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INDONESIA
Indonesian Health Journal
Published by Riviera Publishing
ISSN : 29633036     EISSN : 29633044     DOI : https://doi.org/10.58344
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Health : Public Health, Midwifery, Nursing, Pharmacy, Environmental Health, Labor Health, Maternal and Child Health, Health Promotion and Health Service Management. Medicine : Biomedical, Epidermiology, Pharmacology, Herbal, Surgery, Pediatrics, Internal Medicine, Neurology, Psychiatry, Radiology, Forsenics, Allergy and Immunology, Clinical Medicine, Public Medicine, Medical Science Education, Medical Rehabilitation and Sports Medicine.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 153 Documents
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Understanding Antecedents of Missed Nurse Care in Pediatric Ward Towards Nurse Outcome: A Descriptive Study in Indonesia Marcella Amadea Widjaja; Ferdi Antonio
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.868

Abstract

This research aims to examine the relationship between empowering leadership, performance-based evaluation, and resilience on nurse outcomes through self-efficacy, teamwork efficacy, and missed nursing care in paediatric wards, with the moderating role of cognitive empathy. This descriptive research was conducted during October 2024, utilising self-reported questionnaires. The research included 180 paediatric ward nurses, each with at least one year of working experience in paediatric wards where children were admitted. These nurses were selected from four private hospitals in one of the most populous provinces in Indonesia, West Java. The proposed model was tested using partial least squares structural equation modelling. The findings indicate that resilience, empowering leadership, and performance-based evaluation are significantly associated (p < 0.05; 95% CI) with paediatric nurses' outcomes from the nurses' perspective, mediated by nursing profession self-efficacy, nursing teamwork efficacy, and missed nursing care. As a moderating variable, cognitive empathy demonstrated a significant moderating role in the relationship between self-efficacy and missed nursing care (? = ?0.218) but was not significant for teamwork efficacy (? = 0.143). The proposed model demonstrated adequate prediction of paediatric nurse outcomes as the dependent variable (R² = 0.453). This research highlighted the importance of leadership styles that empower paediatric nurses, resilience-building programmes, and initiatives that enhance individual and team efficacy to mitigate missed nursing care in the paediatric ward. Hospital managers should prioritise strategies to improve leadership, resilience, and teamwork to enhance paediatric patient safety, care quality, and paediatric nurse well-being in hospital settings.
Sleep Quality as a Predictor of Depression in Preclinical Medical Students Auriza Nabila Atiqah; Ariesta Dewi Ciptorini; Haifa Hasna Putri; Reynhard Alfado Randalabi; Tedy Nurnizam
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.871

Abstract

Sleep quality has emerged as a critical determinant of mental health among medical students worldwide. Poor sleep patterns are frequently associated with increased depressive symptoms, particularly in preclinical medical students who face intense academic pressure and limited recovery time. This study aims to examine the relationship between sleep quality and depression and to analyze its psychological implications among preclinical medical students. A literature review approach was employed using articles indexed in PubMed, Scopus, and ScienceDirect published between 2022 and 2026. A total of 13 eligible studies were analyzed based on predefined inclusion criteria focusing on validated instruments such as the Pittsburgh Sleep Quality Index (PSQI) and Patient Health Questionnaire-9 (PHQ-9). The results indicate a consistent and significant association between poor sleep quality and higher levels of depression, with odds ratios ranging from 1.50 to 3.99 across studies. Psychological factors such as anxiety and academic stress were identified as major mediators in this relationship, while behavioral factors such as screen time further exacerbated sleep disturbances. The discussion highlights that sleep quality is not merely a symptom but a significant predictive factor of depression in this population. In conclusion, poor sleep quality significantly increases the risk of depression among preclinical medical students, emphasizing the need for early screening, sleep hygiene interventions, and institutional mental health support programs.
Atypical Presentation of Thyrotoxic Periodic Paralysis Without Overt Hyperthyroid Symptoms: A Case Report I Made Satria Wibawa; I Gede Risnawan Suastika Ardanayasa
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.872

Abstract

Thyrotoxic Periodic Paralysis is a rare complication of hyperthyroidism characterised by acute muscle weakness due to hypokalemia. This condition is more commonly reported in Asian populations and may be overlooked when classic symptoms of hyperthyroidism are absent, potentially leading to recurrence and serious complications. A 40-year-old man presented with sudden weakness of all four extremities following consumption of a high-carbohydrate meal. The patient did not exhibit typical symptoms of hyperthyroidism. Laboratory evaluation revealed severe hypokalemia with elevated FT? levels and markedly suppressed TSH. The patient was treated with intravenous and oral potassium replacement, along with methimazole and propranolol. Muscle strength improved within 24 hours and recovered completely by the third day of hospitalisation. Thyrotoxic Periodic Paralysis occurs due to an intracellular shift of potassium mediated by increased Na?/K?-ATPase activity in the setting of thyrotoxicosis. Attacks are often triggered by high-carbohydrate intake or physical exertion. Diagnosis can be challenging in patients without overt hyperthyroid manifestations; therefore, thyroid function testing is essential in cases of acute hypokalaemic paralysis. Management includes careful potassium correction and control of thyrotoxicosis to prevent recurrence. Thyrotoxic Periodic Paralysis should be considered in any patient presenting with acute weakness accompanied by hypokalemia, even in the absence of classic hyperthyroid symptoms. Prompt treatment and adequate control of thyrotoxicosis are associated with favourable clinical outcomes.
Factors Influencing the Occurrence of Ispa Disease in Excavation C Workers in the Work Area of the Gonengganti Health Center Fitriana Fitriana; Budiman Budiman; Hamidah Hamidah
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.875

Abstract

This study aims to analyze the factors that affect the incidence of ISPA (Infeksi Saluran Pernafasan Atas) in excavation C workers in the working area of the Gonengganti Health Center, Donggala Regency. This study is a quantitative research with a cross-sectional design. The research population is all excavation C workers in the working area of the Gonengganti Health Center, with a total sample of 83 people taken using the total sampling technique. Data were collected through a structured questionnaire that included dust exposure levels, PPE use, duration of dust exposure, and smoking history. Data analysis was carried out univariately, bivariately using chi-square test, and multivariately using logistic regression. The results of the bivariate analysis showed that dust exposure level, PPE use, dust exposure duration, and smoking history had a significant relationship with the incidence of ISPA in excavation C workers (p < 0.05). Multivariate analysis showed that dust exposure level and PPE use were the most dominant factors associated with ISPA incidence, with odds ratio (OR) values > 1, indicating that workers with high dust exposure and not using PPE consistently have a greater risk of experiencing ISPA than other workers. The conclusion of this study shows that the incidence of ISPA in C excavation workers is influenced by work environment factors and worker behavior. Therefore, efforts are needed to control dust exposure, increase compliance with PPE use, regulate work duration, and provide education on the dangers of smoking as preventive measures to reduce the risk of ISPA in excavation C workers.
Short-Course versus Standard-Course Antibiotic Therapy for Pneumonia in Adult: A Systematic Review Ni Wayan Devi Yulian; I Made Satria Wibawa
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.876

Abstract

Pneumonia remains a significant cause of morbidity and mortality among adults worldwide, with substantial impacts on healthcare utilization and costs. Despite advancements in vaccines, diagnostics, and antimicrobial therapy, optimizing antibiotic duration remains a clinical challenge. Traditional regimens typically span 7–14 days, but prolonged therapy contributes to antimicrobial resistance, adverse events, and higher healthcare expenses. This study aims to evaluate the effectiveness and safety of short-course (?7 days) versus standard-course (?7 days) antibiotic therapy in adult patients with pneumonia. A systematic review was conducted following PRISMA guidelines, including randomized controlled trials and observational studies published between 2016 and 2026. Data on clinical cure, mortality, recurrence, hospital length of stay, and adverse events were extracted and analyzed. Results from seven studies involving 5,467 patients indicate that short-course therapy is generally non-inferior to standard-course therapy in terms of clinical cure and mortality, particularly among patients achieving early clinical stability. Recurrence rates were comparable, while some studies demonstrated reduced hospital stay and fewer antibiotic-related adverse events in short-course groups. These findings support individualized treatment durations guided by clinical response rather than fixed periods. In conclusion, short-course antibiotic therapy is an effective and safe strategy for appropriately selected adult patients with pneumonia, offering potential benefits for patient outcomes, antimicrobial stewardship, and healthcare resource optimization.
Association of Brinkman Index with Airflow Limitation in Active Smokers Using Portable Spirometry at Saketa Primary Health Care Center Alicia Thessalonica Nata; Susaniwati Susaniwati
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.878

Abstract

Tobacco-related diseases account for more than seven million deaths globally each year. In Indonesia, approximately 295,043 deaths in 2025 were attributed to tobacco use. Identifying reliable parameters for early detection of pulmonary impairment in smokers, particularly those who are still asymptomatic, is therefore essential. This research aimed to evaluate the association between Brinkman Index score and FEV?% predicted (measured using portable spirometry) among active smokers at Saketa Primary Health Care Center. This cross-sectional study included 40 male active smokers aged ?35 years at Saketa Primary Health Care Center, South Halmahera, selected using a consecutive sampling method. The Brinkman Index score was used as the independent variable, while FEV?% predicted, measured using portable spirometry according to American Thoracic Society standards, was the dependent variable. Data were analysed using Spearman's correlation test. The mean smoking duration was 29.83 ± 8.85 years, with an average cigarette consumption of 17.50 ± 6.88 cigarettes per day. The mean FEV?% predicted was 74.90 ± 5.91%. Analysis using Spearman's correlation showed a strong negative association between Brinkman Index score and FEV?% predicted, which was statistically significant (r = ?0.771; p < 0.001). Scatter plot analysis showed a coefficient of determination of R² = 0.610, indicating that higher Brinkman Index score values were associated with lower FEV?% predicted values among active smokers.
Screening and Education on Obesity at the Siko Community Health Center in Ternate City Eko Sudarmo Dahad Prihanto; Rabiatul Adawiyah Sidi Umar; Asilia Ayunda Purnawan
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

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

Abstract

Obesity is a serious global health problem with increasing prevalence, posing risks of metabolic complications such as diabetes mellitus, hypertension, and cardiovascular disease. Delayed diagnosis and lack of public knowledge are common challenges in obesity management. This community service initiative aims to perform early screening for obesity and central obesity among outpatients at the Siko Community Health Center in Ternate City, followed by educational guidance to achieve optimal treatment outcomes and prevent complications. Screening for obesity and central obesity was conducted among 50 outpatients, followed by personalized education using informational leaflets. The results showed that 26 participants (52%) had obesity, and 29 (58%) had central obesity. Metabolic comorbidities associated with obesity were found in 44% of cases, with hypertension being the most prevalent (26%). In conclusion, this community service activity revealed high prevalence rates of obesity and central obesity, and education on obesity management was successfully provided to all participants.
Analysis of Actual Costs and INA-CBG Rates for Breast Cancer Care in Indonesian Hospitals: A Narrative Review Hanum Nasiha; Dewi Purnamawati
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.882

Abstract

Breast cancer is a global health challenge and a significant economic burden in Indonesia, given its high prevalence among women. This study aims to evaluate the gap between actual medical costs and INA-CBGs rates in breast cancer management to formulate policy recommendations for the sustainability of oncology services. The research was conducted through a narrative review of literature published in 2022–2026 from the Scopus, ProQuest, and Dimensions databases. The review of three selected articles confirmed the existence of a substantial disparity in costs, characterized by a consistent negative difference between actual hospital costs and JKN claim rates. The findings show that the largest cost component comes from cytostatic drugs at 62–69%, while radiotherapy services are reimbursed at only about 59–87% of actual costs. This discrepancy is further exacerbated by medical inflation and the increasing complexity of managing advanced cases. In conclusion, structural cost discrepancies threaten the financial stability of hospitals, necessitating a periodic revision of rates based on activity-based costing and the implementation of a carve-out policy for high-value oncology drugs to ensure sustainable service accessibility.
Characteristics of Genetic Susceptibility in Lung Cancer Patients in North Sumatra Population, Indonesia Putri Aulia Anwar; Noni Novisari Soeroso; Setia Putra Tarigan; Putri Chairani Eyanoer
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.883

Abstract

Lung cancer remains a major global health problem and the leading cause of cancer-related mortality worldwide. Although smoking and environmental exposure are the dominant risk factors, genetic susceptibility and family history may also contribute to lung cancer development, particularly among individuals with inherited cancer predisposition. This study aimed to describe the characteristics of genetic susceptibility among lung cancer patients in the North Sumatra population, Indonesia, with emphasis on family history of lung cancer and other cancers. A descriptive observational design was employed, conducted from August to November 2024 at Adam Malik Hospital, Universitas Sumatera Utara Hospital, and Santa Elisabeth Hospital. A total of 240 patients with histopathologically confirmed small-cell lung cancer and non-small-cell lung cancer were included through consecutive sampling. Data were collected from medical records, including sociodemographic characteristics, clinical information, and family cancer history, and were analyzed descriptively using IBM SPSS version 26. The results showed that patients had a mean age of 59.12 ± 13.22 years, were predominantly male, and were mostly of Batak ethnicity. Regarding familial susceptibility, 5.4% had a family history of lung cancer, 34.2% had a family history of other cancers, and 60.4% had no family history of cancer. These findings indicate that family history should be considered in lung cancer risk assessment. Integrating familial cancer evaluation into routine clinical practice may support early screening, prevention, and personalized intervention strategies.
Effectiveness of Phosphodiesterase Type 5 Inhibitors for Erectile Dysfunction After Radical Prostatectomy: A Systematic Review Maulfi Natsir
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.886

Abstract

Erectile dysfunction (ED) is one of the most frequent complications following radical prostatectomy, with substantial implications for quality of life, psychological well-being, and interpersonal relationships. The pathophysiology involves a combination of cavernous nerve injury, vascular insufficiency, and structural alterations such as corporal fibrosis. Phosphodiesterase type 5 inhibitors (PDE5i) are recommended as first-line therapy; however, their effectiveness in post-prostatectomy ED remains variable and influenced by multiple clinical factors. The objective to systematically evaluate the effectiveness of PDE5 inhibitors in improving erectile function in patients with ED following radical prostatectomy. This systematic review was conducted in accordance with PRISMA guidelines. Literature searches were performed in PubMed, Scopus, and Google Scholar for studies published between 2017 and 2025. Randomized controlled trials and observational studies evaluating PDE5 inhibitors (sildenafil, tadalafil, vardenafil) in post-prostatectomy ED were included. Primary outcomes were erectile function scores (International Index of Erectile Function/IIEF) and recovery rates. The results twenty studies met inclusion criteria. PDE5 inhibitors demonstrated consistent improvement in erectile function scores across most studies (1–3). However, treatment outcomes varied significantly depending on nerve-sparing status, baseline erectile function, patient comorbidities, and timing of therapy initiation (4–7). Early initiation as part of penile rehabilitation showed potential benefits in preserving erectile function, although findings were not uniform (6,8). PDE5 inhibitors are effective in improving erectile function after radical prostatectomy, but their effectiveness is influenced by multiple interacting factors. A personalized and multimodal treatment approach is essential to optimize outcomes

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