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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
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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 684 Documents
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The Effect of Back and Hand Massage Intervention on Pain in Patients Post-Cardiac Catheterization Fazarudin Fazarudin; Irna Nursanti; Wati Jumaiyah; Dhea Natashia; Ii ismail
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1194

Abstract

Cardiac catheterization is an invasive procedure that involves the insertion of one or more catheters into the heart and certain blood vessels to visualize the heart chambers, valves, great vessels, and coronary arteries. Prolonged immobilization in patients after cardiac catheterization can cause complications, one of them is back pain. The nursing intervention in this study was back and hand massage. This study aims to determine the effectiveness of back and hand massage interventions on pain in patients after cardiac catheterization. This study used a quasi-experimental method with a pre-test and post-test design, with an intervention group and a control group design. The sampling technique used purposive sampling. The sample size was 36 patients who had cardiac catheterization, calculated using the Federer formula. The intervention group received a total of 20 minutes of massage therapy: 10 minutes of back massage, 10 minutes of hand massage, the first period was carried out after the sheath was removed, and the second period was carried out after the elastic bandage was removed. The data analysis technique used multivariate with the Generalized Linear Model (GLM) Repeated Measures (RM) method. The results showed that back and hand massage had an effect on pain in post-cardiac catheterization patients, with a P value of 0.000. This indicates decreasing a pain scores after the intervention. Multivariate testing indicated that previous experience with catheterization pain influenced pain in post-catheterization patients. Back and hand massage intervention is expected to be an alternative supportive intervention, especially in post-catheterization patients, in reducing pain.
Evaluation of the Impact of Primary Care Service Implementation on Service Quality Feyske Youke Lumuru; Herlina Jusuf; Jusna Ahmad
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1195

Abstract

Patient satisfaction is a critical indicator in assessing the quality of healthcare services, as it influences patient loyalty and the sustainability of service utilization. This study aimed to evaluate the impact of the implementation of Integrated Primary Care (ILP) on the quality of healthcare services at Pilolodaa Primary Health Center. This study employed a qualitative research design with a case study approach. This qualitative study included nine purposively selected informants. Data were obtained through in-depth interviews and analyzed using thematic analysis with triangulation. Data were collected through in-depth interviews, direct observation, and document review. The data were then analyzed thematically using the Input–Process–Output–Impact (IPO-D) evaluation. The findings indicate that the implementation of ILP had a positive impact on service quality, as evidenced by improved cross-program coordination, enhanced service workflows, increased ease of access to healthcare services, and higher levels of patient satisfaction. However, several challenges remained, including limitations in human resources, increased digital administrative workload, and disparities in infrastructure and facilities. The implementation of ILP contributes positively to improving healthcare service quality and patient satisfaction at the primary care level. Nevertheless, addressing human resource constraints, administrative burdens, and infrastructural inequalities is essential to ensure the sustainability and optimal effectiveness of ILP implementation.
Maternal and Fetal Determinants of Caesarean Section Delivery Cut Yuliza Sutifa; Maidar Maidar; Nurjannah Nurjannah; Hermansyah Hermansyah; Radhiah Zakaria
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1199

Abstract

Maternal, infant, and toddler mortality rates remain a serious public health problem in Indonesia. One effort to reduce these rates is by ensuring safe delivery services, both vaginally and through cesarean sections (CS). Although normal delivery is preferred, the trend of cesarean sections has continued to increase in recent decades. Sultan Iskandar Muda Regional Hospital, as a type C hospital in Nagan Raya Regency, Aceh, records an increase in childbirth cases every year. This study aims to analyze the determinants that influence cesarean section procedures at the hospital. This study uses an explanatory sequential design. This type of quantitative research with a cross-sectional design was conducted using patient medical records. The population is all data on mothers who gave birth by cesarean section at Sultan Iskandar Muda Regional Hospital, taken within a 3-month period, namely October - December 2024, a total of 324 mothers giving birth by cesarean section. The sampling method used the total population with a sample size of 324 respondents. While qualitative research with a phenomenological approach, conducted by interview using interview guidelines, the method of collecting informants using purposive sampling with a total of 7 informants. The results of quantitative research show that the most dominant relationship between cesarean section is prolonged labor (OR: 701.40; 95%CI: 98.02-5019.20; p value: 0.0001), the occurrence of PEB (OR=446.33; 95%CI=21.62-9214.06; p=0.0001) and term birth (OR=35.76; 95%CI=0.29-4446.35; p=0.146) at Sultan Iskandar Muda Regional Hospital, Nagan Raya Regency. The results of qualitative research show that non-medical factors that play a role in cesarean section are fear of pain and complications during normal delivery. Prolonged labor is the most dominant factor with cesarean section. Therefore, health workers at community health centers are expected to provide positive support in the form of positive affirmations to pregnant women, such as deep breathing and relaxation exercises to reduce pain. Strengthen education programs and routine pregnancy check-ups at primary health care facilities to detect risk factors early and prevent childbirth complications.
Stress Levels and Blood Sugar Control in Patients with Type 2 Diabetes Mellitus Kalyana Falen Danaswara; Fahrun Nur Rosyid
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1200

Abstract

The prevalence of type 2 diabetes mellitus (T2DM), a chronic condition, is on the rise around the world. Glycemic regulation, which includes unexpected blood glucose levels, is impacted by both biological and psychological influences, including stress. Specifically, studies examining the impact of stress on unforeseen glucose regulation have been under-researched in Indonesia. This research aims to fill a gap in our understanding of how stress influences individuals' ability to deliberately regulate their blood sugar levels. Those taking part in the study were monitored using a cross-sectional method. Two hundred patients with type 2 diabetes mellitus were selected from the patient registry of the Baki Community Health Center based on a list of predefined inclusion and exclusion criteria. We measured the amount of stress and then categorized it as low, medium, or high using the Perceived Stress Scale (PSS). Stress levels were measured using the Indonesian version of the Perceived Stress Scale-10 (PSS-10), which had been previously validated and demonstrated good reliability (Cronbach’s Alpha α = 0.84). During data collection, a single RBG test was performed to evaluate the impact of random modulation on blood glucose levels. In both the univariate and bivariate data analyses, Pearson's Chi-Square test was employed with a significance level of p < 0.05 to determine if the variables were related. We utilized Cramer's V to determine the reliability of the association. This study was authorized by the Health Research Ethics Committee of the Faculty of Medicine at Muhammadiyah University Surakarta. The study comprised 200 participants, the average age of whom was 41.82 ± 6.50 years. Women comprised 67.5% of that group. On average, 244.07 ± 84.46 mg/dL was recorded by 60% of those whose levels were uncontrolled and 51.5% of those who indicated moderate stress. The results of the bivariate analysis showed a significant relationship (χ² = 81.919; p < 0.001) between the levels of stress and the random control of blood glucose. Their bond was strong. People with type 2 diabetes mellitus find it more difficult to regulate their blood glucose levels when they are under a lot of stress. A substantial and statistically significant relationship exists here. The results show that mental stress needs to be taken into account while managing blood sugar levels thoroughly.
Correlation Between 25-Hydroxyvitamin D Levels ND Preeclampsia among Primigravida Mothers Keysha Amalia Fitrah Adrian; Agung Sunarko Putra; Dian Ardiana; Mita Herdiyantini
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1206

Abstract

Maternal Mortality Rate (MMR) is still a health challenge at the global and national levels. One of the main causes of maternal mortality is preeclampsia, which can cause serious complications in both the mother and the fetus. Risk factors for preeclampsia include reproductive status, health conditions, and nutritional deficiencies, including vitamin D. Vitamin D has an important role in placental implantation and function through angiogenic, anti-inflammatory, and immunomodulatory effects. Some studies suggest low levels of vitamin D are associated with an increased risk of preeclampsia. In addition, primigravida is known to be more prone to preeclampsia than multigravidae. This study aims to determine the correlation between vitamin D 25-OH levels and the incidence of preeclampsia in primigravida mothers at the Obstetrics and Gynecology Polyclinic RSPAL dr. Ramelan Surabaya for the 2023-2025 period. Cross-sectional research was carried out at RSPAL dr. Ramelan Surabaya. A total of 66 primigravida mothers were selected by total sampling. The dependent variable is the occurrence of preeclampsia. The independent variable is the vitamin D 25-OH level. Data in the form of medical records of the Obstetrics and Gynecology Polyclinic RSPAL dr. Ramelan Surabaya for the 2023-2025 period. The data were analyzed by the Kendall's Tau-b test. The results of Kendall's Tau-b test showed that the age variable showed a weak positive association with the incidence of preeclampsia but was not statistically significant (τ = 0.195; p = 0.116). Body mass index (BMI) had a positive association with moderate strength and significant to the incidence of preeclampsia (τ = 0.334; p = 0.005), suggesting that an increase in BMI was associated with an increased incidence of preeclampsia. Mean Arterial Pressure (MAP) showed a very strong and significant positive association with the incidence of preeclampsia (τ = 1.000; p < 0.001), confirming the role of blood pressure as a factor strongly related to preeclampsia. Meanwhile, vitamin D 25-OH levels showed a weak and statistically insignificant positive association with the incidence of preeclampsia (τ = 0.217; p = 1,000). There is no correlation between vitamin D 25-OH levels and the incidence of preeclampsia in primigravida mothers at the Obstetrics and Gynecology Polyclinic RSPAL dr. Ramelan Surabaya for the 2023-2025 period.
Relationship Between Sleep Quality and Blood Pressure Status in Undergraduate Nursing Students Nabila Zahrian Puteri; Fahrun Nur Rosyid
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1212

Abstract

Hypertension is a noncommunicable disease (NCD) that is a major cause of global mortality with a significant prevalence. Poor sleep quality, commonly experienced by students due to academic stress, contributes to hypertension. The purpose of this study is to analyze the relationship between sleep quality and blood pressure status in undergraduate nursing students. The research design was prospective, longitudinal study included 207 undergraduate nursing students in their third, fifth, and seventh semesters at Muhammadiyah University of Surakarta, selected through stratified random sampling. Data were collected in two phases (September - November) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire which had been tested for validity and reliability (Cronbach’s Alpha > 0.70) and a digital sphygmomanometer. Analysis used the Generalized Estimating Equation (GEE) with α=0.05. The results showed that most students experienced poor sleep quality in stage 1 (71%) with (45.4%) experiencing prehypertension and in stage 2 (70%) with (51.7%) experiencing prehypertension. There was a significant relationship between sleep quality and blood pressure (Wald x² = 75.72; p < 0.001) with a B coefficient value of -2.185, which resulted in an odds ratio (OR) of 0.113. This indicates that respondents with poor sleep quality were 8 to 9 times more likely to experience higher blood pressure compared to those with good sleep quality. This study proves that poor sleep quality can increase the risk of hypertension in college students.
Effectiveness of Ivermectin as A Treatment Modality for Cutaneous Larva Migrans: A Case Series Dina Arwina Dalimunthe; Elza Wahyuni; Adina Miltania Tasmil; Regina Maharani Tambunan
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1213

Abstract

Cutaneous larva migrans (CLM) is a parasitic skin infection caused by the penetration of nematode larvae into the epidermis, typically following direct contact with contaminated soil or sand. The disease presents with characteristic serpiginous erythematous papules accompanied by intense pruritus and is commonly found in tropical regions with warm and humid climates. Although hookworm infection affects an estimated 740 million people globally, and Indonesia has a reported prevalence of 30–50%, ivermectin had not been used as a therapeutic option for CLM in Indonesia prior to the COVID-19 pandemic due to limited availability. The purpose of this report is to describe the clinical response of CLM patients treated with oral ivermectin as an alternative therapy that has only recently become accessible in Indonesia. This study was conducted as a descriptive case series. The respondents were three patients attending the dermatology outpatient clinic who were clinically diagnosed with cutaneous larva migrans. Data were obtained through patient interviews, dermatological examinations, dermoscopic evaluation, eosinophil counts, and clinical documentation before and after treatment. All patients received a single oral dose of 12 mg ivermectin. Three patients—two aged 67 years (one male and one female) and one 40-year-old female—presented with serpiginous erythematous papules accompanied by pruritus for 3 to 4 weeks. Two of them had previously shown no improvement with mebendazole and topical betamethasone. All patients demonstrated complete resolution of lesions after receiving a single 12 mg dose of ivermectin without any adverse effects. The results showed a 100% clinical cure rate across all cases, with no reported side effects following treatment. This case series highlights the effectiveness and safety of single-dose oral ivermectin for CLM and suggests that ivermectin may be considered a viable therapeutic option for the management of CLM in Indonesia.
Effect of Ethanol Extract of Sea Pandan Fruit (Pandanus Tectorius) on Blood Glucose Levels in Male White Rats (Rattus Norvegicus) Induced by Dexamethasone Ghifara Kireina Annisa; Nita Pranitasari; R. Varidianto Yudo Tjahjono; Roostantia Indrawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1214

Abstract

Diabetes mellitus is a metabolic disorder with increased blood glucose due to decreased insulin production or sensitivity. Chronic hyperglycemia can lead to endothelial dysfunction and vascular complications. Dexamethasone as a synthetic glucocorticoid can cause hyperglycemia through increased gluconeogenesis and insulin resistance. The antioxidant content in sea pandanus (Pandanus tectorius) has the potential to lower blood glucose levels. This study aims to determine the effect of ethanol extract of sea pandan fruit on blood glucose levels of male white rats (Rattus norvegicus) induced by dexamethasone. This study aims to determine the effect of ethanol extract of sea pandan fruit (Pandanus tectorius) on blood glucose levels in male white rats (Rattus norvegicus) induced by dexamethasone. Experimental research with a post test only control group on 30 mice grouped into 3 groups. Namely, K(-) which was only given standard feed, K(+) which was induced by dexamethasone at a dose of 5 mg/KgBB, and KP which was induced by dexamethasone at a dose of 5 mg/KgBB and given Pandanus tectorius fruit extract at a dose of 100 mg/KgBB, then at the end of the study a blood sample was taken to measure blood glucose levels and then terminated. The sample was selected using simple random sampling technique. The data was analyzed using the One Way Anova test. In the results of the study, the average blood glucose level K(-) = 170.37 was obtained; K(+) = 274.62; KP = 243. In the One Way Anova parametric test, a significant result was obtained which was 0.005 (p<0.05). Then in the Post Hoc Games-Howell test, K(-) and K(+) had a significance of 0.001 (p<0.05), while the K(-) and KP groups as well as K(+) and KP showed no significant results. This suggests that ethanol extract of Pandanus tectorius fruit did not successfully inhibit the increase in blood glucose levels in dexamethasone-induced white rats. The administration of ethanol extract of Pandanus tectorius fruit as a therapy was able to reduce the blood glucose level of male Rattus norvegicus induced by dexamethasone compared to a K(+) positive control of 31.62 mg/dL (11.5%).
Analysis of Risk Factors for Chronic Energy Deficiency in Pregnant Women Lia Marshanda; Sulastri Sulastri
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1215

Abstract

Chronic energy deficiency is a nutritional problem that is still commonly experienced by pregnant women in developing countries. This condition occurs when energy and protein intake is not met over a long period of time. CED is usually identified through upper arm circumference (UAC) measurements, where a value of <23.5 cm or in the red area of the UAC tape indicates risk. This study aims to identify risk factors associated with the occurrence of CED in pregnant women. The method used is quantitative with a cross-sectional design. The study population consists of all pregnant women who underwent examinations at the Gambirsari Surakarta Community Health Center in August 2025, with a sample of 88 respondents determined through consecutive sampling. Data were obtained through questionnaires and interviews, with the validity of the knowledge questionnaire ranging from 0.341 to 0.664, thus declared valid (r ≥ 0.30) and reliability tested with a Cronbach's Alpha value of 0.885, indicating excellent reliability. In contrast, the GPAQ instrument had substantial reliability (Kappa 0.67–0.73) and acceptable criterion-related validity against accelerometer (r = 0.48). Based on the results, the majority of participants did not experience CED (61.4%), were aged 20–35 years (83%), had a parity of <2 (94.3%), were economically well-off (60.2%), had good knowledge (59.1%), and engaged in light physical activity (43.2%). The chi-square analysis drew a significant relationship among age and CED (p=0.001), parity (p=0.05), economic status (p=0.001), knowledge (p=0.001), and physical activity (p=0.001). The multivariate test results confirmed that knowledge (p=0.002, OR=1.066) and physical activity (p=0.005, OR=1.226) were the dominant factors. There was a significant relationship among age, parity, economic status, knowledge, and physical activity by CED in pregnant women. Multivariate analysis confirmed that knowledge and physical activity were the dominant factors influencing the incidence of CED.
Qualitative Study: Ethical Standards and Patient Rights Ummul Hairat; Melda Ningsih Sibela
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1225

Abstract

In the era of health transformation following the enactment of Law Number 17 of 2023, hospitals are faced with the significant challenge of integrating ethical standards and patient rights protection into real-world service practices. As a referral hospital with high patient dynamics, Al-Fatah Ambon General Hospital requires an internal evaluation mechanism to ensure that administrative policies are aligned with implementation in the field. This study aims to analyse the effectiveness of the implementation of ethical standards and patient rights through a self-assessment method. This study uses a descriptive qualitative approach with a thematic analysis design. Data were collected through semi-structured interviews with five key informants: the Head of Personnel, personnel staff, HRD, Head of Training, and the Secretariat. Data collection used a semi-structured interview technique. Data were collected using a self-assessment instrument. The data analysis technique employed was thematic analysis, then compared and synchronised with the latest national regulations, particularly Law No. 17 of 2023. The study findings reveal a high level of compliance, with an average score exceeding 85%. Al-Fatah General Hospital achieved a perfect score (100%) in the aspects of complaint handling and understanding of managerial ethics. This success was driven by the transparency of its no-down-payment emergency financing policy and ethical leadership that prioritises patient safety over administrative procedures. Al-Fatah General Hospital Ambon has successfully internalised ethical standards and patient rights in accordance with the latest national regulations. A strong internal oversight system and a responsive complaint handling mechanism are key to maintaining service quality and public trust.

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