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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
Core Subject :
Indonesian Journal of Global Health Research is a open access, peer reviewed and refereed international journal. Indonesian Journal of Global Health Research aim to publish original research paper devoted to various area of all health sciences. Indonesian Journal of Global Health Research provides a forum for sharing timely and up-to-date publication of scientific research, health care and promoting the development of nursing, public health, community, environmental and occupational health. The journal publishes original research papers of health sciences. High priority will be given to articles on public, nursing, adolescent, community, environmental and occupational health, pharmaceutical technology, social pharmacy, traditional medicine, pharmacology, and so on.
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Articles 1,005 Documents
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Nursing Care for a Patient with Chronic Kidney Disease During Hemodialysis Initiation Dede Warnadi; Euis Tuti Susilawati; Fajar Kurnia; Rani Septiawantari
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2717

Abstract

Anxiety is common among patients with chronic kidney disease (CKD) undergoing hemodialysis, particularly during therapy initiation. It may affect hemodynamic stability and quality of life, requiring safe and effective nonpharmacological nursing interventions. Spiritual Guided Imagery and Music (SGIM) integrates guided imagery, relaxation music, and spiritual approaches to reduce anxiety. To analyze nursing care for a patient with CKD during hemodialysis initiation, focusing on SGIM to manage anxiety at Persahabatan Hospital, Jakarta. A descriptive single-patient case report using a comprehensive nursing care approach, including assessment, diagnosis, planning, implementation, and evaluation. The case involved a 54-year-old man with stage 5 CKD initiating hemodialysis. SGIM was administered in three 10–15-minute sessions during hemodialysis. Data were collected from medical and nursing records, HARS assessments, vital-sign observations, and patient subjective reports before and after each session. Data were analyzed descriptively by comparing pre- and post-intervention HARS scores and examining changes across sessions. HARS scores decreased across sessions from 28 to 21, 21 to 15, and 14 to 10. Overall, the baseline score decreased from 29 to 10, representing a 19-point reduction (65.5%). The patient reported feeling calmer, more relaxed, nearly falling asleep, more accepting of his condition, and more optimistic about treatment. Blood pressure, pulse rate, and respiratory rate also decreased. The patient subsequently used water-flow sounds as an independent coping strategy at home. The implementation of non-pharmacological nursing interventions, such as Spiritual Guided Imagery and Music (SGIM), is effective in reducing anxiety and supporting hemodynamic stability in patients with chronic kidney disease undergoing hemodialysis initiation.
Poster Education on Toddler Speech Language Disorders: Mothers’ Knowledge and Attitude Changes Agus Saptanto; Hema Dewi Anggraheny; Aisyah Lahdji
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2718

Abstract

Speech language disorders can affect children’s communication, social interaction, and development. Mothers require adequate knowledge and positive attitudes to recognise warning signs and provide appropriate stimulation. To evaluate changes in mothers’ knowledge and attitudes following poster based education about speech language disorders in toddlers and examine their associations with stimulation behaviour. This pre experimental study employed a one group pretest post test design. Using total sampling, 12 mothers of toddlers with speech language disorders were recruited from the Kedungmundu Community Health Centre area, Semarang. Participants received 15–20 minutes of face to face education using a poster covering definitions, warning signs, causes, and home based stimulation. Data were collected in November 2025 using questionnaires administered immediately before and after a 15–20-minute face to face educational session supported by a poster covering definitions, warning signs, causes, and home based stimulation. Changes were analysed using the Wilcoxon signed rank test, while associations with stimulation behaviour were examined using Spearman’s rank correlation. Result: The proportion of mothers with good knowledge increased from 33.3% before education to 91.7% afterwards, while the proportion with a good attitude increased from 41.7% to 100%. Knowledge and attitude scores differed significantly between the pretest and post test assessments (p<0.05). Neither knowledge (r=0.154; p=0.624) nor attitude (r=0.076; p=0.815) was significantly associated with stimulation behaviour. Poster based education was associated with improved maternal knowledge and attitudes regarding speech language disorders in toddlers.
The Effectiveness of Body Positioning Interventions on Respiratory Parameters in Pediatric Pneumonia: A Systematic Review Darmini Darmini; Nopi Nur Khasanah; Sri Wahyuni; Muh. Abdurrouf
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2720

Abstract

Pneumonia in children can cause impaired oxygenation and an increased respiratory rate. Body positioning is a simple nonpharmacological intervention with the potential to improve respiratory parameters. To analyze the effectiveness of body positioning interventions on respiratory parameters in pediatric patients with pneumonia. This study employed a systematic review design based on the PRISMA 2020 guidelines and the PICO framework. A literature search was conducted through PubMed, DOAJ, and Google Scholar for articles published between 2021 and 2026. A total of 859 articles were identified; 106 duplicates were removed, and 753 articles underwent title and abstract screening. Subsequently, 55 articles were sought for full-text retrieval, 13 articles were assessed for eligibility, and 8 studies met the inclusion criteria and were included in the analysis. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools according to each study design. Data were extracted and synthesized narratively because of study heterogeneity. The eight included studies examined various body positioning interventions, including lateral, prone, and semi-recumbent positions, which showed potential to improve SpO₂ and respiratory rate. Body positioning interventions have the potential to improve respiratory parameters in children with pneumonia.
Radiographic and Angiographic Predictors of Response after Middle Meningeal Artery Embolization for Chronic Subdural Hematoma Kadek Virginia Mas Cahya Dewi; Pande Putu Bagus Premana
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2724

Abstract

Middle meningeal artery embolization (MMAE) is a minimally invasive treatment for chronic subdural hematoma (cSDH), yet predictors of treatment response remain incompletely defined. To evaluate radiographic, angiographic, and procedural predictors of treatment response after MMAE in adults with cSDH. The literature search, covering January 2000 to June 2026, identified 582 records from PubMed, the Cochrane Library, and ScienceDirect. After screening and eligibility assessment, 11 studies were included in the narrative synthesis. Septated, laminar, and trabecular hematomas were associated with better or faster response, whereas homogeneous or separated architecture, residual thickness, mixed density, and greater midline shift were associated with delayed resolution or failure. Small MMA diameter and limited distal embolic penetration were linked to poorer outcomes, while greater embolic volume favored radiographic resolution. Embolizing additional branches or selectively targeting the dominant branch did not consistently improve outcomes. MMAE response depends on hematoma biology, vascular anatomy, and embolic distribution rather than a single imaging variable, offering a framework that may help guide risk stratification, patient selection, and follow-up planning in research on MMAE.
Implementation of Nurse Unit Manager Supervision to Improve the Quality of Nursing Care Documentation Based on Electronic Medical Records (EMR) Vivianti Fraliana Lesnussa; La Ode Abdul Rahman; Rr Tutik Sri Hariyati
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2726

Abstract

Structured Nurse Unit Manager Supervision to Improve the Quality of Electronic Nursing Documentation. Digital transformation through the adoption of Electronic Medical Records has not been fully accompanied by improvements in the quality of nursing documentation. An initial assessment in the inpatient wards of a teaching hospital in Depok, Indonesia, revealed that documentation was not performed in real time, the SOAP components were incomplete, and copy-paste practices persisted, rooted in the absence of structured supervision by the Nurse Unit Manager (NUM).  This project aimed to evaluate the effect of structured, digitally supported Nurse Unit Manager (NUM) supervision on the quality of electronic nursing care documentation.This single-group pre-post quality improvement project aimed to improve the quality of electronic nursing documentation through the implementation of structured NUM supervision. The activity applied management functions, Lewin’s change theory, and the Plan-Do-Study-Act cycle. Assessment was conducted through interviews, observation, and document review, analysed using SWOT and a fishbone diagram, and prioritised using the Growth-Seriousness-Manageability technique. The intervention comprised a digital NUM supervision tool piloted in one inpatient ward. A baseline audit of nine documents across three wards showed an average quality of 56% (fair). After supervision of nine nurses, quality rose to 71% (good), a 15-point increase, with the largest gain in timeliness (25% to 56%). Structured digital NUM supervision was effective in improving the quality of electronic nursing documentation. Standardisation through standard operating procedures, integration into quality indicators, and ward-wide expansion are recommended.
Readiness for the Implementation of A Mentorship Program in Nursing Practice: Perspectives of Nurse Managers, Mentors, and mentees Sitta Diani Fichara; Enie Novieastari; Hening Pujasari; Hanny Handiyani; Sarvita Dewi
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2727

Abstract

Background: Men Mentorship is a professional development strategy that plays an important role in enhancing nurses' competencies, professionalism, and the quality of nursing care. However, the implementation of mentorship programs at Hospital X has not yet been optimal, highlighting the need to explore readiness for program implementation. This study aimed to explore readiness for mentorship program implementation from the perspectives of nurse managers, mentors, and mentees. This descriptive qualitative study involved 24 participants, consisting of 10 nurse managers, 6 mentors, and 8 mentees, who were recruited using purposive sampling. Data were collected through Focus Group Interviews using a semi-structured interview guide and analyzed using thematic analysis. The analysis generated six themes describing the understanding of mentorship, mentorship implementation, learning orientation, implementation barriers, implementation readiness, and mentors' perceptions of mentee characteristics. Nurse managers emphasized the importance of leadership support and organizational systems, including structured implementation, monitoring, evaluation, and standardization. Mentors highlighted readiness to perform the mentoring role through competence, experience, and commitment. Mentees emphasized learning needs, effective mentoring, adaptation to the work environment, and support from head nurses. Across all three groups, operational, organizational, and individual barriers were identified as challenges to mentorship implementation. Overall, readiness for implementation was perceived as a multidimensional process resulting from the synergy among individual preparedness, leadership support, and organizational support. Readiness for mentorship implementation requires alignment between individual, leadership, and organizational factors. Establishing a structured and standardized system while maintaining responsive mentoring based on mentees' needs may support sustainable implementation of mentorship in nursing practice. torship is a professional development strategy that plays an important role in enhancing nurses' competencies, professionalism, and the quality of nursing care. However, the implementation of mentorship programs at Hospital X has not yet been optimal, highlighting the need to explore readiness for program implementation. This study aimed to explore readiness for mentorship program implementation from the perspectives of nurse managers, mentors, and mentees. Methods: This descriptive qualitative study involved 24 participants, consisting of 10 nurse managers, 6 mentors, and 8 mentees, who were recruited using purposive sampling. Data were collected through Focus Group Interviews using a semi-structured interview guide and analyzed using thematic analysis. Results: The analysis generated six themes describing the understanding of mentorship, mentorship implementation, learning orientation, implementation barriers, implementation readiness, and mentors' perceptions of mentee characteristics. Nurse managers emphasized the importance of leadership support and organizational systems, including structured implementation, monitoring, evaluation, and standardization. Mentors highlighted readiness to perform the mentoring role through competence, experience, and commitment. Mentees emphasized learning needs, effective mentoring, adaptation to the work environment, and support from head nurses. Across all three groups, operational, organizational, and individual barriers were identified as challenges to mentorship implementation. Overall, readiness for implementation was perceived as a multidimensional process resulting from the synergy among individual preparedness, leadership support, and organizational support. Conclusion: Readiness for mentorship implementation requires alignment between individual, leadership, and organizational factors. Establishing a structured and standardized system while maintaining responsive mentoring based on mentees' needs may support sustainable implementation of mentorship in nursing practice.
Does Bone Marrow–Based Augmentation Improve Fusion Outcomes in Lumbar Spinal Fusion? A Systematic Review of Randomized Controlled Trials Muhammad Ridho Akbar Eljatin; Teuku Nanta Aulia
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2729

Abstract

Lumbar spinal fusion (LSF) is widely used for degenerative lumbar disorders, but pseudarthrosis remains a clinically relevant complication. Bone marrow–based augmentation has been proposed to enhance fusion while reducing reliance on conventional grafting. However, its comparative efficacy and safety remain uncertain. To evaluate the effects of bone marrow–based augmentation on radiographic fusion, clinical outcomes, perioperative outcomes, and safety following LSF. This systematic review followed PRISMA guidelines. PubMed/MEDLINE, Embase, Scopus, Web of Science, and Cochrane CENTRAL were searched without publication-year restrictions for randomized controlled trials (RCTs) evaluating bone marrow aspirate, bone marrow concentrate, or bone marrow-derived mesenchymal stromal cells in adults undergoing lumbar spinal fusion for degenerative lumbar disorders. Of 366 records identified, seven RCTs published between 2008 and 2023, involving 367 participants, met the eligibility criteria. Data on radiographic fusion, clinical and functional outcomes, perioperative outcomes, and safety were extracted and synthesized narratively because of substantial clinical and methodological heterogeneity. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. Seven RCTs involving 367 participants demonstrated heterogeneous effects on radiographic fusion. Higher fusion rates were observed with selected constructs, including bone marrow-derived mesenchymal stromal cells plus allograft, bone marrow concentrate plus allograft, and bone marrow aspirate plus local bone and hydroxyapatite, whereas other studies showed no significant benefit or lower fusion rates with specific graft combinations. Clinical outcomes generally improved in both groups without consistent between-group differences. Perioperative outcomes and reported safety events were broadly comparable, although safety reporting was inconsistent. Four studies had some concerns, and three had a high overall risk of bias. Bone marrow–based augmentation showed variable effects on fusion, with benefits observed only in selected graft constructs. Current evidence does not establish consistent superiority over conventional grafting for LSF.
Menstruation, Work, and the Environment: A Qualitative Study of Female Street Vendors Lela Handayani; Ferly Oktriyedi; Ria Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2732

Abstract

Female street vendors are informal workers exposed to environmental and occupational factors such as vehicle exhaust, dust, heat, long working hours, inadequate fluid intake, and limited sanitation access, which may affect reproductive health. Objective to describe menstrual complaints, their impact on work activities, and related environmental and occupational conditions among female street vendors. This preliminary qualitative descriptive study involved 15 female street vendors of reproductive age selected purposively. Data were collected through semi-structured interviews and field observations, then analyzed descriptively using themes, frequencies, and percentages. The most common complaints were abdominal pain or cramps (66.7%), irregular menstrual cycles and fatigue (60.0%), back pain (53.3%), and dizziness/headaches and mood changes (46.7%). Menstrual complaints felt heavier after long working hours in 53.3% of informants, while 40.0% experienced concentration difficulties and 20.0% reduced trading hours. Environmental factors included exposure to vehicle exhaust and dust (73.3%), working 8–12 hours daily (66.7%), heat discomfort (60.0%), inadequate fluid intake (46.7%), and limited toilet access (40.0%). Menstrual complaints were common and affected work activities alongside less supportive occupational and environmental conditions.
The Effect of Classical Music Therapy on Depression Levels in the Elderly Livana PH; Ayu Rahayu; Intan Mariyana; Nabila Abida Mashyar; Umtitin Umtitin; Titik Suerni; Kandar Kandar
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.2737

Abstract

Depression in the elderly is a mood disorder characterized by prolonged feelings of sadness, loss of interest in daily activities, feelings of worthlessness, and sleep and appetite disturbances. The purpose of this study was to determine the effect of classical music therapy on the level of depression in the elderly at Amino Gondho Hutomo Mental Hospital in Semarang. A quasi-experimental research design was used with a one-group pretest-posttest design. The sample in this study consisted of 9 respondents. Sampling used total sampling. The results showed that the provision of classical gamelan music therapy intervention to all respondents experienced a decrease in depression scores. This was indicated by negative ranks for 9 respondents, which means the post-test score was lower than the pre-test score. Based on the results of the Wilcoxon test, a Z value of -3.000 was obtained with a significance value of p = 0.003 (p <0.05). Thus, H₀ was rejected, which means there was a significant difference between the depression scores of the elderly before and after being given music therapy.
Machine Learning-Based Prediction of Diabetes Medication Use: A Pharmacoepidemiological Analysis of the Indonesia Family Life Survey Husnul Khuluq; Imam Tri Suryadin; Tri Cahyani Widiastuti; Ayu Nissa Ainni
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2740

Abstract

Diabetes pharmacotherapy frequently coexists with treatment for cardiovascular and metabolic comorbidities, highlighting the potential role of data-driven methods in pharmaceutical care. This study aimed to develop and compare machine learning models for predicting diabetes medication use using the fifth wave of the Indonesia Family Life Survey (IFLS5), conducted in Indonesia in 2014–2015. A secondary analysis included 48,139 participants with valid outcome information, of whom 353 (0.73%) reported diabetes medication use. Predictors included age, sex, pregnancy status, weight, height, hemoglobin, systolic and diastolic blood pressure, pulse, and medication use for anemia, hypertension, and hypercholesterolemia. Class imbalance was addressed using Synthetic Minority Over-sampling Technique for Nominal and Continuous features (SMOTENC) exclusively within training folds. LASSO-based feature selection was also performed within stratified 10-fold cross-validation. Random Forest, linear Support Vector Machine (SVM), Logistic Regression, and Gaussian Naive Bayes were compared. Logistic Regression achieved 80.13% accuracy, 76.20% sensitivity, 80.16% specificity, and an AUC of 0.870. Linear SVM showed comparable discrimination (AUC=0.870). Random Forest achieved high accuracy (97.86%) but low sensitivity (18.13%), whereas Naive Bayes achieved high sensitivity (98.30%) but low specificity (26.77%). LASSO consistently identified pregnancy status, cholesterol medication use, hypertension medication use, and weight among the strongest predictors. Logistic Regression provided the most balanced classification performance and may support further pharmacoepidemiological investigation of diabetes medication-use patterns.

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