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. Aprina, 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 barbartoto ba…
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: Eksplorasi Transkultural Perilaku Pemberian Makan Balita: Studi Kualitatif di Masyarakat Pesisir
items: Upaya Memperbaiki Pola Napas Pada Pasien Asma Melalui Buteyko Breathing Technique
items: Analisis Faktor-Faktor yang Mempengaruhi Perilaku Pemanfaatan Kearifan Lokal sebagai Obat Tradisional Oleh Masyarakat Kabupaten Bogor
items: Efek Terapi Kombinasi Postural Drainage dan Active Cycle of Breathing Technique Pada Pasien Tuberkulosis Paru
items: Pengalaman Pembelajaran Transformatif Mahasiswa Keperawatan Selama Praktik Klinik: Studi Kualitatif Reflektif
items: Clinicopathological Characteristics of Breast Carcinoma at RSUD Sayang Cianjur, West Java, 2022–2024
items: Penerapan SIK dalam Peningkatan Kinerja Layanan Kesehatan
items: Hubungan Stunting Dengan Perkembangan Anak Usia Batita
items: Analisis Faktor-Faktor yang Mempengaruhi Loyalitas Pasien Klinik Fisioterapi Bebas Cedera di Telkom Bsd Tangerang Selatan
items: Deteksi Dini Kanker Ovarium Menggunakan International Ovarian Tumor Analysis (IOTA)
items: Efektifitas Edukasi Tepid Water Sponge Terhadap Pengetahuan Ibu dalam Manajemen Demam Pada Balita
items: Efektifitas Crossword Puzzle Therapy Terhadap Fungsi Kognitif Pada Lanjut Usia
items: Pengaruh Ekstrak Kulit Rambutan (Nephelium Lappaceium L.) terhadap Peningkatan Kadar Hdl pada Tikus Obesitas
items: From Service Quality To Patient Loyalty: A Scoping Review Of Healthcare Experience
items: Readiness Analysis of Facility, Human Resources, and Marketing Strategies on The Increase in Medical Tourism Visits at BIMC Hospital Nusa Dua Bali
items: Evaluasi Determinan Gangguan Psikologis pada Karyawan dan Tenaga Kesehatan: Studi di Rumah Sakit Ibu dan Anak di Jakarta
items: Effectiveness of Scoring Systems in Preventing Abdominal Trauma Emergencies
items: Analisis Penerimaan Diri dengan Kualitas Hidup Pasien Kanker Payudara yang telah Menjalani Mastektomi
items: Pengaruh Booklet Self-Management Berbasis Terapi Modalitas Terhadap Self-Care Penderita Hipertensi
items: The Effectiveness of Soy Milk and Cow’s Milk in Reducing Dysmenorrhea Pain: A Systematic Literatur Review
items: Tinjauan Literatur tentang Faktor Penghambat dan Pendorong Imunisasi di Daerah yang Sulit Dijangkau
items: Efektivitas Senam Anemiaction Terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri
items: Faktor – Faktor yang Mempengaruhi Kepuasan Pasien Terhadap Pelayanan Kesehatan di UPTD Puskesmas Jaka Mulya
items: Potensi Ekstrak Kunyit (Curcuma Longa) Terhadap Kadar Prostaglandin dan Skala Nyeri Dismenore Remaja
items: Fragmentasi Layanan dan Determinan Sosial: Analisis Kualitatif Kegagalan Discharge Planning dan Rekomendasi Model Kolaboratif Lintas Sektor (Sehati)
items: Pemanfaatan Nano Patch Peppermint Terhadap Hormon Kortisol Saliva dan Skala Nyeri Disminore Pada Remaja
items: Hubungan Pendidikan dan Umur Ibu dengan Pemantauan Tumbuh Kembang Balita di Wilayah Kerja Puskesmas Banjar Bangkalan
items: Peranan Human Papiloma Virus Dalam Perkembangan Adenokarsinoma Serviks
items: Treatment of Angle Class I Malocclusion Type I and III Using Removable Orthodontic Appliances: Case Report
items: Severe Omphalocele, Exstrophy of The Cloaca, Imperforate Anus, and Spinal Defects (Oeis) : A Case Report
items: The Essence of Social Support, Psychological Well – Being, and Self – Love : A Key to Long – Term Marriage
items: Hubungan Status Gizi, Perilaku Cuci Tangan, dan Frekuensi Konsumsi Jajanan Sekolah Dengan Kejadian Diare Akut Siswa SD Islam Imama Semarang
items: Integrasi Komunikasi Organisasi dan Teknologi Informasi dalam Pencegahan Fraud JKN: Sebuah Scoping Review
items: Analisis Determinan Inisiasi Menyusui Dini Pada Ibu Nifas di Kecamatan Tualang
items: Hubungan Kesadaran Interoseptif Dengan Kesadaran Hipoglikemia pada Penderita DM Tipe 2
items: Pengembangan Media Edukasi Video Animasi Sebagai Pendamping Ibu dan Kader Dalam Pemberian Makan Balita

Eksplorasi Transkultural Perilaku Pemberian Makan Balita: Studi Kualitatif di Masyarakat Pesisir
type: item
description: ABSTRACT Feeding behavior in children under five years is an important factor in nutritional needs that influence nutritional status and subsequent eating behavior. Parents' feeding behavior is also influenced by culture. The purpose of this study was to explore feeding behavior in children under five years in the context of coastal communities using a qualitative approach based on transcultural nursing theory. This study is qualitative in nature, employing a participatory action research approach. Ten mothers with children under five, two Posyandu cadres, and one midwife from Desa Gisikcemandi, Sidoarjo, participated in this study. Participants were selected using purposive sampling techniques. Data collection was conducted using focus group discussions (FGD) and in-depth interviews. The interview and FGD guides were developed based on the 7 components of the Sunrise Model from the transcultural nursing theory to explore parents' perceptions regarding feeding behaviors. The study identified 4 themes: feeding strategies for children, utilization and management of marine resources, economic and nutritional health challenges, and responses to health interventions. Keywords: Feeding, Under Five Years, Transcultural. ABSTRAK Perilaku pemberian makan pada Balita merupakan salah satu faktor penting untuk memenuhi kebutuhan nutrisi sehingga mempengaruhi status gizi dan perilaku makan anak selanjutnya. Perilaku orang tua dalam pemberian makan pada anak juga dipengaruhi budaya. Tujuan penelitian mengeksplorasi secara mendalam perilaku pemberian makan balita dalam konteks budaya masyarakat pesisir melalui pendekatan kualitatif berbasis teori keperawatan transkultural. Desain penelitian kualitatif dengan pendekatan participatory action research. Partisipan dalam penelitian ini adalah 10 orang ibu yang memiliki Balita, 2 kader posyandu dan 1 Bidan Desa di Desa Gisikcemandi Sidoarjo. Pemilihan partisipan dengan tehnik purposive sampling. Pengumpulan data dengan tehnik focus grou…
creator: Ni Luh Agustini Purnama
creator: Veronica Silalahi
creator: Baswara Yua Kristama
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 1
ending page: 12
doi: 10.33024/mahesa.v6i7.22295

Upaya Memperbaiki Pola Napas Pada Pasien Asma Melalui Buteyko Breathing Technique
type: item
description: ABSTRACT Asthma is a problem that is close to the community because the number of people suffering from asthma is increasing. There are 300 million cases of asthma worldwide, and this number is predicted to increase to 400 million by 2030. Asthma can interfere with the fulfillment of needs and reduce the productivity of sufferers. This study aims to determine the efforts to improve breathing patterns in asthma patients through the Buteyko breathing technique. The method used in this study is a quasi-experiment with a nonequivalent control group design. The instruments used are observation sheets, oximeters, and stopwatches/timers. There are 30 respondents divided into 2 groups (15 intervention respondents and 15 control respondents) using purposive sampling. Data analysis used the paired t-test and independent t-test. The results showed that the Buteyko breathing technique was effective in improving breathing patterns in asthma patients. Health workers are advised to introduce and train asthma patients in the Buteyko Breathing Technique as part of non-pharmacological therapy and asthma management education programs in health centers and hospitals. Asthma sufferers are encouraged to practice BBT regularly to obtain optimal benefits in improving breathing patterns and preventing recurrence. Keywords: Breathing Pattern, Buteyko, Asthma, Oxygen Saturation. ABSTRAK Penyakit asma menjadi masalah yang dekat dengan masyarakat karena jumlah populasi yang menderita asma semakin bertambah. Kasus asma di seluruh dunia mencapai 300 juta jiwa dan diprediksi akan bertambah pada tahun 2030 menjadi 400 juta jiwa. Asma dapat mengakibatkan terganggunya pemenuhan kebutuhan dan menurunkan produktivitas penderitanya. Penelitian ini bertujuan untuk mengetahui upaya memperbaiki pola napas pada pasien asma melalui buteyko breathing technique. Metode yang digunakan dalam penelitian berupa quasi eksperimen dengan desain nonequivalent control group design. Instrumen yang digunakan berupa lemba…
creator: Julianto Laia
creator: Rahma Jumila
creator: Yufi Aliyupiudin
creator: Chuchum Sumiarty
creator: Ipa Haryanti
creator: Muhammad Rizal Chaidir
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 13
ending page: 21
doi: 10.33024/mahesa.v6i7.23547

Analisis Faktor-Faktor yang Mempengaruhi Perilaku Pemanfaatan Kearifan Lokal sebagai Obat Tradisional Oleh Masyarakat Kabupaten Bogor
type: item
description: ABSTRACT Indonesia has natural resources that have been used as traditional medicine for generations. In rural areas, in particular, the use of traditional medicine is often the first solution to overcome minor health problems such as fever, flu, cough, colds, or other problems. This study aims to determine the factors that influence the behavior of using local wisdom as traditional medicine. The method used in this study is quantitative with a cross-sectional design. The instrument used was a questionnaire that was tested for validity and reliability. The number of respondents was 105 using a purposive sampling technique. Data analysis used univariate, bivariate, and multivariate tests. The results of the study indicate that there is an influence of the level of knowledge and attitude on the behavior of using local wisdom traditional medicine, but there is no influence of trust and accessibility on the behavior of using local wisdom traditional medicine. The attitude variable is the most dominant variable influencing behavior. Health workers and the government should implement a more contextual and culturally based educational approach to improve public health literacy, especially regarding the safe and rational use of traditional medicine, and provide an understanding of when to access medical health services. Keywords: Kowledge, Attitude, Trust, Accessibility, Behavior. ABSTRAK Indonesia memiliki sumber daya alam yang telah dimanfaatkan sebagai obat tradisional secara turun temurun. Di wilayah pedesaan khususnya, penggunaan obat tradisional seringkali menjadi solusi pertama dalam mengatasi gangguan kesehatan ringan seperti demam, flu, batuk, masuk angin atau masalah lainnya. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi perilaku pemanfaatan kearifan lokal sebagai obat tradisional oleh masyarakat Kabupaten Bogor. Metode yang digunakan dalam penelitian berupa kuantitatif dengan desain cross sectional. Instrumen yang digunakan berupa kues…
creator: Siti Mulyani
creator: Harun Al Rasid
creator: Eni Rizki Rahayu
creator: Tri Mulyati
creator: Sariaman Purba
creator: Rizkia Prihartini
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 22
ending page: 31
doi: 10.33024/mahesa.v6i7.23548

Efek Terapi Kombinasi Postural Drainage dan Active Cycle of Breathing Technique Pada Pasien Tuberkulosis Paru
type: item
description: ABSTRACT Pulmonary tuberculosis (TB) frequently causes impaired airway clearance due to increased mucus production and ineffective mucociliary function, leading to respiratory symptoms and reduced oxygenation. Postural Drainage (PD) and the Active Cycle of Breathing Technique (ACBT) are airway-clearance interventions proven to enhance secretion mobilization and improve pulmonary function. To determine the effect of combined PD and ACBT therapy on oxygen saturation, sputum volume, and cough–sputum symptoms in patients with pulmonary tuberculosis. This study used a quasi-experimental design with a pre–post test without control group involving 15 TB pulmonary patients recruited through purposive sampling. The intervention consisted of three sessions of combined PD and ACBT. Outcome measures included oxygen saturation (SpO₂), sputum volume, and CASA-Q scores. Data were analyzed using the paired t-test. The combination therapy significantly increased SpO₂ (96.07% to 98.00%; p = 0.001), sputum volume (2.87 mL to 5.40 mL; p = 0.000), and all CASA-Q domains related to cough and sputum (p = 0.000). Combined PD and ACBT therapy is effective in improving airway clearance, respiratory symptoms, and oxygenation in pulmonary TB patients. This intervention can be recommended as a safe, low-cost, and practical non-pharmacological therapy in respiratory nursing care. Keywords: Active Cycle of Breathing Technique, Airway Clearance, Postural Drainage, Pulmonary Tuberculosis. ABSTRAK Tuberkulosis paru sering menimbulkan gangguan bersihan jalan napas akibat peningkatan produksi mukus dan disfungsi mukosilier, sehingga memicu gejala respirasi dan penurunan oksigenasi. Postural Drainage (PD) dan Active Cycle of Breathing Technique (ACBT) merupakan intervensi pembersihan jalan napas yang terbukti meningkatkan mobilisasi sekret serta fungsi paru. Mengetahui efek terapi kombinasi PD dan ACBT terhadap saturasi oksigen, jumlah sputum, serta gejala batuk dan sputum pada pasien tuberkulosis paru…
creator: Aip Rukmana
creator: Fitrian Rayasari
creator: Dewi Anggraini
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 32
ending page: 41
doi: 10.33024/mahesa.v6i7.23569

Pengalaman Pembelajaran Transformatif Mahasiswa Keperawatan Selama Praktik Klinik: Studi Kualitatif Reflektif
type: item
description: ABSTRACT Clinical practice is a pivotal phase in nursing education and serves as a foundation for the formation of students’ professional identity. However, this phase is often accompanied by emotional tension, adaptation challenges, and complex learning dynamics that influence students’ readiness and personal transformation. This study aimed to explore the process of self-transformation among nursing students through their first clinical practice experience. A reflective qualitative design was employed, involving 34 undergraduate nursing students from classes IA and IC at the University of Timor (UNIMOR) who completed their initial clinical practice for the Fundamentals of Nursing course at Mgr. Gabriel Manek, SVD Hospital, Atambua, from 5 May to 28 June 2025. Data were obtained from in-depth written reflections and analyzed using reflective thematic analysis to identify patterns of personal and professional change. Four major themes emerged: (1) emotional transition from fear to confidence; (2) reframing the role and responsibilities of professional nurses; (3) strengthening communication skills, empathy, and self-regulation; and (4) professional identity formation through continuous reflection. Findings indicate that clinical practice plays a substantial role in shaping students’ emotional, ethical, and professional competencies. Clinical practice strengthens not only students’ technical abilities but also serves as a crucial space for personal transformation and the development of professional identity. Educational institutions are encouraged to enhance reflective support and emotional guidance to facilitate student growth during clinical placements. Keywords: Self-Transformation, Clinical Practice, Nursing Students, Reflection, Professional Identity. ABSTRAK Pengalaman praktik klinik merupakan fase fundamental dalam pendidikan keperawatan dan menjadi landasan pembentukan identitas profesional mahasiswa. Namun, fase ini sering disertai ketegangan emosional, tunt…
creator: Maria Julieta Esperanca Naibili
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 42
ending page: 56
doi: 10.33024/mahesa.v6i7.23504

Clinicopathological Characteristics of Breast Carcinoma at RSUD Sayang Cianjur, West Java, 2022–2024
type: item
description: ABSTRACT Breast cancer is the most common malignancy in women and remains the leading cause of cancer-related mortality in Indonesia. As a referral hospital in West Java, RSUD Sayang Cianjur plays an essential role in the diagnosis and management of breast cancer. This study aims to describe the clinicopathological characteristics of breast carcinoma cases at RSUD Sayang Cianjur from January 2022 to December 2024. This research employed a retrospective descriptive design with total sampling using medical records and histopathological reports of patients diagnosed with breast carcinoma. Most patients were aged 55–64 years (34.0%), with tumors more frequently located in the left breast (55.9%). Mastectomy was the most common surgical procedure (83.3%), followed by excision biopsy (15.9%). Based on tumor staging, most cases were T1 (54.9%), while N1 was the most frequent lymph node stage (54.5%). The most common histopathological type was invasive carcinoma of no special type (NST), whereas lobular carcinoma accounted for 13.9% of cases. Grade 2 tumors were most prevalent (50.7%), followed by grade 3 (46.3%). Lymphovascular invasion was the most frequent invasive feature (41.0%), followed by fat invasion (25.0%), skin invasion (12.5%), lymph node invasion (7.6%), and perineural invasion (2.8%). In conclusion, breast carcinoma cases at RSUD Sayang Cianjur predominantly occurred in middle-aged to elderly women, with left-sided tumors, NST-type histopathology, and moderate to high histological grades. Keywords: Breast Cancer, Clinicopathological Characteristics, Carcinoma.
creator: Rohana Agustina
creator: Ichfa Namia
creator: Mila Anisa
creator: Syasya Allyadina
creator: Muhammad Fabian Pasya
creator: Fadhilah Husnul Khotimah
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 57
ending page: 63
doi: 10.33024/mahesa.v6i7.23579

Penerapan SIK dalam Peningkatan Kinerja Layanan Kesehatan
type: item
description: ABSTRACT Digital transformation in the healthcare sector has become a fundamental necessity in the era of industrial revolution 4.0, where Health Information Systems (HIS) play a strategic role in optimizing medical service quality. This research aims to analyze the implementation of HIS, particularly Electronic Health Records (EHR) and Hospital Management Information Systems (HMIS), in improving healthcare service performance through a systematic literature review approach. The research method employed narrative synthesis of 20 selected scientific articles from the 2020-2024 publication period obtained through Google Scholar, PubMed, and ScienceDirect database searches. Research findings demonstrate that HIS implementation contributes significantly to operational efficiency improvement with service waiting time reduction up to 67%, clinical service quality enhancement through medication error reduction of 22-41%, and patient satisfaction elevation correlated with administrative process acceleration and more effective therapeutic communication. Determinant factors for successful implementation include top management support, reliable system quality, user competency, and continuous training programs. Main challenges identified encompass financial resource and infrastructure limitations, data security issues, digital literacy gaps, and resistance to change. This research concludes that effective HIS implementation requires a holistic approach integrating technological, organizational, and human factors aspects to achieve sustainable and comprehensive healthcare service performance optimization. Keywords: Health Information System, Healthcare Service Performance, Digital Transformatio. ABSTRAK Transformasi digital dalam sektor kesehatan telah menjadi kebutuhan fundamental di era revolusi industri 4.0, dimana Sistem Informasi Kesehatan (SIK) berperan strategis dalam mengoptimalkan mutu pelayanan medis. Penelitian ini bertujuan menganalisis penerapan SIK, khususnya Elect…
creator: Arie Afriantara
creator: Haryna Septa Rahima
creator: Ida Ayu Swathi Antari
creator: I Komang Sutrisna Budiyasa
creator: Sulis Dwi Endang Windari
creator: Syarif Hidayatullah
creator: Nila Imtihani
creator: Vina Budi Lestari
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 64
ending page: 87
doi: 10.33024/mahesa.v6i7.23627

Hubungan Stunting Dengan Perkembangan Anak Usia Batita
type: item
description: ABSTRACT Stunting is a condition of growth retardation caused by chronic nutritional deficiencies over a prolonged period, resulting in a child’s height being lower than that of peers of the same age. This condition is considered a serious public health issue as it is associated with an increased risk of morbidity and mortality among children. This study aims to identify the relationship between stunting and child development, which includes aspects of gross motor skills, fine motor skills, language and speech abilities, social interaction, and independence among toddlers in the working area of Cikarang Utara Public Health Center, Bekasi Regency. The research employed a quantitative approach with a correlational design and a cross-sectional method. The study population consisted of 1,945 toddlers, with a sample of 96 children determined using the Slovin formula and selected through a non-probability purposive sampling technique. Data collection utilized the Developmental Pre-Screening Questionnaire (Kuesioner Pra Skrining Perkembangan/KPSP), and data analysis was conducted using the Chi-Square test. The results showed a significant relationship between stunting and child development across several domains, namely gross motor skills (p=0.028; PR=1.483; CI=1.042–2.109; CC=0.240), fine motor skills (p=0.020; PR=1.580; CI=1.070–2.335; CC=0.251), language and speech (p=0.022; PR=1.435; CI=1.048–1.996; CC=0.248), as well as socialization and independence (p=0.044; PR=1.448; CI=1.015–2.066; CC=0.222). Based on these findings, it can be concluded that stunting has a significant correlation with child development across multiple domains, including motor, language, and socio-independence aspects. Keywords: Stunting, Toddler Development. ABSTRAK Stunting merupakan suatu kondisi terhambatnya pertumbuhan yang disebabkan oleh defisiensi gizi kronis dalam jangka waktu panjang, yang berdampak pada tinggi badan anak yang lebih rendah dibandingkan dengan anak seusianya. Keadaan ini m…
creator: Ahsan Fillah El Faiz
creator: Nadia Luthfi Rahman
creator: Yulta Kadang
creator: Beatrix Elizabeth
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 88
ending page: 101
doi: 10.33024/mahesa.v6i7.23628

Analisis Faktor-Faktor yang Mempengaruhi Loyalitas Pasien Klinik Fisioterapi Bebas Cedera di Telkom Bsd Tangerang Selatan
type: item
description: ABSTRACT Patient loyalty plays a crucial role in the sustainability of physiotherapy services, especially amid increasing demands for high-quality and patient-centered care. Key determinants such as service quality, patient satisfaction, and trust are often identified as essential components in fostering long-term relationships between patients and healthcare providers. However, empirical evidence examining the interplay among these variables within physiotherapy clinic settings remains limited.This study aims to examine the relationship between service quality, patient satisfaction, and trust toward patient loyalty at the Bebas Cedera Physiotherapy Clinic in South Tangerang (Telkom BSD).A quantitative research design was employed using accidental sampling, involving 109 participants. Data were analyzed using multiple linear regression and mediation testing through PROCESS Macro Model 4. The study assessed the influence of service quality, patient satisfaction, and trust on patient loyalty.The results indicate that both service quality and trust have a positive and significant effect on patient loyalty. Patient satisfaction, while positive, shows an insignificant influence. Furthermore, patient satisfaction does not mediate the relationship between service quality or trust and patient loyalty. These findings highlight trust as the most dominant factor shaping patient loyalty. Trust emerges as a key determinant of patient loyalty in physiotherapy services. Enhancing communication, empathy, and consistent service delivery is recommended to strengthen long-term patient–clinic relationships. Keywords: Physiotherapy, Patient Satisfaction, Patient Trust, Patient Loyalty, Service Quality. ABSTRAK Patient loyalty merupakan aspek penting dalam keberlangsungan layanan fisioterapi, terutama dalam konteks meningkatnya kebutuhan pelayanan kesehatan yang berorientasi pada kualitas. Faktor-faktor seperti kualitas layanan, kepuasan pasien, dan kepercayaan menjadi determinan utama d…
creator: Ester Lita Maratade
creator: Indasah Indasah
creator: Nurwijayanti Nurwijayanti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 102
ending page: 119
doi: 10.33024/mahesa.v6i7.23592

Deteksi Dini Kanker Ovarium Menggunakan International Ovarian Tumor Analysis (IOTA)
type: item
description: ABSTRACT Ovarian cancer is one of the most lethal gynecological malignancies, with approximately 70% of cases diagnosed at an advanced stage. It ranks as the fourth leading cause of cancer-related deaths among women. The prognosis of ovarian cancer improves significantly when detected early, but the disease is often asymptomatic in its initial stages, leading to delayed diagnosis and poorer outcomes. Because of its low cost and accessibility, ultrasound has proved to be the most useful diagnostic tool for adnexal masses. Ultrasound can be used to distinguish benign from malignant adnexal masses using IOTA simple rules. Early detection of ovarian cancer is important for reducing mortality from ovarian cancer. A case report of Mrs. SW, a 34-year-old woman came to Arifin Achmad Hospital who presented with palpable of abdominal mass. The patient underwent a series of diagnostic tests, including physical examination, ultrasound, abdominal CT scan, and histopathology. On ultrasound examination, found an adnexal mass suspected ovarian cancer by using International Ovarian Tumor Analysis (IOTA). The IOTA simple rules describe five typical features of benigna (B) tumours and five typical features of malignant (M) tumours. It had high sensitvity and specificity for discriminating between malignant and benign adnexal tumour. Preoperative diagnose of malignant adnexal mass using IOTA simple rules were confirmed by postoperative pathology analysis shown a bilateral fibrosarcoma ovary. Early diagnosis is important for reducing mortality from ovarian cancer. Imaging techniques, such as ultrasound (US) have been used in the preoperative assessment of adnexal tumours. IOTA simple rules can distinguish benign from malignant adnexal masses. It can provide an important reference for clinical decision making. Keywords: Ovarian Cancer, International Ovarian Tumor Analysis (IOTA), Adnexal Mass.
creator: Sania Utari
creator: Renardy Reza Razali
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 120
ending page: 126
doi: 10.33024/mahesa.v6i7.23671

Efektifitas Edukasi Tepid Water Sponge Terhadap Pengetahuan Ibu dalam Manajemen Demam Pada Balita
type: item
description: ABSTRACT Fever is a condition caused by infection or an imbalance between heat production and heat loss. One of the non-pharmacological therapies is the Tepid Water Sponge compress, a warm compress method that combines wiping techniques with block compress techniques. According to WHO data, in 2020 the number of fever cases in children worldwide reached 17,000,000, with an incidence ranging from 16,000,000 to 33,000,000 and a mortality rate of 500,000–600,000 annually. The purpose of this study was to determine the effect of health education about tepid water sponge on mothers’ knowledge in managing fever. This research used a quantitative method with a pre-experimental design, specifically a one-group pretest and posttest design. Sampling was conducted using purposive sampling with inclusion and exclusion criteria, resulting in a total of 24 respondents. Data analysis involved normality testing and hypothesis testing. The Shapiro-Wilk test was used for normality, and the Wilcoxon Signed Rank Test was applied for hypothesis testing. The results showed a p-value of 0.001, which means p < 0.005, thus Ha was accepted and Ho was rejected. It can be concluded that health education about Tepid Water Sponge has an effect on mothers’ knowledge in managing fever in toddlers. Keywords: Health Education, Knowledge, Tepid Water Sponge, Fever Management. ABSTRAK Demam merupakan suatu penyakit yang disebabkan karena infeksi atau adanya ketidakseimbangan antara produksi panas dan pengeluarannya Salah satu Terapi non-farmakologi yaitu Kompres Tepid Water Sponge metode kompres hangat yang manggabungkan teknik seka dengan Teknik kompres blok. Menurut WHO, berdasarkan data demam pada anak tahun 2020 jumlah kasus demam pada anak diseluruh dunia mencapai angka 17.000.000 dengan insidensi sebanyak 16.000.000 – 33.000.000 dan angka kematiaan 500.000 – 600.000 setiap tahunnya.tujuan penelitian ini adalah Untuk mengetahui pengaruh edukasi kesehatan tentang tepid water sponge terhadap penget…
creator: Rahma Jumila
creator: Yuni Raya
creator: Anisya Fajar Rahmawati
creator: Fitria Hari Wibawati
creator: Salsalina Yuniarty Ginting
creator: Aulia Syifa Ramadhani
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 127
ending page: 135
doi: 10.33024/mahesa.v6i7.23630

Efektifitas Crossword Puzzle Therapy Terhadap Fungsi Kognitif Pada Lanjut Usia
type: item
description: ABSTRACT Data from the Indonesian Ministry of Health (2021) shows that the elderly population in Indonesia is projected to increase to 48.2 million people by 2035. According to WHO (2022), approximately 55 million older adults worldwide experience a decline in cognitive function, and around 7.7 million develop cognitive impairment each year. Various non-pharmacological interventions have been developed to maintain and improve cognitive function in the elderly, one of which is Crossword Puzzle Therapy (CPT). This therapy involves engaging in crossword puzzle activities that stimulate brain function, enhance memory, and train critical thinking skills. To determine the effectiveness of Crossword Puzzle Therapy on cognitive function in older adults. This study employed a pre-experimental design with a one-group pretest and posttest approach. The sample consisted of 16 respondents, with data collected through observation and administration of the MMSE test. The intervention group received CPT for 30–45 minutes, three times per week for four weeks. The hypothesis was tested using the Wilcoxon signed-rank test. There was a significant effect of Crossword Puzzle Therapy (CPT) on cognitive function in older adults, with a p-value of 0.000. CPT is effective in improving cognitive function in the elderly. This therapy can serve as a simple, low-cost, and accessible non-pharmacological intervention to help maintain the quality of life of older adults. Keywords: Crossword Puzzle Therapy, Elderly, MMSE. ABSTRAK Data Kemenkes RI tahun 2021 Populasi jumlah lansia di Indonesia pada tahun 2035 diperkirakan meningkat menjadi 48,2 juta orang. Data WHO (2022), ada sekitar 55 juta orang lansia mengalami penurunan kemampuan fungsi kognitif dan sekitar 7,7 juta lansia mengalami penurunan kemampuan kognitif per tahunnya. Berbagai intervensi non-farmakologis dikembangkan untuk mempertahankan dan meningkatkan fungsi kognitif pada lansia, salah satunya adalah Crossword Puzzle Therapy (CPT). Te…
creator: Fajar Adhie Sulistyo
creator: Sasni Triana Putri
creator: Elpinaria Girsang
creator: Bustomi Bustomi
creator: Margaretha Rini
creator: Deden Nurjaman
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 136
ending page: 145
doi: 10.33024/mahesa.v6i7.23631

Pengaruh Ekstrak Kulit Rambutan (Nephelium Lappaceium L.) terhadap Peningkatan Kadar Hdl pada Tikus Obesitas
type: item
description: ABSTRACT Obesity is one of the major factors contributing to dyslipidemia, including a reduction in high-density lipoprotein (HDL) levels, which plays an essential role in reverse cholesterol transport. Rambutan peel extract (Nephelium lappaceium L.) contains various bioactive compounds such as polyphenols, ellagitannins, flavonoids, tannins, and saponins, which are known to improve lipid metabolism. This study aimed to evaluate the effect of rambutan peel extract on increasing HDL levels in obese rats and to compare its efficacy with ellagic acid, a commercial single active compound. A total of 25 male Sprague Dawley rats were divided into five groups: normal control (K−), obese control (K+), ellagic acid group (KP1), and rambutan peel extract groups at doses of 15 mg/kgBW (KP2) and 30 mg/kgBW (KP3). Obesity was induced using a high-fat–sucrose diet for 7 weeks. Treatments were administered orally for 30 days. HDL levels were measured using an enzymatic method, and data were analyzed using the Kruskal–Wallis test. The results showed that KP2 (15 mg/kgBW) exhibited the highest increase in HDL levels (49.8 ± 14.92 mg/dL), approaching normal values. The KP1 group receiving ellagic acid also showed improvement, although lower than the extract. Conversely, KP3 (30 mg/kgBW) demonstrated a decrease in HDL levels to 28.8 ± 2.49 mg/dL. This study concludes that rambutan peel extract has strong potential as a natural hypolipidemic agent capable of increasing HDL levels in obese rats, with the optimal dose being 15 mg/kgBW. The non-linear dose response suggests that the balance of bioactive components within the extract plays a crucial role in determining its effectiveness. Keywords: Rambutan Peel Extract, HDL Cholesterol, Obesity. ABSTRAK Obesitas merupakan salah satu faktor utama yang memicu terjadinya dislipidemia, termasuk penurunan kadar high-density lipoprotein (HDL) yang berperan penting dalam mekanisme transport kolesterol balik. Ekstrak kulit rambutan (Nephelium lapp…
creator: Liya Aliyah Nuraini
creator: Lisdiana Aliyah Lisdiana
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 146
ending page: 158
doi: 10.33024/mahesa.v6i7.23688

From Service Quality To Patient Loyalty: A Scoping Review Of Healthcare Experience
type: item
description: ABSTRACT The global shift toward patient-centered care has prompted healthcare providers to prioritize medical effectiveness and the quality of patient experience. This scoping review aims to map the relationship between service quality, patient satisfaction, and loyalty within healthcare facilities and identify the underpinning theories. Guided by the PRISMA-ScR protocol, this study analyzes 15 primary research articles published between 2021 and 2024. Findings reveal that service quality, reliability, empathy, physical infrastructure, and effective communication are key determinants of patient satisfaction. Furthermore, trust, percept value, and service equity enhance this relationship and trigger long-term loyalty, mainly through word of mouth. The three main theoretical frameworks, Expectancy Disconfirmation Paradigm (EDP), Equity Theory, and Value Percept Theory, are confirmed as critical to explaining patient satisfaction and loyalty. This review highlights the necessity of a comprehensive service management strategy that integrates technical, emotional, and relational dimensions to sustain patient loyalty. Keywords: Service Quality, Patient Satisfaction, Loyalty, Healthcare Facility.
creator: Raras Purna Enrilladela
creator: Ernawaty Ernawaty
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 159
ending page: 172
doi: 10.33024/mahesa.v6i7.23670

Readiness Analysis of Facility, Human Resources, and Marketing Strategies on The Increase in Medical Tourism Visits at BIMC Hospital Nusa Dua Bali
type: item
description: ABSTRACT The trend of medical tourism visits in various countries continues to increase. The high increase in medical tourism services must be accompanied by hospitals' readiness to maintain quality and patient loyalty. This study aims to analyse the readiness of facilities, human resources, and marketing strategies for increasing medical tourism visits at BIMC Hospital Nusa Dua. This study is a case study with qualitative data collection thru in-depth interviews and direct observation. The results of this study indicate that BIMC Hospital Nusa Dua has prepared facilities to increase medical tourism service visits by adding the number of operating room procedures and treatments, as well as some modern medical equipment. In addition, the hospital has also prepared transportation and accommodation in collaboration with travel agents. Human resource readiness can be seen by providing overseas training for doctors to improve their competence. In addition, nursing staff and other personnel have been given both internal and external training. Excellent service training is provided to all staff to deliver outstanding service to customers. The marketing strategy focuses on improving product/service quality, implementing competitive pricing, accessibility, and promoting thru websites and social media. Conclusion: The increase in medical tourism visits is a significant concern, as evidenced by the development of hospital facilities, improved human resource competency, and effective marketing strategies to maintain service quality and patient loyalty. Keywords: Medical Tourism, Facility Readiness, Human Resources, Marketing Strategy.
creator: Ribut Agung Nugroho
creator: Muhammad Anas
creator: Mochamad Mochklas
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 173
ending page: 187
doi: 10.33024/mahesa.v6i7.23718

Evaluasi Determinan Gangguan Psikologis pada Karyawan dan Tenaga Kesehatan: Studi di Rumah Sakit Ibu dan Anak di Jakarta
type: item
description: ABSTRACT Healthcare workers in maternal–neonatal facilities face high workloads, emotional strain, and complex clinical demands. These conditions place them at increased risk of psychological disorders such as stress, anxiety, and depression. Work-related factors, including task intensity and emotional demands, are often major triggers of mental distress. Work stress and burnout are two key factors frequently associated with decreased psychological well-being among healthcare workers. This study aims to identify the determinants of psychological disorders among employees and healthcare workers in a Mother and Child Hospital in Jakarta by assessing the influence of age, work stress, and burnout on mental health outcomes. A cross-sectional design was employed involving 53 respondents who met the inclusion criteria. Data were collected using structured questionnaires measuring work stress, burnout, and symptoms of stress, anxiety, and depression. Correlation analysis and Partial Least Squares modelling were conducted to evaluate direct and indirect relationships among the study variables. Work stress demonstrated strong correlations with psychological disorders, including quantitative overload (r = 0.66), qualitative overload (r = 0.70), role conflict (r = 0.64), and role ambiguity (r = 0.63). Burnout showed significant associations through emotional exhaustion (r = 0.70) and depersonalization (r = 0.51). The SEM-PLS model indicated that work stress had a substantial direct effect on psychological disorders (β = 0.517) and an indirect effect through burnout (β = 0.240). Conversely, age showed no meaningful correlation with stress (r = –0.13), anxiety (r = –0.12), or depression (r = –0.13). Situational job-related factors exert a greater influence on psychological disorders than demographic characteristics. Organizational interventions focusing on workload management, emotional support, mental health monitoring, and burnout prevention programs are essential to improve h…
creator: Christian Wijaya
creator: Febiola Kristina
creator: Refiansyah Tri Anggoro Ramadhani
creator: Kadek Febby Selia Cesio
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 188
ending page: 202
doi: 10.33024/mahesa.v6i7.23789

Effectiveness of Scoring Systems in Preventing Abdominal Trauma Emergencies
type: item
description: ABSTRACT Abdominal trauma is one of the leading causes of morbidity and mortality in emergency cases, with an incidence rate of 7-10% of all trauma cases. Accurate and timely assessment is crucial to determine the need for surgical intervention and prevent fatal complications. Evaluating the effect of scoring system-based abdominal assessment instruments on the prevention of emergencies and patient clinical outcomes. A systematic review of quantitative studies was conducted. Full-text articles were retrieved from four databases: Web of Science, ScienceDirect, ProQuest, and PubMed for the period 2020-2025. The keywords used were: Abdominal Trauma OR Abdominal Injury AND Assessment OR Scoring OR Initial Assessment OR Preliminary OR Evaluation AND Emergency. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) criteria. A narrative analysis was conducted to present the effectiveness of scoring-based abdominal assessment in preventing emergencies. A comprehensive analysis of 15 studies evaluated five major scoring systems: CASS, BATSS, ISS, RTS, and TRISS. BATSS showed the best diagnostic performance with excellent surgical intervention prediction capabilities, achieving sensitivity of up to 100% and specificity of nearly 97%. CASS showed wider performance variability but still provided satisfactory prediction accuracy. ISS proved effective in predicting morbidity and mortality, with critical values indicating very high-risk patients. TRISS demonstrated superior performance as a predictor of mortality with near-perfect prediction accuracy, making it a highly reliable instrument for mortality risk stratification. Abdominal assessment instruments based on scoring systems significantly influence the prevention of emergencies through early identification of high-risk patients, optimization of the use of diagnostic modalities such as CT scans, and facilitation of timely clinical decision-making. BATSS shows superiority in predicting the need for su…
creator: Dance Nong Daniel nong dance
creator: Sriyono Sriyono
creator: Erna Dwi Wahyuni
creator: Siska Ayu
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 203
ending page: 215
doi: 10.33024/mahesa.v6i7.23841

Analisis Penerimaan Diri dengan Kualitas Hidup Pasien Kanker Payudara yang telah Menjalani Mastektomi
type: item
description: ABSTRACT Breast cancer is one of the types of cancer with a high global prevalence. According to data from the Breast Cancer Research Foundation, in 2020, 2.3 million women worldwide were diagnosed with breast cancer, with 670,000 dying from this disease (Arnold, 2022)Breast cancer is the most common cancer among women and significantly impacts physical, psychological aspects, and the quality of life of patients. One of the efforts to combat breast cancer is mastectomy, which involves removing part or all of the infected breast tissue. This research aims to examine the relationship between self-acceptance and the quality of life of breast cancer patients who have undergone mastectomy at RSUD Jenderal Ahmad Yani Kota Metro in 2025.The research was conducted from April 21 to May 19 using a quantitative descriptive analytic design with a cross-sectional approach. A total of 51 respondents were selected through purposive sampling.The results of the study show a significant relationship between self-acceptance and the quality of life of breast cancer patients who have undergone mastectomy, with a p-value of 0.001 (p < 0.05).This research provides in-depth information about the impact of self-acceptance on the quality of life of breast cancer patients through a psychological approach that supports their self-acceptance. Keywords: Breast Cancer, Mastectomy, Quality Of Life, Self-Acceptance. ABSTRAK Kanker payudara merupakan salah satu jenis kanker dengan prevalensi tinggi secara global. Menurut data dari Breast Cancer Research Foundation, pada tahun 2020 terdapat 2,3 juta perempuan di seluruh dunia yang didiagnosis menderita kanker payudara, dengan 670 ribu di antaranya meninggal dunia akibat penyakit ini (Arnold, 2022). Kanker payudara merupakan jenis kanker yang paling banyak terjadi pada perempuan dan berdampak besar pada aspek fisik, psikologis, serta kualitas hidup pasien. Salah satu dampak pengobatan kanker payudara adalah tindakan mastektomi yang dapat memengaruhi p…
creator: Titi Astuti
creator: Aprina Aprina
creator: Angelika Rabsanjani
creator: Kodri Kodri
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 216
ending page: 228
doi: 10.33024/mahesa.v6i7.26373

Pengaruh Booklet Self-Management Berbasis Terapi Modalitas Terhadap Self-Care Penderita Hipertensi
type: item
description: ABSTRACT Hypertension remains a major chronic health problem in Indonesia, with low self-care adherence contributing to poor blood pressure control. Although various educational and complementary approaches have been introduced, evidence regarding the effectiveness of booklet-based educational media integrated with modality therapy is still limited. This study examined the effect of a self-management booklet incorporating Slow Deep Breathing (SDB) and ginger–turmeric herbal infusion on improving self-care among hypertensive patients. Using a quasi-experimental pretest–posttest control group design, 32 respondents were recruited through accidental sampling in Citimun Village and evenly assigned to intervention and control groups. Self-care was measured using the validated H-SCALE questionnaire (Cronbach’s alpha 0.79–0.89). Data were analyzed using paired t-tests, Mann–Whitney U tests for N-gain comparisons, and effect size calculations. Results showed a significant difference between the intervention and control groups (U = 42.00; p < 0.001), with a Hodges–Lehmann estimate of –0.509 and a strong effect size (ηp² = 0.230). These findings indicate that the self-management booklet integrating SDB and ginger–turmeric infusion significantly enhances self-care among individuals with hypertension. The study supports the use of print-based educational media combined with complementary therapy as an effective promotive–preventive strategy for hypertension control in rural communities. Keywords: Booklet, Self-Care, Self-Management, Hypertension. ABSTRAK Hipertensi merupakan masalah kesehatan kronis dengan tingkat kepatuhan self-care yang masih rendah di Indonesia, sehingga berkontribusi terhadap rendahnya pencapaian kontrol tekanan darah optimal. Berbagai pendekatan edukasi dan terapi komplementer telah dikembangkan untuk meningkatkan self-management pasien, namun efektivitas media edukasi berbasis booklet yang terintegrasi dengan terapi modalitas terhadap peningkatan self-car…
creator: Tito Chaisar Samuel
creator: Popi Sopiah
creator: Imam Tri Sutrisno
creator: Diding Kelana Setiadi
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 229
ending page: 242
doi: 10.33024/mahesa.v6i7.23826

The Effectiveness of Soy Milk and Cow’s Milk in Reducing Dysmenorrhea Pain: A Systematic Literatur Review
type: item
description: ABSTRACT Primary dysmenorrhea is a common menstrual problem among adolescent girls and is often associated with elevated prostaglandin levels, which trigger excessive uterine contractions and pain. Nutritional interventions are increasingly explored as non-pharmacological alternatives to reduce dysmenorrhea, with soy milk and cow’s milk being two commonly studied options. This study aims to synthesize existing evidence on the effectiveness of soy milk and cow’smilk in reducing primary dysmenorrhea among adolescents. Method: This study used a Systematic Literature Review(SLR) based on the PICO framework—population (adolescent girls), intervention (milk consumption), comparison (soy milk vs. cow’s milk), and outcome (reduction in dysmenorrhea pain). Articles published from 2015–2025 were searched in Google Scholar, Scopus (via Publish or Perish), and PubMed using Boolean keywords related to adolescents, soy milk, cow’s milk, and dysmenorrhea. Eligible studies included original research on adolescents with primary dysmenorrhea, clear milk dosage and duration, standardized instruments, and full text in Indonesian or English. After duplicate removal, screening, and full-text assessment, data on study characteristics, milk type, dosage, duration, and pain reduction were narratively synthesized. The initial literature search identified 1,007 journals from After going through a selection process, 4 journals met the requirements for analysis.The synthesis revealed that both soy milk and cow’s milk reduce primary dysmenorrhea based on NRS score, but soy milk showed more consistent effects. Consumption of 250 ml soy milk once daily for 1–2 days reduced pain by 3–4 NRS points. This benefit is supported by its nutrient content, where 250 ml soy milk contains 25–40 mg isoflavones (genistein daidzein and glycitein) and 200–300 mg calcium, or up to 500 mg in fortified products. Cow’s milk also reduced pain, with the best effect at 1,000 mg calcium/day (reduction of 4–5 NRS points),…
creator: Retiningrum Retiningrum
creator: Khamidah Achyar
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 243
ending page: 256
doi: 10.33024/mahesa.v6i7.23905

Tinjauan Literatur tentang Faktor Penghambat dan Pendorong Imunisasi di Daerah yang Sulit Dijangkau
type: item
description: ABSTRACT Immunization coverage in rural and remote areas remains low due to geographical barriers, limited health resources, and socio-behavioral challenges. This review aims to identify key barriers and facilitators of immunization in hard-to-reach settings by synthesizing literature published between 2020 and 2025 retrieved from Scopus and PubMed. From 853 identified articles, nine met the inclusion criteria and were analyzed through narrative synthesis. Findings indicate that difficult geographic access, insufficient health infrastructure and workforce, low socioeconomic conditions, limited health literacy, and distrust toward vaccines constitute major barriers. In contrast, outreach and mobile services, strong community and family support, integration with maternal and child health services, effective health communication, and the use of mHealth technologies serve as important facilitators. This review concludes that improving immunization in remote areas requires comprehensive strategies that enhance service accessibility, strengthen the health workforce, build community trust, and adopt innovative, community-based approaches to achieve equitable and sustainable immunization coverage. Keywords: Immunization, Remote Areas, Health Access, Coverage. ABSTRAK Cakupan imunisasi di wilayah rural dan terpencil masih rendah karena hambatan geografis, keterbatasan sarana dan tenaga kesehatan, serta faktor sosial-ekonomi dan perilaku masyarakat. Kajian ini bertujuan mengidentifikasi faktor penghambat dan pendorong imunisasi di daerah sulit dijangkau melalui literature review terhadap publikasi tahun 2020–2025 yang ditelusuri pada Scopus dan PubMed. Dari 853 artikel yang ditemukan, proses seleksi ketat menghasilkan 9 artikel yang dianalisis menggunakan sintesis naratif. Hasil kajian menunjukkan bahwa jarak dan akses sulit, terbatasnya infrastruktur dan tenaga kesehatan, rendahnya literasi dan kepercayaan terhadap vaksin, serta kondisi sosial-ekonomi menjadi hambatan utama.…
creator: Titin Ismawati Launuru
creator: Ernawaty Ernawaty
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 257
ending page: 275
doi: 10.33024/mahesa.v6i7.23912

Efektivitas Senam Anemiaction Terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri
type: item
description: ABSTRACT Anemia remains a significant global public health issue affecting adolescent girls and contributing to reduced physical endurance, lowered cognitive focus, and long‑term reproductive risks. This study aims to evaluate the effectiveness of Anemiaction exercise as a low‑intensity aerobic activity designed to stimulate erythropoietin and improve hemoglobin levels. Using a one‑group pretest–posttest design involving 30 adolescent girls, hemoglobin levels were measured before and after four weeks of exercise performed three times weekly. Results showed an increase from 11.2 g/dL to 12.1 g/dL, indicating significant improvement. Anemiaction exercise can serve as an effective, non‑pharmacological school‑based intervention for anemia prevention. Keywords: Hemoglobin, Anemiaction Exercise, Anemia, Adolescent Girls. ABSTRAK Anemia merupakan masalah kesehatan global yang banyak dialami remaja putri dan berdampak pada penurunan konsentrasi belajar, daya tahan tubuh, serta risiko kesehatan reproduksi jangka panjang. Penelitian ini bertujuan menilai efektivitas senam Anemiaction sebagai aktivitas aerobik intensitas ringan yang dapat merangsang eritropoietin dan meningkatkan kadar hemoglobin. Desain penelitian menggunakan one‑group pretest–posttest dengan 30 remaja putri. Kadar hemoglobin diukur sebelum dan sesudah intervensi selama empat minggu. Hasil menunjukkan peningkatan dari 11,2 g/dL menjadi 12,1 g/dL. Senam Anemiaction efektif sebagai intervensi non‑farmakologis untuk pencegahan anemia berbasis sekolah Kata Kunci: Hemoglobin, Senam Anemiaction, Anemia, Remaja Putri.
creator: Meda Yuliani
creator: Tika Lubis
creator: Lia Novita
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 276
ending page: 282
doi: 10.33024/mahesa.v6i7.23951

Faktor – Faktor yang Mempengaruhi Kepuasan Pasien Terhadap Pelayanan Kesehatan di UPTD Puskesmas Jaka Mulya
type: item
description: ABSTRACT Patient satisfaction is a crucial indicator of healthcare quality, particularly in primary care facilities such as community health centers. This study used the Servqual model, which measures five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Initial data from interviews with 10 patients showed that satisfaction levels remained below the 95% Minimum Service Standard (SPM), with physical aspects being the most common complaint. Factors such as waiting time, staff friendliness, facility availability, and communication quality also influenced patient satisfaction. Knowing the factors that influence patient satisfaction with health services. Analytical with a cross-sectional design. The sample in this study was a portion of patients who visited the UPTD Jaka Mulya Community Health Center in November 2025, totaling 86 respondents. The sampling technique used was random sampling. The majority of respondents said they were satisfied (70.9%), had good reliability (67.4%), had good responsiveness (77.9%), had good empathy (72.1%), and had good tangibles (80.2%). Reliability, responsiveness, empathy, and tangibles significantly influenced patient satisfaction at the Jaka Mulya Community Health Center (UPTD), with a p-value of <0.05. Reliability, Responsiveness, Empathy, and Tangibility influence patient satisfaction at the Jaka Mulya Community Health Center (UPTD). It is hoped that the health department will address the needs of healthcare workers at each community health center to ensure optimal health services. Keywords: Satisfaction, Reliability, Responsiveness, Empathy, Tangibles. ABSTRAK Kepuasan pasien merupakan indikator penting dalam kualitas pelayanan kesehatan, khususnya pada fasilitas pelayanan primer seperti puskesmas. Model servqual digunakan dalam penelitian ini dengan lima dimensi penilaian yaitu tangibles, reliability, responsiveness, assurance, dan empathy. Data awal melalui wawancara pada 10 pasien menunjukkan bahwa tin…
creator: Juli Megaria Zalukhu
creator: Desridius Chalid
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 283
ending page: 294
doi: 10.33024/mahesa.v6i7.23952

Potensi Ekstrak Kunyit (Curcuma Longa) Terhadap Kadar Prostaglandin dan Skala Nyeri Dismenore Remaja
type: item
description: ABSTRACT Dysmenorrhea is a common complaint among adolescents and can increase uterine contractions as well as prostaglandin hormone levels. Turmeric extract, which is rich in curcumin, possesses analgesic, antispasmodic, and anti-inflammatory properties, especially when formulated in capsules that support optimal absorption in the body. This study aimed to evaluate the potential of turmeric extract (Curcuma longa) on prostaglandin levels and dysmenorrhea pain scale in adolescents.This study used a quasi-experimental design involving a control group and an intervention group. The intervention group received turmeric extract capsules during the menstrual period. The measured variables included prostaglandin levels using ELISA and pain intensity using the Numeric Rating Scale (NRS). Data analysis was performed using the Wilcoxon and Mann-Whitney tests.The mean pain intensity in the intervention group decreased from 5.26 to 2.26 (p = 0.000), while in the control group it decreased from 5.00 to 3.00 (p = 0.000). The difference between the two groups was significant (p = 0.030) with a large effect size (d = 1.62). Prostaglandin levels in the intervention group also decreased from 170.67 to 118.20 pg/mL (p = 0.000), whereas in the control group they decreased from 156.47 to 108.48 pg/mL. The difference between groups was significant (p = 0.038) with a large effect size (d = 0.85). These findings indicate that turmeric extract capsules are effective in reducing both pain intensity and prostaglandin levels. Turmeric extract capsules are proven to effectively decrease dysmenorrhea pain and prostaglandin hormone levels in adolescents. This suggests that turmeric extract could be a potential non-pharmacological intervention for managing adolescent dysmenorrhea and alleviating menstrual complaints safely and naturally. Keywords: Turmeric Extract Capsule, Curcuma longa, Prostaglandin, Dysmenorrhea, Menstrual Pain, Adolescents. ABSTRAK Dismenore merupakan keluhan yang sering dial…
creator: Brigita Galuh Pradhanasti
creator: Ari Suwondo
creator: Sri Wahyuni
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 295
ending page: 309
doi: 10.33024/mahesa.v6i7.23954

Fragmentasi Layanan dan Determinan Sosial: Analisis Kualitatif Kegagalan Discharge Planning dan Rekomendasi Model Kolaboratif Lintas Sektor (Sehati)
type: item
description: ABSTRACT High readmission rates among Patients with Mental Disorders (ODGJ) are often linked to Discharge Planning (DP) failures. This study aims to deeply explore systemic barriers and the need for community-based solutions to prevent DP from functioning as an effective Transitional Care (TC) mechanism at Naimata Mental Hospital, Kupang. This descriptive phenomenological qualitative research involved 14 key participants (Mental Hospital Health Personnel, Community Health Center Nurses, ODGJ Patients, and Families/Caregivers) through In-depth Interviews. Data were analyzed using thematic methods to identify major barriers in the post-discharge continuum of care. Eight main themes were found, which include: (1) Massive handoff failure, manifested as "Silent Discharge" due to the absence of formal coordination (WA Group) between the Mental Hospital and Community Health Centers (Puskesmas). (2) Medication non-adherence is triggered by Social Determinants of Health (SDH), especially the "Medication vs. Food" dilemma and high transportation costs. (3) Families experience an extreme Caregiver Burden crisis, inducing High Expressed Emotion (EE) due to inadequate Family Psychoeducation (FPE). (4) The analysis justifies the need for the SEHATI Collaborative Model as a bridging mechanism. Service fragmentation, coupled with unaddressed SDH and high Caregiver Burden, drives readmission. The SEHATI Model is recommended to formalize coordination, integrate local initiatives (Gentar Sejiwa), and provide holistic psychoeducation to prevent relapse. Keywords: Discharge Planning, Handoff Failure, Caregiver Burden, Social Determinants of Health, SEHATI Model. ABSTRAK Angka readmisi yang tinggi pada Pasien Dengan Gangguan Jiwa (ODGJ) sering dikaitkan dengan kegagalan Discharge Planning (DP). Penelitian ini bertujuan mengeksplorasi secara mendalam hambatan sistemik dan kebutuhan solusi berbasis komunitas yang mencegah DP berfungsi sebagai mekanisme Transitional Care (TC) yang efektif d…
creator: Yohana Teodosia Setu
creator: Saverinus Suhardin
creator: Imakulata Bete
creator: Awaliyah Muslimah Suwetty
creator: Moses Filmon Nennogasu
creator: Adhytrio Yohanes Nubatonis
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 310
ending page: 327
doi: 10.33024/mahesa.v6i7.23910

Pemanfaatan Nano Patch Peppermint Terhadap Hormon Kortisol Saliva dan Skala Nyeri Disminore Pada Remaja
type: item
description: ABSTRACT Dysmenorrhea is a common complaint among adolescents and can trigger increased uterine contractions and elevated cortisol levels. Peppermint has analgesic, antispasmodic, and anti-inflammatory effects, particularly when formulated as a nano patch, which enhances skin absorption. This study aimed to determine the effect of peppermint nano patches on reducing cortisol levels and alleviating dysmenorrhea in adolescents.A quasi-experimental design with intervention and control groups was used. The intervention group received the peppermint nano patch during menstruation. Variables measured included pain intensity using a numerical rating scale and salivary cortisol levels assessed via ELISA. Data were analyzed using paired t-tests and independent t-tests.The results showed that the mean pain intensity in the intervention group decreased from 7.40 to 3.65 (p = 0.000), while in the control group it decreased from 6.40 to 6.00 (p = 0.000). The difference between groups was significant (p = 0.000) with a large effect size (d = 1.91). Salivary cortisol levels in the intervention group decreased from 17.02 to 15.84 ng/ml (p = 0.001), whereas in the control group it changed only from 11.08 to 11.00 ng/ml. The difference between groups was significant (p = 0.042) with a moderate effect size (d = 0.42).The peppermint nano patch was effective in reducing pain intensity and salivary cortisol levels. This intervention can be considered a non-pharmacological alternative for alleviating menstrual complaints in adolescents. Keywords: Peppermint Nano Patch, Salivary Cortisol, Dysmenorrhea, Menstrual Pain, Adolescents. ABSTRAK Dismenore merupakan keluhan yang sering dialami remaja dan dapat memicu peningkatan kontraksi uterus serta kadar hormon kortisol. Peppermint memiliki efek analgesik, antispasmodik, dan antiinflamasi, terutama ketika diformulasikan dalam bentuk nano patch yang meningkatkan absorpsi kulit. Penelitian ini bertujuan untuk mengetahui pengaruh nanopatch pepperm…
creator: Yuni Nidaul Khasanah
creator: Ari Suwondo
creator: Sri Wahyuni
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 328
ending page: 339
doi: 10.33024/mahesa.v6i7.23955

Hubungan Pendidikan dan Umur Ibu dengan Pemantauan Tumbuh Kembang Balita di Wilayah Kerja Puskesmas Banjar Bangkalan
type: item
description: ABSTRACT Growth monitoring achievements in Indonesia are still low, including in Bangkalan District, which ranks lowest in East Java, while the Banjar Bangkalan Community Health Center only recorded 2.34% of toddlers, or 22 toddlers, suffering from malnutrition. Low monitoring rates may be related to factors such as the mother's education and age, which affect knowledge, psychological readiness, and parenting practices. To date, there has been no research in Bangkalan analyzing the relationship between these two factors and growth monitoring based on Minister of Health Regulation No. 6 of 2024. This study used a quantitative cross-sectional design on 43 mothers with consecutive sampling, where data were collected through data collection sheets and analyzed using Fisher's Exact test. The results showed that most mothers had higher education (67.4%) and were aged ≥20 years (81.4%), but 65.1% did not monitor growth and development according to the standards. There was a weak positive relationship between education (p = 0.015) and maternal age (p = 0.036) with growth and development monitoring. These findings indicate a weak positive correlation between education and maternal age with growth monitoring of toddlers in the Banjar Bangkalan Community Health Center Working Area, making it important to provide assistance to mothers with low education and age <20 years so that growth monitoring of toddlers can be carried out optimally. Keywords: Maternal Education, Maternal Age, Growth Monitoring of Toddlers. ABSTRAK Capaian pemantauan tumbuh kembang di Indonesia masih rendah, termasuk di Kabupaten Bangkalan yang menempati posisi terendah di Jawa Timur, sementara Puskesmas Banjar Bangkalan hanya mencatat 2,34% balita dengan jumlah 22 balita yang mengalami gizi buruk. Rendahnya pemantauan dapat berkaitan dengan faktor pendidikan dan umur ibu, yang memengaruhi pengetahuan, kesiapan psikologis, serta praktik pengasuhan. Hingga saat ini, belum terdapat penelitian di Bangkalan yan…
creator: Ainur Risalah
creator: Euvanggelia Dwilda Ferdinandus
creator: Budi Utomo
creator: Bagus Setyoboedi
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 340
ending page: 354
doi: 10.33024/mahesa.v6i7.23970

Peranan Human Papiloma Virus Dalam Perkembangan Adenokarsinoma Serviks
type: item
description: ABSTRACT Cervical adenocarcinoma is a subtype of cervical carcinoma with a poor prognosis and is associated with Human Papillomavirus (HPV) infection. HPV contributes to the development of cervical adenocarcinoma through multiple mechanisms, primarily by modulating molecular pathways that regulate cell growth, survival, and immune responses. To analyze the role of HPV in the development of cervical adenocarcinoma by focusing on the molecular mechanisms involved, through a systematic review of previously published studies. The systematic literature review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed in PubMed Central, Google Scholar, and the Wiley Online Library for articles published between 2015 and 2025. The search strategy used combinations of terms related to the disease, exposure, and molecular pathways, connected with Boolean operators (AND/OR) and tailored to each database. A total of 16 articles met the eligibility criteria and were analyzed using a thematic narrative approach. The synthesis findings indicate that the HPV oncoproteins E6 and E7 play central roles in driving malignant transformation by disrupting cell-cycle regulation and DNA repair. In addition, HPV is known to modulate several keys signaling pathways—PI3K/Akt/mTOR, MAPK/ERK, and Wnt/β-catenin, which contribute to proliferation, invasion, and angiogenesis, inhibit cell death, and promote tumor formation. HPV influences the development of cervical adenocarcinoma through complex interactions involving the E6/E7 oncoproteins, HPV genome integration, and activation of key cellular signaling pathways. Therefore, a deeper understanding of these interactions mechanisms may facilitate the development of more effective, novel molecular therapeutic targets for cervical adenocarcinoma. Keywords: Cervical Adenocarcinoma, HPV, Molecular Pathways. ABSTRAK Adenokarsinoma serviks merupakan salah satu subtipe karsinoma serviks dengan prognosis yang buruk dan…
creator: Rizki Hanriko
creator: Krisna Murti
creator: Rizal Sanif
creator: Muhammad Irsan Saleh
rights: ##submission.copyrightStatement##
date: 2026-06-11
publication date: 2026-06-11
volume: 6
number: 7
starting page: 355
ending page: 372
doi: 10.33024/mahesa.v6i7.23972

Treatment of Angle Class I Malocclusion Type I and III Using Removable Orthodontic Appliances: Case Report
type: item
description: ABSTRACT Malocclusion is a dental and oral health problem that adolescents often experience. According to the World Health Organization (WHO), malocclusion is the third most common dental health problem after dental caries and periodontal disease. Malocclusion can cause several problems related to the face, including impaired facial aesthetics and dental issues such as difficulty moving the jaw, temporomandibular disorders, and problems with mastication, swallowing, and speaking. Malocclusion can appear in various forms, the most common being anterior teeth crowding, a condition reported by many patients seeking orthodontic treatment. Removable orthodontic appliances are a safe, easy, and aesthetically acceptable treatment alternative for mild crowding cases. This case report discusses the management of orthodontic treatment in the late mixed dentition period in a male patient with class I type I and type III malocclusion using a removable orthodontic appliance. A 13-year-old male patient came to RSGM Maranatha with complaints of crooked and crowded upper and lower front teeth, which made him insecure when smiling. The patient had never used a fixed or removable orthodontic appliance before. The patient reported no problems with chewing or speaking. There have been changes in the arrangement of the patient's maxillary teeth, but the resulting changes in the mandibular teeth have not been significant. Keywords: Class I Malocclusion, Anterior Crowding, Anterior Crossbite.
creator: Leonardo Jaya Setiadi Tanumiharja
creator: Ken Edinata
creator: Yohanes Yoppy Purnomo
creator: Marvin Jaya Setiadi Tanumiharja
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 373
ending page: 383
doi: 10.33024/mahesa.v6i7.23996

Severe Omphalocele, Exstrophy of The Cloaca, Imperforate Anus, and Spinal Defects (Oeis) : A Case Report
type: item
description: ABSTRACT The OEIS complex—comprising Omphalocele, Exstrophy of the cloaca, Imperforate anus, and Spinal defects—is one of the rarest and most severe congenital malformation syndromes, with an estimated incidence of 1 in 200,000–400,000 live births. Early prenatal detection plays a critical role in facilitating appropriate counseling and multidisciplinary perinatal planning. We report a prenatally diagnosed case of severe OEIS complex in a 21-year-old primiparous woman referred for suspected abdominal wall defect and fetal tachycardia. Ultrasound revealed a single live fetus at 32 weeks' gestation with a large omphalocele, protruding bowel loops, and features suggestive of cloacal exstrophy. Postnatal examination confirmed omphalocele, cloacal exstrophy, imperforate anus, ambiguous genitalia, and right-sided congenital talipes equinovarus. These findings were consistent with the classical presentation of severe OEIS. This case underscores the importance of early prenatal diagnosis and coordinated multidisciplinary management in severe OEIS complex. Timely recognition through imaging and delivery planning at a tertiary care center are crucial for optimizing immediate neonatal outcomes. Long-term prognosis remains dependent on the extent of anomalies and access to comprehensive surgical and supportive care. Keywords: OEIS, Omphalocele, Exstrophy of the Cloaca, Imperforate Anus, and Spinal Defects, Ccongenital Anomaly.
creator: Fahreza L Nasution
creator: Noviardi Noviardi
creator: Sofyan Andri
creator: Dhini Ayulie Novri
creator: Akbar Husaini Angkat
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 384
ending page: 389
doi: 10.33024/mahesa.v6i7.24070

The Essence of Social Support, Psychological Well – Being, and Self – Love : A Key to Long – Term Marriage
type: item
description: ABSTRACT This study aims to examine the effect of social support, psychological well-being, and self-love on long-term marriage sustainability. A multiple regression analysis was used to test the relationship between the three independent variables and marital sustainability. The results show that social support and psychological well-being have a positive and significant influence on long-term marriage, with p-values below 0.05. This means that people who receive strong support from others and have good mental health are more likely to maintain a stable and lasting marriage. However, self-love does not have a significant effect (p > 0.05), suggesting that loving oneself alone may not be enough to keep a marriage strong without mutual care and relationship-focused behavior. The R-squared value of 0.873 indicates that the three variables explain 87.3% of the variation in long-term marriage sustainability. These findings highlight the importance of social and emotional support in building a lasting relationship. Keywords: Marriage Sustainability, Social Support, Psychological Well-Being, Self-Love, Multiple Regression.
creator: Endri Yeni Astuti
creator: Rulita Hendriyani
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 390
ending page: 400
doi: 10.33024/mahesa.v6i7.26127

Hubungan Status Gizi, Perilaku Cuci Tangan, dan Frekuensi Konsumsi Jajanan Sekolah Dengan Kejadian Diare Akut Siswa SD Islam Imama Semarang
type: item
description: ABSTRACT Acute diarrhea remains a major public health problem, especially among school-aged children, and can be influenced by various factors such as nutritional status, hygiene behavior, and unhygienic food consumption. Its condition requires attention because it can increase morbidity in children and negatively affect in health status. This study aimed to analyze the relationship between nutritional status, handwashing behavior, and frequency of school snack consumption with the incidence of acute diarrhea among students at Imama Islamic Elementary School. A cross-sectional design was used involving 90 respondents. Data were collected through anthropometric measurements and interviews using questionnaires and food frequency questionnaire (FFQ), then analyzed using the Chi-Square test. The results showed a significant relationship between nutritional status (p = 0.004), handwashing behavior (p = 0.002), and frequency of school snack consumption (p = 0.004) with the incidence of acute diarrhea in Imama Islamic elementary school. Keywords: Acute Diarrhea, Nutritional Status, Handwashing Behavior, School Snack Consumption. ABSTRAK Diare akut masih menjadi masalah kesehatan masyarakat yang tinggi, terutama pada anak usia sekolah, dan dapat dipengaruhi oleh berbagai faktor seperti status gizi, perilaku higiene, serta konsumsi jajanan sekolah yang tidak higienis. Kondisi ini perlu mendapat perhatian karena dapat meningkatkan angka kesakitan pada anak dan berdampak pada kualitas kesehatan. Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi, perilaku cuci tangan, dan frekuensi konsumsi jajanan sekolah dengan kejadian diare akut pada siswa SD Islam Imama Semarang. Penelitian ini bertujuan untuk menganalisis hubungan status gizi, perilaku cuci tangan, dan frekuensi konsumsi jajanan sekolah dengan kejadian diare akut pada siswa SD Islam Imama Semarang menggunakan desain cross-sectionaldengan 90 responden. Data dikumpulkan melalui pengukuran antropometri …
creator: Brahita Adilla Diva Kusmala
creator: Zana Fitriana Octavia
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 401
ending page: 410
doi: 10.33024/mahesa.v6i7.26214

Integrasi Komunikasi Organisasi dan Teknologi Informasi dalam Pencegahan Fraud JKN: Sebuah Scoping Review
type: item
description: ABSTRACT Fraud in the implementation of the National Health Insurance (JKN) services is a serious challenge in Indonesia. Preventing fraud needs to be strengthened through a systemic organizational communication strategy based on digital technology, especially by improving information technology in hospitals, such as Hospital Management Information Systems (SIMRS) and the E-claim application. Previous studies have highlighted the role of these technologies in detecting fraud, but few have examined the role of internal communication across units in supporting the effectiveness of digital interventions for reporting and detecting fraud. This article uses a Scoping Review based on the Arksey & O’Malley (2005) framework and PRISMA-ScR reporting to map the literature on the integration of organizational communication and information technology in preventing fraud in JKN at hospitals. The thematic analysis based on CIMO (Context, Intervention, Mechanism, and Outcome) shows that the success of anti-fraud technology strongly depends on systemic internal communication mechanisms and an open organizational culture. The main recommendation is a fraud prevention strategy that integrates technology and organizational communication to achieve sustainable transparency and accountability. Keywords: Organizational Communication, JKN Fraud, Information Technology, SIMRS. ABSTRAK Fraud atau kecurangan dalam pelaksanaan layanan Jaminan Kesehatan Nasional (JKN) menjadi tantangan serius di Indonesia. Pencegahan fraud perlu diperkuat melalui strategi komunikasi organisasi sistemik berbasis digital, terutama dengan peningkatan teknologi informasi di rumah sakit, seperti SIMRS (Sistem Informasi Manajemen Rumah Sakit) dan aplikasi e-claim. Terdapat studi penelitian yang menyoroti peran teknologi tersebut dalam mendeteksi fraud, namun belum banyak yang mengkaji peran komunikasi internal lintas unit dalam mendukung efektivitas intervensi digital pada proses pelaporan dan deteksi fraud. Artikel…
creator: Fika S. Khayan
creator: Rini Sudarmanti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 411
ending page: 430
doi: 10.33024/mahesa.v6i7.23731

Analisis Determinan Inisiasi Menyusui Dini Pada Ibu Nifas di Kecamatan Tualang
type: item
description: ABSTRACT Early Initiation of Breastfeeding (EIBF) is a critical intervention recommended by WHO to reduce neonatal mortality and improve exclusive breastfeeding outcomes. Despite its proven benefits, EIBF coverage in Indonesia remains below the global target. Multiple social, economic, psychosocial, and health system factors influence EIBF success, yet comprehensive evidence remains limited in industrial regions such as Tualang District.To analyze the distal and intermediate determinants associated with successful EIBF among postpartum mothers in Tualang District, Siak Regency, in 2025.A cross-sectional analytical study was conducted using consecutive sampling. Data were collected through structured questionnaires and verified with delivery records. Statistical analysis included chi-square tests for bivariable associations and multivariable logistic regression to identify dominant determinants.EIBF success was significantly associated with parity, maternal knowledge, husband and family support, and health worker support. Logistic regression identified health worker support as the strongest determinant, followed by maternal knowledge and parity. Education, employment, and household income were significant in bivariable analysis but lost significance after controlling for intermediate determinants. Health worker support, maternal knowledge, and parity are the key determinants influencing EIBF success. Strengthening lactation education, improving health worker capacity, and involving husbands and families during antenatal and delivery care are essential strategies to enhance EIBF coverage. Keywords: Early Initiation of Breastfeeding, Social Determinants, Parity, Health Worker Support, Maternal Knowledge. ABSTRAK Inisiasi Menyusu Dini (IMD) merupakan intervensi penting yang direkomendasikan WHO untuk menurunkan mortalitas neonatal dan meningkatkan keberhasilan menyusui eksklusif. Namun, cakupan IMD di Indonesia masih di bawah target global. Faktor sosial, ekonomi, psiko…
creator: Ruth Cindy Sitorus
creator: Noviardi Noviardi
creator: Nastiti Hemas Mayangsari
rights: ##submission.copyrightStatement##
date: 2026-06-11
publication date: 2026-06-11
volume: 6
number: 7
starting page: 431
ending page: 441
doi: 10.33024/mahesa.v6i7.23817

Hubungan Kesadaran Interoseptif Dengan Kesadaran Hipoglikemia pada Penderita DM Tipe 2
type: item
description: ABSTRACT One condition frequently experienced by people with type 2 diabetes is hypoglycemia, which can drastically lower blood glucose levels. Undetected and untreated hypoglycemia can lead to serious complications, including seizures or loss of consciousness. However, many people with type 2 diabetes have difficulty recognizing the symptoms of hypoglycemia in its early stages. One factor thought to influence the ability to detect hypoglycemia symptoms is interoceptive awareness, which is a person's ability to perceive and identify internal bodily sensations, such as heartbeat, breathing, and changes in blood glucose levels. The purpose of this study was to explain the relationship between interoceptive awareness and hypoglycemia awareness in people with type 2 diabetes. This study used a cross-sectional design. The population comprised all 173 people with type 2 diabetes in the Mulyorejo Community Health Center (Puskesmas) in Surabaya in June 2025. A total of 110 people met the sample criteria. The instrument used to measure interoceptive awareness was the Multidimensional Assessment of Interoceptive Awareness–Version 2 (MAIA-2) questionnaire, and the HypoA-Q questionnaire was used for hypoglycemia awareness. Hypoglycemia awareness was low despite adequate interoceptive awareness. There was no relationship between interoceptive awareness and glycemia awareness in patients with type 2 diabetes. Nteroceptive awareness (the ability to perceive general body signals) is not always associated with hypoglycemia awareness due to different biological mechanisms and neurological adaptations. Keywords : Hypoglycemia Awareness, Interoceptive Awareness, Type 2 Diabetes Mellitus. ABSTRAK Salah satu kondisi yang sering dialami oleh penderita DM tipe 2 adalah hipoglikemia, yang dapat menurunkan kadar glukosa darah secara drastis. Hipoglikemia yang tidak terdeteksi dan tidak ditangani dengan cepat dapat menyebabkan komplikasi serius, termasuk kejang atau kehilangan kesadaran. Namu…
creator: Maria Manungkalit
creator: Ni Putu Wulan P. Sari
creator: Agustina Ch. Bura Mare
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 442
ending page: 455
doi: 10.33024/mahesa.v6i7.23818

Pengembangan Media Edukasi Video Animasi Sebagai Pendamping Ibu dan Kader Dalam Pemberian Makan Balita
type: item
description: ABSTRACT Nutrition during the First 1,000 Days of Life (DOHaD) is crucial for growth and development and is key to stunting prevention. However, field observations indicate that mothers and Posyandu cadres (community health workers) often face limited knowledge, educational media, and communication skills. The primary challenge is the low adherence to Complementary Feeding MP-ASI (guidelines regarding timely initiation, texture, portion size, food variety, and responsive feeding). This necessitates a concise, engaging, and easily reproducible educational approach. This study proposes the development of an animated video as a supplementary educational medium for mothers and a job-aid tool for cadres, utilizing a modified Research & Development approach (Borg & Gall). To create a media that is feasible, effective in increasing knowledge, and well-received by users. Methods: Included Focus Group Discussions (FGD) for needs analysis, script and storyboard design, production, expert validation, revision, and a limited pre-post-test trial involving mothers of toddlers (n=58) and cadres (n=21). Results: The media was rated as highly feasible (average 3.96/5); mothers knowledge significantly increased (61,07±15,65 → 68,39±12,18; p=0,0032; dz=0,40), and cadres' knowledge showed an greater improvement (57,88±16,43 → 71,97±11,41; p=0,0004; dz=0,92); cadre attitude was very positive (4.38/5). Discussion findings confirm that the video facilitates understanding and standardizes key messages, thereby having the potential to improve MP-ASI practices in the community. The animated video is feasible, effective, and acceptable. Recommended for integration into Posyandu Standard Operating Procedures (SOP) through short viewing/booster sessions and a one-page job-aid. Scientific article (target Sinta 1–4 journal), ready-to-use animated video product, concise job-aid sheet, and potential for Intellectual Property Rights (IPR)/cadre training module. Keywords: Animated Video, Toddler Moth…
creator: Sri Lestari Kartikawati
creator: Intan Yusita
creator: Ina Sugiharti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 6
number: 7
starting page: 456
ending page: 468
doi: 10.33024/mahesa.v6i7.23819