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All Journal Jurnal Ners Jurnal Kesmas Untika Luwuk: Public Health Journal Indonesian Journal of Global Health research Jurnal Keselamatan Kesehatan Kerja dan Lingkungan
Ida Ayu Indira Dwika Lestari
Fakultas Kesehatan Masyarakat, Universitas Mulawarman, Samarinda, Indonesia
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Lisa Septiana; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Iriyani K.; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Yudi Jaya Cahyana; Irfansyah Baharuddin Pakki; Ida Ayu Indira Dwika Lestari; Ratno Adrianto; Yadi Yadi; Akhmad Azmiardi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

Abstract

Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Mochamad Makin; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Yadi Yadi; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Co-Authors Adrianto, Ratno Agustina Simanangi Pamowa Akhmad Azmiardi Alwan Zakki Nozomi Dewi Novita Hardianti Dewi Novita Hardiyanti Dian Ayu Fitriani Fahriza Nur Azzahra Ida Bagus Made Widiadnya Ika Wulan Sari Iriani Iriani Iriyani K Iryani Kamaruddin Iwan M Ramdan Iwan Muhamad Ramdan Jami’an Jami’an Jaya Mualimin Lisa Septiana Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Mochamad Makin Muhammad Sultan Noor Hariyani Nunuk Kusuma Wardani Nur Rohmah Nurlianti Nurlianti Rahmad Bakhtiar Rahmat Bakhtiar Rahmat Bakhtiar Ratno Andrianto Tsabita Radhiya Dzakira Yadi Yasir Yudi Jaya Cahyana