566

Hubungan Stres Kerja, Beban Kerja, dan Dukungan Sosial Terhadap Kesejahteraan Psikologis Caregiver Formal Pasien Kanker di RSUD Provinsi NTB
type: item
description: ABSTRACT Formal caregivers of cancer patients play an important role in the caregiving process; however, high job demands may adversely affect their psychological well-being. Psychological well-being among formal caregivers is influenced by work-related stress, workload, and social support. This study aimed to examine the relationships between work stress, workload, and social support and the psychological well-being of formal caregivers of cancer patients at RSUD Province of West Nusa Tenggara in 2025. This study employed a quantitative analytical observational design with a cross-sectional approach. Total sampling was used, involving 53 respondents. Data were analyzed using the Spearman Rank correlation test and ordinal logistic regression. Univariate analysis showed that most respondents were female (77.4%), in early adulthood (50.9%), and had a long working tenure (>10 years) (39.6%). The majority of respondents experienced moderate work stress (62.3%), heavy workload (66.0%), and moderate social support (56.6%), with psychological well-being categorized as moderate (49.1%) and high (50.9%). Bivariate analysis revealed a significant relationship between work stress and psychological well-being (p = 0.003) as well as between social support and psychological well-being (p = 0.026), while workload was not significantly associated with psychological well-being (p = 0.924). Multivariate analysis indicated that work stress had the strongest tendency of association with psychological well-being after controlling for other variables; however, the findings should be interpreted with caution due to limitations in model fit and the cross-sectional study design. In conclusion, work stress and social support were associated with the psychological well-being of formal caregivers of cancer patients, whereas workload was not significantly related. Keywords: Psychological Well-Being, Formal Caregiver, Work Stress, Workload, Social Support. ABSTRAK Caregiver formal pasien kanker …
creator: Ni Made Yurita Parawangsa
creator: Made Agus Suanjaya
creator: I Putu Dedy Arjita
creator: Nisia Putri Rinayu
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 574
ending page: 591
doi: 10.33024/mahesa.v6i9.24732

Peran Zat Gizi dan Senyawa Bioaktif Daun Kelor (Moringa oleifera) dalam Pengendalian Diabetes Melitus: Literature Review
type: item
description: ABSTRACT Diabetes mellitus is a metabolic disease that requires effective blood glucose control. Moringa oleifera leaves contain various nutrients and bioactive compounds that have potential benefits in diabetes management.This literature review aimed to examine the role of nutrients and bioactive compounds in Moringa oleifera leaves for diabetes mellitus management based on studies published between 2021 and 2026. A literature review was conducted by searching articles from Google Scholar, PubMed, ScienceDirect, and SpringerLink databases. A total of 10 articles that met the inclusion criteria were analyzed. Moringa oleifera leaves were found to reduce blood glucose levels, improve insulin sensitivity, enhance lipid profiles, and decrease oxidative stress. These effects are attributed to the presence of flavonoids, polyphenols, quercetin, chlorogenic acid, dietary fiber, vitamin C, and β-carotene, which contribute to glucose metabolism regulation through various biological mechanisms. Moringa oleifera leaves have strong potential as a functional food for diabetes mellitus management due to their nutrient and bioactive compound content, which supports blood glucose regulation. Keywords: Moringa Oleifera, Diabetes Mellitus, Functional Food, Bioactive Compounds. ABSTRAK Diabetes melitus merupakan penyakit metabolik yang memerlukan pengendalian kadar glukosa darah. Daun kelor (Moringa oleifera) mengandung berbagai zat gizi dan senyawa bioaktif yang berpotensi membantu pengelolaan diabetes. Mengkaji peran zat gizi dan senyawa bioaktif daun kelor dalam pengendalian diabetes melitus berdasarkan penelitian tahun 2021–2026.Literatur review dilakukan melalui pencarian artikel pada Google Scholar, PubMed, ScienceDirect, dan SpringerLink. Sebanyak 10 artikel yang memenuhi kriteria inklusi dianalisis. Daun kelor terbukti mampu menurunkan kadar glukosa darah, meningkatkan sensitivitas insulin, memperbaiki profil lipid, dan mengurangi stres oksidatif. Efek tersebut dipengaruhi ol…
creator: Ainul Mardiah
creator: Syahrial Syahrial
creator: Jeallyza Muthia Azra
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 592
ending page: 606
doi: 10.33024/mahesa.v6i9.26641

Pengaruh Penggunaan Herichat-Tb Berbasis Web- Mobile-Ai sebagai Dukungan Asuhan Keperawatan terhadap Kepatuhan Minum Obat dan Self- Efficacy Pasien Tuberkulosis di RS Bhayangkara Surabaya
type: item
description: ABSTRACT Tuberculosis requires long-term treatment adherence, yet many patients experience low adherence and self-efficacy, which can lead to treatment failure. The use of technology-based interventions such as chatbot AI offers potential support in improving patient outcomes.This study aimed to analyze the effect of HeriChat-TB web-mobile AI on medication adherence and self-efficacy among tuberculosis patients.This study used a quantitative quasi-experimental design with a pretest–posttest with control group approach. A total of 147 respondents were selected using simple random sampling and divided into three groups: intervention 10 days (n=49), intervention 20 days (n=49), and control (n=49). Data were collected using MMAS-8 and TBSES instruments and analyzed using Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests. The 20-day intervention significantly improved medication adherence and self-efficacy compared to the 10-day intervention and control group. The 10-day intervention improved self-efficacy but did not significantly affect adherence. No significant change in adherence was found in the control group. The correlation between changes in self-efficacy and adherence was positive but not significant. HeriChat-TB web-mobile AI is effective in improving medication adherence and self-efficacy in tuberculosis patients, particularly with longer intervention duration. Keywords: Tuberculosis, Adherence, Self-Efficacy, Chatbot AI, Digital Health. ABSTRAK Tuberkulosis memerlukan kepatuhan pengobatan jangka panjang, namun masih banyak pasien yang mengalami rendahnya kepatuhan dan self-efficacy sehingga berisiko terhadap kegagalan terapi. Pemanfaatan teknologi berbasis artificial intelligence seperti chatbot menjadi salah satu alternatif untuk mendukung peningkatan hasil pengobatan.Penelitian ini bertujuan untuk menganalisis pengaruh HeriChat-TB berbasis web-mobile AI terhadap kepatuhan minum obat dan self-efficacy pasien tuberkulosis. Penelitian ini menggunakan desain kua…
creator: Heri Nur Cahyanto
creator: Agustin Agustin
creator: Novita Ana Anggraini
creator: Indasah Indasah
creator: Prima Dewi K
rights: ##submission.copyrightStatement##
date: 2026-09-01
publication date: 2026-09-01
volume: 6
number: 9
starting page: 607
ending page: 618
doi: 10.33024/mahesa.v6i9.25712