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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 2,081 Documents
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Life Support Vs Life Cost: Ethical Conflicts in Critical Care Decision Making-A Case Report Wijayanti, Nunik; Martani, Hersinta Retno; Kurniawati, Ninuk Dian
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.v7i5.6951

Abstract

This case study describe patient receiving treatment in the ICU requested leave against medical advice (LAMA) due to financial limitation regarding hospital bills. This situation presents an ethical dilemma, as the patient requires emergency surgery and mechanical ventilation, making it unfeasible to discontinue the procedure. This study aims to highlight the strategic role of ICU nurses in mediating discharge requests, while upholding patient safety and respecting the family's values and decisions. A man after a traffic accident with a diagnosis of multiple skull fractures and Epidural Hematom (EDH). The patient’s family has provided written informed consent for this case report.This case has been documented in accordance with the CARE Case Report Guidelines. Following the nurse communicated with the case manager and a family conference was held with the medical team, the family decided to agree to surgery on the patient and the costs would be discussed with the extended family. Nurses not only play an active role as coordinators or mediators in providing patient care but also must identify potential financial resources available to the patient's family. This is done to prioritize the patient's interests.
Bilateral Achilles Tendon Rupture Following A Fall from Height: Case Report Mahendra, I Gede Bramantya Surya; Purnaning, Dyah
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.v7i5.6960

Abstract

Achilles tendon rupture is an injury characterized by partial or complete disruption of the Achilles tendon, commonly caused by trauma or a sudden change in foot position. This condition accounts for approximately 20% of all major tendon ruptures. This study aims to present and analyze a rare case of bilateral Achilles tendon rupture, emphasizing the clinical presentation, diagnostic challenges, and management considerations. Men are at 2–12 times higher risk than women, with the incidence increasing between the ages of 40 and 59 years. Diagnosis is established through history taking, physical examination, and imaging modalities such as ultrasonography or MRI. We report a case of a 53-year-old male who presented with pain and swelling in both posterior ankles for the past three months, following a fall from a height of approximately four meters. The patient experienced limited mobility and required a walking aid. Physical examination revealed bilateral edema, a palpable defect in the Achilles tendon, tenderness, a positive Thompson test, and weakness of plantar flexion. MRI confirmed bilateral Achilles tendon rupture. The patient had previously undergone conservative management, including the application of an ankle strap and administration of nonsteroidal anti-inflammatory drugs, with no improvement. Bilateral Achilles tendon rupture is a rare condition, typically resulting from high-energy trauma. Delayed diagnosis and treatment may increase the risk of complications and long-term disability. Management options include conservative or surgical approaches, selected based on patient age, extent of rupture, and activity level. Bilateral Achilles tendon rupture following a fall from height is an uncommon case, highlighting the importance of prompt diagnosis and appropriate treatment to prevent permanent functional impairment.
The Effectiveness of Diabetes Self-Management Education (DSME) on the Self-Care of Patients with Diabetic Foot Ulcers Negara, Candra Kusuma; Wibowo, Hery; Nafi'ah, Rizka Hayyu; Prawira, Ricky
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.v7i5.6999

Abstract

Diabetic foot ulcers are one of the chronic complications of diabetes mellitus (DM) that can lead to serious infections and even amputation. Poor self-care ability is a major risk factor in the development of chronic wounds among DM patients. The Diabetes Self-Management Education (DSME) intervention has been considered effective in improving patients’ self-management abilities; however, contextual evidence in Indonesia remains limited. This study aimed to evaluate the effectiveness of DSME intervention in improving self-care abilities among patients with diabetic foot ulcers at RSUD Banjarmasin. The study employed a quasi-experimental design using a one group pre-test and post-test approach. A total of 30 patients were selected using total sampling. The DSME intervention was delivered over seven consecutive days through a structured, face-to-face educational approach. Self-care ability was measured using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire before and after the intervention. Data were analyzed using a paired sample t-test. Prior to the intervention, the majority of respondents (70%) were categorized as having poor self-care. After the intervention, 80% of respondents were categorized as having good self-care. The paired sample t-test showed a significant difference in self-care scores before and after the DSME intervention (p < 0.001). The DSME intervention was effective in enhancing self-care abilities among patients with diabetic foot ulcers.
The Combination of Deep Breathing, Isometricity, and Religious Prayer on Reducing Blood Pressure in Elderly Parents with Hypertension Yunaida, Indana Zulfa; Haryanto, Joni; Wahyudi, Andri Setiya
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.v7i5.7007

Abstract

Hypertension treatment therapy needs to be supported by non-pharmacological therapy because it has fewer side effects, one of which is exercise, but so far it has not been widely done by hypertension sufferers. The study was to analyze the effect of the combination of NADA ISME RELIGI (deep breathing, isometrics and religious prayers) on reducing blood pressure in elderly with hypertension. A quasi-experimental study with a pretest-posttest with a control group design was used in 66 elderlies with hypertension recruited using purposive sampling. The research variables were the combination of NADA ISME RELIGI and blood pressure. Data analysis using paired sample t-test and independent t-test. The results of inferential testing showed that in the intervention group the pre and post-test values of blood pressure were p = 0.000 (p <0.05), so it can be concluded that the combination intervention of RELIGIOUS NADA ISME has a significant effect on blood pressure in hypertension sufferers. The combination of RELIGIOUS NADA ISME (Deep Breathing, Isometric and Religious Prayer) can reduce blood pressure in the elderly with hypertension, as evidenced by the results of research in the intervention group showing a decrease in blood pressure.
Effect of FSMP on Weight Gain in Severely Underweight and Stunted Under-Five Patients Subardi, Arda Yunita; Yunilasari, Yunilasari; Kusaeri, Yuliana; Widjaja, Anna Maria Nurhajati; Fitroh, Nur Nida; Novitasari, Prihatini Dini
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.v7i5.7009

Abstract

Severely underweight in children under five, particularly severely underweight and stunting, remains a major public health issue with long-term impacts on human resource quality. One of the recommended interventions is the provision of Food for Special Medical Purposes (FSMP) in healthcare facilities. This study aimed to determine the effect of the program on weight gain among underweight and stunted under-five patients in the Sakura Inpatient Ward of Bekasi Regional General Hospital. This was a true experimental study with a one-group pretest-post-test design. The sample was obtained through total sampling of all under-five patients aged 0–36 months with severely underweight and stunting who were hospitalized in the Sakura Inpatient Ward from January 2024 to June 2025, totalling 71 patients. Data were analyzed using paired t-tests with a significance level of 5% (α = 0.05). There was an increase in the average body weight among severely underweight children from 5.31 kg to 5.63 kg (Δ = 0.32 kg; p < 0.001), and among those with both severely underweight and stunting from 4.97 kg to 5.34 kg (Δ = 0.37 kg; p < 0.001). The provision of program significantly increased body weight in under-five children with severely underweight, as well as those with combined severely underweight and stunting.
Analyzing Waste in Emergency Radiology Services through A Lean Management Approach: A Literature Review Indriani, Cynthia Rizky; Arso, Septo Pawelas; Jati, Sutopo Patria
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.v7i5.7016

Abstract

Hospitals play a strategic role in supporting promotive, preventive, curative, and rehabilitative health efforts. The Emergency Department (ED) and Radiology Unit are critical services that directly affect the speed and accuracy of diagnosis, especially in emergency cases. This study aims to evaluate the efficiency of these two units using a Lean Management approach. A systematic literature review was conducted through databases including Scopus, PubMed, and Google Scholar using the keywords “emergency department,” “radiology,” and “lean management.” Inclusion criteria consisted of English- and Indonesian-language articles published between 2015 and 2024. Article selection followed the PRISMA guidelines. A total of 250 records were initially identified, with 10 high-quality articles ultimately meeting all inclusion and quality appraisal criteria for analysis. Findings indicate that Lean Management effectively identifies process waste, particularly prolonged patient waiting times and delays in radiology reporting. Techniques such as Value Stream Mapping and Root Cause Analysis were found to streamline workflows and reduce non-productive time. The implementation of Lean Management significantly enhances the efficiency of radiology services in emergency settings by optimizing processes and minimizing waste. Continuous outcome monitoring, regular training, multidisciplinary collaboration, and information technology integration are essential to ensure sustainable and system-wide improvements.
The Relationship Between Lipid Profile and the Incidence of Relapsing Nephrotic Syndrome in Children Tarigan, Utari Olivina; Siregar, Rosmayanti Syafriani; Lubis, Syamsidah; Fujiati, Isti Ilmiati; Deliana, Melda; Prima, Cynthea
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.v7i5.7017

Abstract

Nephrotic syndrome (NS) is one of the most common chronic kidney diseases in children, characterized by massive proteinuria, hypoalbuminemia, edema, and dyslipidemia. Relapse occurs in most cases and contributes to worsening the disease course. Dyslipidemia is suspected to influence relapse risk, but the specific relationship between lipid profile and relapsing NS remains unclear. Objective to analyze the association between total cholesterol, triglycerides, LDL, and HDL levels with relapse incidence in children with nephrotic syndrome. A retrospective study was conducted on 66 children aged 2–18 years with NS treated at H. Adam Malik General Hospital, Medan, in 2024. Subjects were divided into relapsing (n=54) and non-relapsing (n=12) groups. Data were obtained from medical records and analyzed using the Mann-Whitney test and Spearman correlation. Triglyceride (p=0.007), LDL (p=0.013), and HDL (p<0.001) levels differed significantly between the relapsing and non-relapsing groups. Total cholesterol showed no significant difference (p=0.164). The mean albumin level was significantly lower in the relapsing group (2.9 g/dL vs. 4.1 g/dL; p<0.001). A significant negative correlation was found between albumin and triglyceride levels (r=-0.326; p=0.008). Triglyceride, LDL, and HDL levels are significantly associated with relapse in pediatric nephrotic syndrome. Hypoalbuminemia is also an important risk factor. Lipid profile evaluation can serve as a useful indicator in monitoring and managing relapses.
The Effect of Local Anesthesia on Dermatological Actions on Patient Comfort Riyanto, Puguh; Priyanto, Olivia Jovina
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.v7i5.7018

Abstract

Local anesthesia is commonly used in a variety of dermatological procedures to reduce pain and improve patient comfort. However, some side effects can occur, including burning sensations, nausea, vomiting, dizziness, blurred vision, and even impaired consciousness. This study aimed to evaluate the effect of local anesthesia on patient comfort during dermatological procedures. The study was conducted at an aesthetic clinic in Semarang from 7 to 9 February, involving 20 patients (2 men and 18 women). This study uses a quantitative descriptive study with a cross-sectional approach to assess patient comfort and side effects after local anesthesia in dermatologic procedures. Patients aged 18 and older who consent will be recruited consecutively. Researchers will using observation checklist and vital sign chart to collect demographic and clinical data, observe and record specific side effects such as feeling hot/sore, nausea, vomiting, dizziness, blurred vision, impaired consciousness, and fainting during and up to 30 minutes after the procedure, and monitor vital signs before and after the procedure. The results showed that 16 out of 20 patients reported no complaints after the procedure. Three patients experienced a burning sensation, while one patient experienced nausea and vomiting. None of the patients reported dizziness, blurred vision, loss of consciousness, or fainting. In conclusion, local anesthesia provides a high level of comfort for patients with minimal side effects. Therefore, it remains a safe and effective option for dermatological procedures, although monitoring individual responses remains important.
Association Between Glycaemic Control and Cardiac Function in Children with Diabetes Mellitus Ridho, M; Lubis, Siska Mayasari; Amelia, Putri; Harahap, Juliandi; Evalina, Rita; Meirina, Fathia
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.v7i5.7020

Abstract

The prevalence of Diabetes Mellitus (DM) among children and adolescents has been progressively increasing, with Type 1 DM constituting the majority of cases. Cardiovascular disease (CVD) is a major long-term complication, yet early cardiac involvement remains poorly understood in this population. This study aimed to assess the association between glycaemic control and cardiac function in paediatric patients with DM. A cross-sectional observational study was conducted involving 30 children with type 1 or type 2 DM at H. Adam Malik General Hospital, Medan. Glycaemic control was assessed using HbA1c levels. Cardiac function was evaluated using electrocardiography (ECG) and echocardiographic parameters, including ejection fraction (EF), fractional shortening (FS), tricuspid annular plane systolic excursion (TAPSE), and E/A ratio. Data were analysed using Chi-Square and Mann-Withney Test. Most subjects (90%) had poor glycaemic control (HbA1c ≥7%). Cardiac dysfunction (reduced EF <55%) was identified in 16.7% of patients. However, no statistically significant associations were found between cardiac function and HbA1c, duration of diagnosis, blood pressure, or body mass index (BMI) (p>0.05). There was no significant relationship was found between glycaemic control and cardiac function, highlighting the need for more sensitive diagnostic tools and long-term follow-up to detect subclinical cardiovascular complications.
Evaluation of the Implementation of an Inpatient Electronic Medical Record System Using the Delone and Mclean Kundari, Asih; Aji, Budi; Rejeki, Dwi Sarwani Sri
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.v7i5.7024

Abstract

Background: Sumber Waras Hospital is committed to enhancing the quality of healthcare services through the implementation of an Electronic Medical Record (EMR) system. EMR is an essential tool for managing patient health data to improve service efficiency and effectiveness. However, its implementation still encounters various challenges, such as limited user training, interoperability issues, and inconsistent data quality. Therefore, this study aims to evaluate the success of the inpatient EMR system implementation at Sumber Waras Hospital using the Delone and McLean model approach. Research Methods: This research applied a descriptive quantitative method with a cross-sectional design. The study population consisted of 344 healthcare personnel, with a total of 77 respondents selected using the Slovin formula at a 10% margin of error. Result: The evaluation showed that system quality was categorized as moderate with an average score of 2.86. Information quality was also in the moderate category with a score of 3.15, followed by service quality at 3.14. System use was categorized as moderate with a score of 3.47, user satisfaction was categorized as good with a score of 3.50, and net benefits were categorized as moderate with a score of 3.30. Conclusion: The implementation of the inpatient EMR system at Sumber Waras Hospital is generally running quite well, although improvements are still required, particularly in system quality, information quality, and service quality aspects. The evaluation results are expected to serve as a reference for system improvements and user training efforts to enhance the overall quality of healthcare services. Keywords: Electronic Medical Records, Information System Evaluation, Delone and Mclean Bibliography: 43 (2017-2024).

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