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Indonesian Journal of Global Health research
Published by Global Health Science Group
ISSN : 27149749     EISSN : 27151972     DOI : https://doi.org/10.37287/ijghr.v2i2
Core Subject : Health, Education,
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health
Indonesian Journal of Global Health Research (IJGHR) menyediakan forum untuk berbagi publikasi penelitian ilmiah, perawatan kesehatan yang tepat waktu dan terkini serta mempromosikan pengembangan keperawatan, kesehatan masyarakat, masyarakat, lingkungan, dan kesehatan kerja. Jurnal ini menerbitkan makalah penelitian asli ilmu kesehatan. Prioritas tinggi akan diberikan pada artikel tentang kesehatan masyarakat, keperawatan, remaja, masyarakat, kesehatan lingkungan dan pekerjaan, dan sebagainya. Kategori berikut diterimapenelitian asli. Topik-topik yang berkaitan dengan jurnal ini termasuk tetapi tidak terbatas pada: kesehatan masyarakat, promosi kesehatan, kesehatan lingkungan, kesehatan kerja, aspek klinis yang berkaitan dengan kesehatan, layanan kesehatan, kebijakan dan manajemen kesehatan, kesehatan sekolah, kesehatan makanan, kesehatan jarak jauh, kesehatan pedesaan , kesehatan masyarakat, kesehatan mental, kesehatan remaja, kesehatan industri, kesehatan sirkumpolar, pemerataan dalam kesehatan, perawatan kesehatan reproduksi, kesehatan perkotaan, geografi kesehatan, kesehatan wanita, pediatri dan kesehatan anak.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 135 Documents
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Search results for , issue "Vol 7 No 4 (2025): Indonesian Journal of Global Health Research" : 135 Documents clear
Effectiveness of Physical Exercise in Managing Components of Metabolic Syndrome in Obese Populations: A Systematic Review Pertiwi, Ni Wayan Astiti; Dahlia, Debie; Kurnia, Dikha Ayu; Maria, Riri
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6346

Abstract

Obesity is one of the main contributing factors to metabolic syndrome, which results in an increased risk of chronic diseases such as diabetes mellitus, cardiovascular disease, and other metabolic dysfunctions. Physical exercise has long been recognized as a potential nonpharmacological strategy in reducing metabolic risk factors, but the effectiveness of various types of exercise in managing metabolic syndrome still needs to be further reviewed. This study aims to evaluate the effectiveness of physical activity in managing components of metabolic syndrome in an obese population. Using the PRISMA method of literature searches through Pubmed, Ebsco, Scopus and Wiley databases by using specific word combinations to obtain suitable articles. Inclusion criteria included English language articles published in the last five years (2019-2024), randomized controlled trial type, and discussing physical exercise interventions in obese populations. Of the 893 articles retrieved, 7 were reviewed. Studies show that physical exercise significantly reduced risk components of metabolic syndrome such as blood sugar, insulin, HOMA-IR, visceral fat and improved VO 2 max and quality of life. However, long term success was strongly influenced by the level of adherence to the exercise program. Physical exercise in an effective and safe intervention in reducing the risk of metabolic syndrome in obese individuals.
Comparative Analysis of Staining Time Using Giemsa 10% on the Results of Malaria Blood Preparations Wirawan, M. Richo Realdy; Haryatmi, Dwi
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6347

Abstract

Malaria is a parasitic infectious disease that remains a significant public health problem in Indonesia, particularly in endemic areas. Rapid and accurate diagnosis of malaria is essential to prevent serious complications. The 10% Giemsa staining method is a rapid technique for microscopic examination of malaria, but the staining time standard needs to be validated for each batch of staining solution used in local laboratories. This study aims to analyze the comparison of malaria blood smear staining results using 10% Giemsa with different staining durations of 10 minutes, 20 minutes, and 30 minutes at Natar Medika Hospital. This research employed a cross-sectional approach with observational analysis of thin blood smears from 15 malaria-positive blood samples. The blood smear evaluation used a scoring system: a score of 0 was given for poor staining results (unclear background, unstained or non-blue cytoplasm, and unstained or non-red nucleus), and a score of 1 for good staining results (clear background, blue cytoplasm, and red nucleus). The results showed that staining for 20 minutes produced the best quality thin blood smears, characterized by a clear background, blue cytoplasm, and red nucleus. Statistical analysis using the Kruskal-Wallis test indicated significant differences between staining durations (p < 0.05). Therefore, staining for 20 minutes using 10% Giemsa is recommended to obtain optimal microscopic results in malaria diagnosis at Natar Medika Hospital.
Literature Review: Effectiveness of Early Mobilization on Clinical Outcomes of Mechanically Ventilated Patients in the Intensive Care Unit Efikal, Efikal; Wahyuni, Sri; Sulistyaningsih, Dwi Retno; Suyanto, Suyanto
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6348

Abstract

Early mobilization of mechanically ventilated patients in the intensive care unit is an important intervention in preventing immobilization complications such as muscle weakness, decreased functional capacity, and prolonged length of stay. Despite its widely reported benefits, the implementation of early mobilization still faces various challenges, including limited resources, risk perception, and lack of systematic guidelines. Objectives: This study aimed to evaluate the effectiveness of early mobilization on clinical outcomes of mechanically ventilated patients in the intensive care unit through a literature review. Methods: This study used a systematic literature review approach by searching national and international scientific articles published in the last five years, 2020-2025. The search was conducted through three main databases: PubMed, Google Scholar, and SciSpace. The search strategy referred to the PICO (Population, Intervention, Comparison, Outcome) framework using keywords such as “early mobilization”, “mechanical ventilation”, “ICU outcomes”, and “clinical outcomes”. From a total of 108 articles found, an initial screening process eliminated duplicates and irrelevant articles, resulting in 32 articles for further review. After a selection process based on inclusion and exclusion criteria, only 9 articles met all criteria and were analyzed in depth. Results: The review showed that early mobilization positively contributed to various clinical outcomes, including increased muscle strength, reduced duration of ventilator use, decreased length of stay, and improved functional status of post-ICU patients. The success of this intervention was influenced by the involvement of a multidisciplinary team, clear mobilization protocols, and adequate training for health workers.
Effectiveness of Isometric Handgrip Exercise in Reducing Blood Pressure in Hypertension Patients Rahayu, Umi Margi; Prayitno, Bagus; Purnomo, S. Eko Ch.; Sudiarto, Sudiarto
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6352

Abstract

Hypertension is one of the major health problems that can trigger complications of cardiovascular disease. One of the non-pharmacological therapies that has been proven effective in lowering blood pressure is Isometric Handgrip Exercise (IHE). This study aims to analyze the effect of IHE on reducing blood pressure in hypertensive patients in Dusun Bungkel, Grobogan Regency. The design of this study used a quasi-experiment with a time-series approach. A total of 31 respondents were selected using a purposive sampling technique. The IHE intervention was carried out for five consecutive days with a training duration of six minutes per day. Blood pressure was measured before and after each training session. Data were analyzed using paired t-test and Wilcoxon. The results showed that IHE for five days could reduce systolic blood pressure by 21.6 mmHg and diastolic by 13.5 mmHg, with an average decrease per session of 6.5 mmHg for systolic and 4.1 mmHg for diastolic. The results of the statistical test showed a p value <0.05, which means that the decrease in blood pressure was significant.
Effectiveness of Early Warning Score (EWS) in Pre, Intra, and Post Dialysis: A Systematic Review Maharani, Evi Kartika; Widyawati, Ika Yuni; Pratiwi, Ika Nur
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6358

Abstract

The Early Warning Score (EWS) is a crucial tool for detecting early signs of clinical deterioration in hemodialysis (HD) patients. However, previous research has primarily focused on the intra-dialysis phase, necessitating a systematic review to explore the effectiveness of EWS across all phases (pre, intra, and post-dialysis). Objective: This study aims to assess the effectiveness of EWS in detecting complications in hemodialysis patients across these three phases and to evaluate its impact on morbidity, mortality, length of hospital stays, and readmission rates. Methods: This systematic review was conducted following PRISMA guidelines. Literature searches were performed in databases such as PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar. The keywords used in the search were “Early Warning Score” OR “EWS” AND “Hemodialysis” OR “Renal Dialysis” OR “Dialysis” AND “Pre-dialysis” OR “Intradialysis” OR “Post-dialysis” and can utilize Boolean logic (AND, OR, or NOT) to maximize search results. The screening of articles with respect to limitations including year 2016 - 2024. Results: Out of 1,246 identified articles, 15 studies met the inclusion criteria. The findings indicate that EWS is effective in detecting complications across all hemodialysis phases, with significant improvements in clinical management and reductions in morbidity and mortality rates. Conclusion: The comprehensive application of EWS in the pre, intra, and post-dialysis phases can enhance the safety of hemodialysis patients.
Environmental Health Risk Control in the Management of Infectious Medical Waste in Hospitals Using the FMEA Method Nasir, Muhammad; Joko, Tri; Budiyono, Budiyono
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6359

Abstract

Medical waste refers to the waste generated from medical activities within healthcare facilities, including hospitals. Other studies indicate that 15-25% of medical waste is toxic, infectious, or radioactive, while 75-85% is non-hazardous. Despite the smaller volume of medical waste compared to other waste types, its improper management can pose significant health and environmental risks. This research aims to investigate the control of environmental health risks in the handling of infectious medical waste at hospitals using the FMEA method. This study employed an observational research design using a cross-sectional approach. A mixed-methods approach was applied, combining both quantitative and qualitative analyses to assess environmental health risk management related to medical waste processing based on priority or critical risks at RSUP Persahabatan. The target population included individuals involved in both the handling and treatment stages of medical waste using an incinerator at the facility. The sample selection for the FMEA analysis employed purposive sampling with a quota sampling technique.The study utilized an environmental risk analysis framework based on the Failure Mode and Effect Analysis (FMEA) method. The critical Risk Priority Number (RPN) analysis revealed the following three primary environmental health risks: (1) The risk of contracting environmental health-based infectious diseases through the transmission of pathogenic microorganisms or hazardous materials, associated with 12 failure modes in the medical waste handling process. (2) The risk of ambient air (work environment) contamination, associated with 5 failure modes in the medical waste handling process. (3) The risk of contamination of facilities and rooms where medical waste is generated, associated with 4 failure modes related to the operation of the incinerator during the medical waste treatment process. Environmental health risks with a high potential to arise from failure modes during the medical waste management stage at RSUP Persahabatan, as indicated by critical Risk Priority Number (RPN) scores.
The Benefits of Diabetes Self Management Education (DSME) on Glycemic Control (HBA1C) Among Adult Type 2 Diabetes Mellitus Patients in Southeast Asia: A Systematic Review Febriani, Ba'da; Anggondowati, Trisari; Silalahi, Jessica Veronica; Fatimah, Fatimah; Nurhalimah, Nurhalimah; Audila, Hanna
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6360

Abstract

The number of people with Type 2 Diabetes Mellitus (T2DM) in Southeast Asia ranks second highest compared to other regions in the world. Lifestyle modification is known to be significant in controlling glycemic control in T2DM patients. Diabetes Self-Management Education (DSME), which includes lifestyle changes such as diet modification and physical activity, has been implemented in healthcare facilities in Southeast Asian countries. Nevertheless, evidence on the advantage of DSME for patients with T2DM in Asia Tenggara remains limited. This systematic review aims to determine the benefits of DSME on glycemic control (HbA1c) among T2DM patients in Southeast Asia. This systematic review searched for relevant articles from three electronic databases, i.e., MEDLINE (PubMed), ProQuest, and Cochrane from 01 Januari 2013 until 30 December 2024. The inclusion criteria for this review are studies with a randomized controlled trial (RCT) design that evaluate the effect of DSME interventions on glycemic control (HbA1c) in patients with T2DM in Southeast Asian countries. Quality of the included studies were assessed using the Risk of Bias (RoB 2.0) Cochrane Methods Bias. A total of 474 studies were identified from the databases, of which six RCT met the inclusion criteria. The review results showed that patients who received at least 3 months of intervention with lifestyle change education, including both diet modification and physical activity, showed a significant reduction in HbA1c. Educational interventions focusing on self-efficacy, particularly in diet modification, effectively reduced HbA1c by 1.1% after 3 months. The benefit of DSME on reduction of HbA1c varied across the different type of interventions. DSME leads to positive effect on glycemic control among patients with T2DM. The diversity of DSME highlights the need for further evaluation of the impact of different types of DSME on the effectivseness of education in achieving long-term HbA1c reduction. PROSPERO registration number: CRD42025634450.
Sensitivity and Specificity of Malaria Rapid Diagnostic Test (RDT) Yuniatun, Siti Retno; Haryatmi, Dwi
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6362

Abstract

Malaria remains a significant public health issue in many regions, and early diagnosis is crucial for effective treatment. Rapid Diagnostic Tests (RDT) are commonly used for malaria detection due to their speed and ease of use, but their diagnostic accuracy, particularly in regions with varying levels of parasitemia, remains a subject of ongoing research. This study aimed to evaluate the performance of Rapid Diagnostic Tests (RDT) for malaria diagnosis at Puskesmas Hanura, Teluk Pandan District, Pesawaran Regency, by assessing the sensitivity and specificity of the test. Methods: This analytical observational study employed a cross-sectional approach, analyzing blood samples from malaria suspect patients collected between December 2024 and February 2025, with a total sample size of 50 samples. The diagnostic performance of RDT was compared to the gold standard of microscopy using thick and thin blood smears. Sensitivity and specificity were calculated based on the results of both methods. The sensitivity of the RDT was found to be 93.5%, indicating that the test was highly effective in detecting true positive malaria cases, particularly in individuals with high parasitemia. The specificity was 100%, demonstrating that the RDT accurately identified malaria-free individuals with no false positive results. However, the study also identified two false negative cases, suggesting that the RDT's sensitivity could be reduced in cases of low parasitemia. The Rapid Diagnostic Test demonstrated excellent sensitivity and specificity in detecting malaria at Puskesmas Hanura, with no false positive results and a high rate of true positive detection. However, the test showed some limitations in detecting low parasitemia, emphasizing the need for confirmatory diagnostic techniques, such as microscopy or molecular methods, especially in areas with low transmission or mild infections.
Initial Management Pre Hospital: A Systematic Review Rachmatullah, Rizky; Sriyono, Sriyono; Zulkarnain, Hakim
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6363

Abstract

Early management in the pre-hospital phase plays a crucial role in the emergency medical service system. Quick, accurate, and targeted interventions can prevent patient deterioration, reduce mortality rates, and improve clinical outcomes. This phase begins with the initial assessment, which serves as the foundation for determining the priority of medical interventions. This review aims to identify and analyze various literatures related to the strategies of early management applied to patients in pre-hospital care settings. Method: A systematic review was conducted by searching five major databases: PubMed, ScienceDirect, Scopus, Google Scholar, and ProQuest. The search was limited to publications from 2019 to 2024 using keywords such as “initial management,” “pre-hospital care,” and “emergency patient”. A total of 88 articles were obtained, while 16 articles that met the inclusion criteria were analyzed descriptively. The review indicates that structured and evidence-based early management in the pre-hospital phase can improve handling efficiency, accelerate intervention time, and reduce the risk of complications in emergency patients. Medical personnel skills, clear protocols, and a well-established coordination system are key factors for success. Early management in the pre-hospital phase is a crucial part of the emergency medical system. Optimal implementation based on scientific evidence can improve service quality and have a positive impact on patient safety and prognosis.
Uses of Pursed Lips Breathing and Chest Physiotherapy to Improve Oxygenation Status in Pneumonia Patients Utami, Theresia Febriana Christi Tyas; Kismiyati, Kismiyati; Nasrah, Nasrah
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6367

Abstract

Pneumonia is an inflamed lung infection. The disease is becoming one of the major problems in global public health due to its significant impact on morbidity and mortality. One of the non-pharmacological therapies that can help in handling pneumonia cases is Pursed Lips Breathing Breathing, this technique helps improve lung function, and Chest Physiotherapy helps in removing mucus trapped in the lungs. Objective to analyze the intervention of Pursed Lips Breathing and Chest Physiotherapy therapy to improve airway proficiency in the Emergency Installation Room of Abepura Hospital. This research uses a case study method, data collection is carried out through anamnesis to find out the patient's identity and complaints, observation and physical examination when conducting nursing assessments on patients. The subjects in this study were one Pneumonia patient with respiratory disorders and experienced an increase in respiratory rate (RR) and oxygen saturation. Pursed Lips Breathing and Chest Physiotherapy therapy was administered 1 time during treatment in the emergency room. From this case study, it was found that there was a decrease in respiratory rate (RR) and an increase in pulse oxygen saturation (SpO2), as well as airway proficiency with a decrease in sputum production. The application of innovative interventions needs to be carried out in the emergency room so that patients can control breathing when shortness of breath and when a restrained cough occurs. This intervention showed an improvement in the oxygenation status and airway competence of patients when given Pursed Lips Breathing and Chest Physiotherapy therapy.

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