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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
Analysis of Determinant Factors on Patient Satisfaction in the Emergency Department Rima Faradila; Indasah Indasah; Nurwijayanti Nurwijayanti; Farida Farida
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.v8i3.1441

Abstract

Patient satisfaction is a crucial indicator of healthcare quality, particularly in the Emergency Department (ED), where services must be rapid, accurate, and compassionate. This study aimed to analyze determinant factors influencing patient satisfaction in the Emergency Department of Bhayangkara Hospital Tulungagung. A quantitative cross-sectional design was applied to 110 ED patients selected through systematic random sampling. Data were collected from November 24–30, 2025, using a SERVQUAL-based questionnaire measuring responsiveness, assurance, tangibles, empathy, reliability, and response time. Instrument testing showed that all items were valid (r count > 0.413) and reliable (Cronbach’s Alpha > 0.70). Data analysis using Spearman’s rho correlation and logistic regression revealed that all service quality dimensions were positively and significantly associated with patient satisfaction (p < 0.05). Responsiveness had the strongest correlation (r = 0.748), followed by empathy (r = 0.710). Logistic regression identified empathy as the most dominant determinant (β = 0.458). These findings indicate that empathetic care and interpersonal interactions play a central role in improving patient satisfaction in the ED.
Application Distal Leg Massage in Diabetes Mellitus Patient Post Lumbar Surgery with Peripheral Arterial Disease: Case Report Natamia Kyrieleison Habeahan; H. Kosim; Atlastieka Praptiwi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1443

Abstract

Postoperative lumbar surgery patients with diabetes mellitus are at risk of developing complex neurovascular disorders. Neurological deficits caused by lumbar nerve compression or diabetic neuropathy often result in numbness and tingling in the distal limbs, while impaired peripheral circulation related to diabetes mellitus can delay tissue healing. Distal limb massage is a non-pharmacological intervention that may help improve blood circulation and support peripheral nerve function recovery. To determine the effect of distal limb massage on improving peripheral circulation in post-lumbar surgery patients with diabetes mellitus and peripheral arterial disease (PAD). This descriptive case report with a nursing care approach was conducted from September 13 to 16, 2025, in Room UBK 2 of Welas Asih Hospital. A 46-year-old woman with a lumbar abscess and diabetes mellitus received distal limb massage twice daily for three days (30 minutes/session). Peripheral circulation was assessed using Ankle-Brachial Index (ABI) and plantar temperature before and after intervention and analyzed descriptively. After the intervention, the Ankle-Brachial Index (ABI) increased in the right leg from 1.04 to 1.08 and in the left leg from 0.75 to 0.82. In addition, the average plantar temperature increased by 0.3–0.5°C, indicating improved peripheral perfusion. Distal limb massage demonstrated potential effectiveness in improving peripheral circulation, as reflected by increased ABI values and plantar temperature, and may help reduce numbness and tingling in post-lumbar surgery patients with diabetes mellitus and PAD.
Analysis of the Relationship Between Neutrophil-to-Lymphocyte Ratio (NLR), Platelet-to-Lymphocyte Ratio (PLR), and Red Blood Cell Distribution Width (RDW) With Colorectal Cancer Staging Mei Vrayanti F.S; Jelita Siregar; Adi Muradi Muhar
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.v8i3.1449

Abstract

This study aimed to examine the relationship between the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and red blood cell distribution width (RDW) with colorectal cancer (CRC) staging. Colorectal cancer is one of the most prevalent malignancies worldwide and a leading cause of cancer-related mortality, particularly in Indonesia. Inflammation plays an important role in cancer progression, and systemic inflammatory markers such as NLR, PLR, and RDW are considered practical, accessible, and cost-effective indicators for assessing disease severity and prognosis. An observational analytic study with a cross-sectional design was conducted at H. Adam Malik General Hospital, Medan, from November 2024 to January 2025. A total of 56 newly diagnosed CRC patients who had not undergone surgery or chemotherapy were enrolled using consecutive sampling. Blood samples were analyzed using a Sysmex XN-1500 hematology analyzer. Statistical analyses included independent t tests, Mann–Whitney tests, Spearman correlation, and receiver operating characteristic (ROC) analysis. The results demonstrated a significant difference in PLR values between early- and advanced-stage CRC (p = 0.003), with a moderate positive correlation between PLR and cancer stage (r = 0.297, p = 0.026). RDW showed a weak but statistically significant correlation with CRC stage (r = 0.284, p = 0.034). In contrast, NLR did not show a statistically significant correlation with CRC staging (p = 0.109). These findings suggest that PLR and RDW are promising, simple, and inexpensive inflammatory biomarkers that may assist in the preoperative staging of colorectal cancer, whereas NLR alone may not be a reliable predictor of CRC stage.
The Influence of Exclusive Breastfeeding Education Based on Beauty and Wellness Approach with Booklet Media Approach on Breastfeeding Self-Efficacy of Lactating Mothers Dewi Asmaul Husna; Eka Setyowati; Hartini Hartini
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.v8i3.1451

Abstract

Mother's milk (ASI) was a primary nutritional source that played an important role in infant growth and development as well as stunting prevention. The success of exclusive breastfeeding needed to be supported early through Early Breastfeeding Initiation (IMD) and comprehensive education provided to mothers from pregnancy until immediately after delivery. This research aimed to analyze the influence of exclusive breastfeeding education based on Beauty and Wellness Approach on breastfeeding self-efficacy in lactating mothers. The design used was quasi-experimental with pretest posttest with control group design The sampling technique used was non-probability sampling with purposive sampling method, so that a sample number of 32 respondents was obtained which was divided into intervention and control groups. The intervention group received exclusive breastfeeding education based on Beauty and Wellness through booklet media, while the control group received standard education according to routine services. Self-efficacy was measured using the Breastfeeding Self-Efficacy Scale. The Shapiro Wilk test showed that data were not normally distributed, so analysis used the Wilcoxon test for pre-post comparison and Mann-Whitney test for inter-group comparison. Results showed significant increases in self-efficacy in both groups, with greater increases in the intervention group (p = 0.003) compared to control (p = 0.041), and meaningful differences in score differences between groups (p = 0.032). Education based on Beauty and Wellness was proven to be more effective in increasing breastfeeding self-efficacy and had potential to support the success of exclusive breastfeeding.
Implementation of Swallowing Therapy in Dysphagia Patients with Ischemic Stroke Diagnosis Nur Asnah Sitohang; Icceng Sidabutar
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

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

Abstract

Ischemic stroke is the acute onset of focal neurological deficits in vascular territories affecting the brain, retina or spinal cord due to cerebrovascular disease. The symptoms of stroke in general are partial or complete limb weakness, decreased cognitive function, difficulty swallowing or dysphagia, aphasia and dysarthria. Dysphagia is a swallowing disorder in which food and drinks take time to reach the stomach from the mouth. One of the interventions that can be given to patients is swallowing therapy. The purpose of this case study is to provide nursing care for ischemic stroke patients who experience dysphagia to overcome swallowing difficulties. This exercise requires patient participation by giving instructions or directions to patients both verbally and visually about how to swallow to increase swallowing muscle strength. There was one participant in the ischemic stroke patient. The exercise was given for 4 days 3 times a day for 15 minutes each exercise using the Mann Assessment of Swallowing Ability, a standardized instrument with established validity and reliability for dysphagia assessment in stroke patients. The results of the evaluation showed an improvement in the patient’ swallowing ability, namely before the intervention MASA 147 and after the intervention MASA 170. The application of swallowing exercises can be used as a nurse intervention in carrying out nursing actions independently for patients who experience swallowing disorders in ischemic stroke patients and can be continued by families at home.
Diagnostic Role of Lung Ultrasound in Pneumonia Putu Gita Indraswari; I Desak Putu Agung Krisdanti; Faradilla Novita Anggreini
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.v8i1.1453

Abstract

Pneumonia remains a leading cause of morbidity and mortality worldwide, particularly among hospitalized and critically ill patients. Diagnosis is traditionally based on clinical evaluation and chest radiography; however, overlapping clinical features with other respiratory diseases and limited access to radiographic imaging may result in diagnostic delays or inaccuracies. Lung ultrasonography has increasingly been recognized as a useful bedside imaging modality due to its portability, lack of ionizing radiation, and favorable diagnostic performance. This review aims to describe the underlying mechanism of lung ultrasonography, outline characteristic ultrasonographic findings in pneumonia, and evaluate its diagnostic value, including advantages and limitations, in clinical practice. A narrative literature review was conducted using electronic databases including PubMed, Scopus, Google Scholar, and ScienceDirect. Peer-reviewed articles, meta-analyses, clinical studies, guidelines, and authoritative textbooks related to lung ultrasound and adult pneumonia were included than published since 2021-2024. Data were analyzed descriptively, focusing on ultrasonographic features and diagnostic accuracy parameters. Lung ultrasound reveals a spectrum of findings corresponding to disease severity, including focal B-lines and pleural irregularities in early pneumonia, followed by lung consolidation characterized by shred sign, air bronchograms, and tissue-like (hepatization) appearance in advanced stages. Evidence from meta-analyses consistently demonstrates high diagnostic accuracy, with sensitivity and specificity generally exceeding 85–90%, often surpassing chest radiography. Lung ultrasonography is a reliable and practical imaging modality for the diagnosis of pneumonia. Given its high diagnostic accuracy and clinical advantages, lung ultrasound should be considered an important adjunct or alternative to conventional imaging, particularly in emergency, intensive care, and resource-limited settings.
Effect of Stunting on Cognitive Development of Children: A Systematic Literature Review Rosni Lubis; Delmaifanis Delmaifanis; Rosita Syarifah; Ani Kusumastuti; Herlyssa Herlyssa
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.v8i3.1455

Abstract

Stunting is a critical global health issue, with Indonesia ranking third in Southeast Asia for prevalence. This study examines the impact of stunting on cognitive development, its determinants, and interventions in Low- and Middle-Income Countries (LMICs). A systematic review was conducted across ProQuest, Ebsco, PubMed, and SpringerLink for English peer-reviewed articles (2009–2019). Using the PICOS framework, the review focused on stunted children (0–16 years) in LMICs. After screening 157 records and performing quality appraisals, 13 high-quality studies (scores >8/12) were selected for qualitative synthesis. Findings across Africa, Asia, and South America show stunting prevalence between 15.6% and 41.4%. Stunting typically manifests in the first three years due to chronic malnutrition and infectious diseases. Key risk factors include low socioeconomic status and parental education. Stunted children scored significantly lower in memory, spatial ability, and attention compared to non-stunted peers. While some children achieving catch-up growth showed improved results, those who recovered often still lagged behind children who were never stunted. Evidence confirms a strong correlation between stunting and impaired cognitive development. Despite global data, there remains a significant research gap regarding this specific correlation in Indonesia over the last decade.
Long-Term Observation of a Child with Foreign Body Aspiration Pneumonia and Reccurent Cardiac Arrest from an Incarcerated Mothers Muhammad Reza Syahli; Asrawati Asrawati; Indra Ihsan; Fitrisia Amelin; Riki Alkamdani
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.v8i3.1459

Abstract

This study employed a longitudinal case study design aimed at describing the clinical course, respiratory recovery, nutritional status, developmental progress, and social dynamics of a child with aspiration pneumonia accompanied by cardiac arrest. The research subject was a one-year-old girl who experienced baked potato aspiration while living in a correctional facility with her mother. The patient received intensive treatment at Andalas University Hospital and was subsequently monitored for three consecutive semesters after discharge. Data collection was conducted through multiple sources to obtain comprehensive information. Clinical data during the acute phase were obtained through a review of the patient’s medical records, including physical examination findings, laboratory and radiological results, and records of medical interventions provided during hospitalization. Follow-up data were collected through direct clinical observation during routine control visits, focusing on respiratory recovery, nutritional status, and developmental progress. Child development was assessed using standardized developmental screening tools, namely the Denver Developmental Screening Test II (Denver II) and the Capute Scales (CAT-CLAMS). Additional contextual data were obtained through in-depth interviews with the child’s parents, correctional facility health workers, and healthcare providers at the referral hospital to understand the caregiving environment and health management after discharge. Home visits were also conducted after the mother returned from the correctional facility to evaluate the child’s living conditions, caregiving practices, and environmental factors that might influence recovery and development. Data analysis was carried out using a descriptive and thematic approach. Clinical and developmental data were analyzed longitudinally to identify patterns of recovery from the acute phase to the follow-up period across three semesters. The analysis also explored the interaction between medical factors (such as treatment response and clinical outcomes) and social factors (including caregiving environment and family support) in influencing the child’s recovery and development. All research procedures adhered to pediatric ethical principles, including maintaining the confidentiality of the patient’s identity and obtaining informed consent from the family for documentation and analysis of the case. This approach allows for a comprehensive understanding of the child’s recovery process, integrating both clinical and social perspectives.
Psychological Dimensions and Implications of Adolescent Sexual and Reproductive Health: A Scoping Review of Existing Evidence Yessy Syahradesi; Fika Lestari; Siska Putri Belangi; Dina Andriani; Nur Triningtias Putri
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.v8i1.1478

Abstract

Adolescence is a critical developmental period marked by complex biological, psychological, and social changes that influence sexual and reproductive health (SRH) behaviors. Psychological factors such as attitudes, self-efficacy, mental health, and communication skills play a crucial role in shaping adolescents’ sexual decision-making and preventive behaviors. However, evidence on intervention-based strategies integrating psychological perspectives remains fragmented. This scoping review aimed to map and synthesize intervention-based evidence on adolescent sexual and reproductive health with a focus on psychological perspectives and implications. This review followed the Arksey and O’Malley framework and adhered to PRISMA-ScR guidelines. A comprehensive search was conducted in PubMed, Scopus, Web of Science, CINAHL, and Google Scholar for studies published between 2019 and 2025, identifying 245 records. After screening and eligibility assessment, 11 studies were included. Eligible studies included randomized controlled trials and quasi-experimental designs involving adolescents aged 10-19 years and interventions incorporating psychological outcomes. Data were extracted and synthesized descriptively. Eleven intervention studies from diverse global settings were included. School-based, digital, and family-based interventions consistently improved adolescents’ SRH knowledge, attitudes, self-efficacy, communication skills, and preventive behaviors. Theory-driven and multi-component interventions demonstrated the greatest effectiveness. Psychological and psychosocial factors, including mental health, social norms, and parent-adolescent communication, significantly influenced SRH outcomes. However, gaps were identified in low- and middle-income countries and in long-term behavioral and mental health outcomes. Psychologically informed, theory-based, and multi-component interventions are effective strategies to promote healthy sexual and reproductive behaviors among adolescents.
The Effect of Outpatient Medical Consultation Experience on Overall Satisfaction and Intention to Recommend Lydia Priscillia Pomantouw; Ferdi Antonio
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.v8i2.1483

Abstract

Patient-centred care has increased the importance of understanding patient experience during outpatient medical consultations, particularly in primary care clinics where doctor–patient interaction plays a central role in service quality. While patient satisfaction is known to influence recommendation behaviour, most studies rely on general service quality dimensions rather than consultation-specific experiences, especially in the Indonesian clinical context. This study aims to examine the effect of outpatient medical consultation experience on overall satisfaction with medical consultation and to analyse its impact on patients’ intention to recommend the clinic. A quantitative cross-sectional survey was conducted among outpatients at XYZ Clinic in Manado, Indonesia. Data were collected from 168 respondents using a structured questionnaire developed by synthesising domains from the Medical Interview Satisfaction Scale (MISS) and Consultation Satisfaction Scale (CSQ), namely communication comfort, rapport, length of consultation time, distress relief, and professional care. Construct validity and reliability were assessed using factor loadings, average variance extracted (AVE), composite reliability, and Cronbach’s alpha prior to structural model testing. Data were analysed using Partial Least Squares–Structural Equation Modelling (PLS-SEM). The findings demonstrate that all five consultation experience dimensions have a significant and positive influence on overall satisfaction with medical consultation. Communication comfort emerged as the strongest predictor.

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