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International Journal of Health and Pharmaceutical (IJHP)
Published by CV. Inara
ISSN : -     EISSN : 2808845X     DOI : https://doi.org/10.51601/ijhp
Core Subject : Health,
Nursing Public Health
International Journal of Health and Pharmaceutical (IJHP) e- ISSN : 2808-845X is a communication media and scientific publication in the health and pharmaceutical fields published by Inara Publisher. International Journal of Health and Pharmaceutical (IJHP) contains articles from research focusing on basic medicine, clinical medicine, epidemiology, preventive medicine (social medicine), pharmacy, and other medical fields. International Journal of Health and Pharmaceutical (IJHP) is published periodically four times a year (February, May, August and November).
Arjuna Subject : Pharmacology, Toxicology and Pharmaceutics - Pharmacology, Toxicology and Pharmaceutics (Lain-Lain)
Articles 517 Documents
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The Relationship of Fiber Supplements and Cholesterol Levels in Hypercholesterolemia Patients at The Pati II Health Center in 2025 Wulandari, Risa; Hartinah, Dewi; Tri Lestari, Diana
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.517

Abstract

The phenomenon of hypercholesterolemia has become problematic both in the world and in Indonesia because high cholesterol levels (hypercholesterolemia) are the main risk factor for non-communicable diseases (NCDs) and have implications for an increase in mortality due to hypercholesterolemia, which is 73%. Hypercholesterolemia is closely related to risk factors such as age, gender, diet, smoking, lack of physical activity, BMI, and other related clinical conditions such as triglycerides, obesity, diabetes mellitus, and hypertension. The purpose of the study was to determine the relationship between fiber supplements and cholesterol levels in hypercholesterolemia patients at the Pati II Health Center in 2025. This research method is a correlation analytical research with a cross sectional approach. A sample was taken from a part of the research population with a sample of 56 respondents with a sampling formula using the slovin formula and the sampling criteria used was purposive sampling. The measuring tools used are observation sheets and GCU Easy Touch tools. The data analysis used univariate and bivariate analysis with a spearman rank correlation test with a significant value of a=0.05. The results showed that as many as 29 (51.8%) respondents consumed fiber supplements. High cholesterol levels were 22 (39.3%) of respondents. The results of the study concluded that there was a relationship between fiber supplements and cholesterol levels in patients at the Pati II Health Center in 2025 with a p value of 0.001.
Optimizing Palliative Management For End-of-Life Elderly Patient With Non-Hodgkin Lymphoma : A Case Report Jonathan, Steven; Ravelia Tiffany Subroto, Devina; Putu Bayu Triguna, I
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.518

Abstract

Diffuse Large B-Cell Lymphoma (DLBCL) is the most common type of non-Hodgkin’s lymphoma (NHL) in the elderly population. DLBCL is potentially curable with immunochemotherapy but becomes more difficult to cure as patients get older leading to poor prognosis. Palliative care is essential for patients with this condition to relieve their suffering and improve their quality of life. Treatment strategies of DLBCL in elderly patients remain a challenge for physicians and the patients. An 87-year-old male presented with difficulty swallowing for the past four months, worsened since last week. Throat pain, obstruction sensation, and confined to bed due to weakness. The patient has been diagnosed with DLBCL and refused chemotherapy. Dark-colored residue was observed in the nasogastric tube. There is an enlargement of right cervical lymph-node. His laboratory workup shows Hb 8,9mg/dL, histopathological of the oropharyngeal tissue showed Diffuse Large B-Cell Lymphoma, activated B-Cell subtype. Patient was treated through multidisciplinary approach to improve overall condition and his quality of life. The management of elderly patients with DLBCL requires multidisciplinary approach that considers patient preferences and quality of life. Elderly Prognostic Index are needed to evaluate patient condition, prognosis, and guide therapeutic decisions. Palliative therapy is an approach aimed at improving the quality of life of patients facing life-threatening illness through early identification and comprehensive management of pain, physical, psychosocial, and spiritual problems. Management of DLBCL in elderly patients requires balancing risks and benefits considering frailty, comorbidities, and overall functional status. Regardless of therapeutic choice, palliative and supportive care should be provided through a multidisciplinary approach to relieve suffering and preserve quality of life. Treatment decisions should be made involving the patient and their family, focusing on the ultimate goals of care in accordance to their wishes.
The Effects of Neuromuscular Electrical Stimulation (NMES) on Muscle Mass, Muscle Strength, and Functional Ability in The Elderly: A Literature Review Dwi Wira Sanjaya, Kadek; Ketut Gede Agus Budi Wirawan, I
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.519

Abstract

Sarcopenia is characterized by a loss of muscle in the elderly population with correlative muscle function loss and decreased mobility and independence, and it is associated with increased metabolic and cardiovascular risk. Physical activity is the foundation for prevention and treatment, yet numerous older people are unable to exercise sufficiently due to acute or chronic illnesses, neurological diseases, pain, anxiety, fear of falling, or demotivation. Neuromuscular electrical stimulation (NMES) might be the alternative or add-on treatment as it elicits muscle contractions with very little voluntary demand. This review examined the impact of NMES on muscle mass/size, muscle strength, functional capacity, and plausible mechanisms in elderly subjects. This study used a literature review from PubMed and ScienceDirect, identifying 108 records and including 38 eligible studies on NMES in older adults, with findings synthesized descriptively due to heterogeneity in protocols and outcomes. Overall, NMES was frequently reported to increase or at least maintain muscle mass or size, often in the quadriceps, and to reduce disuse atrophy during immobilization or critical illness, including ICU and acute heart failure settings, particularly when combined with early rehabilitation. Several studies also reported improvements in maximal isometric strength and functional outcomes such as mobility, balance, and gait. Proposed mechanisms include activation of anabolic signaling (IGF-1/PI3K/mTOR), enhanced regeneration markers, and reduced catabolic gene expression (FOXO1A, MSTN, MAFbx, MuRF1), without clear increases in oxidative stress in some studies. NMES appears promising, but standardized dosing and outcomes are needed
Implementation of The Five Pillars Diabetes Education on Knowledge and Self-Care Behavior Among Patients With Type 2 Diabetes Sitorus, Fiolenty; Valerie Gaudiosa Noija , Putri; Patricia Nikita Pusung, Wulan; O. Br. Sibuea, Renova
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.520

Abstract

Type 2 diabetes mellitus (T2DM) management requires effective self-care, which can be strengthened through structured education. The Five Pillars of Diabetes Self-Care including nutrition, physical activity, medication adherence, blood glucose monitoring, and foot care provide a comprehensive framework for patient with T2DM. This study evaluated the effects of an educational program based on these five pillars on the knowledge and self-care behaviors of patients with T2DM. A quasi-experimental one-group pretest–posttest design was used. A total of 24 patients with T2DM from the Jalan Emas Community Health Center in Tangerang were recruited using accidental sampling. The intervention consisted of four weekly interactive educational sessions that covered all five pillars. Valid and reliable instruments (the Five Pillars Knowledge Questionnaire and the Summary of Diabetes Self-Care Activities/ SDSCA) were used for data collection. Data were analyzed using the Wilcoxon Signed-Rank Test. Post-intervention analysis showed significant improvements in knowledge related to nutrition management (p = 0.023), blood glucose monitoring (p = 0.008), and foot care (p = 0.003). Overall self-care behavior also increased significantly (p = 0.001). However, no significant improvements were observed in knowledge related to physical activity (p = 0.317) and antidiabetic medication (p = 0.053). The Five Pillars Diabetes Education program was effective in improving key areas of knowledge and self-care behavior among patients with T2DM. These findings support the adoption of structured, comprehensive, and practical educational interventions, while also emphasizing the need for more targeted strategies to enhance physical activity engagement and medication adherence.
Cultural Nursing Competence Among Graduate Nurses From Selected University in Indonesia: Findings From The Nurses Cultural Competence Scale Raditya A. N, Rafaelino; Wahyuningrum, Jesshica; Muliani Ranawijaya, Febi; Juhdeliena, Juhdeliena; Saputri, Agustina
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.521

Abstract

Cultural diversity in Indonesia poses significant challenges and opportunities in nursing practice. Nurses are required to provide culturally sensitive care to meet patients’ diverse cultural values, beliefs, and practices. Cultural care competence is therefore essential as a foundation for effective and patient-centered nursing care. However, evidence related to cultural competence among graduate nurses in Indonesia remains limited. This study employed a quantitative, descriptive, and analytical design with a cross-sectional approach. A total of 292 nurses who graduated from a selected University in Indonesia participated in the study using purposive sampling. Data were collected between March and April 2024 using the Nurses' Cultural Competence Scale (NCCS), which consists of 41 items covering four dimensions: cultural awareness, cultural knowledge, cultural sensitivity, and cultural skills. The data were analyzed using univariate descriptive statistics. The findings showed that 51.4% of respondents had a high level of cultural competence. Most participants were female (80.1%), with a mean age of 23.89 years and a mean working experience of 23.21 months. High levels were observed across all NCCS dimensions, including cultural awareness (54.1%), cultural knowledge (56.2%), cultural sensitivity (51%), and cultural skills (54.5%). The dominance of high cultural competence suggests that nurses possess adequate readiness to deliver culturally sensitive nursing care. Demographic characteristics such as age, gender, educational background, and early clinical exposure may have contributed to the development of cultural competence among respondents. The study demonstrates that nurses who graduated from a selected university generally exhibit good cultural care competence, which is crucial for providing responsive and culturally appropriate nursing care.
Learning Motivation among University Students in Tangerang Regency: A Descriptive Quantitative Study Paula, Veronica; Konyorah, Davoino; G J Atafani, Wanda; Werlina Boymau, Yinti; Kasenda, Edson
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.523

Abstract

Background: Learning motivation plays a crucial role in students’ academic success, engagement, and persistence, particularly within higher education environments that demand high levels of cognitive, emotional, and behavioural involvement. Motivated students are more likely to actively participate in learning activities, apply effective learning strategies, and maintain resilience when facing academic challenges. Understanding students’ learning motivation is therefore essential for higher education institutions in designing supportive academic environments and evidence-based educational strategies.Objective: This study aimed to describe the level of learning motivation among university students in Tangerang Regency, Indonesia. Methods: A descriptive quantitative research design was employed in this study. A total of 395 university students were recruited using purposive sampling based on predefined inclusion criteria. Data were collected between January and April 2025 using a validated learning motivation questionnaire that measured intrinsic and extrinsic motivation dimensions. The questionnaire was distributed online via Google Forms to ensure accessibility and efficiency. Data were analysed using univariate statistical analysis and are presented in the form of frequencies, percentages, means, and standard deviations. Results: The findings showed that most students (52.41%) demonstrated a high level of learning motivation. The descriptive analysis further indicated relatively high mean scores for both intrinsic and extrinsic motivation, suggesting that students’ learning motivation was supported by both internal factors, such as personal interest and self-development, and external factors, including academic environment and institutional support. Conclusion: University students in Tangerang Regency generally exhibit high learning motivation. These findings highlight the importance of maintaining and strengthening supportive academic environments to sustain students’ motivation and enhance academic engagement in higher education.
Factors Associated With The Empathetic of Staff at The Central Laboratory Installation of M. Djamil Hospital Padang Safitri, Annisa; Dia Rofinda, Zelly; Silvia, Nelmi
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.524

Abstract

Empathy is a crucial component for healthcare professionals to build relationships with patients and improve the quality of care. However, it is often overlooked among laboratory personnel who tend to focus more on technical aspects. Individual and organizational factors are suspected to contribute to decreased empathy among laboratory staff. This study aimed to identify the factors associated with empathy among staff at the Central Laboratory Installation of M. Djamil Hospital Padang. This study employed a Mixed Method design using a Concurrent Embedded model involving 53 laboratory staff. Data were collected through questionnaires, in-depth interviews, observations, and document reviews. Quantitative data were analyzed using chi-square tests and logistic regression, with statistical significance set at p < 0.05. The results showed that the majority of respondents were aged 30–42 years (52.8%), female (77.4%), held a diploma degree (81.1%), had ≥5 years of work experience (84.9%), and had low empathy levels (56.6%). There were significant associations between age (p=0.043), education level (p=0.042), organizational support (p=0.005), workload (p=0.003), work stress (p=0.045), and work motivation (p=0.023) with empathy levels. Meanwhile, gender, length of service, and seminar/training attendance were not significantly associated with empathy. Multivariate analysis revealed that organizational support, workload, and work stress were the key factors associated with empathy, with organizational support emerging as the most dominant factor (p=0.004). Qualitative data supported these findings, indicating that high workload, lack of organizational support, and performance pressure were major barriers to demonstrating empathy toward patients. In conclusion, laboratory staff empathy is influenced by age, education, organizational support, workload, job stress, and work motivation, with organizational support being the most dominant factor.
The Relationship Between Clinical Nurse Career Path and The Implementation of Public Service Interaction Behavior at Dr. Rehatta Hospital, Central Java Province Setyoaji Prayodya, Buchori; Indanah; Siska Mardiana, Sri; Sofyan Prasetyo, Andy
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.525

Abstract

The quality of nursing services in hospitals is a crucial factor that affects public satisfaction and trust. Issues related to service complaints in Jepara underline the importance of nurse professionalism, one of which is developed through a career level system. This study aims to analyze the relationship between the career path of clinical nurses and the implementation of public service interaction behavior at dr. Rehatta Hospital, Central Java Province. This quantitative research uses a correlation design with a cross-sectional approach. The study population was 106 clinical nurses, with a sample of 84 nurses selected through stratified random sampling techniques. Data was collected using a questionnaire referring to Permenkes No. 33 of 2019, then analyzed univariately to describe the characteristics of respondents and bivariate with the Spearman Rank Correlation Test. The results of the study showed that the majority of respondents had public service interaction behavior in the "Good" category (70.2%). The correlation test showed a correlation coefficient value (r) of 0.638 with a p-value of 0.000. These results prove that there is a very significant, strong, and positive relationship between the career path of clinical nurses and the implementation of public service interaction behavior. The higher the career level of a nurse, the better her interaction behavior. Therefore, the career level system has proven to be effective as an instrument to improve the quality of nursing services.
The Effect of Healing Touch and Dhikr Therapy on Reducing Blood Pressure in Hypertensive Patients at The Jati Health Center Nabilla, Amanda Putri; Sukarmin; Suwarto, Tri
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension is one of the chronic health problems that is at risk of causing cardiovascular complications if not managed optimally. In addition to pharmacological therapy, a nonpharmacological approach is needed as a complementary therapy to help lower blood pressure. This study aims to determine the effect of healing touch and dhikr therapy on reducing blood pressure in hypertensive patients. This study used a quasi-experimental design with a pretest-posttest design with a control group. The number of respondents was 46 hypertensive patients who were divided into intervention groups and control groups. The intervention group was given a combination of healing touch and dhikr therapy, while the control group only received standard therapy. Analysis of blood pressure differences before and after intervention in the intervention group was conducted using the Wilcoxon test for systolic blood pressure and the paired t-test for diastolic blood pressure. In the control group, the analysis was carried out using the Wilcoxon test. The comparison of blood pressure drops between groups was analyzed using the Mann–Whitney test. The results showed that systolic and diastolic blood pressure in the intervention group experienced a statistically significant decrease (p < 0.001). The decrease in blood pressure in the intervention group was greater than in the control group, and the difference was statistically significant (p < 0.001). It can be concluded that the combination of healing touch therapy and dhikr is effective as a complementary therapy in lowering blood pressure in hypertensive patients.
Pyoderma Gangrenosum in an Elderly Woman: Case Report Gustia, Rina; Firda Kartika, Hersa; Sari, Mutia
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.528

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that presents with rapidly progressive, painful ulcers and may be diagnostically challenging because it mimics infection, vasculitis, and other ulcerative dermatoses. This report describes an 88-year-old Minang woman who presented with multiple enlarging, painful ulcers on both lower legs and thighs over six months, with significant functional limitation requiring wheelchair use. Dermatological examination showed multiple ulcers with granulation to necrotic bases, irregular margins, and undermined edges, with surrounding erythema and hyperpigmentation. Laboratory evaluation demonstrated mild anaemia with otherwise unremarkable results, while Gram staining showed no bacteria. Dermoscopy revealed irregular ulcer borders with yellow-brown crusting on an erythematous background. Histopathology supported ulcerative PG by demonstrating epidermal hyperplasia with acantholysis, inflammatory cell infiltration including polymorphonuclear leukocytes and lymphocytes, mixed dermal infiltrate, and evidence of vascular destruction. The patient was treated with systemic methylprednisolone alongside topical wound care (saline compresses, topical antibiotics, and topical corticosteroids), resulting in reduced pain and lesion improvement at two-week follow-up with no new ulcers. This case highlights the importance of recognising characteristic clinical features, excluding infection, and using histopathology to support diagnosis, particularly in elderly patients where disease burden and complications may be greater and management must prioritise gentle wound care and avoidance of trauma.

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