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INDONESIA
Indonesian Journal of Global Health research
ISSN : 27149749     EISSN : 27151972     DOI : https://doi.org/10.37287/ijghr.v2i2
Core Subject : Health, Education,
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.
Articles 2,081 Documents
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.
Efforts to Improve the Professionalism of Nurses in Hospitals: Scoping Review Indarningsih, Indarningsih; Dwiantoro, Luky; Zubaidah, Zubaidah
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.v7i4.6371

Abstract

Low professionalism of nurses will decrease patient satisfaction, decrease trust in health services, increase the risk of care errors, and legal litigation. Efforts to improve the professionalism of nurses in hospitals need to be made to overcome these problems The purpose of this study was to identify the factors that influence nurses' professionalism and efforts to improve nurses' professionalism. This method using scoping review. The literature search was conducted systematically through Sciencedirect, Scopus, and Pubmed databases with keywords related to nurse professionalism and hospitals, with a publication time limit of January 2015 to March 2025. Inclusion criteria included quantitative and qualitative studies that addressed efforts to improve nurse professionalism in Asian hospitals in English. We using 10 articles for this review. Data extraction was performed using a matrix that included information on authors, year, country, study design, participants, and findings. A total of 10 articles that met the inclusion criteria were analyzed. The synthesized results show that efforts to improve nurses' professionalism involve various strategies that can be classified into internal (e.g., ethical behavior, self-efficacy, role cognition) and external (e.g., positive work culture, leadership support, CPD, work environment) factors. Organizational support, continuous professional development, and a conducive work environment were identified as key elements in improving nurses' professionalism. In addition, individual factors such as motivation, professional identity, and flexibility also play a significant role. Improving the professionalism of nurses in hospitals requires a multidimensional approach that considers both internal and external factors. Effective strategies involve individual development, strong organizational support, provision of continuing education and training opportunities, and the creation of a positive and supportive work environment. Integration of these efforts is essential to ensure sustained professionalism and improved quality of nursing care.
Scoping Review: Self Care Instrument for Chronic Kidney Disease Patients on Hemodialysis Azzahra, Firah; Hidayati, Wahyu; Sari, Sri Padma
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.v7i4.6378

Abstract

Chronic kidney disease (CKD) is an incurable global health problem, with a growing prevalence, particularly in Asia. It is estimated that by 2030, 2.16 million individuals will require hemodialysis, a 233% increase from previous years. Self-care practices are an important aspect in improving health, preventing complications, and supporting daily functioning and well-being of patients. Therefore, a valid and reliable instrument is needed to measure the level of self-care in patients with chronic diseases. Objective to identify a validated self-care assessment instrument for hemodialysis patients. The methodological approach refers to Arksey and O'Malley, with article searches through ScienceDirect, PubMed, and EBSCO databases using relevant keywords, focusing on full-text, English-language, open access, and published in the last 18 years published between 2007 and 2024, keywords included "self-care", "hemodialysis", "instrument", "scale", and "chronic kidney disease". Of the 1,327 articles screened, the investigation was executed by accumulating empirical data from the preceding 18 years, aggregating 22 scholarly articles, among these, 9 articles satisfied the inclusion criteria, concentrating on selected studies that utilized quantitative methodologies and on self-care instruments for hemodialysis patients. The article evaluation was conducted systematically employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) as a framework, succeeded by assessment based on inclusion and exclusion criteria. This study identified nine self-care instruments for hemodialysis patients with varying psychometric properties. Most of the instruments showed good reliability and validity, but still require improvement in criterion validation, sensitivity, and responsiveness. Future research should focus on the development of concise yet comprehensive instruments, cross-cultural adaptation, and full psychometric evaluation to ensure accurate measurement of self-care, thereby improving patients' health outcomes and quality of life.
Digital Intervention for Adolescents with Depression: A Scoping Review Wahdania, Nunung; Sari, Sri Padma; Andriany, Megah
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.v7i4.6379

Abstract

A significant public health problem is depression in adolescents. Depression is a mental disorder characterized by negative emotions and feelings of worthlessness. With the advancement of technology, interventions for adolescents experiencing depression can be delivered digitally through websites, apps, and other online platforms. Objective to review digital interventions used to address depression in adolescentsT. his article uses five data bases, namely ProQuest, Scopus, Scient Direct, EBSCOhost and PubMed . Article search from 21,554 articles which were then extracted to get 8 articles, peer review, full text and the last 5 years (2020-2025). Of the eight interventions analyzed, five were digital CBT-based interventions, two were psychoeducation and social support-based interventions, and one was a remote support therapy-based intervention. Apps enable a more cost-effective, more accessible, and more flexible approach compared to conventional methods. Digital interventions based on CBT, psychoeducation, and distance psychotherapy are the main approaches in treating adolescent depression.
The Relationship between Self-Efficacy and Self-Care Management in Hypertensive Patients with Comorbidities Yesika, Apriyani; Maliya, Arina
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.v7i4.6381

Abstract

This study aims to examine the relationship between self-efficacy and self-care management in individuals with hypertension and comorbid diabetes mellitus at the Kartasura Health Center. This research uses a quantitative approach with a correlational design. The study population consists of individuals with hypertension and comorbid diabetes mellitus registered at the Kartasura Health Center, totaling approximately 470 people. A sample of 88 respondents was selected using purposive sampling. Data were collected through a questionnaire measuring self-efficacy and self-care management, which had been tested for validity and reliability (Cronbach’s Alpha > 0.60). The normality test showed a normal distribution with a significance value > 0.05 based on the Kolmogorov-Smirnov test. Data analysis was conducted using Pearson correlation tests with the help of SPSS software. The results indicate a significant correlation between self-efficacy and self-care management in individuals with hypertension and comorbid diabetes mellitus. Those with higher levels of self-efficacy tend to be more adherent to medication and better manage their health conditions, contributing to more stable blood pressure control. This study concludes that self-efficacy significantly influences self-care management in individuals with hypertension and comorbid diabetes mellitus.
Diet as Self-Care in Chronic Kidney Patients in Patient-Centered Care: Scoping Review Aida, Siti Nur; Hidayati, Wahyu; Erawati, Meira
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.v7i4.6382

Abstract

Chronic kidney disease (CKD) is a progressive condition that affects the quality of life of millions of people worldwide. While diet is essential in slowing disease progression and preventing complications, its implementation as self-care often faces barriers especially when patient preferences and context are overlooked. Most existing studies focus on clinical outcomes, with limited attention to how dietary practices are applied within a patient-centered approach that considers cultural, social, and psychological factors. This scoping review aims to map the existing evidence on how diet is implemented as a form of self-care in patients with CKD, within the framework of patient-centered care. This article uses three databases PubMed, EBSCO, and science direct with the keywords “diet,” “self care,” “self management,” and “chronic kidney disease” combined using Boolean AND and OR operators. Articles is in full text, in English, open access, published between 2015 and 2025, with quantitative, qualitative, descriptive, secondary analysis, quasi-experimental, or mixed methods research designs. From the 1,935 articles found, gradual screening was carried out until 7 relevant articles were obtained and further analyzed according to the PRISMA-Scr guidelines. Seven relevant articles showed that adherence to CKD diet was influenced by health literacy, self-efficacy, social support, and economic and cultural barriers. Experience-based interventions, goal setting, self-monitoring, and digital technologies such as health apps showed effectiveness in improving dietary adherence and patient quality of life. Collaborative approaches and family support were also shown to be important in strengthening the success of dietary interventions. Diet as part of self-care in CKD patients not only has clinical benefits, but also contributes to improving psychosocial well-being. A holistic approach that considers social, cultural, and emotional aspects is needed for dietary interventions to be more effective and sustainable in patient-centered practice.

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