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: Pengaruh Edukasi Berbasis Aplikasi Android “SEDIA” dalam Meningkatkan Self Efficacy Pasien Diabetes Mellitus Tipe 2 di Kota Kupang
items: Pengaruh Pemberdayaan Keluarga terhadap Perilaku Pencegahan Komplikasi Hipertensi dengan Pendekatan Theory of Planned Behavior di Desa Baumata Utara
items: Analisis Pengaruh Social Media Marketing terhadap Kepuasan, Kepercayaan, Komitmen, Citra Merek, dan Word of Mouth Pasien Klinik
items: Pendekatan Holistik Pada Fenomena Racun Sangga Menekankan Keseimbangan Mind Body Soul Dalam Pelayanan Keperawatan Modern
items: Hubungan Antara Lingkar Pinggang dengan Tekanan Darah Pada Pasien di Poliklinik Rumah Sakit Ibnu Sina Makassar
items: Efektivitas Patch Transdermal Ekstrak Kayu Manis Terhadap Penyembuhan Luka Perineum Pada Ibu Postpartum
items: Model Perilaku Pencegahan Flebitis Berbasis Theory of Planned Behavior pada Perawat di RSUD Blambangan Banyuwangi
items: Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Jamaah Umroh Tentang Vaksinasi Meningitis di Balai Besar Kekarantinaan Kesehatan Tanjung Priok
items: Kajian Epidemiologi Manajerial untuk Efektifitas Program Tuberkulosis
items: Analisis Budaya Organisasi, Gaya Kepemimpinan, dan Motivasi Terhadap Kinerja Perawat di RS Siloam Manado
items: Faktor Psikososial dari Stres Kerja Polisi: Studi Literatur Sistematis
items: Mutu Pelayanan Kesehatan Gigi dan Mulut sebagai Determinan Kepuasan dan Loyalitas Pasien: Sebuah Tinjauan Sistematis
items: Perubahan Metilasi DNA Akibat Paparan Timbal Perinatal Meningkatkan Resiko Terjadinya Gangguan Sistem Saraf : Narative Review
items: Implementation of Palliative Care in Reducing Hospital Readmission Among Cancer Patients: A Systematic Review
items: Evaluasi Sistem Penilaian Kinerja Karyawan: Studi Kasus di Rumah Sakit Risa Sentra Medika
items: Peran Fucoidan Terhadap Angiogenesis
items: Analisis Pengaruh TNA dan Budaya Organisasi Terhadap Kualitas Layanan Rumah Sakit melalui Kompetensi Sumber Daya Manusia
items: Hubungan Jenis Kelamin, Self-Efficacy, dan Kepatuhan Menjalani Terapi dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUD Kota Mataram
items: Analisis Keterkaitan Motivasi Kerja dengan Kinerja Perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang
items: Efektivitas Flashcard Game Terhadap Minat dan Pengetahuan dalam Menjaga Kesehatan Gigi pada Anak Sekolah Dasar
items: Age, Hypertension, and Physical Inactivity as Dominant Risk Factors for Stroke: A Population-Based Study in Yogyakarta, Indonesia
items: Tren Global dan Perkembangan Riset tentang Prediktor Kelulusan Uji Kompetensi Keperawatan: Analisis Bibliometrik
items: Pengaruh dari Ketorolac dan Metamizole terhadap Hemostasis: A Literature Review
items: Hubungan Kadar Albumin Plasma pada Penderita TB Mdr dengan Ko-Infeksi Hepatitis B
items: Analisis Implementasi Kebijakan Intervensi Spesifik dalam Keberhasilan Penurunan Kasus Stunting di Wilayah Kerja Puskesmas Martapura Timur, Kabupaten Banjar, Kalimantan Selatan
items: Efektivitas Edukasi Kesehatan Terhadap Peningkatan Pengetahuan Ibu dalam Penanganan Kejang Demam Pada Balita di Rumah Sakit Mustika Medika
items: Diskrepansi Golongan Darah Abo Pada Leukemia
items: Correlation between Handgrip Strength and Pulmonary Function Parameters (% Predicted) in an Urban Adult Population
items: Tren dan Perspektif Budaya dalam Penelitian Diabetes Melitus: Analisis Bibliometrik
items: Efektifitas Promosi Kesehatan Metode Kontemporer Terhadap Kejadian Kecemasan Pada Remaja Dalam Persiapan Ujian Akhir
items: Analisis Konsumsi dan Ketepatan Antibiotik Aware Pada Pasien Bedah Bersih dan Bersih Terkontaminasi di Rumah Sakit Husada Utama Surabaya
items: Six Minute Walk Test (6mwt) sebagai Indikator Pemulihan Fungsional Fase Rehabilitasi Jantung Pasca Sindrom Koroner Akut: Scoping Review
items: Analisis Bibliometrik Penelitian tentang Gangguan Tidur Pada Pasien Stroke
items: Hubungan Jenis Kelamin, Persepsi Citra Tubuh, dan Penggunaan Media Sosial Dengan Body Dysmorphic Disorder Pada Remaja di SMA X Mataram
items: Global Research Trends on Emergency Medical Technicians: A Bibliometric Analysis (2015-2025)
items: Terapi Adjuvan Magnesium Sulfat Inhalasi Pada Eksaserbasi Asma Akut dengan Risiko Kematian dan Gagal Napas Tipe II Pada Kehamilan: Suatu Kasus Klinis
items: Korelasi Indeks Massa Tubuh dengan Parameter Fisiologis Kulit pada Mahasiswa Fakultas Kedokteran Universitas Tarumanagara
items: Praktik Bapukung dalam Mendukung Regulasi Emosi dan Ketenangan Bayi: Studi Etnografi pada Masyarakat Banjar
items: Hubungan Tingkat Stres, Kualitas Tidur, dan Karakteristik Mahasiswa dengan pH Saliva Mahasiswa/I Fakultas Kedokteran Universitas Prima Indonesia saat Objective Structured Clinical Examination (OSCE)
items: Laporan Kasus: Demam Berdarah Dengue dengan Perdarahan Saluran Cerna pada Pasien Anak Usia 9 Tahun disertai Bisitopenia dengan Dugaan Leukemia Limfoblastik Akut
items: Analisis Kebutuhan Edukasi untuk Mendukung Pengembangan Program Pencegahan Jatuh Berbasis Komunitas pada Lansia RW 018 Kelurahan Sadang Serang
items: Pendekatan Anestesi pada Kraniotomi Retromastoid pada Pasien Tumor Cerebellopontine Angle Disertai Hidrosefalus dan Malfungsi Ventriculoperitoneal Shunt
items: Program Peduli Ibu dan Anak (Pro-PedIA) melalui Pendampingan Bina Keluarga Balita dan Kader Dalam Mencegah Komplikasi Kehamilan dan Resiko Stunting
items: Nomophobia dan Pengukuran: Tinjauan Literatur

Pengaruh Edukasi Berbasis Aplikasi Android “SEDIA” dalam Meningkatkan Self Efficacy Pasien Diabetes Mellitus Tipe 2 di Kota Kupang
type: item
description: ABSTRACT Diabetes mellitus (DM) is a chronic and progressive disease that causes quite serious complications in sufferers. One of the causes of the high number of complications is the lack of self-confidence in the ability of sufferers to carry out the 5 pillars of diabetes care independently optimally, which is related to the incidence of illness and also the quality of life of sufferers. One effort to increase self-efficacy is through providing education as a basis for forming perceptions that help sufferers adopt certain behaviors for their health. This study used a quantitative Quasi Experimental method with a Pretest and Posttest two Group Design research design, to analyze the effectiveness of the SEDIA application in increasing the self-efficacy of T2DM sufferers. Results: After respondents in the intervention group used the application for one month, there was an increase in self-efficacy among respondents in the control group. A total of 14 respondents (56%) felt confident in performing self-care at home, while 11 respondents (44%) felt doubtful. The Wilcoxon Sign Rank test showed a p value of 0.002 with an α value of 0.05. A p value < α indicates that H0 is rejected, which indicates that the Android application-based educational program "SEDIA" significantly increases the self-efficacy of T2DM patients. = In general, education provided by health workers is still conventional, namely in the form of printed materials and demonstrations. The Diabetes Health Education Application (SEDIA) is an Android-based application that can be used as a tool to support health promotion and support for people with type 2 diabetes mellitus. Keywords: Diabetes Mellitus, SEDIA, Android, Self-Efficacy. ABSTRAK Diabetes mellitus (DM) merupakan penyakit kronis dan progresif yang menyebabkan komplikasi cukup serius pada pasien. Salah satu alasan masih tingginya kasus komplikasi adalah kurangnya kepercayaan diri pasien akan kemampuannya untuk melakukan 5 pilar perawatan diabetes se…
creator: Stefania Efenhilda Tefa
creator: Welmince Paulina Nggorong
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 1
ending page: 10
doi: 10.33024/mahesa.v6i8.23877

Pengaruh Pemberdayaan Keluarga terhadap Perilaku Pencegahan Komplikasi Hipertensi dengan Pendekatan Theory of Planned Behavior di Desa Baumata Utara
type: item
description: ABSTRACT Low levels of family support are characterized by non-compliance with self-management so that blood pressure increases and is uncontrolled. The purpose of this study is to determine the effect of family empowerment on preventing hypertension complications. The research method is a quantitative descriptive research design with a Quasi Experiment approach with a Pretest and Posttest two Group Design research design of family assistance on preventing hypertension complications with the Theory of Planned Behavior approach. Pre-test and post-test behavior measurements using a questionnaire were then analyzed using the Wicoxon test. The results of the study showed that knowledge related to hypertension was almost unsure about hypertension prevention measures for 30 people (60%), then Outcome evaluations category for 30 people, Normative belief category for unsure about control belief category for unsure about 30 people (60%), in caring for family members with hypertension. In addition to family empowerment, 30 people (60%) were not sure, 27 people (57%) of families did not know about family health problems, caring for patients with hypertension for 28 people (56%), modification of the physical and psychological environment for 30 people (60%), using health facilities. Conclusion: The conclusion of this study is that the influence of family empowerment based on the theory of planned behavior can be implemented by nurses by considering personal factors, social factors, and information factors in improving the family's complication prevention behavior. Keywords: Family Empowerment, Hypertension, Theory of Planned Behavior, Behavior, Complications. ABSTRAK Rendahnya tingkat dukungan keluarga ditandai dengan ketidapatuhan terhadap manajemen diri sehingga tekanan darah menjadi meningkat serta tidak terkendali Tujuan mengetahui efektivitas pada pemberdayaan keluarga terhadap pencegahan komplikasi hipertensi. Penelitian ini menggunakan metode kuantitatif dengan pendekata…
creator: Welmince Paulina Nggorong
creator: Stefania E Tefa
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 11
ending page: 23
doi: 10.33024/mahesa.v6i8.23875

Analisis Pengaruh Social Media Marketing terhadap Kepuasan, Kepercayaan, Komitmen, Citra Merek, dan Word of Mouth Pasien Klinik
type: item
description: ABSTRACT Healthcare services in Indonesia are increasingly utilizing social media as a marketing strategy to strengthen relationships with patients and enhance brand image. This study aims to analyze the influence of Social Media Marketing (SMM) on customer satisfaction, trust, commitment, brand image, and Word of Mouth (WoM) in the context of healthcare services at Clinic X. The research employed a quantitative approach with a cross-sectional design. The sample consisted of 400 patients who had used the clinic’s services and interacted through social media. Data were collected using an online questionnaire and analyzed using Structural Equation Modeling (SEM) with Partial Least Squares (PLS). The results indicate that SMM significantly affects patient satisfaction, trust, commitment, and brand image. Patient satisfaction also positively influences trust and commitment, although the effect of trust on commitment was not statistically significant. Additionally, satisfaction, trust, commitment, and brand image collectively influence Word of Mouth (WoM). These findings highlight the strategic importance of social media utilization in improving patient experience and fostering loyalty. This study is limited by its geographical scope and the subjective nature of its measurements. Future research is recommended to expand to various regions, adopt mixed-method approaches, and explore cultural and demographic factors that may influence the effectiveness of SMM in healthcare marketing. Keywords : social media marketing, customer satisfaction, trust, commitment, brand image, word of mouth, healthcare services ABSTRAK Layanan kesehatan di Indonesia semakin memanfaatkan media sosial sebagai strategi pemasaran untuk membangun hubungan yang lebih kuat dengan pasien dan meningkatkan citra merek. Penelitian ini bertujuan untuk menganalisis pengaruh Social Media Marketing (SMM) terhadap kepuasan pelanggan, kepercayaan, komitmen, citra merek, dan Word of Mouth (WoM) dalam konteks lay…
creator: RR Anggraeni Indah Ekiyanti
creator: Aflit Nuryulia Praswati
creator: Surya Prihatini
rights: ##submission.copyrightStatement##
date: 2026-07-05
publication date: 2026-07-05
volume: 6
number: 8
starting page: 24
ending page: 40
doi: 10.33024/mahesa.v6i8.26201

Pendekatan Holistik Pada Fenomena Racun Sangga Menekankan Keseimbangan Mind Body Soul Dalam Pelayanan Keperawatan Modern
type: item
description: ABSTRACT The holistic nursing approach emphasises a comprehensive understanding of human beings, encompassing physical, psychological, social, and spiritual aspects. In the context of Kalimantan society, the phenomenon of Racun Sangga presents a unique challenge because it involves interactions between cultural beliefs and modern medical interpretations. This study aims to (1) identify the Racun Sangga phenomenon from medical (body), psychological (mind), and spiritual (soul) perspectives in holistic nursing care, and (2) analyse the influence of Kalimantan society's culture on practice. The research method used a phenomenological and ethnographic approach, through in-depth interviews and live-in. In-depth interviews were conducted with nine informants consisting of doctors, psychologists, spiritual experts, traditional healers, victims, and live-in in one of the villages in Kalimantan. The results of the study show that medically, Racun Sangga is understood as a symptom with biological aetiology; psychologically, it appears as a perceptual or psychosomatic disorder caused by fear and emotional pressure; while spiritually, it is considered a real metaphysical attack by the community. Local culture has been proven to greatly influence the perception of illness and patterns of seeking treatment, where the community first conducts magic-based self-diagnosis before seeking medical help. In conclusion, the Racun Sangga phenomenon is a multidimensional experience that encompasses body–mind–soul interactions and demonstrates that Kalimantan culture plays a dominant role in shaping the beliefs, responses, and health behaviours of the community. The implication is that modern nursing services must integrate cultural competence, medical interventions, psychological support, and ethical spiritual approaches to provide effective and culturally sensitive care. Keywords: Holistic Nursing, Kalimantan Culture, Racun Sangga, Black Magic. ABSTRAK Pendekatan keperawatan holistik menek…
creator: Abdus Salam
creator: Hamidatul Jannah
creator: Ananda Yasyfa Nurhaliza Sugita
creator: Amalia Amalia
creator: Herman Ariadi
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 41
ending page: 51
doi: 10.33024/mahesa.v6i8.24074

Hubungan Antara Lingkar Pinggang dengan Tekanan Darah Pada Pasien di Poliklinik Rumah Sakit Ibnu Sina Makassar
type: item
description: ABSTRACT The prevalence of hypertension continues to increase worldwide, including in Indonesia. Hypertension is defined as an elevation of systolic blood pressure of at least 140 mmHg or diastolic blood pressure of at least 90 mmHg. This study aimed to determine the waist circumference of patients at the Outpatient Clinic of Ibnu Sina Hospital Makassar in 2025, to identify their blood pressure levels, and to examine the relationship between waist circumference and blood pressure. The study employed a descriptive-analytic design with a cross-sectional approach and involved 93 respondents. Waist circumference was measured using a standard measuring tape, while blood pressure was assessed with a sphygmomanometer following proper procedures. Data were analyzed using descriptive statistics and correlation tests. The results showed that 74 respondents (79.6%) had waist circumferences classified as central obesity, while 19 respondents (20.4%) were within the normal category. For blood pressure, 28 respondents (30.1%) were categorized as grade 2 hypertension and 20 respondents (21.5%) as grade 1 hypertension, with only a small proportion having normal blood pressure. The analysis indicated a positive relationship between waist circumference and blood pressure, where an increase in waist circumference corresponded with an increase in blood pressure. Keywords: Waist Circumference, Blood Pressure, Central Obesity, Hypertension. ABSTRAK prevalensi hipertensi terus meningkat di seluruh dunia, termasuk di Indonesia. Hipertensi didefinisikan sebagai peningkatan tekanan darah sistolik sedikitnya 140 mmHg atau tekanan darah diastolik sedikitnya 90 mmHg. Penelitian ini bertujuan untuk Mengetahui lingkar pinggang pasien di Poliklinik Rumah Sakit Ibnu Sina Makassar tahun 2025, mengetahui tekanan darah pasien di Poliklinik Rumah Sakit Ibnu Sina Makassar tahun 2025, mengetahui hubungan antara lingkar pinggang dengan tekanan darah pada pasien di Poliklinik Rumah Sakit Ibnu Sina Makassar…
creator: Aisyah Fani Herawati
creator: Yusriani Mangarengi
creator: Fadil Mula Putra
creator: Asrini Safitri
creator: Akina Maulidhany Tahir
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 52
ending page: 66
doi: 10.33024/mahesa.v6i8.24109

Efektivitas Patch Transdermal Ekstrak Kayu Manis Terhadap Penyembuhan Luka Perineum Pada Ibu Postpartum
type: item
description: ABSTRACT Perineal wounds are a common condition resulting from vaginal delivery, either due to episiotomy or spontaneus perineal tears. If not properly managed, perineal wounds may reduce maternal health and quality of life. Cinnamon ( Cinnamommun burmanii ) contains active compounds such as flavonoid, tannins and saponins that possess antibacterial and antimicrobial properties, thereby having potential to accelerate wound healing. This study involved two groups, an intervention group and a control group, each consisting of 23 respondents. REEDA scores were measured on days 1, 3, 5, and 7 postpartum. Normality testing showed that the data were not normally distributed (p < 0.05), therefore the Mann-Whitney and Friedman tests were used for analysis. Respondent characteristics (age, nutritional status, vulva hygiene) were analyzed using the Chi-Square test. The baseline characteristics of both groups were comparable (age p = 1.000, parity p = 0.351, vulva hygiene p = 1.000). The Friedman test showed significant changes in REEDA scores across the observation days (p = 0.000). The Mann-Whitney test indicated no significant difference in REEDA scores on day 1 (p = 0.121), but significant differences were observed on day 3 (p = 0.000), day 5 (p = 0.000), and day 7 (p = 0.000), with the intervention group demonstrating lower REEDA scores and faster wound healing. The intervention was proven to be effective in accelerating perineal wound healing, indicated by significantly faster reductions in REEDA scores starting from day 3. Keywords: Perineal Wound, Postpartum, Wound Healing, REEDA, Vulva Hygiene. ABSTRAK Luka perineum merupakan kondisi yang umum terjadi akibat proses persalinan pervaginam baik karena episiotomi maupun robekan spontan. Apabila tidak ditangani dengan baik luka perineum dapat menurunkan kualitas kesehatan ibu. Kayu manis (cinnamommun burmanii) mengandung senyawa aktif seperti flavonoid, tanin dan saponin yang memiliki sifat antibakteri dan antimikroba sehi…
creator: Tri Karsiti
creator: Mardiyono Mardiyono
creator: Dina Indrati Dyah Sulistyowati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 67
ending page: 79
doi: 10.33024/mahesa.v6i8.24110

Model Perilaku Pencegahan Flebitis Berbasis Theory of Planned Behavior pada Perawat di RSUD Blambangan Banyuwangi
type: item
description: ABSTRACT Phlebitis is a common complication of intravenous therapy that increases patient morbidity, length of hospital stay, and healthcare costs. Nurses’ preventive behaviors play a crucial role in reducing phlebitis incidence; however, field practice shows persistent non-adherence to standard procedures. This study aimed to develop a phlebitis prevention behavior model among nurses based on the Theory of Planned Behavior (TPB). An analytic observational design with a cross-sectional approach was employed. The sample consisted of 98 inpatient and emergency department nurses at Blambangan General Hospital, Banyuwangi, recruited using a total sampling method. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results revealed that perceived behavioral control (PBC) significantly influenced both the intention and actual behavior of phlebitis prevention. Social and informational factors affected attitudes, subjective norms, and PBC, which in turn shaped nurses’ intentions to perform preventive actions. PBC emerged as the key determinant of phlebitis prevention behavior, directly and indirectly through intention. These findings highlight that enhancing nurses’ behavioral control including self-efficacy, availability of resources, and procedural convenience constitutes a pivotal strategy in phlebitis prevention interventions. Keywords: Phlebitis, Nurses, Theory 0f Planned Behavior, Perceived Behavioral Control, Intention. ABSTRAK Flebitis merupakan komplikasi umum pada pemasangan terapi intravena yang dapat meningkatkan morbiditas, lama rawat, serta biaya perawatan pasien. Perilaku pencegahan flebitis oleh perawat memiliki peran krusial dalam menurunkan angka kejadian, namun praktik di lapangan menunjukkan masih adanya ketidakpatuhan terhadap standar prosedur. Penelitian ini bertujuan untuk menyusun model perilaku pencegahan flebitis pada perawat berbasis Theory of Planned Behavior (TPB). Desain penelitian menggunakan pendekatan anali…
creator: Kusnul Kotimah
creator: Iis Rahmawati
creator: Rondhianto Rondhianto
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 80
ending page: 91
doi: 10.33024/mahesa.v6i8.22387

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Jamaah Umroh Tentang Vaksinasi Meningitis di Balai Besar Kekarantinaan Kesehatan Tanjung Priok
type: item
description: ABSTRAK Vaksin meningitis merupakan salah satu persyaratan kesehatan bagi jemaah umroh untuk mencegah penularan penyakit meningokokus selama perjalanan dan saat berada di area dengan kepadatan tinggi. Namun, tingkat pengetahuan jemaah mengenai pentingnya vaksinasi masih bervariasi dan sering kali belum memadai, sehingga memengaruhi kepatuhan terhadap vaksinasi. Pendidikan kesehatan berperan penting dalam meningkatkan pemahaman dan kesadaran jemaah tentang manfaat serta prosedur vaksinasi. Peningkatan pengetahuan melalui edukasi yang terstruktur diharapkan dapat membantu jemaah membuat keputusan kesehatan yang tepat serta mencegah risiko penyakit selama perjalanan ibadah. Mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan jamaah umroh tentang vaksinasi meningitis. Quasi experiment dengan desain one group pretest-posttest. Sampel dalam penelitian ini adalah sebagian jama’ah umroh yang datang di Balai Besar Kekarantinaan Kesehatan Tanjung Priok pada bulan November 2025, sebanyak 70 orang. Teknik pengambilan sampel menggunakan randoom sampling. Mayoritasresponden berumur 30-59 tahun 75,7%, pendidikan menengah 58,6% dan berjenis kelamin perempuan 65,7%. Tingkat pengetahuan responden tentang vaksinasi meningitis sebelum diberikan pendidikan kesehatan mayoritas berpengetahuan cukup 55,7%, dan sesudahnya mayoritas berpengetahuan baik 70,0%. Adanya pengaruh pendidikan kesehatan terhadap pengetahuan jamaah umroh tentang vaksinasi meningitis, dengan nilai p value 0,00. Ada pengaruh pendidikan kesehatan terhadap pengetahuan jamaah umroh tentang vaksinasi meningitis. Diharapkan instansi terkait dapat meningkatkan program edukasi tentang vaksinasi meningitis melalui penyampaian informasi yang mudah dipahami, dan dilakukan secara rutin pada setiap kegiatan pembekalan jemaah umroh. Kata Kunci: Pendidikan Kesehatan, Pengetahuan, Vaksin Meningitis, Jamaah Umroh. ABSTRACT Meningitis vaccination is a health requirement for Umrah pilgrims to prevent meningococcal transmission…
creator: Rhani Desica
creator: Isnaini Isnaini
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 92
ending page: 106
doi: 10.33024/mahesa.v6i8.24075

Kajian Epidemiologi Manajerial untuk Efektifitas Program Tuberkulosis
type: item
description: ABSTRACT Tuberculosis (TB) remains a global health problem, including in Indonesia. The East Nusa Tenggara Province Health Center (SITB) reported 10,110 TB cases (56%) in 2024. Approximately 7,851 of the 17,961 TB cases remain undetected or unreported. The number of TB cases in Kupang Regency in 2024 reached 454 (38%), with approximately 755 cases remaining undetected out of the target of 1,209 This gap is influenced by suboptimal utilization of cadre resources, weaknesses in the service system, and the lack of effective strategy development. This study aimed to analyze the relationship between managerial epidemiology and the effectiveness of the tuberculosis program in Kupang Regency in 2025. A mixed-method study with a cross-sectional design was conducted at 29 health service facilities in Kupang Regency, including 27 primary health care facilities and two referral hospitals, selected using purposive sampling. Statistical analysis showed a significant relationship between managerial epidemiology and TB program effectiveness. Of the 11 independent variables studied, 10 were significantly associated with program effectiveness (p < 0.05), including planning, management-based and environmental-based implementation, intervention design, identification of causes and risks, selection of epidemiological strategies, monitoring, supervision, evaluation, and surveillance. Despite these findings, the effectiveness of the TB program still needs improvement due to limited resources, suboptimal data analysis, and high community stigma. In conclusion, epidemiologically based planning, intervention strategies, monitoring, supervision, evaluation, and surveillance are directly related to TB program effectiveness in Kupang Regency. Keywords: Managerial Epidemiology, TB Program Effectiveness, Kupang Regency. ABSTRAK Tuberkulosis (TB) masih menjadi masalah kesehatan global, termasuk di Indonesia. Pada tahun 2024, Sistem Informasi Tuberkulosis (SITB) Provinsi Nusa Tenggara Timur melapo…
creator: Maria Magdalena Dwi Wahyuni
creator: Simon Sani Kleden
creator: Norma Tiku Kambuno
creator: Sakti Oktaria Batubara
creator: Tanti Rahayu
creator: A. A. Gd Bagus Adi Suardipa
creator: Aminah Haslinda Baun
creator: Marianus Lino
creator: Amanda Jelita Eka Riani Johannis
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 107
ending page: 120
doi: 10.33024/mahesa.v6i8.23941

Analisis Budaya Organisasi, Gaya Kepemimpinan, dan Motivasi Terhadap Kinerja Perawat di RS Siloam Manado
type: item
description: ABSTRACT Nurses performance is a key indicator of nursing service quality and patient safety in hospitals. From a nursing management perspective, nurses’ performance is influenced by various internal organizational factors, including organizational culture, leadership style, and work motivation. Although these factors are theoretically assumed to play an important role in shaping nurses’ behavior and performance, empirical findings remain inconsistent, particularly in private hospital settings. This study aimed to analyze the influence of organizational culture, leadership style, and work motivation on nurses’ performance at Siloam Manado Hospital. This study employed a quantitative approach with a cross-sectional design. A total of 110 nurses were selected as respondents using a simple random sampling technique. Data were collected through structured questionnaires that had been tested for validity and reliability. Data analysis was conducted using dummy linear regression, preceded by classical assumption tests including normality, multicollinearity, heteroscedasticity, and linearity tests. The simultaneous test results indicated that organizational culture, leadership style, and work motivation did not have a significant joint effect on nurses’ performance (p > 0.05). Partial analysis also revealed that each independent variable did not significantly influence nurses’ performance. The coefficient of determination (R²) was 0.034, indicating that the regression model explained only 3.4% of the variance in nurses’ performance. In conclusion, nurses’ performance at Siloam Manado Hospital appears to be relatively stable and not significantly influenced by organizational culture, leadership style, or work motivation. This finding may be attributed to the strong implementation of standardized operating procedures and structured work systems, which minimize performance variation attributable to internal organizational factors. Keywords: Leadership Style, Nurses Performanc…
creator: Hesky Frengky Ngongoloy
creator: Nurwijayanti Nurwijayanti
creator: Joko Prasetyo
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 121
ending page: 134
doi: 10.33024/mahesa.v6i8.24129

Faktor Psikososial dari Stres Kerja Polisi: Studi Literatur Sistematis
type: item
description: ABSTRACT Psychosocial factors of police occupational stress indicate that the mechanisms of police occupational stress tend to be complex. This is due to the nature of the work itself and its interaction with the social and psychological environment. Identifying psychosocial factors in the workplace means considering how work influences an individual's feelings, thoughts, and behaviors, thus gaining a comprehensive understanding for developing interventions for police occupational stress.To identify psychosocial factors of police occupational stress based on a systematic literature review. A Systematic Review of Literature (SRL) was conducted using the PICOC (Population, Intervention, Comparison, Outcomes, and Context) approach. The review examined 21 empirical research journals from 2019-2024, covering the psychosocial factors of police occupational stress, published in Scopus-indexed international journals, reputable international journals, international journals, and reputable national journals (Sinta). Journals were obtained from a search engine (Google Chrome) and analyzed using narrative meta-synthesis. Psychosocial factors of police work stress span personal, operational, organizational, and socio-political contexts. Gender and urban vs. rural locations are noted personal factors. Operational issues are the most frequently cited psychosocial factors. Administrative burden is the most frequently cited organizational complaint. The psychosocial factors of police work stress encompass personal, operational, organizational, and socio-political contexts. Examining gaps in psychosocial concepts and research methods is important. Keywords: Personal Stressors, Operational Stressors, Organizational Stressors, Socio-Political Contexts, Police. ABSTRAK Faktor psikososial dari stres kerja polisi memperlihatkan bahwa mekanisme terjadinya stres kerja polisi cenderung kompleks. Hal ini dikarenakan sifat pekerjaan itu sendiri dan interaksinya dengan lingkungan sosial dan psi…
creator: Devy Maria Kristiani
creator: M. Suharsono
creator: M.Sih Setija Utami
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 135
ending page: 155
doi: 10.33024/mahesa.v6i8.24119

Mutu Pelayanan Kesehatan Gigi dan Mulut sebagai Determinan Kepuasan dan Loyalitas Pasien: Sebuah Tinjauan Sistematis
type: item
description: ABSTRACT Oral and dental health is an integral component of overall health and plays a significant role in determining individuals’ quality of life. The high prevalence of oral and dental diseases globally and nationally indicates persistent challenges in delivering high-quality, patient-centered dental health services. Service quality is widely recognized as a crucial factor in enhancing patient satisfaction and fostering patient loyalty toward dental healthcare facilities. This study aimed to synthesize scientific evidence on the influence of oral and dental healthcare service quality on patient satisfaction and loyalty. Articles published between 2015 and 2025 were systematically reviewed using the Google Scholar, GARUDA, and PubMed databases. This study followed a systematic review design in accordance with the PRISMA 2020 guidelines. Literature searches were conducted using combinations of keywords related to service quality, oral and dental health services, patient satisfaction, and patient loyalty. Article selection involved the stages of identification, screening, and full-text eligibility assessment. The methodological quality and risk of bias of the included studies were appraised using the Critical Appraisal Skills Programme (CASP), and eligible studies were synthesized narratively. The literature search identified 698 articles, of which 15 studies were included for in-depth analysis after the screening process. The findings consistently demonstrated that the quality of oral and dental healthcare services has a significant effect on patient satisfaction, particularly through dimensions such as professional competence, communication quality, empathy, and facility comfort. patient satisfaction emerged as a key determinant of patient loyalty, reflected in revisit intentions and willingness to recommend services. Importantly, patient satisfaction functioned as a critical mediating variable linking service quality and patient loyalty. Keywords: Service Quality…
creator: Rangga Gama Adyatma
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 156
ending page: 171
doi: 10.33024/mahesa.v6i8.24155

Perubahan Metilasi DNA Akibat Paparan Timbal Perinatal Meningkatkan Resiko Terjadinya Gangguan Sistem Saraf : Narative Review
type: item
description: ABSTRACT Perinatal lead (Pb) exposure causes in DNA methylation patterns. Changes in methylation patterns have been shown to cause neurotoxicity due to Pb with inter- and transgenerational inheritance patterns. The inheritance of these patterns increases the risk of developmental programming for neurodegenerative diseases and impaired cognitive, emotional, mental, and motor function development. To analyze the effects of perinatal Pb exposure on changes in DNA methylation patterns, what genetic material is involved, possible nervous system disorders, and influencing factors. Narrative Review using databases from (1) PubMed Central, (2) Google Scholar, (3) Nature, and (4) Cell Press. The articles used were published between 2014 and 2024. The keywords used were lead exposure, DNA methylation, and neurodevelopment combined with Boolean Operators (AND/OR). A total of 11 articles met the criteria and were analyzed narratively. Perinatal exposure to Pb causes changes in DNA methylation, both hypermethylation and hypomethylation. The changes were widespread in various body tissues, including neurons in the cerebral cortex, hippocampus, blood, and placenta, and were inherited by offspring in the F1, F2, and F3 generations. The inheritance pattern was influenced by the age of exposure, stage of pregnancy, sex, and composition involved in the lineage, as well as the exposure dose. Genes considered important predictors of cognitive, motor, behavioral, and emotional developmental disorders are the CCSER1 gene (cg02901723), the GCNT1 gene (CG18515027), and the TRAPPC6A gene (cg19703494). Other genes that undergo changes in DNA methylation patterns are Ankdd1b, Cdh24, APOA5, Dynein Cytoplasmic 1 Light Intermediate Chain 1 (Dync1li1), GOLPH3, DNHD1, Trhde, FABP4, GPR20, and NINJ2.Prenatal exposure to lead increases the risk of various nervous system disorders in the next generation through epigenetic mechanisms, particularly DNA methylation. Changes in DNA methylation in certain …
creator: Anggraeni Janar Wulan
creator: Irfannuddin Irfannuddin
creator: Mohammad Zulkarnain
creator: Nur Arfian
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 172
ending page: 191
doi: 10.33024/mahesa.v6i8.24101

Implementation of Palliative Care in Reducing Hospital Readmission Among Cancer Patients: A Systematic Review
type: item
description: ABSTRACT Cancer patients are a population at high risk of hospital readmissions due to complex symptoms. Palliative care is a multidisciplinary approach that has the potential to reduce these readmissions by providing comprehensive support.This systematic review aimed to systematically assess palliative care interventions in reducing hospital readmission among cancer patients.A systematic literature search was conducted across six major databases (PubMed, Scopus, ScienceDirect, ClinicalKey Nursing, JSTOR, and SAGE Journals) using keywords including “cancer patients”, “palliative care”, and “hospital readmission”. Inclusion criteria encompassed quantitative studies that assessed the impact of palliative care interventions on hospital readmission rates. The methodological quality of each study was appraised using the appropriate JBI Critical Appraisal Tools.Out of 10,565 original records, 8 studies were included. The study looked into both inpatient and home care-based interventions. Results consistently showed that between 7 and 30 days after discharge, palliative care significantly decreased the readmission rate.Palliative care is effective in reducing hospital readmission among cancer patients. Keywords: Hospital Readmission, Palliative Care, Cancer Patients.
creator: Rifqi Alifa Bestari
creator: Tuti Nuraini
creator: Allenidekania Allenidekania
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 192
ending page: 200
doi: 10.33024/mahesa.v6i8.24174

Evaluasi Sistem Penilaian Kinerja Karyawan: Studi Kasus di Rumah Sakit Risa Sentra Medika
type: item
description: ABSTRACT Hospitals are required to implement continuous performance appraisal to improve healthcare service quality according to accreditation standards. This study aimed to examine and evaluate the employee performance appraisal system at Risa Sentra Medika Hospital. This qualitative research based on case study involved ten informants consisting of managers, heads of affairs, unit heads, and employees selected purposively. Data collection was conducted through semi-structured interviews and document analysis, analyzed using data reduction, data display, and conclusion drawing with triangulation, member checking, and audit trail validity tests. Implementation of the performance appraisal system showed significant gaps with established standards including minimal socialization and appraiser training, uniform appraisal instruments without job differentiation, non-periodic implementation time, absence of technical guidelines, one-way performance measurement, documentation of indicators not yet measured based on Key Performance Indicators, and suboptimal utilization of evaluation results. The performance appraisal system has not functioned optimally as a strategic instrument for human resource development. Comprehensive reconstruction is needed through strengthening socialization, job description-based instrument differentiation, structured periodic appraisal implementation, technical guideline development, two-way feedback mechanisms, measurable indicator-based documentation, and optimization of evaluation results utilization to support competency development and sustainable performance culture. Keywords: Health Workers, Hospital, Human Resource Management, Performance Appraisal, Performance Evaluation. ABSTRAK Rumah sakit dituntut melaksanakan penilaian kinerja berkelanjutan untuk meningkatkan mutu layanan kesehatan sesuai standar akreditasi. Penelitian bertujuan mengkaji dan mengevaluasi sistem penilaian kinerja karyawan di Rumah Sakit Risa Sentra Medika. Penelitian…
creator: Ni Wayan Sri Artati
creator: Lalu Sulaiman
creator: Lalu Abdul Khalik
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 201
ending page: 212
doi: 10.33024/mahesa.v6i8.24211

Peran Fucoidan Terhadap Angiogenesis
type: item
description: ABSTRACT Angiogenesis is a tightly regulated biological process that supports tissue growth and wound healing. Dysregulation of this process may lead to various pathological conditions, including cancer, cardiovascular diseases, and diabetic retinopathy. Fucoidan is a sulfated polysaccharide derived from several marine species, such as brown seaweeds and sea cucumbers. Fucoidan has been reported to possess therapeutic potential in diseases associated with angiogenesis.To elucidate the role of fucoidan in the modulation of angiogenesis, both as a pro-angiogenic and anti-angiogenic agent across various pathological conditions. This article was prepared through a literature search conducted in EMBASE/Elsevier, Google Scholar, PubMed, ScienceDirect, and the Cochrane Review for publications from 2015 to 2025. The search terms included “angiogenesis”, “fucoidan”, “fucoidan AND (pro-angiogenic OR proangiogenic)”, and “fucoidan AND (anti-angiogenic OR antiangiogenic)”. Inclusion criteria comprised English-language, relevant full-text publications (2015–2025), including both original research articles and review papers. The synthesized evidence indicates that the effects of fucoidan on angiogenesis are influenced by molecular weight, degree of sulfation, source material, extraction methods, dosage, and disease context. Low-molecular-weight fucoidan tends to exert pro-angiogenic effects by enhancing endothelial cell proliferation and migration through the PI3K/AKT and AKT/Nrf2/HIF-1α signaling pathways, thereby potentially accelerating wound healing. In contrast, high-molecular-weight fucoidan may exhibit anti-angiogenic properties by suppressing VEGF and HIF-1α expression, inhibiting vascular tube formation, and modulating mechanisms associated with tumor progression, suggesting its potential application as a therapeutic target in cancer. Fucoidan is a context-dependent modulator of angiogenesis that may exert either pro- or anti-angiogenic effects depending on its physicoch…
creator: Muhammad Yusran
creator: Muhammad Irsan Saleh
creator: Ernawati Sinaga
creator: Ramzi Amin
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 213
ending page: 228
doi: 10.33024/mahesa.v6i8.24160

Analisis Pengaruh TNA dan Budaya Organisasi Terhadap Kualitas Layanan Rumah Sakit melalui Kompetensi Sumber Daya Manusia
type: item
description: ABSTRACT This study investigates the effects of information system–based Training Needs Analysis (TNA) and organizational culture on hospital service quality, with human resource (HR) competency development positioned as a mediating variable. An explanatory quantitative design was employed by distributing five-point Likert questionnaires to 110 employees at a regional public hospital, and the data were analyzed using PLS-SEM with SmartPLS. The findings show that organizational culture positively influences HR competence (β = 0.270; p < 0.05) but does not directly affect service quality (β = 0.016; p > 0.05). In contrast, HR competence has a strong positive effect on service quality (β = 0.640; p < 0.001). System-based TNA significantly improves HR competence (β = 0.530; p < 0.01) and service quality (β = 0.235; p < 0.05). Mediation testing confirms that HR competence significantly mediates the effect of TNA on service quality (β = 0.339; p < 0.001), whereas it does not mediate the relationship between organizational culture and service quality. Overall, strengthening system-based TNA alongside structured competency development is essential to improve hospital service quality, while cultural transformation remains necessary to better facilitate competency development. Keywords: Competency Development, Hospital Service Quality, Organizational Culture, Training Needs Analysis. ABSTRAK Penelitian ini menganalisis pengaruh Analisis Kebutuhan Pelatihan (TNA) berbasis sistem informasi dan budaya organisasi terhadap kualitas pelayanan rumah sakit, dengan pengembangan kompetensi sumber daya manusia (SDM) sebagai variabel mediator. Penelitian menggunakan desain kuantitatif eksplanatori melalui penyebaran kuesioner skala Likert lima poin kepada 110 karyawan rumah sakit umum daerah, serta dianalisis menggunakan SEM-PLS (SmartPLS). Hasil menunjukkan bahwa budaya organisasi berpengaruh positif terhadap kompetensi SDM (β = 0,270; p < 0,05), namun tidak berpengaruh langsung terhada…
creator: Slamet Riyadi
creator: Mundakir Mundakir
creator: Sholihul Absor
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 229
ending page: 243
doi: 10.33024/mahesa.v6i8.24207

Hubungan Jenis Kelamin, Self-Efficacy, dan Kepatuhan Menjalani Terapi dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUD Kota Mataram
type: item
description: ABSTRACT Patients with Chronic Kidney Disease (CKD) undergoing hemodialysis may experience complications such as discomfort and a decreased quality of life, encompassing physical, psychological, and spiritual aspects. The quality of life of patients is influenced by gender, self-efficacy, and adherence to therapy. This study aimed to determine the relationship between gender, self-efficacy, and therapy adherence with the quality of life of patients with chronic kidney disease undergoing hemodialysis at RSUD Kota Mataram in 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 84 respondents. Data were analyzed using the Chi-square test. The results of the univariate analysis showed that most respondents were female 43 (48.8%), high self-efficacy 53 (63.1%), therapy adherence 68 (81%), and high quality of life 53 (63.1%). Bivariate analysis showed significant relationships between gender and quality of life (p-value 0.001), self-efficacy and quality of life (p-value 0.000), and therapy adherence and quality of life (p-value 0.018). In conclusion, there were significant relationships between gender, self-efficacy, and therapy adherence with the quality of life of patients with chronic kidney disease undergoing hemodialysis at RSUD Kota Mataram in 2025. Keywords: Quality of Life, Chronic Kidney Disease, Gender, Self-Efficacy, Therapy Adherence. ABSTRAK Pasien Penyakit Ginjal Kronik (PGK) yang menjalani hemodialisis dapat mengalami komplikasi seperti ketidaknyamanan serta penurunan kualitas hidup yang mencakup aspek fisik, psikologis, dan spiritual. Kualitas hidup pasien dipengaruhi oleh jenis kelamin, self-efficacy, dan kepatuhan menjalani terapi. Tujuan penelitian adalah mengetahui hubungan jenis kelamin, self-efficacy, dan kepatuhan terapi dengan kualitas hidup pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUD Kota Mataram tahun 2025…
creator: Ni Luh Putu Nefa Pradnyandari
creator: Dian Rahadianti
creator: Sherliyanah Sherliyanah
creator: Kadek Dwi Pramana
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 244
ending page: 257
doi: 10.33024/mahesa.v6i8.24268

Analisis Keterkaitan Motivasi Kerja dengan Kinerja Perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang
type: item
description: ABSTRACT This study aims to analyze the relationship between work motivation and nurse performance at the Inpatient Installation of Sukma Wijaya Hospital in Sampang in 2025. Nurse performance plays a crucial role in determining the quality of healthcare services provided to patients. Work motivation is an important factor that influences nurse performance, which is related to both internal (intrinsic) and external (extrinsic) factors. The research method used is a quantitative approach with a descriptive correlational design. The sample consists of 36 nurses working in the Inpatient Installation, selected using a census sampling technique. Data was collected using questionnaires measuring work motivation based on Herzberg's theory and nurse performance based on Locke's theory. Data analysis using Pearson's correlation test showed a significant relationship between work motivation and nurse performance (r = 0.747, p-value = 0.000). The results indicate that higher work motivation leads to better nurse performance. Work motivation contributes 55.80% to nurse performance, while the remaining 44.20% is influenced by other factors such as skills, abilities, and the work environment. This study recommends that hospitals pay attention to factors influencing work motivation and create policies that support nurses' welfare and career development to improve the quality of healthcare services. Keywords: Work Motivation, Nurse Performance, Hospital, Policies, Work Environment. ABSTRAK Penelitian ini bertujuan untuk menganalisis keterkaitan antara motivasi kerja dan kinerja perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang pada tahun 2025. Kinerja perawat sangat berperan dalam menentukan kualitas pelayanan kesehatan yang diberikan kepada pasien. Motivasi kerja merupakan faktor penting yang mempengaruhi kinerja perawat, yang berhubungan dengan faktor internal (intrinsik) dan eksternal (ekstrinsik). Metode yang digunakan dalam penelitian ini adalah pendekatan kuanti…
creator: Dwi Herlinda Lusi Harini
creator: Mundakir Mundakir
creator: Annisa Nurida
creator: Rikhly Faradisy Mursyida
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 258
ending page: 270
doi: 10.33024/mahesa.v6i8.23659

Efektivitas Flashcard Game Terhadap Minat dan Pengetahuan dalam Menjaga Kesehatan Gigi pada Anak Sekolah Dasar
type: item
description: ABSTRACT Dental health problems in elementary school children are still commonly found, mainly due to low interest and knowledge in maintaining dental hygiene. The purpose of this study was to analyze the effectiveness of flashcard games on interest and knowledge in maintaining dental health among fourth-grade students at Islamic Global School Malang. This study was a quantitative comparative analysis using a one-group pretest-posttest design. The research population consisted of 100 students, with a sample of 80 respondents selected using simple random sampling. The instrument used was a questionnaire on interest and knowledge that had undergone validity and reliability tests. Statistical analysis used the Paired t-test for the interest variable and the Wilcoxon test for the knowledge variable with a significance level of α = 0.05. The pretest results showed that most respondents were in the moderate interest (78.8%) and moderate knowledge (62.5%) categories. After being given the flashcard game, almost all respondents were in the good interest (61.3%) and good knowledge (78.8%) categories. A p-value < 0.001 in the Wilcoxon test and p = 0.000 in the Paired T-test indicate a difference before and after the intervention. The conclusion of this study is that flashcard games are effective in increasing the interest and knowledge of elementary school students in maintaining dental health. Keywords: Dentah Health, Elementary school, Flash Card, Game, Interest, Knowledge. ABSTRAK Masalah kesehatan gigi pada anak sekolah dasar masih sering ditemukan, terutama akibat rendahnya minat dan pengetahuan dalam merawat kebersihan gigi. Tujuan penelitian ini adalah untuk menganalisis efektivitas flashcard game terhadap minat dan pengetahuan dalam menjaga kesehatan gigi pada siswa kelas IV SD Islamic Global School Malang. Penelitian ini merupakan kuantitatif analitik komparatif dengan pendekatan one group pretest–posttest design. Populasi penelitian berjumlah 100 siswa, dengan sampe…
creator: Alfansa Fath Syaira
creator: Ardhiles Wahyu Kurniawan
creator: Heny Nurmayunita
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 271
ending page: 283
doi: 10.33024/mahesa.v6i8.24279

Age, Hypertension, and Physical Inactivity as Dominant Risk Factors for Stroke: A Population-Based Study in Yogyakarta, Indonesia
type: item
description: ABSTRACT Stroke remains a major public health challenge globally, with a growing burden in low and middle-income countries. Indonesia reports a high prevalence of stroke, particularly in the Special Region of Yogyakarta. However, population-based evidence on dominant individual-level risk factors remains limited. This study aims to analyze stroke risk factors in Yogyakarta based on data from the 2023 Indonesian Health Survey. This population-based cross-sectional study used secondary data from the 2023 Indonesian Health Survey. A total of 8,126 respondents aged ≥15 years residing in Yogyakarta Province were included. The outcome was a self-reported history of physician-diagnosed stroke. Independent variables included age, sex, hypertension, physical activity, diabetes mellitus, coronary heart disease, smoking status, and obesity. Multivariable logistic regression was performed to identify dominant risk factors for stroke. The prevalence of stroke was 0.7% (7 per 1,000 population). After adjustment for potential confounders, older age was strongly associated with stroke (adjusted odds ratio [AOR] = 15.35 for ≥65 years; AOR = 15.80 for 46–64 years). Hypertension was the most influential modifiable risk factor (AOR = 13.69; 95% CI: 6.63–28.25). Low physical activity significantly increased stroke risk (AOR = 3.71 for mild activity and 3.42 for moderate activity). Female sex was independently associated with a lower likelihood of stroke (AOR = 0.33; 95% CI: 0.17–0.63). Stroke risk in Yogyakarta Province is primarily driven by ageing, hypertension, and physical inactivity. Strengthening hypertension control and promoting physical activity, particularly from midlife onward, should be prioritized in primary healthcare and community-based prevention strategies. Keywords: Hypertension, Indonesian Health Survey, Physical Inactivity, Stroke.
creator: Muhammad Abdi Riyantono
creator: Ajeng Tias Endarti
creator: Sumiati Bedah
creator: Telly Purnamasari
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 284
ending page: 296
doi: 10.33024/mahesa.v6i8.24303

Tren Global dan Perkembangan Riset tentang Prediktor Kelulusan Uji Kompetensi Keperawatan: Analisis Bibliometrik
type: item
description: ABSTRACT Nursing competency examination serves as a benchmark for evaluating the quality of nursing graduates. Recent research trends indicate that the topic of nursing licensure examinations continues to receive significant scholarly attention. However, global research trends on predictors of success in nursing competency examinations have not yet been comprehensively mapped. This study aims to analyze global publication trends and identify key factors that influence success in nursing licensure examinations. A bibliometric analysis was performed using the Scopus database. Data were retrieved on December 12, 2025, employing a combination of the keywords “nursing licensure examination,” “competency exam,” and “predictor of success.” A total of 218 relevant articles were analyzed using Scopus Analyze to determine annual publication patterns and the most productive countries. The dataset was exported in CSV format and subsequently analyzed and visualized using VOSviewer to identify research clusters and frequently occurring keywords. The analysis revealed a steady increase in global publications from 2015 to 2026, with a peak of 32 articles in 2025. The United States was the most productive country with 173 publications. The VOSviewer visualization identified six major clusters: (1) development and evaluation of clinical skills; (2) factors influencing examination readiness and success; (3) curriculum development to enhance clinical judgment; (4) institutional and peer support during examination preparation; (5) quality assurance and program evaluation; and (6) educators’ and institutional perceptions of academic readiness. Keyword evolution indicated a shift in research focus—from educational measurement in 2015–2018 to clinical judgment and mentoring in 2024–2026. This bibliometric analysis highlights that the most influential predictors of nursing licensure success include academic readiness, learning support, and students’ ability in clinical judgment. The observe…
creator: Nur Cita Qomariyah
creator: Titih Huriah
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 297
ending page: 308
doi: 10.33024/mahesa.v6i8.24206

Pengaruh dari Ketorolac dan Metamizole terhadap Hemostasis: A Literature Review
type: item
description: ABSTRACT Ketorolac and metamizole are non-opioid analgesics widely used in perioperative practice, but both have the potential to affect hemostasis through different pharmacological mechanisms. Understanding this risk profile is essential to ensure patient safety. A literature review was conducted by evaluating experimental, observational, and clinical trials that addressed the effects of both drugs on platelet function, coagulation, and perioperative bleeding incidence. Ketorolac majorly inhibits thromboxane A₂ synthesis through COX-1 inhibition, thereby reducing platelet aggregation and increasing the risk of bleeding in certain procedures. Metamizole exhibits more heterogeneous effects; some studies report inhibition of platelet aggregation and interference with the effects of aspirin, while others show minimal impact on hemostasis. The choice of analgesic should consider the risk profile of each drug, the patient's clinical condition, and potential pharmacological interactions. An individualized approach is necessary to optimize analgesia while maintaining the integrity of perioperative hemostasis. Keywords: Ketorolac, Metamizole, Hemostasis, Blood Coagulation. ABSTRAK Ketorolac dan metamizole merupakan analgesik non-opioid yang banyak digunakan dalam praktik perioperatif, namun keduanya memiliki potensi memengaruhi hemostasis melalui mekanisme farmakologis yang berbeda. Pemahaman terhadap profil risiko ini penting untuk memastikan keselamatan pasien. Tinjauan literatur dilakukan dengan mengevaluasi penelitian eksperimental, observasional, dan uji klinis yang membahas efek kedua obat terhadap fungsi trombosit, koagulasi, dan insiden perdarahan perioperative. Ketorolac secara garis besar menghambat sintesis tromboksan A₂ melalui inhibisi COX-1, sehingga menurunkan agregasi trombosit dan meningkatkan risiko perdarahan pada prosedur tertentu. Metamizole menunjukkan efek yang lebih heterogen; sebagian studi melaporkan hambatan agregasi trombosit dan interferensi ter…
creator: Iwan Setiawan Adji
creator: Yasinta Rizky Wulandari
creator: I Gede Budiastra Yandita Putra
creator: Hetty Soelakmi Bekti
creator: Firstiara Alifah Putriasari
creator: Muhammad Ihsanul Fikri
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 309
ending page: 320
doi: 10.33024/mahesa.v6i8.24269

Hubungan Kadar Albumin Plasma pada Penderita TB Mdr dengan Ko-Infeksi Hepatitis B
type: item
description: ABSTRACT Tuberculosis is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Resistance of the Mycobacterium tuberculosis (Mtb) germ is caused by spontaneous mutations in the chromosome. The proportion of Mtb germs that have undergone mutation (wild-type resistant mutants) in patients who have never received OAT is very small. TB treatment causes selective inhibition of the Mtb germ population, leading to the killing of sensitive Mtb germs, while the mutant population will reproduce and cause resistance to OAT (acquired resistance). A common co-infection in TB patients is Hepatitis B. Hepatitis B infection is a liver disease that causes inflammation and damage to hepatocytes. Chronic hepatitis B virus (HBV) infection in tuberculosis patients ranges from 0.5% to 44%. Hypoalbuminemia is often associated with both TB and Hepatitis B. It frequently occurs in hepatitis B due to liver damage caused by hepatitis B virus infection, while in TB, hypoalbuminemia is often linked to malnutrition and poor nutritional intake in TB patients. This hypothesis aligns with the patient's current condition, where the patient is diagnosed with hepatitis B confirmed by laboratory results showing HBsAg values > 1000. Additionally, the patient also suffers from MDR TB with poor nutritional intake, as evidenced by the patient's BMI of only 19.53. Keywords: Hepatitis B, Hypoalbuminemia, Co-infection, Multi-drug resistant, Tuberculosis, Multi-Drug Resistant. ABSTRAK Tuberkulosis ada suatu penyakit kronik menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Resistansi kuman Mycobacterium tuberculosis (Mtb) disebabkan oleh mutasi spontan pada kromosom. Proporsi kuman Mtb yang sudah mengalami mutasi (wild-type resistant mutants) pada pasien yang tidak pernah mendapatkan OAT sangat sedikit. Pengobatan TB menyebabkan hambatan selektif pada populasi kuman Mtb sehingga kuman Mtb sensitif dibunuh, sementara populasi mutan akan bereproduksi dan menyebabkan terja…
creator: Farah Alfarisi
creator: Fauna Herawati
creator: Umi Fatmawati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 321
ending page: 329
doi: 10.33024/mahesa.v6i8.24322

Analisis Implementasi Kebijakan Intervensi Spesifik dalam Keberhasilan Penurunan Kasus Stunting di Wilayah Kerja Puskesmas Martapura Timur, Kabupaten Banjar, Kalimantan Selatan
type: item
description: ABSTRACT Stunting is a public health problem that not only hinders children's physical growth but also impacts their intellectual and emotional development. Reducing stunting prevalence is inseparable from the government's serious efforts to identify and address its causes. The successful implementation of specific intervention policies to reduce stunting rates can be influenced by various factors, including resources and bureaucratic structures. The aim of this study was to analyze the implementation of specific intervention policies in successfully reducing stunting cases in the working area of the East Martapura Community Health Center, Banjar Regency, South Kalimantan. This research employed a qualitative approach, employing a case study design. The study was conducted in the East Martapura Community Health Center (Puskesmas) area, involving the Specific Intervention Program in activities aimed at successfully reducing stunting prevalence. Thirteen informants participated in the study. Data collection methods included in-depth interviews, focused discussions (FGDs), and documentation. Supporting factors from the resource aspect consist of the availability of adequate anthropometric equipment according to standards and sufficient, competent, and trained human resources with high discipline, and supported by an incentive system that can increase motivation in carrying out intervention tasks. Meanwhile, the inhibiting factor is the existence of equipment that is still damaged so that some Posyandu borrow equipment from other Posyandu to conduct measurements. Supporting factors from the bureaucratic structure aspect include a clear bureaucratic structure that includes detailed SOPs and division of authority through official regulations, and supported by monitoring and evaluation mechanisms that are carried out periodically. The implementation of specific intervention policies in successfully reducing stunting cases in the East Martapura Community Health Center Work …
creator: Mega Wasilah
creator: Syamsul Arifin
creator: Edi Hartoyo
creator: Mohammad Isa
creator: Didik Dwi Sanyoto
creator: Adi Nugroho
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 330
ending page: 342
doi: 10.33024/mahesa.v6i8.24297

Efektivitas Edukasi Kesehatan Terhadap Peningkatan Pengetahuan Ibu dalam Penanganan Kejang Demam Pada Balita di Rumah Sakit Mustika Medika
type: item
description: ABSTRACT Febrile seizures are convulsions caused by an increase in body temperature above 38°C and commonly occur in children aged 6 months to 5 years. These cases are multifactorial, with respiratory infections being the primary cause. In Indonesia, the prevalence of febrile seizures increased from 3.5% in 2013 to 5% in 2021. Recurrent febrile seizures can lead to serious complications such as epilepsy, behavioral disorders, and developmental delays. Mothers' lack of knowledge regarding the initial management of febrile seizures often leads to errors in first aid. Health education has been shown to be effective in improving mothers' knowledge and skills in managing febrile seizures.To determine the effectiveness of health education in improving mothers' knowledge in managing febrile seizures in toddlers. Quasi-experimental with a one-group pretest-posttest design. Random sampling was used as the sampling technique. The level of knowledge of respondents before the intervention was mostly adequate (55.8%), and afterward, more respondents had good knowledge (55.8%). Health education was effective in improving mothers' knowledge in managing febrile seizures in toddlers (p-value 0.000). Health education was effective in improving mothers' knowledge in managing febrile seizures in toddlers. Nurses are advised to provide health education to the community so that they have a better understanding of febrile seizures in toddlers and how to handle them properly. Keywords: Febrile Seizures, Health Education, Maternal Knowledge, Toddlers. ABSTRAK Kejang demam merupakan kejang yang terjadi akibat peningkatan suhu tubuh di atas 38°C dan umumnya dialami anak usia 6 bulan hingga 5 tahun. Kasus ini bersifat multifaktorial dengan penyebab utama infeksi saluran pernapasan. Di Indonesia, prevalensi kejang demam meningkat dari 3,5% pada tahun 2013 menjadi 5% pada tahun 2021. Kejang demam yang berulang dapat menimbulkan komplikasi serius seperti epilepsi, gangguan perilaku, dan keterlamb…
creator: Stevayani Veronica
creator: Tatag Mulyanto
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 343
ending page: 353
doi: 10.33024/mahesa.v6i8.24321

Diskrepansi Golongan Darah Abo Pada Leukemia
type: item
description: ABSTRACT The ABO blood group system plays a crucial role in transfusion safety. In patients with hematologic malignancies such as leukemia, ABO blood group discrepancies may occur due to reduced or absent expression of antigens or antibodies, potentially leading to errors in blood group determination. This study aimed to describe the pattern of ABO blood group discrepancies among leukemia patients. A descriptive cross-sectional study was conducted involving 210 leukemia patients who met the inclusion and exclusion criteria. ABO blood grouping was performed using the gel card method. Data were analyzed descriptively. ABO blood group discrepancies were identified in 13 of 210 patients. Discrepancies were observed in acute lymphoblastic leukemia (6 cases; 46.2%), followed by acute myeloid leukemia (4 cases; 30.8%), chronic myeloid leukemia (2 cases; 15.4%), and chronic lymphocytic leukemia (1 case; 7.7%). Of the 10 cases classified as type I discrepancy (weak or loss of antibody reactions), occurred in acute lymphoblastic leukemia (60%), while the remaining cases were observed in acute myeloid leukemia (20%), chronic myeloid leukemia (10%), and chronic lymphocytic leukemia (10%). Type II discrepancy (weak or loss of antigen reactions) was found exclusively in acute myeloid leukemia (66.7%) and chronic myeloid leukemia (33.3%). No type III or type IV discrepancies were identified, and no extra antigen/antibody or mixed-field reactions were observed. Type I ABO blood group discrepancy was observed across all leukemia subtypes, whereas type II discrepancy was limited to acute and chronic myeloid leukemia. These findings highlight the importance of careful serological interpretation in blood group determination and transfusion practices for leukemia patients. Keywords: Leukemia, ABO Blood Group, ABO Discrepancy. ABSTRAK Sistem golongan darah ABO berperan penting dalam keamanan transfusi darah. Pada pasien keganasan hematologi seperti leukemia, dapat terjadi diskrepansi gol…
creator: Khaulah Karimah
creator: Zelly Dia Rofinda
creator: Dwi Yulia
creator: Rikarni Rikarni
creator: Elfira Yusri
creator: Husni Husni
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 354
ending page: 364
doi: 10.33024/mahesa.v6i8.24320

Correlation between Handgrip Strength and Pulmonary Function Parameters (% Predicted) in an Urban Adult Population
type: item
description: ABSTRACT Handgrip strength is a simple indicator of peripheral muscle strength that may reflect pulmonary function status, particularly in urban adult populations exposed to high levels of air pollution. However, empirical evidence regarding the association between handgrip strength and predicted pulmonary function parameters in Indonesia remains limited. This study aimed to analyze the correlation between handgrip strength and pulmonary function parameters (% predicted) in an urban adult population. An observational analytic study with a cross-sectional design was conducted among 539 adults (≥18 years) across five administrative regions of DKI Jakarta. Pulmonary function parameters assessed included vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and the FEV₁/FVC ratio, all expressed as % predicted. Handgrip strength was measured bilaterally and averaged. Univariate and bivariate analyses were performed using Spearman’s correlation test. Mean handgrip strength showed a significant positive correlation with VC (% predicted) (r = 0.182; p < 0.001) and FVC (% predicted) (r = 0.222; p < 0.001). A weaker positive correlation was observed between left-hand grip strength and FEV₁ (% predicted) (r = 0.091; p = 0.034). In contrast, the FEV₁/FVC ratio (% predicted) demonstrated consistent and significant negative correlations with right-hand, left-hand, and mean handgrip strength (r ranging from −0.186 to −0.200; p < 0.001). Handgrip strength is significantly associated with pulmonary function capacity (% predicted), particularly volume-related parameters, and may serve as a simple screening indicator of pulmonary function in urban adult populations. Keywords: Handgrip, Pulmonary Function, Spirometry, Adults, Urban Population.
creator: Yohanes Firmansyah
creator: Ajeng Tias Endarti
creator: Nur Asniati Djaali
creator: Ernawati Ernawati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 365
ending page: 379
doi: 10.33024/mahesa.v6i8.24324

Tren dan Perspektif Budaya dalam Penelitian Diabetes Melitus: Analisis Bibliometrik
type: item
description: ABSTRACT Diabetes mellitus is a chronic disease with a rising global prevalence. While research has long focused on biomedical aspects, cultural and educational dimensions are increasingly recognized as critical in shaping patient behavior, lifestyle, and adherence to therapy. This study analyzes publication trends and cultural perspectives in diabetes mellitus research from 2015 to 2025, highlighting the shift from biomedical approaches toward multidisciplinary perspectives. A bibliometric analysis was conducted using the Scopus database with the keywords culture AND knowledge AND diabetes mellitus. A total of 404 articles meeting inclusion criteria were analyzed with VOSiewer to map keyword networks, temporal distribution, and thematic intensity. Visualizations included network, overlay, and density analyses. Publication output fluctuated across the decade, peaking in 2022 (51 articles). The United States contributed the highest number of publications (125), followed by India, the United Kingdom, and China. Network analysis identified five major clusters: health education and lifestyle, clinical risk factors, biochemical aspects and insulin therapy, patient and healthcare professional education, and diabetes complications. Overlay visualization revealed a temporal shift from biomedical dominance (glucose, insulin, complications) toward behavioral and cultural approaches (self-care, health knowledge, ethnology, education). Diabetes research increasingly emphasizes patient empowerment and adaptation to socio-cultural contexts. Current management strategies highlight education, healthy lifestyles, and culturally sensitive interventions. These findings support evidence-based health policy development and provide recommendations for future research to strengthen preventive and holistic approaches in diabetes care. Keywords: Diabetes Mellitus, Cultural Perspective, Bibliometric Analysis. ABSTRAK Diabetes melitus merupakan penyakit kronis dengan prevalensi yang terus men…
creator: Ayu Septiana
creator: Azizah Khoiriyati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 380
ending page: 393
doi: 10.33024/mahesa.v6i8.24352

Efektifitas Promosi Kesehatan Metode Kontemporer Terhadap Kejadian Kecemasan Pada Remaja Dalam Persiapan Ujian Akhir
type: item
description: ABSTRACT Sharp medical waste is not only able to cause scratch and stab wounds but also to infect wounds when they are contaminated by pathogen. A pre-survey result done by the researcher in wards of dr. A. Dadi Tjokrodipo at 20 January 2019 to 10 nurses concerning activities of nursing care and medicla waste management including needle, syringe, and bandage that were disposed without sorting. The purpose of this research was to find out the correlations of nurse’s motivation and leadership style to nurse’s behavior in sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. This was a quantitative analytic survey research by using cross sectional approach and it was conducted in dr. A. Dadi Tjokrodipo public hospital from March to April 2019. Population was all nurses and samples were of total sampling. Data were collected by using questionnaires and analyzed by using univariate (frequency distribution) and bivariate (chi square test) analyses. There were 31 respondents (54.4%) with poor medical waste littering behavior, 34 respondents (59.6%) with low motivation, and 29 respondents (50.9%) with bad leadership style. There were correlations of nurse’s behavior (p-value 0.000; OR 11.70) and leadership style (p-value 0.012: OR 4.725) to sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. There were correlations of nurse’s motivation and leadership style to nurse’s behavior in littering sharp medical waste in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects nurse’s motivation improvement concerning medical waste disposal by joining training about effects of improper sharp medical waste disposal. Keywords: Academic Anxiety, Health Promotion, Hypnotherapy, Relaxation, Adolescents. ABSTRAK Kecemasan akademik merupakan masalah kesehatan mental yang umum dialami remaja, terutama menjelang ujian akhir. Secara global, gangguan kecemasan dialami sekitar 301 j…
creator: Kurniawan Arya Saputra
creator: Maiza Duana
creator: Onetusfifsi Putra
creator: Siti Maisyaroh Fitri Siregar
creator: Firman Firdauz Saputra
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 394
ending page: 407
doi: 10.33024/mahesa.v6i8.24396

Analisis Konsumsi dan Ketepatan Antibiotik Aware Pada Pasien Bedah Bersih dan Bersih Terkontaminasi di Rumah Sakit Husada Utama Surabaya
type: item
description: ABSTRACT Antibiotic resistance has an impact on the quality of clinical services, so limiting the use of antibiotics is an effort to minimize antibiotic resistance, so a study will be conducted that aims to analyze the use of antibiotics based on the AWaRe classification and determine the suitability of antibiotic use based on the Ministry of Health's PPAB and PPAB Husada Utama Hospital in clean and clean contaminated surgical patients. This study is a non-experimental, descriptive, observational study conducted retrospectively using medical record data from patients in the surgical ward at Husada Utama Hospital for the period from January to June 2025. In that period, there were more clean surgical patients (76.57%) than clean contaminated surgical patients (32.43%). Based on the AWaRe classification, in clean surgical patients the Access category (34%), Watch category (64%), and Reserve category (2%), while in clean contaminated surgical patients, the Access category (14.48%), Watch category (79.17%), and Reserve category (5.25%). The selection of antibiotic types in clean surgical patients based on the PPAB of the Ministry of Health and PPAB of Husada Utama Hospital is appropriate (36.17%). The selection of antibiotic types in clean contaminated surgical patients based on the PPAB of the Ministry of Health and PPAB of Husada Utama Hospital is appropriate (16.67%). Keywords: Antibiotic, AWaRe, Clean Surgery, Contaminated Clean Surgery. ABSTRAK Resistensi antibiotik mempunyai dampak terhadap mutu pelayanan klinis, sehingga pembatasan penggunaan antibiotik merupakan upaya untuk meminimalisir resistensi antibiotik, maka akan dilakukan penelitian yang bertujuan untuk menganalisis penggunaan antibiotik berdasarkan klasifikasi AWaRe dan mengetahui kesesuaian penggunaan antibiotik berdasarkan PPAB Kemenkes dan PPAB Rumah Sakit Husada Utama pada pasien bedah bersih dan bersih terkontaminasi. Penelitian ini merupakan penelitian observasional deskriptif non-eksperimental ya…
creator: Mufida Indrayanti
creator: Aprilia Dhynar Purborini
creator: Rika Yulia
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 408
ending page: 420
doi: 10.33024/mahesa.v6i8.24388

Six Minute Walk Test (6mwt) sebagai Indikator Pemulihan Fungsional Fase Rehabilitasi Jantung Pasca Sindrom Koroner Akut: Scoping Review
type: item
description: ABSTRACT The Six Minute Walk Test (6MWT) is widely used as a simple and practical measurement tool to assess patients' functional abilities, but the variations in its use and implementation in various cardiac rehabilitation contexts have not been comprehensively mapped. Acute coronary syndrome (ACS) is the leading cause of cardiovascular morbidity and mortality worldwide, making the recovery of functional capacity a primary focus in cardiac rehabilitation. This study aims to map the scientific evidence regarding the use of the 6MWT as an indicator of functional capacity recovery in post-ACS patients across various cardiac rehabilitation models. This study uses a scoping review approach based on the Arksey & O’Malley (2005) framework and the PRISMA-ScR (2018) guidelines. Literature search was conducted on the Scopus, PubMed, Cochrane Library, and Google Scholar databases for the period 2015–2025. Inclusion criteria included quantitative studies on adult post ACS patients using the 6MWT in cardiac rehabilitation. A total of 10 studies met the criteria and were thematically analysed using the PCC framework. The analysis results show that the 6MWT is consistently used as the primary indicator of functional capacity recovery, with a significant increase in distance covered after cardiac rehabilitation. Three main themes were identified, namely 6MWT as the Primary Indicator of Functional Recovery, the Effectiveness of Cardiac Rehabilitation Models on 6MWT Outcomes, and the Relationship between 6MWT and Clinical and Psychosocial Outcomes. The study was dominated by China, followed by Iran, South Korea, Germany, and Indonesia. The 6MWT is a valid, practical, and versatile measurement tool for assessing post ACS patient recovery in various cardiac rehabilitation contexts. The integration of the 6MWT in clinical practice has the potential to enhance rehabilitation monitoring and support the prevention of long-term complications. Keywords: Functional Capacity, Cardiac Rehabili…
creator: Subhan Ulan
creator: Azizah Khoiriyati
creator: Erna Rochmawati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 421
ending page: 436
doi: 10.33024/mahesa.v6i8.24423

Analisis Bibliometrik Penelitian tentang Gangguan Tidur Pada Pasien Stroke
type: item
description: ABSTRACT Sleep disorders are a risk factor for complications frequently experienced by stroke patients. Research on sleep and stroke continues to increase, but few studies have comprehensively mapped scientific developments in this field. This study aims to analyze global research trends, distribution, and themes related to sleep disorders in stroke patients through a bibliometric approach. This research method uses a quantitative bibliometric approach. Data were obtained from the Scopus database with a period of 2010-2025 using the keywords "sleep wake disorder" AND "stroke" with subject filters of medicine, neurology, nursing, and health. Analysis was conducted on 225 English-language articles that met the inclusion criteria. Data processing was carried out using VOSviewer software to display keyword network visualizations, temporal trends, and country collaboration maps. The results obtained are the number of publications increased significantly since 2010 and peaked in 2025 with 39 articles. The United States was the country with the most publications (69 articles). Keyword analysis revealed three main clusters of research on sleep disorders and post-stroke rehabilitation: physiological mechanisms, including sleep apnea and brain ischemia; and third, cardiovascular comorbidities such as hypertension and sleep duration. The most frequently occurring keywords are sleep disorders, stroke, cerebrovascular accident, and sleep apnea syndromes. Research on sleep disorders in stroke patients shows a rapid increase and a shift in focus from descriptive studies to clinical and physiological approaches. Keywords: Bibliometrics, Sleep Disorders, Stroke. ABSTRAK Gangguan tidur merupakan faktor risiko komplikasi yang sering dialami oleh pasien stroke. Penelitian mengenai tidur dan stroke terus meningkat, belum banyak kajian yang memetakan perkembangan ilmiah di bidang ini secara komprehensif. Adapun Penelitian ini bertujuan untuk menganalisis tren, sebaran, dan tema penelitia…
creator: Hety Meiliany
creator: Azizah Khoiriyati
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 437
ending page: 449
doi: 10.33024/mahesa.v6i8.25073

Hubungan Jenis Kelamin, Persepsi Citra Tubuh, dan Penggunaan Media Sosial Dengan Body Dysmorphic Disorder Pada Remaja di SMA X Mataram
type: item
description: ABSTRACT Body Dysmorphic Disorder (BDD) is a psychological disorder characterized by excessive preoccupation with perceived physical flaws that are minimal or not objectively observable. Factors presumed to contribute to BDD include gender, body image perception, social media use, and bullying. Objective to determine the relationship between gender, body image perception, and social media influence with the incidence of Body Dysmorphic Disorder among adolescents at SMA X Mataram. This study employed a cross-sectional design using a cluster sampling technique with a total of 103 respondents. Data were analyzed using univariate and bivariate methods, with the Spearman’s Rank test applied for correlation analysis. The findings showed a significant relationship between gender and the level ofBody Dysmorphic Disorder (BDD) (p- value = 0.013), a significant relationship between body image perception and BDD (p-value = 0.000), and a significant relationship between social media use and BDD (p-value = 0.003). There is a significant association between gender, body image perception, and social media use with the level of Body Dysmorphic Disorder among adolescents. These findings indicate that BDD is a multifactorial condition influenced by the interaction of various contributing factors. Keywords: Body Dysmorphic Disorder (BDD), Gender, Body Image Perception, Social Media Use. ABSTRAK Body Dysmorphic Disorder (BDD) merupakan gangguan psikologis yang ditandai dengan preokupasi berlebihan terhadap kekurangan fisik yang bersifat minimal atau tidak tampak secara objektif. Faktor yang berperan meliputi jeniskelamin, persepsi citra tubuh, penggunaan media sosial, dan bullying. Tujuan untuk mengetahui hubungan jenis kelamin, persepsi citra tubuh, dan pengaruh media sosial dengan kejadian Body Dysmorphic Disorder pada remaja di SMA X Mataram. Penelitian ini menggunakan desain cross-sectional dengan teknik cluster sampling pada 103responden. Analisis data dilakukan secara univariat d…
creator: Ida Bagus Ari Satya Daniswara
creator: Lusiana Wahyu Ratna Wijayanti
creator: Nisia Putri Rinayu
creator: Dewi Utary
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 450
ending page: 462
doi: 10.33024/mahesa.v6i8.24476

Global Research Trends on Emergency Medical Technicians: A Bibliometric Analysis (2015-2025)
type: item
description: ABSTRACT Emergency medical technician (EMT) is a frontline responder trained to provide basic emergency care, including CPR, bleeding control, airway management, and patient assessment. Despite growing research, no comprehensive bibliometric analysis has been conducted on this topic. This study systematically maps the scientific landscape, research trends, and thematic structures of emergency medical technician, identifying clusters, gaps, and future directions. A bibliometric analysis of publications in the Scopus database was performed, with visualization, co-occurrence, and trend analyses conducted using VOS viewersoftware (version 1.6.20). From 6,459 relevant publications indicated increasing research activity despiteperiodic fluctuations, Five thematic clusters emerged: (1) EMT, (2) emergency health service, (3) emergency medical service, (4) emergency medical technician, and (5) rescue personnel. Overlay visualisation revealed a recent research shift (2015–2025) toward paramedic personnel, and allied health personnel. China was the country with leading contributor and The most cited work was Bulger et al. (2019), cited 161 times. This bibliometric study on emergency medical technician highlights priorities in The role of Emergency Medical Technicians (EMTs) in the global healthcare and emergency medical systems, the development and increasing complexity of professional practice, and the growing volume of scholarly publications related to EMTs. The findings offer a reference for future research of understanding of the evolution, structure, and direction of global EMT and offers valuable insights for researchers, educators, practitioners, and policymakers seeking to strengthen emergency medical services worldwide.. Keywords: Bibliometric Analysis, Emergency Medical Technician, Paramedic, Vosviewer.
creator: Misbahuddin Azis
creator: Shanti Wardaningsih
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 463
ending page: 475
doi: 10.33024/mahesa.v6i8.24438

Terapi Adjuvan Magnesium Sulfat Inhalasi Pada Eksaserbasi Asma Akut dengan Risiko Kematian dan Gagal Napas Tipe II Pada Kehamilan: Suatu Kasus Klinis
type: item
description: ABSTRACT Asthma is a chronic respiratory disease frequently encountered during pregnancy, with a prevalence of 3-12%. Exacerbations during pregnancy may cause severe maternal and fetal complications, including hypoxemia, preterm birth, and asthma-related death. Management of severe exacerbations is challenging because of suboptimal response to beta2-agonists and concerns regarding drug safety. Magnesium sulfate, which has long been used in obstetrics, has bronchodilatory and anti-inflammatory effects and a favorable safety profile in pregnancy. Objective: This case report aimed to evaluate the use of adjunctive inhaled magnesium sulfate in a pregnant woman with life-threatening acute asthma exacerbation and type II respiratory failure. Method: This article was prepared as a clinical case report based on clinical data, physical examination, laboratory findings, arterial blood gas monitoring, thoracic radiography, echocardiography, treatment course, and follow-up during intensive care. Result: A 28-year-old primigravida at 24 weeks of gestation presented with progressive dyspnea unresponsive to initial inhalation therapy. The patient developed type II respiratory failure with severe respiratory acidosis and hypercapnia, shown by pH 7.01-7.14 and pCO2 77-100 mmHg, requiring intubation and mechanical ventilation. Alongside systemic corticosteroids, inhaled bronchodilators, intravenous aminophylline, antibiotics, sedation, and ventilatory support, adjunctive nebulized MgSO4 was administered at 0.2 mL diluted with 3 mL NaCl every 8 hours. Gradual improvement was observed, with pCO2 declining to 47 mmHg, improvement of respiratory status, correction of electrolyte imbalance, successful extubation, and stable fetal condition. Conclusion: Nebulized magnesium sulfate may be considered a safe and potentially effective adjunctive therapy in life-threatening asthma exacerbation during pregnancy, particularly when response to standard therapy is inadequate. Keywords: Acute Severe…
creator: Christan Chaputtra Maharibe
creator: I Made Agus Kresna Sucandra
creator: Putu Agus Surya Panji
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 476
ending page: 485
doi: 10.33024/mahesa.v6i8.26859

Korelasi Indeks Massa Tubuh dengan Parameter Fisiologis Kulit pada Mahasiswa Fakultas Kedokteran Universitas Tarumanagara
type: item
description: ABSTRACT Skin health disorders are common among young adults and can be influenced by various factors, including body mass index (BMI). Obesity is known to be associated with chronic inflammation, adipokine dysfunction, and physiological alterations of the skin; however, empirical evidence among Indonesian university students remains limited. This study aimed to analyze the relationship between BMI and skin health parameters among medical students at the Faculty of Medicine, Universitas Tarumanagara. This cross-sectional study was conducted from September to November 2025. A total of 118 respondents were selected using a total sampling technique. Height was measured using a GEA stadiometer, body weight using the Karada Omron HBF-375 scale, and skin parameters were assessed using the Smart Skin Analyzer Bitmoji. Data were analyzed using univariate and bivariate methods, with Spearman correlation applied and a significance level set at p<0,05. Most skin parameters showed no significant relationship with BMI, including sebum level, pores, spots, wrinkles, acne, comedones, pigmentation, skin sensitivity, and UV-induced acne (p>0.05). One parameter demonstrated a significant correlation: collagen level (r=0.242; p=0.008), indicating that higher BMI was associated with higher collagen levels. Conclusion: BMI was not significantly correlated with most skin health parameters; however, it showed a significant positive association with collagen levels. These findings highlight the need for further research to explore metabolic mechanisms influencing collagen integrity in young adult populations. Keywords: Adipokines, Body Mass Index, Collagen, Skin Health, University Students. ABSTRAK Gangguan kesehatan kulit merupakan masalah yang umum terjadi pada dewasa muda dan dapat dipengaruhi oleh berbagai faktor, termasuk indeks massa tubuh (IMT). Obesitas diketahui berhubungan dengan inflamasi kronis, disfungsi adipokin, dan perubahan fisiologis kulit, namun bukti empiris pada popula…
creator: Muhammad Kevin Dava Pratama
creator: Yohanes Firmansyah
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 486
ending page: 499
doi: 10.33024/mahesa.v6i8.23838

Praktik Bapukung dalam Mendukung Regulasi Emosi dan Ketenangan Bayi: Studi Etnografi pada Masyarakat Banjar
type: item
description: ABSTRACT Sleep is a fundamental need for infants and plays a crucial role in growth and neurological development, particularly through the Rapid Eye Movement (REM) phase. This study aimed to explore the meaning, practice, and implications of the Bapukung tradition on infant sleep quality within the cultural context of the Banjar community. A qualitative study with an ethnographic-interpretative approach was conducted through in-depth interviews and participatory observation, with thematic analysis supported by NVivo 12 software. The findings indicate that Bapukung remains an enduring cultural practice, interpreted as a form of intergenerational care reflecting affection, emotional bonding, and spiritual values between mothers and infants. The practice of Bapukung creates a relatively stable and calm sleep condition, as infants consistently reached the REM phase during sleep sessions, with an average REM duration of approximately 41 minutes per session and a total sleep duration of about 84 minutes. This condition was supported by a quiet environment, gentle rhythmic swinging, and a stable body position, empirically observed through reduced motor activity, more regular breathing patterns, and relaxed facial expressions. In addition to physiological aspects, emotional and spiritual elements such as prayers and soft chanting were found to contribute to infants’ sense of security. However, the application of Bapukung requires careful consideration of infant safety and physical readiness, particularly neck muscle strength. In conclusion, Bapukung represents a form of local wisdom with potential as a non-pharmacological method to support infant sleep quality when practiced appropriately and safely. Keywords: Bapukung, Infant, Sleep Quality, Rapid Eye Movement (REM), Banjar Culture, Ethnography. ABSTRAK Tidur merupakan kebutuhan dasar bayi yang berperan penting dalam pertumbuhan dan perkembangan sistem saraf, khususnya melalui fase Rapid Eye Movement (REM). Penelitian ini …
creator: Uswatun Hasanah
creator: Erliana Puteri
creator: Khalidah Khalidah
creator: Herman Ariadi
creator: Dian Yuliazahra
creator: M. Irfan Naufal
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 500
ending page: 510
doi: 10.33024/mahesa.v6i8.24751

Hubungan Tingkat Stres, Kualitas Tidur, dan Karakteristik Mahasiswa dengan pH Saliva Mahasiswa/I Fakultas Kedokteran Universitas Prima Indonesia saat Objective Structured Clinical Examination (OSCE)
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description: ABSTRACT In medical education, the Objective Structured Clinical Examination (OSCE) is extensively used to evaluate students' clinical competencies. Despite its educational value, the examination is frequently identified as a major academic stressor for medical students. Stress and poor sleep quality are known to affect the autonomic nervous system and salivary secretion, potentially altering salivary pH. However, studies integrating psychological factors, sleep quality, student characteristics, and salivary biomarkers remain limited. To determine the relationship between stress levels, sleep quality, and OSCE participants’ characteristics with salivary pH among students of the Faculty of Medicine, Universitas Prima Indonesia. This cross-sectional study used an observational analytical quantitative technique and involved 218 students from Prima Indonesia University's Faculty of Medicine. The respondents were selected using a stratified random sampling technique. The respondents' stress levels were then measured using the Depression Anxiety Stress Scale-21 (DASS-21), their sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and the acidity of their saliva was measured using salivary pH indicator paper. Following data analysis using the Spearman, Mann-Whitney, and Kruskal-Wallis tests, the study's statistical significance level was set at a p-value of less than 0.05 (p < 0.05). Most respondents had neutral salivary pH (74.8%), poor sleep quality (85.8%), and 59.2% experienced stress ranging from mild to extremely severe levels. “The findings indicated a significant correlation between stress level and salivary pH (r = 0.186; p = 0.006). By contrast, the relationship between sleep quality and salivary pH did not reach statistical significance (r = 0.121; p = 0.074). Similarly, comparisons by sex, age group, and academic semester demonstrated no significant differences in salivary pH (p = 0.498, p = 0.288, and p = 0.126, respectively). Conversely…
creator: Beatrice Benedicta Siahaan
creator: Masdalena Nasution
creator: Herlin Novita Pane
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 511
ending page: 527
doi: 10.33024/mahesa.v6i8.26722

Laporan Kasus: Demam Berdarah Dengue dengan Perdarahan Saluran Cerna pada Pasien Anak Usia 9 Tahun disertai Bisitopenia dengan Dugaan Leukemia Limfoblastik Akut
type: item
description: ABSTRACT Dengue hemorrhagic fever (DHF) remains a major cause of pediatric hospitalization in tropical countries and may progress to severe disease with plasma leakage, hemorrhage, and circulatory shock. However, profound cytopenia accompanied by atypical findings on peripheral blood smear is uncommon in uncomplicated dengue infection and should prompt further evaluation for underlying hematologic disorders. This case report aims to describe the clinical course of a pediatric patient with DHF complicated by gastrointestinal bleeding and severe bicytopenia suggestive of acute leukemia, illustrating the diagnostic challenge atypical hematological manifestations during the initial assessment. A retrospective case report was conducted using the patient's medical records, including clinical history, physical examination, laboratory investigations, treatment, and clinical outcomes. The findings were descriptively analyzed and interpreted in the context of current evidence regarding severe dengue and pediatric hematologic malignancies. A 9-year-old girl presented with a five-day history of intermittent fever accompanied by nausea, vomiting, headache, epistaxis, generalized weakness, and melena. Laboratory evaluation demonstrated severe anemia (hemoglobin 4.49 g/dL), thrombocytopenia (34 × 10³/µL), progressive leukopenia, and peripheral blood smear findings of atypical mononuclear cells and smudge cells. The patient was diagnosed with DHF complicated by gastrointestinal bleeding and received intravenous fluid resuscitation, packed red blood cell transfusion, platelet concentrate transfusion, and supportive therapy. Despite intensive management, she developed refractory shock, generalized seizures, respiratory failure, and cardiac arrest. Cardiopulmonary resuscitation was unsuccessful, and the patient died within 24 hours of hospitalization. The combination of profound bicytopenia and abnormal peripheral blood smear findings raised a strong suspicion of an underlying acute h…
creator: Resti Ayu Jayanti
creator: Herwanto Herwanto
creator: Hesti Kartika Sari
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 528
ending page: 538
doi: 10.33024/mahesa.v6i8.26712

Analisis Kebutuhan Edukasi untuk Mendukung Pengembangan Program Pencegahan Jatuh Berbasis Komunitas pada Lansia RW 018 Kelurahan Sadang Serang
type: item
description: ABSTRACT Population ageing has increased the prevalence of chronic diseases, functional decline, and fall-related injuries among older adults. Falls contribute to disability, hospitalization, dependency, and reduced quality of life. However, educational interventions for fall prevention are often developed without adequately considering the characteristics and learning needs of older adults. Educational needs assessment offers an evidence-based approach to designing more relevant and effective educational programs. This study aimed to analyze the educational needs of community-dwelling older adults to support the development of community-based fall prevention programs. A descriptive quantitative study was conducted among 152 older adults residing in RW 018 in February 2026. Data on demographic characteristics, educational attainment, chronic disease history, fall history, and walking aid use were collected using structured questionnaires and analyzed descriptively using frequencies and percentages. Findings were interpreted to identify educational priorities. Most respondents were aged 60–69 years (53.2%) and female (63.8%). Low educational attainment was common (42.1%), 70.4% had chronic diseases, 11.8% reported falls within the previous six months, and only 2.6% used walking aids. These findings emphasize the need for educational programs focusing on early prevention, chronic disease management, safe mobility, environmental safety, family involvement, and literacy-appropriate learning strategies. Educational needs assessment provides an important basis for developing targeted, accessible, and sustainable community-based fall prevention programs for older adults. Keywords: Educational Needs Assessment, Fall Prevention, Older Adults, Community-Based Education. ABSTRAK Peningkatan jumlah lansia diikuti oleh meningkatnya prevalensi penyakit kronis, penurunan fungsi, dan risiko jatuh. Jatuh merupakan masalah kesehatan yang dapat menyebabkan cedera, disabilitas, keterga…
creator: Ferdinan Sihombing
creator: Jajat S Adiwinata
creator: Asep Saepudin
creator: Viena Rusmiati
creator: Benedicta Videlia Kusuma Ayu Gulo
creator: Bani Sakti
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 539
ending page: 559
doi: 10.33024/mahesa.v6i8.26709

Pendekatan Anestesi pada Kraniotomi Retromastoid pada Pasien Tumor Cerebellopontine Angle Disertai Hidrosefalus dan Malfungsi Ventriculoperitoneal Shunt
type: item
description: ABSTRACT Cerebellopontine angle (CPA) tumors are complex intracranial lesions involving critical neurovascular structures and are frequently associated with increased intracranial pressure, hydrocephalus, cranial nerve dysfunction, and perioperative anesthetic challenges. This case report aimed to describe anesthetic management in retromastoid craniotomy for a CPA tumor with hydrocephalus and ventriculoperitoneal (VP) shunt malfunction. This article was prepared as a clinical case report based on anamnesis, physical examination, laboratory and radiologic findings, perioperative anesthetic management, intraoperative monitoring, and postoperative intensive care. A 57-year-old male with a left CPA tumor, acute communicating hydrocephalus due to proximal VP shunt malfunction, and symptomatic epilepsy underwent tumor removal through retromastoid craniotomy in the parkbench position using intraoperative neurophysiological monitoring. Anesthesia was conducted with total intravenous anesthesia using target-controlled infusion of propofol and remifentanil, invasive arterial and central venous monitoring, scalp block, controlled ventilation, mannitol, and multimodal analgesia. Intraoperatively, hemodynamics remained stable, with blood pressure 100-150/70-90 mmHg, heart rate 60-82 beats/minute, SpO2 99-100%, blood loss 900 mL, and urine output 1.9 mL/kg/hour. The frozen section finding was consistent with dermoid cyst. The patient was transferred to the intensive care unit with retained intubation, extubated on postoperative day one, transferred to the ward on day three, and discharged on postoperative day seven. Comprehensive neuroanesthetic management, TIVA-based IONM support, parkbench-position risk anticipation, intracranial pressure control, and systematic postoperative intensive care are essential to optimize outcomes in complex CPA tumor surgery. Keywords: Cerebellopontine Angle, IONM, Neuroanesthesia, Parkbench Position, TIVA. ABSTRAK Tumor cerebellopontine angle (CPA)…
creator: I Made Banu Pati
creator: Ida Bagus Krisna Jaya Sutawan
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 560
ending page: 570
doi: 10.33024/mahesa.v6i8.27119

Program Peduli Ibu dan Anak (Pro-PedIA) melalui Pendampingan Bina Keluarga Balita dan Kader Dalam Mencegah Komplikasi Kehamilan dan Resiko Stunting
type: item
description: ABSTRACT Pregnancy complications and stunting remain major maternal and child health problems that require community-based preventive efforts. One effective strategy is the empowerment of community groups, particularly Bina Keluarga Balita (BKB) and health cadres, as partners in improving maternal and child health. This community service activity aimed to enhance the knowledge and skills of BKB mothers, pregnant women, and cadres in preventing pregnancy complications and reducing the risk of stunting through the Mother and Child Care Program (Pro-PedIA) in Malabero Village, Bengkulu City. The activity method uses counseling, practice, home visits and mentoring which is carried out in several meetings. The educational materials covered maternal health during pregnancy, prevention of pregnancy complications, stunting prevention, as well as cadre skills in monitoring child growth and development and providing health education. Program evaluation was conducted using pre-test and post-test to assess improvements in participants’ knowledge. The results showed an increase in knowledge among BKB mothers, with the average score rising from 52.6 in the pre-test to 83.4 in the post-test. Among pregnant women, the average score increased from 57 to 92 after the education and mentoring sessions. In addition, cadres demonstrated improved abilities in measuring child growth and development and delivering health education to BKB mothers. This community service activity was effective in improving the knowledge and skills of the target groups and has the potential to support community-based prevention of pregnancy complications and stunting risk. Keywords: Bina Keluarga Balita, Health Cadres, Pregnancy Complications, Stunting. ABSTRAK Komplikasi kehamilan dan stunting masih menjadi permasalahan kesehatan ibu dan anak yang memerlukan upaya pencegahan berbasis komunitas. Salah satu strategi efektif adalah pemberdayaan kelompok masyarakat, khususnya Bina Keluarga Balita (BKB) dan kader,…
creator: Nur Elly
creator: Asmawati Asmawati
creator: Rahma Annisa
creator: Husni Husni
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 571
ending page: 585
doi: 10.33024/mahesa.v6i8.24231

Nomophobia dan Pengukuran: Tinjauan Literatur
type: item
description: ABSTRACT Nomophobia (no mobile phone phobia), is an anxiety disorder as well as fear that arises when a person cannot use his or her Smartphone. Based on the DSM IV guidelines, nomophobia belongs to a specific category of phobias characterized by a significant and exaggerated anxiety response to specific situations. The term "nomophobia" was originally coined in a 2008 British postal service study revealing that 53% of ± 2000 participants (58% male and 47% female) suffered from nomophobia. In recent years, nomophobia has become a global health problem with high prevalence. The study involving 47,399 participants from 20 countries reported that about 20% of individuals experienced mild nomophobia, 50% experienced moderate nomophobia, and 20% experienced severe nomophobia, with a higher prevalence in college students and young adults, while the overall prevalence of nomophobia globally was reported to be 94%. This study aims to find out about nomophobia and its measurement methods. This study is a systematic review that is analyzed based on PRISMA flowchart to determine the inclusion study. This study uses inclusion criteria such as the study is available in full-text published in the last 5 years and is fully accessible and the study must be an original article. Studies written in languages other than Indonesian or English as well as literature review studies were excluded in this study. This study included 6 studies as eligible studies analyzed. This study shows that the NMP-Q questionnaire is used to analyze nomophobia and nomophobia conditions can cause anxiety, stress, phubbing behavior, intensive use of gadgets in a person. Nomophobia behavior can be measured using the NMP-Q questionnaire and can affect quality of life and daily activities. Keywords: Anxiety, DSM IV Guidlines, NMP-Q Questionnaire, Nomophobia, Smartphone ABSTRAK Nomophobia (no mobile phone phobia), adalah gangguan kecemasan sekaligus rasa takut yang timbul saat seseorang tidak dapat menggunakan g…
creator: M. Revo Artmando Lindani
creator: TA Larasati
creator: Chicy Widya Morfi
creator: Winda Trijayanthi Utama
rights: ##submission.copyrightStatement##
date: 2026-08-01
publication date: 2026-08-01
volume: 6
number: 8
starting page: 586
ending page: 598
doi: 10.33024/mahesa.v6i8.26662