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INDONESIA
Indonesian Journal of Global Health Research
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.
Arjuna Subject : -
Articles 1,005 Documents
The Relationship Between Chronic Kidney Disease and Sarcopenia: A Systematic Review Eppy Setyowati; Ragil Putri Fitriyanti; Aldila Ayu Widya; Justinho Soares
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.v8i3.1246

Abstract

Chronic kidney disease (CKD) is a growing global health problem and is associated with multiple systemic complications. One important but often underrecognized complication is sarcopenia, characterized by progressive loss of muscle mass, strength, and physical performance. Sarcopenia is highly prevalent in patients with advanced CKD and those undergoing hemodialysis and is associated with poor clinical outcomes, including increased hospitalization, functional decline, and mortality. This literature review aimed to synthesize recent evidence on the relationship between CKD and sarcopenia, including prevalence, contributing factors, pathophysiological mechanisms, and clinical implications. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Semantic Scholar for English-language articles published between 2020 and 2025. Study selection was guided by the PICOS framework. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. A total of 15 studies meeting the inclusion criteria were included in the final synthesis. The included studies reported a high prevalence of sarcopenia among CKD patients, ranging from 15.9% to 64.1%, with higher rates observed in advanced CKD stages and hemodialysis populations. Sarcopenia was consistently associated with older age, malnutrition, protein–energy wasting, chronic inflammation, reduced physical activity, and metabolic disturbances. Clinically, sarcopenia was linked to increased mortality, hospitalization, reduced physical function, and poorer quality of life. Sarcopenia is a prevalent and clinically significant complication of CKD. Early detection and integrated interventions combining nutritional optimization, resistance exercise, and metabolic management are essential to improve patient outcomes. Further longitudinal studies are needed to strengthen preventive and therapeutic strategies.
The Effect of Exercise on Cardiovascular Parameters in Postmenopausal Women: A Systematic Review Eppy Setyowati; Ragil Putri Fitriyana; Tri Sunu Probolaksono; Sulis Setiyanti
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.v8i3.1247

Abstract

Menopause is characterized by a decline in estrogen levels that leads to physiological changes increasing cardiovascular risk, including hypertension, dyslipidemia, reduced cardiorespiratory fitness, and vascular dysfunction. Consequently, cardiovascular disease remains a major public health concern among postmenopausal women. This study aimed to systematically review evidence on the effects of exercise on cardiovascular parameters in postmenopausal women and to identify the most effective exercise modalities for cardiovascular health improvement. A literature review was conducted in accordance with PRISMA 2020 guidelines. Electronic searches were performed in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Study selection followed predefined inclusion and exclusion criteria based on the PICOS framework. Methodological quality was assessed using the JBI Critical Appraisal Checklist. Fifteen studies met the eligibility criteria and were included in the synthesis. The findings consistently demonstrated that exercise significantly improves cardiovascular outcomes in postmenopausal women. Moderate-intensity aerobic exercise was most frequently associated with reductions in systolic and diastolic blood pressure and improvements in VO₂max. Resistance training improved body composition and cardiometabolic biomarkers, while combined aerobic–resistance programs provided broader cardiovascular benefits. High-intensity interval training yielded marked improvements in cardiorespiratory fitness but requires appropriate supervision. Mind–body exercises were associated with improved autonomic regulation and reduced inflammation. Exercise is a safe and effective strategy for improving cardiovascular health in postmenopausal women. A combination of aerobic, resistance, and complementary exercise modalities is recommended to optimize cardiovascular outcomes and support evidence-based menopausal health management.
Literature Review: Evaluation of Drug Logistics Management Implementation Wasni Wasni; Muhammad Abdan Shadiqi; Fauzie Rahman; Rosihan Adhani; Mohammad Isa
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.1248

Abstract

Drug logistics management is a crucial component of the healthcare system as it plays a role in ensuring the availability, quality, and accuracy of medications in healthcare facilities. Various issues such as drug shortages, procurement delays, and damaged or expired medications are still frequently encountered, necessitating a comprehensive study of the implementation of drug logistics management. This literature review aims to evaluate the implementation of drug logistics management based on previous research findings, covering planning, procurement, storage, distribution, and drug control. This study used a literature review method by searching articles through the PubMed, Science Direct, and Google Scholar databases for the period 2021–2025. An initial collection of 30,042 articles was obtained. Articles were selected based on inclusion and exclusion criteria, resulting in 10 relevant articles for analysis. The articles were reviewed using thematic analysis, grouping the findings into key themes of drug logistics management. The study indicates that most healthcare facilities have implemented drug logistics management stages, including planning, procurement, storage, distribution, and recording and reporting. However, various obstacles remain, including planning that is not fully based on actual data, procurement delays, limited storage facilities and infrastructure, and weak monitoring and evaluation systems. Human resources and training also impact the performance of drug logistics management. The implementation of drug logistics management has been ongoing, but is not yet optimal. Human resource capacity building, infrastructure improvements, the use of integrated information systems, and ongoing evaluation are needed to make drug logistics management more effective and efficient.
Home Based Exercise and Myofascial Release Technique Effectively Decrease Hamstring Tightness, Pain, and Disabilityin Eldery with Knee Osteoarthritis Putu Ayu Sita Saraswati; Sayu Aryantari Putri Thanaya; Made Hendra Satria Nugraha; I Gusti Agung Ayu Ari Candra Laksmi
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.v8i3.1251

Abstract

Osteoarthritis is one of the most common age-related diseases and is a primary cause of disability and pain. Cases of osteoarthritis cause pain, hamstring tightness, and limited range of motion, which reduce productivity and quality of life. Physiotherapy management for this condition may include Home-Based Exercise (HBE) and the Myofascial Release Technique (MRT).The purpose of this study was to compare the effectiveness of HBE and MRT in reducing hamstring tightness, pain, and disability caused by knee osteoarthritis in the elderly. This study employed an experimental design with a single-blinded randomized pre-test and post-test control group design. A total of 30 participants were recruited using consecutive purposive sampling and randomly divided into two groups. Knee disability was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), pain was measured using the Visual Analog Scale (VAS), and hamstring tightness was evaluated using the active knee extension test.The Paired T-Test revealed a significant reduction in knee disability, pain, and hamstring tightness before and after intervention in both the Myofascial Release Technique group (p < 0.001) and the Home-Based Exercise group (p < 0.001). However, Home-Based Exercise demonstrated greater effectiveness compared to the Myofascial Release Technique.  
The Relationship Between the Quality of Pharmaceutical Services and Patient Safety Rita Bambang; Herlina Jusuf; Teti Sutriyati Tuloli
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.v8i3.1256

Abstract

Pharmaceutical services are a critical component of healthcare delivery in ensuring patient safety, particularly at Community Health Centers (Puskesmas). Suboptimal pharmaceutical service quality may increase the risk of medication errors and adverse drug events, thereby compromising patient safety. However, empirical evidence regarding the contribution of pharmaceutical service quality to patient safety in primary healthcare settings remains limited. A quantitative cross-sectional study was conducted at the Sipatana Community Health Center, Gorontalo City, Indonesia, in November 2025. The study population comprised patients receiving pharmaceutical services, with 295 respondents selected through purposive sampling. Data were collected using a structured questionnaire based on national pharmaceutical service standards. The instrument demonstrated acceptable validity and reliability, with item–total correlations above the critical value and Cronbach’s alpha coefficients exceeding 0.60. Data were analyzed using the Chi-square test and stepwise logistic regression at a significance level of p < 0.05. The results showed that all dimensions of pharmaceutical service quality were significantly associated with patient safety. Management of pharmaceutical supplies and consumable medical materials, prescription review, prescription services, drug information services, prevention of medication errors, prevention of adverse drug events, and patient medication adherence were significantly associated with patient safety (p = 0.000). Monitoring of adverse drug reactions also showed a significant association (p = 0.004). Simultaneously, pharmaceutical service quality had a significant effect on patient safety (F = 23.171; p = 0.000) with an R-square value of 0.326. Stepwise regression analysis indicated that management of pharmaceutical supplies and consumable medical materials was the strongest predictor of patient safety (B = 0.284; β = 0.278). The quality of pharmaceutical services plays a significant role in ensuring patient safety at the Sipatana Community Health Center. Management of pharmaceutical supplies and consumable medical materials emerged as the primary predictor of patient safety. Strengthening pharmaceutical supply management, improving the competence of pharmaceutical personnel, and optimizing strategies for preventing medication errors and adverse drug events are essential to enhance patient safety in primary healthcare settings.
Factor Analysis of Determinants Influencing the Use of Implant Contraception among Women of Reproductive Age Mulyadi Paramata; Herlina Yusuf; Sunarto Kadir
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.v8i3.1257

Abstract

Implant contraceptives are long-acting reversible methods intended to prevent pregnancy and are considered highly effective and non-permanent. Implants can provide protection for three to five years with a failure rate of only 0.05 per 100 users, achieving effectiveness of up to 99%. However, the utilization of implant contraception remains influenced by various factors. This study aimed to analyze the factors influencing the use of contraceptive implants among couples of reproductive age in the working area of the Kabila Community Health Center. This study employed an analytical observational design with a cross-sectional approach. The research was conducted in the working area of the Kabila Community Health Center, Bone Bolango Regency, from April to May 2025. A total of 173 respondents were selected using a simple random sampling technique. Data were collected using a structured questionnaire that had been validated through expert judgment and item–total correlation analysis and demonstrated good reliability with a Cronbach’s alpha value greater than 0.70. The data were analyzed using the chi-square test. The results showed that visits by family planning officers (ρ = 0.000), availability of contraceptives (ρ = 0.029), and contraceptive service costs (ρ = 0.000) were significantly associated with the use of contraceptive implants. This study concludes that family planning officer visits, contraceptive availability, and service costs are significant factors influencing the use of contraceptive implants among couples of reproductive age in the working area of the Kabila Community Health Center, Bone Bolango Regency.
Digitizing Tiered Nursing Supervision in the Icu: Prototype Development and Usability Testing A Case Study Rahayu Widiastuti; Hanny Handiyani; Kuntarti Kuntarti; Amelia Amelia
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.v8i3.1258

Abstract

Tiered nursing supervision in the Intensive Care Unit (ICU) has been routinely conducted; however, its impact on competency development and performance monitoring remains suboptimal due to the absence of a structured schedule, incomplete instruments and documentation, limited reflective practice and self-assessment, high workload, and supervisors’ time constraints. This case study aimed to initiate the development of a digital, tiered supervision prototype integrated with the hospital Electronic Medical Record (EMR). The change process was guided by Kotter’s eight-step model and aligned with nursing management functions (POSAC). Root causes were identified using an Ishikawa (fishbone) analysis based on the 5M framework. The study population consisted of ICU nursing personnel, with key informants (the ICU head nurse and nursing manager) selected through purposive sampling, and 36 ICU nurses meeting the inclusion criteria (≥2 years of experience and minimum PK-1 level) participating as survey respondents. Data were collected from May to June 2025 through semi-structured interviews, direct observations, and structured questionnaires distributed via Google Forms, with informed consent obtained from all participants. Data were analyzed descriptively and analytically using an Ishikawa (fishbone) diagram based on the 5M framework to identify root causes, followed by problem prioritization to inform the development and evaluation of a digital, tiered nursing supervision prototype. The innovation produced a supervision prototype comprising scheduling, standardized checklists, and evaluation outputs to support structured monitoring and feedback. A preliminary usability assessment using the System Usability Scale (SUS) yielded a score of 72/100, indicating acceptable usability. Further work is recommended to finalize integration with the existing EMR, conduct broader-scale testing, provide supervisor training, and strengthen a reflective and structured evaluation culture to comprehensively assess the system’s effectiveness.
Bibliometric Analysis of Global Trends in Cardiac Rehabilitation for Patients with Acute Coronary Syndrome Faisol Faisol; Erna Rochmawati
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.v8i3.1260

Abstract

Cardiac Rehabilitation (CR) is a structured, multidisciplinary program for managing cardiovascular disease that includes education, physical exercise, risk factor modification, and psychosocial support for heart patients, including those who have experienced Acute Coronary Syndrome (ACS).  This study aims to analyze global research trends and examine cardiac rehabilitation from 1964 to 2025. A bibliometric analysis was conducted on publications in the Scopus database, The search strategy:  in this review was based on the following terms: ‘Cardiac Rehabilitation’ and its alternative keywords (‘Acute Coronary syndrome*’, "Cardiac Rehabilitation. These terms were combined using the Boolean operator ‘AND’ to generate a broad range of results. using visualization, co-occurrence, and trend analysis through VOSviewer software (version 1.6.20). The United States made the largest contribution. The most frequently used keywords were "cardiac rehabilitation," "rehabilitation," and "secondary prevention." The most significant publication increases in 2025 (102 publications), 2021 (101 publications), and 2024 (94 publications). The results show fluctuations in research activity, with a significant increase from 2021 to 2025. Further research should focus on developing technology-based rehabilitation models that are accessible from home and affordable, particularly in low-income countries. As telemedicine, which is still seldom discussed and published.
The Influence of Spiritual Support Based on Visual Audio on Stress and Sleep Quality of Pre-TKR (Total Knee Replacement) Patients Eva Vera Zulkarnain; Eppy Setiyowati; Abdul Muhith; Siti Nur Hasina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

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

Abstract

Total Knee Replacement (TKR) is a treatment for end-stage knee OA (Osteoarthritis) that does not show improvement after non-operative treatment. The psychological impact on patients who will undergo TKR surgery is stress and sleep quality disturbances. Spiritual Support Based On Visual Audio is a form of distraction for pre-TKR surgery patients to adapt to stress and sleep disturbances. The purpose of this study was to analyze the effect of Spiritual Support Based On Visual Audio on stress and sleep quality in pre-TKR surgery patients. The method used was a quasi-experimental with a pretest-posttest with a control group design. A population of 20 patients used total sampling. The research instrument used a module, audio visuals containing prayers and hymns, the DASS (Depression Anxiety Stress Scale) Questionnaire with a validity of 0.862 and a reliability of a special stress questionnaire = 0.954 and the RCSQ (Richards Champbell Sleep Questionnaire) obtained a validity of 0.822 and a reliability of 0.891. Data analysis used the Wilcoxon Rank Test. The results of the study obtained a p value <0.05, meaning that there is an effect of Spiritual Support Based on Visual Audio on stress and sleep quality in pre-TKR patients. The conclusion is that there is an effect of Spiritual Support Based on Visual Audio on stress and sleep quality in pre-TKR patients at Gotong Royong Hospital Surabaya.
Effectiveness of Range of Motion (ROM) Therapy and Warm Water Compress with The Orem Self Care Theory Approach Towards Improvement Strength Muscles in Non-Hemorrhagic Stroke Patients Adirson Barbosa de Oliveira; Abdul Muhith; Umdatus Soleha; Siti Nur Hasina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.1262

Abstract

Non-hemorrhagic stroke occurs when blood flow to the brain is stopped due to atherosclerosis or a blood clot that has blocked a blood vessel to the brain. As a result of brain disorders, it causes hemiplegia and hemiparesis. Many types of interventions are available for physical problems of hemiparesis, one of which is ROM therapy and Warm Water Compress. The purpose of this study was to analyze the effectiveness of Range Of Motion (ROM) therapy and Warm Water Compress with the Orem Self Care theory approach to Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients. The design in this study was a Quasy Experiment with Pretest t and Posttest . The sample size was 44 with a Simple Random Sampling technique with 22 intervention groups and 22 controls. The intervention group was given ROM Exercises and Warm Water Compresses. Analysis used the Wilcoxon and Mann-Whitney tests to identify differences between the intervention and control groups with a significance level of a <0.05. The results obtained from the Wilcoxon Signed Rank Test analysis of Muscle Strength in Non-Hemorrhagic Stroke Patients in the intervention group p value = 0.000 and control p value = 0.000. The results show that there is an effect of ROM exercises and warm water compresses on increasing muscle strength in non-hemorrhagic stroke patients. ROM exercises and warm water compresses can be used as non-pharmacological therapy in the rehabilitation process for non-hemorrhagic stroke patients.

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