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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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Accuracy of Procalcitonin, C-Reactive Protein, and Mean Platelet Volume as Infection Markers in Neonatal Sepsis Hardiyanti Fitri; Beby Syofiani Hasibuan; Badai Buana Nasution; Arlinda Sari Wahyuni; Ayodhia Pitaloka Pasaribu; Syamsidah Lubis
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.v8i3.1405

Abstract

Neonatal sepsis remains a significant cause of morbidity and mortality, yet diagnosis is limited by nonspecific symptoms and delayed blood culture results. This study evaluated the diagnostic accuracy of procalcitonin (PCT), C-reactive protein (CRP), and mean platelet volume (MPV) as early biomarkers of neonatal sepsis. A retrospective cohort study was conducted in the Neonatology Unit of H. Adam Malik General Hospital, Medan, from January to December 2024. The sampling technique used is consecutive sampling. Of 346 neonates screened, 121 met the inclusion criteria and had concurrent PCT, CRP, MPV, and blood culture results. Clinical and laboratory data were extracted from electronic medical records. Diagnostic performance was assessed using sensitivity, specificity, predictive values, likelihood ratios, and ROC analysis. Among 121 neonates, 31.4% had positive blood cultures. MPV showed no significant difference between culture-positive and culture-negative groups (p = 0.104) and demonstrated limited discriminatory value (AUC 0.592). CRP was significantly associated with culture results (p = 0.037), showing high specificity (94.7%) but low sensitivity (30.0%) at ≥1 mg/L (AUC 0.624). PCT demonstrated the strongest performance, with significantly higher levels in culture-positive neonates (p = 0.022), sensitivity of 64.5%, specificity of 69.0%, and an AUC of 0.672. Diagnostic accuracy was 66.7% for PCT, 85.1% for CRP, and 55.4% for MPV. PCT provided the most balanced diagnostic utility for neonatal sepsis, while CRP served as a highly specific rule-in marker. MPV showed limited usefulness. Although these biomarkers contribute to early assessment, they are insufficient as standalone diagnostic tools and should be integrated with clinical evaluation and microbiological testing.
Global Trends in Electronic Medical Records Education and Training in Nursing and Health Care: A Bibliometric Analysis Rossa Hasbella; Lisa Musharyanti
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.v8i3.1414

Abstract

Electronic medical records are becoming a crucial part of contemporary clinical practice due to the digital revolution in healthcare. The performance of healthcare workers, particularly nurses, significantly influences the successful implementation of electronic medical records, making electronic medical records education and training a strategic aspect of the healthcare system. This study aims to analyze global trends, publication patterns, international collaborations, and key research themes related to electronic medical records education and training in nursing and healthcare. This study was conducted using bibliometric analysis using the Scopus database. A literature search was conducted on December 19, 2025, using the keywords electronic medical records and training. The selection process was based on inclusion criteria. A total of 2,472 articles from 2015 to 2025 were analyzed using Bibliometrics and VOSviewer to examine publication trends, contributing countries, citations, network visualization, and the evolution of research themes. The analysis results show that publications related to electronic medical records education and training continue to increase, with the largest contribution coming from the United States. This study demonstrates that education and training are rapidly growing and multidimensional research fields in nursing and healthcare. This study provides a scientific foundation for policy development and further research in technology-based nursing education.
The Effect of Modified Lunch Animal Side Dishes on Leftovers in Patients On A Regular Rice Diet Rismawati Rismawati; Rusmini Yanti; Rijanti Abdurrachim; Niken Widyastuti Hariati
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.v8i3.1417

Abstract

Food waste is an important indicator of the quality of hospital nutrition services and influences the adequacy of patient intake. Data from Dr. H. Andi Abdurrahman Noor Regional General Hospital (RSUD) in 2025 showed that animal side dishes at lunch had the highest waste, particularly omelettes and fried catfish. This study aimed to assess the effect of modified animal side dishes on animal side dish waste in hospitalized patients on a regular rice diet. The study used a quasi-experimental design with a control and intervention group. A total of 72 patients were selected purposively, consisting of 36 patients who received standard side dishes and 36 patients who received modified side dishes (fried egg balado, sweet and sour catfish, and crispy catfish). Food waste was measured using the Comstock method, while sensory assessments were obtained through a questionnaire with validity test results showed that all sensory assessment questionnaire items had a calculated r value > r table (0.30), thus being declared valid. The reliability test results for the sensory assessment questionnaire showed a Cronbach's Alpha value of 0.82, indicating a reliable instrument. The statistical test used was the independent mean difference test (T-independent test).  The results showed that standard side dishes had a very high percentage of food waste. After modification, the average food waste decreased significantly (p = 0.001). Consumption of modified side dishes increased, with the "good" category reaching 63.9% for fried egg balado, 69.44% for sweet and sour patin, and 59.4% for crispy patin. This study concluded that modifying animal side dishes effectively reduced food waste and increased patient sensory acceptance.
The Effect of Combining Astaxanthin and Vitamin E on IL-1, IL-6, And CRP Levels Sampurna Sampurna; Rita Kartika Sari; Mutiara Hanif Syafitri; Nafla Aqilah; Saskia Febrian Dwi
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.v8i3.1419

Abstract

Carrageenan-induced inflammation binds to TLR-4, activating the NF-kβ pathway, which attracts macrophages to release proinflammatory cytokines, Interleukin-1 and Interleukin-6, leading to the production of CRP. Astaxanthin and vitamin E have anti-inflammatory effects, but their combined effects are poorly studied. This study examines whether astaxanthin combined with vitamin E reduces IL-6, IL-1, and CRP levels in male Wistar rats induced by carrageenan. This experiment used a post-test-only control-group design with groups: KN (standard feed), KS (1% carrageenan induction), and KP (combination of 0.72 mg/kgBW astaxanthin and 24.1 mg/kgBW vitamin E). ELISA was performed 24 hours after carrageenan induction. Parametric data analysis was performed, followed by a post hoc test. The results showed that IL-1 levels were highest in KS (1.61 pg/mL), followed by KP (0.42 pg/mL) and KN (0.28 pg/mL). Statistical analysis (one-way ANOVA and post hoc tests) identified significant differences among all groups (p<0.05). IL-6 levels decreased in KP (58.67 pg/mL) compared to KS (98.83 pg/mL). CRP levels were highest in KS (2.35 ng/mL), followed by KP (1.01 ng/mL) and KN (0.75 ng/mL), with KS showing a significant increase compared to KN (p<0.05). From these results, it can be concluded that the combination of astaxanthin and vitamin E has an anti-inflammatory effect on IL-6, IL-1, and CRP levels in male Wistar rats induced by carrageenan.
Chronic Infection Contributes to the Risk of Limb Amputation in Patients with Diabetic Ulcers: A Literature Review Wenny Anugraini; Fitri Arofiati; Yanuar Primanda
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.v8i3.1421

Abstract

Diabetic foot ulcers are a chronic complication of diabetes mellitus that often leads to lower extremity amputation and significantly contributes to disability and mortality. Infections, particularly chronic and severe ones, play a significant role in accelerating ulcer progression to amputation, Nevertheless, the synthesis of scientific evidence regarding the contribution of chronic infections as a determinant of amputation is still limited. This literature review aimed to examine the role of chronic infection in the risk of amputation in patients with diabetic foot ulcers. A literature search was conducted on the Scopus, PubMed, and ScienceDirect databases for publications from 2015 to 2025 using keywords related to diabetes mellitus, diabetic foot ulcers, infection, and amputation. Articles were selected based on inclusion and exclusion criteria, 644 articles were identified. After title and abstract screening, followed by full-text review, and critical appraisal using the JBI tools, 10 selected journals were included in the literature synthesis.. The results indicated that moderate to severe infection, osteomyelitis, and pathogen characteristics, particularly Gram-negative and ESBL-producing bacteria, are the main determinants of major amputation. Peripheral artery disease, the severity of ulcers, increased inflammatory parameters, hypoalbuminemia, and certain patient factors also worsen clinical outcomes. It is concluded that chronic infection is a key determinant of amputation in diabetic foot ulcers, making early and aggressive infection prevention and control an essential strategy to reduce amputation rates.
Palliative Care in Patients with Kidney Failure: Bibliometric Analysis Dian Ratri; 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.v8i3.1422

Abstract

Palliative care for patients with kidney failure is increasingly recognized as an important approach to improving quality of life through symptom control, psychosocial and spiritual support, and strengthening shared decision-making, yet the global knowledge landscape remains fragmented and incompletely mapped. Mapping publication performance, geographic distribution of country contributions, and the dynamics of research themes related to palliative care in kidney failure patients through bibliometric analysis. A bibliometric study was conducted using the Scopus database spanning the last 10 years. The search strategy combined the keywords palliative care and kidney failure. From 4,730 initial findings, a gradual narrowing was performed to obtain 2,397 documents meeting the criteria, consisting of 1,974 research articles and 423 review articles. Descriptive analysis was used for annual publication trends and country contributions, while VOSviewer version 1.6.18 was used to map keyword co-occurrence, overlay maps, and density maps. Keyword mapping places demographic and clinical terms as central nodes, with primary clusters reflecting acute conditions and severity indicators including acute kidney injury and respiratory infectious complications, chronic kidney disease and dialysis therapy clusters linked to themes of palliative care, terminal care, quality of life, psychology, and conservative care, and geriatric clusters and service outcomes such as hospitalization, comorbidities, risk factors, length of stay, and mortality. The overlay map demonstrates a shift in themes from patient support and quality of life to a stronger focus on clinical outcomes, comorbidities, and infectious and respiratory contexts in the more recent period, while the density map highlights the largest hotspots in the elderly population and the kidney disorder theme networked with hospitalization outcomes.Palliative care research in patients with kidney failure is dominated by clinical themes and service outcomes, while patient-centered themes such as quality of life, psychology, and terminal and conservative care emerge as important but relatively less prominent. Strengthening studies measuring meaningful outcomes for patients and caregivers, standardizing terminology and reporting, and multicenter collaboration across countries are needed to reduce contextual bias and enhance global relevance.
Social Skills Training as a Psychosocial Intervention to Improve Social Functioning in Schizophrenia: A Literature Review Suhermi Suhermi; Amin Samiasih; Muhammad Fatkhul Mubin; Vivi Yosafianti; Ratih Sri Wardani
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.v8i1.1423

Abstract

Social functioning is an individual's ability to interact adaptively, perform social roles, and engage in social activities in accordance with prevailing norms. In patients with schizophrenia, social functioning often declines due to cognitive, affective, and motivational impairments that accompany the course of the illness. This systematic review aims to evaluate the effectiveness of Social Skills Training interventions in improving various aspects of social functioning, including communication skills, social interaction, social roles, and participation in social activities. This review follows the PRISMA-2020 guidelines. A systematic search was conducted on the Scopus, PubMed, ProQuest, ScienceDirect, and EBSCO databases for English-language studies published between 2021 and 2025. A combination of keywords was used to form the search string, including “Social Skill Training” OR “SST” AND “Social functioning” OR “interpersonal functioning” OR “social performance” AND “Schizophrenia”. Boolean operators ‘AND’ and “OR” were used to narrow the resultsQuality assessment was conducted independently using the Joanna Briggs Institute (JBI) checklist. The synthesis of the five research articles analyzed showed that Social Skills Training (SST) had a positive impact on improving the social functioning of schizophrenia patients in various service contexts and patient characteristics. The studies reviewed consisted of two studies with a Randomized Controlled Trial (RCT) design and three quasi-experimental studies, with sample sizes varying from small to medium. All studies reported an increase in social functioning after the provision of SST intervention, either as a single intervention or in combination with standard therapy. Social Skills Training (SST) has been proven effective in improving the social functioning of schizophrenia patients, including communication skills, social interaction, social roles, and participation in social activities.
Nurse Management and Leadership Practices in Hospitals: A Systematic Review Ayu Trisnadewi; Elsye Maria Rosa
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.v8i3.1424

Abstract

Nurse management and leadership play a critical role in shaping nurses’ work environments, patient safety, and organizational performance in hospital settings. In recent years, there has been a growing shift from traditional hierarchical management toward more relational and clinically oriented leadership practices. However, empirical evidence regarding dominant leadership styles, associated outcomes, and remaining research gaps remains dispersed across the literature. This systematic review aimed to synthesize existing evidence on nurse management and leadership practices in hospital settings, with a focus on dominant leadership styles, reported outcomes, and identified research gaps. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed/MEDLINE, Scopus, and CINAHL databases. A total of 524 articles were initially identified. After removal of duplicates and screening of titles and abstracts, 45 articles were assessed for full-text eligibility. Ten studies met all inclusion criteria and were included in the final synthesis. Data were analyzed using a narrative thematic approach. The synthesis revealed three main themes. First, transformational leadership emerged as the most frequently examined leadership style in nurse management, with increasing attention to clinical leadership among bedside nurses. Second, leadership practices were associated with nurse-related outcomes (work engagement, reduced burnout, and job performance), patient-related outcomes (quality of care, patient safety, and satisfaction), and organizational outcomes (innovative work behavior and reduced counterproductive behaviors). Third, several research gaps were identified, including the predominance of cross-sectional designs, reliance on self-reported measures, limited multicultural perspectives, and insufficient evidence on the long-term impact of leadership during and after healthcare crises such as the COVID-19 pandemic. Evidence from this systematic review indicates that relational and transformational leadership practices are consistently associated with positive outcomes for nurses, patients, and healthcare organizations in hospital settings. Strengthening leadership development and advancing longitudinal and intervention-based research are essential to better understand causal mechanisms and support sustainable improvements in nursing management and leadership.
Risk Factors of Dental Caries in Primary School Children: A Systematic Literature Review Zita Aprillia; Mohammad Zen Rahfiludin; Henry Setyawan Susanto; Syamsulhuda Budi Mustofa
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.v8i3.1433

Abstract

Dental caries is a chronic infectious disease with a high prevalence in elementary school-aged children (6–12 years) globally. This condition is influenced by the complex interaction of various determinants of health. This study aims to identify and synthesize the dominant risk factors for the occurrence of dental caries in elementary school-age children based on the latest scientific evidence. Systematic review was conducted following the PRISMA 2020 guidelines. A comprehensive literature search was conducted on the Scopus and PubMed databases for English-language articles published in the time range November 2022 to November 2025. Inclusion criteria include cross-sectional, cohort, case-control studies that analyze caries risk factors in elementary school-aged children of 6–12 years. Of the 1,422 articles identified from three databases, 11 studies met the eligibility criteria and were included in the final analysis. The main risk factors are categorized into behavioral and lifestyle aspects, socio-demographic, and socioeconomic. The findings suggest that high-sugar diet behaviors (sugary snacks and soft drinks) and poor oral hygiene (rarely brushing and not using dental floss) were the dominant factors. Socio-demographically, low parental education levels, low socioeconomic status, and male gender have a significant association with an increased risk of caries. In addition, the presence of dental plaque and tooth morphology (deep gaps) are important biological determinants. Dental caries in elementary school children is multifactorial, but lifestyle factors related to diet and oral hygiene, as well as family socioeconomic background are the main determinants. Effective prevention strategies require a holistic approach that focuses on modifying children's behavior and improving parental education.  
Effectiveness of Video-Based Preoperative Education on Reducing Anxiety Levels in Patients Undergoing Surgery: A Literature Review Siti Suryani Asmara; Yanuar Primanda; Fitri Arofiati
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.v8i3.1434

Abstract

Preoperative anxiety is a psychological response frequently experienced by patients prior to surgical procedures and can have negative impacts on physiological conditions, anesthetic requirements, and the postoperative recovery process. Video-based preoperative education is considered an innovative approach that is potentially more effective than conventional educational methods. This literature review aims to analyze the effectiveness of video-based preoperative education on reducing anxiety levels in patients undergoing surgical procedures. This study utilized a literature review design with a systematic article search conducted on PubMed, Scopus, and ScienceDirect databases. The included articles were quantitative studies with randomized controlled trial and quasi-experimental designs published between 2020–2025. Out of 1,487 articles, 11 articles that met the inclusion criteria were analyzed narratively. The review results indicated that all studies reported a significant reduction in preoperative anxiety levels in groups receiving video-based education compared to conventional education or no intervention. Video education was proven to improve understanding, a sense of security, and the psychological readiness of patients before surgery. Video-based preoperative education is effective in reducing patient anxiety levels and has the potential to be integrated into standard preoperative care.

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