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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 684 Documents
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Ankle Pump Exercise as Evidence-Based Nursing for Managing Hypervolemia in Chronic Kidney Disease Patients Zulfiana Nurlaili; Nur Asa Rhahmadani Susanti; Beti Kristinawati; Afif Riada Pratama
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.v8i4.1605

Abstract

Hypervolemia in patients with Chronic Kidney Disease (CKD) can cause lower extremity oedema. Non-pharmacological methods like ankle pump exercises and 30° leg elevation effectively reduce oedema and improve circulation by utilising muscle pump action and gravity to enhance venous return to the heart. The purpose of this case report evaluates the patient's response to the therapy provided. The method used is a descriptive design informed by evidence-based nursing (EBN). Data collection was conducted through interviews, observations, and the review of secondary data from medical records. The degree of oedema was measured using the Brodovicz pitting oedema scale. The study subject was Mrs S, a 60-year-old woman with stage V chronic kidney disease (CKD). She experienced fluid overload, shown by swelling, high neck vein pressure, weight gain, and low urine output. The intervention was carried out during four sessions, each lasting 40 minutes. The evaluation included the degree of oedema (Brodovicz pitting oedema), weight change, and foot circumference measurement. The results showed a decrease in the degree of oedema from 3 to 2, a decrease in weight from 48 kg to 46 kg, and an increase in urine output. Patients reported a reduction in heaviness and swelling in the lower extremities after the Ankle Pump Exercise and 30° leg elevation interventions, and no side effects were found during the implementation of these two interventions. Ankle pump exercise and 30° leg elevation proved to be effective, safe, and easy to apply as part of self-care. The results indicate that ankle pump exercise and 30° leg elevation can be used as non-pharmacological nursing interventions in the management of oedema in CKD patients with hypervolemia. Nurses play a crucial role in educating and guiding patients and their families to help them perform self-care interventions independently and continuously.
Analysis of the Effectiveness of Medical Waste Management Policies at Health Laboratory Andri Yanti; Subang Aini Nasution; Hartono Hartono; Rapael Ginting; Sondang Selviana Silitonga; Ismail Usman
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.v8i2.1606

Abstract

The implementation of medical waste management policies at the laboratory level still faces challenges in the form of non-compliance with operational standards, limited resources, and weak evaluative monitoring. This study aims to analyze the effectiveness of medical waste management policies at the UPTD Puskesmas in Jambi City. This study uses a case study method, with a qualitative approach, where the sampling technique used is purposive sampling. Total number of informants in this study is 20 people. Data obtained from interviews, observations, and document analysis will be analyzed thematically to identify emerging patterns, themes, and issues related to medical waste management policies. As a result of data management, there are several regulations for medical waste management at the UPTD Puskesmas in Jambi City, starting from the Law on Environmental Protection and Management, Presidential Regulations, Ministerial Regulations, and SOPs for the Puskesmas themselves. Medical waste management is carried out through several stages, starting from sorting, internal transportation, temporary storage, to external transportation and processing involving third parties. There are challenges faced in medical waste management, including untrained human resources, budget constraints, and inconsistent external transportation schedules. Based on the results of the analysis and discussion regarding the effectiveness of medical waste management policies at the UPTD Labkesda Jambi City, it can be concluded that the Regulatory and Implementation Aspects of the UPTD Labkesda Jambi City already have a strong regulatory basis, both externally and internally and Cooperation Agreements with third parties. However, there is still a gap between written policies and implementation in the field, so that the effectiveness of the policy has not reached its optimal point. The Human Resources Aspect shows that the quality and quantity of human resources are the main determinants in waste management. The Infrastructure Aspect shows that the facilities are quite adequate, but more modern and sustainable waste management is needed.
Analysis of Factors Related to Nutritional Status of Toddlers Aged 12-59 Months Rizkiyah Novianti; Rinang Mariko; Yantri Maputra
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.v8i3.1630

Abstract

The nutritional status of toddlers is influenced by factors such as immunization history, exclusive breastfeeding history, maternal knowledge, socioeconomic status, and parenting patterns. This study aims to identify risk factors associated with the nutritional status of toddlers aged 12-59 months in the working area of the Padang Pasir Community Health Center. This is an observational analytical study with a cross-sectional design. This study aims to determine the relationship between the history of exclusive breastfeeding, maternal knowledge, socioeconomic status, and parenting patterns with nutritional status in toddlers in the Padang Pasir Community Health Center work area.  The sample consisted of 351 mothers with toddlers aged 12-59 months, selected using proportional sampling. Data collection used a questionnaire. Data were analyzed using chi-square analysis, logistic regression multinomial. The results of the quantitative research using chi-square test showed a relationship between exclusive breastfeeding (p=0.032), maternal knowledge (p=0.010), parental income (p=0.003), feeding parenting patterns (p=0.008) with the nutritional status of toddlers aged 12-59 months. The most dominant factor was feeding parenting patterns (OR=1.302). The study concluded that parenting and feeding patterns were the most closely related factor to the nutritional status of toddlers aged 12-59 months. Community health centers are expected to improve parenting through routine counseling, information media, and direct information on the importance and negative impacts of inadequate parenting and feeding patterns on children's nutritional status.
Traditional Healing Practices by Health Workers and Traditional Healers from a Legal Perspective: A Normative Legal Study I Wayan Erik Permana Jaya; I Wayan Gede Artawan Eka Putra
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.v8i2.1647

Abstract

Traditional medicine is an integral part of the health system that is still widely used by the Indonesian people, both as an alternative and as a complement to modern medical treatment. The high prevalence of the use of traditional medicine, including the involvement of health workers and traditional healers, gives rise to complex legal implications, particularly regarding the legality of the practice, the limits of authority, and patient protection. Differences in regulatory regimes between health workers and traditional healers have the potential to create legal uncertainty if not regulated clearly and harmoniously. This study aims to analyze the legal regulations for the practice of traditional medicine by health workers and traditional healers from the perspective of Indonesian health law and examine the implications of legal accountability. The research method used is normative legal research with a statutory, conceptual, case-based, and limited comparative approach. The legal materials analyzed include health legislation, court decisions related to traditional medicine practices, legal doctrine, and World Health Organization policies and recommendations. The analysis was conducted qualitatively through normative interpretation to assess the consistency and adequacy of legal regulations. The study shows that traditional medicine has received legal recognition as part of the national healthcare system. However, regulatory fragmentation and disharmony persist, particularly regarding the boundaries of practice authority and legal accountability mechanisms. Health workers have a relatively clearer framework of responsibility than traditional healers, while legal protection for patients is suboptimal. This study concludes that regulatory harmonization and strengthening are needed to improve legal certainty, patient protection, and accountability for traditional medicine practices in Indonesia.
Telemedicine Practices on Doctors' Responsibilities in Health Service Facilities (Fasyankes) from Civil Law: A Normative Juridical Study Komang Arya Adiputra; I Wayan Gede Artawan Eka Putra
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.v8i2.1648

Abstract

The development of information technology has driven the transformation of healthcare services through telemedicine, offering ease of access, time efficiency, and expanded reach of medical services. However, the implementation of telemedicine also raises various legal issues, particularly regarding the civil liability of physicians and legal protection for patients. The differences in the characteristics of conventional medical services and digital-based healthcare services require clear legal regulations to create legal certainty and justice for all parties. This study aims to analyze the form of legal relations between doctors and patients in telemedicine services and examine the basis for civil liability of physicians for losses experienced by patients. The research method used is normative legal research with a statutory, conceptual, and comparative approach. The legal materials analyzed include laws and regulations in the fields of health and telemedicine, civil law doctrine, and the latest scientific articles indexed by Scopus and Web of Science. The results of the study indicate that the legal relationship in telemedicine remains based on a therapeutic agreement that gives rise to the rights and obligations of the parties. Physicians can be held civilly liable for both breach of contract and unlawful acts if they are proven to have violated professional standards, the principle of prudence, or the rights of patients. However, this study also found regulatory gaps and disharmony, which have weakened legal certainty and legal protection mechanisms for patients.  This study's conclusions emphasize the need to strengthen and harmonize telemedicine regulations to ensure legal protection for patients and provide legal certainty for doctors in conducting digital-based medical practices.
Effect of Garcinia mangostana Linn. Pericarp Extract Supplementation on Lipid Profile and Glycemic Parameters in Elderly Patients with Type 2 Diabetes Mellitus: A Double-Blind Randomized Controlled Trial Yosef Purwoko; Heri Nugroho; Siti Setiati; Banundari Rachmawati
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.v8i4.1661

Abstract

Type 2 Diabetes Mellitus (T2DM) in the elderly is frequently accompanied by dyslipidemia, increasing cardiovascular risk. Mangosteen pericarp, derived from Garcinia mangostana Linn., contains xanthones with antioxidant and anti-inflammatory properties that may improve metabolic parameters. The aim of this study is evaluate the effect of mangosteen pericarp extract supplementation on lipid profile, glycemic parameters, and insulin resistance in elderly patients with T2DM. This double-blind randomized controlled trial included 72 elderly T2DM patients allocated into a supplementation group (n=36) and a placebo-controlled group (n=36). Consecutive sampling was used for this study. Baseline and post-intervention assessments included fasting blood glucose, HbA1c, serum insulin, HOMA-IR, total cholesterol, LDL, HDL, and triglycerides. Within-group and between-group analyses were performed using parametric or non-parametric tests as appropriate, with p <0.05 considered statistically significant. Significant differences in baseline HbA1c and LDL levels were observed between groups (p<0.05). After intervention, a significant between-group difference was found only in HDL levels (p<0.05). Delta analysis demonstrated significant improvements in LDL and HDL in the supplementation group compared with controls (p<0.05). No significant differences were observed in fasting glucose, HbA1c, insulin levels, or HOMA-IR. Mangosteen pericarp extract supplementation significantly improved LDL and HDL levels but did not significantly affect glycemic control or insulin resistance.
The Influence of Health Education on the Knowledge of Hypertension in Riverbank Communities Lola Illona Elfani Kausar; Gt. Khairunnisa; Muhammad Lukman; Retny Zulhijati Mala; Muhammad Harrisfadillah
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.v8i2.1663

Abstract

Hypertension is often called a silent killer because it usually does not show early signs, but can cause serious complications and even death. In Indonesia, the prevalence of hypertension reaches 34.1%, and South Kalimantan is recorded as the province with the highest figure at 44.1% with the working area of the West Martapura Community Health Center being one of the areas with the most cases where the majority of the population lives on the riverbanks. The habit of consuming salted fish with high sodium content and the low public understanding of hypertension are factors that worsen public health conditions. How the influence of health education can increase the knowledge of people living on riverbanks regarding hypertension. This was a quasi-experimental study using a one-group pretest–posttest model. Thirty respondents were selected using purposive sampling. The research instrument was a hypertension knowledge questionnaire in accordance with the theory. Univariate and bivariate analyses were performed using the Wilcoxon test. The majority of respondents were female (77%), had an elementary school education (46%), and worked as housewives (50%). The average knowledge score increased from 79.33 to 86.33 after the intervention. The Wilcoxon test showed a significant increase in knowledge (p = 0.010). Health education is effective in increasing the knowledge of hypertension in riverside communities. Regular health education is recommended as a promotional and preventive measure for at-risk groups.
The Effect of Combined Suction Techniques on Peep and Oxygen Saturation in ICU Patients: A Systematic Review Arif Mubarok; Iwan Purnawan; Imaningtyas Ridar
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.v8i1.1665

Abstract

Suction techniques in mechanically ventilated ICU patients affect important respiratory parameters, such as Positive End Expiratory Pressure (PEEP) and oxygen saturation. Open suction techniques can cause significant reductions in these parameters, necessitating a systematic evaluation of the effectiveness of combined suction techniques. The aim of this study is to provide evidence-based recommendations regarding the effects of combined suction techniques on PEEP and oxygen saturation in ICU patients. A systematic search was conducted in five databases of PubMed, ScienceDirect, EBSCO, and other databases was conducted for studies published between 2014 and 2024. The keyword using in English included “combined suction”, “Ventilator”, “ICU”, “PEEP” and oxygen saturation. From the initial search, a total of 41 articles were identified. Ten full-text papers underwent a thorough evaluation after titles and abstracts were filtered according to the inclusion criteria (language, publication year, and open-access availability). Ten papers were chosen for final analysis after being critically evaluated and their applicability to the study's goals was evaluated. PRISMA guidelines were followed for study selection, and data extraction focused on PEEP and oxygen saturation results. A total of Based on 10 included literatures, it was shown that combined suction technique resulted in less decrease in PEEP and oxygen saturation compared to open suction technique. Pooled analysis showed that combined suction was superior in maintaining alveolar pressure and oxygenation during suctioning. The combined suction technique is more effective than the open suction technique in maintaining PEEP and oxygen saturation in mechanically ventilated ICU patients.
Lived Experiences of Postpartum Mothers after Mastitis Surgery in Breastfeeding and Infant Care: A Qualitative Study Yustika Rahmawati Pratami; Wiwit Vitania; Hasnia Hasnia; Eftyaningrum Dwi Wagyu Astutik; Fenska Narly Makualaina
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.v8i2.1670

Abstract

The postpartum period after mastitis surgery is a challenging time for mothers, especially in continuing breastfeeding. Understanding mothers' experiences during this phase is crucial for improving the quality of healthcare and support for breastfeeding mothers. Objective to explore in depth the experiences of postpartum mothers after mastitis surgery when caring for their babies. This study employed a qualitative design with a phenomenological approach. Data were collected through in-depth interviews with postpartum mothers who had undergone mastitis surgery. The total number of research participants was two. The data were analyzed using thematic analysis techniques to identify emerging patterns of experience. Researchers found seven main themes that describe the experiences of post-operative post-mastitis mothers in the breastfeeding process. The experiences of postpartum mothers with mastitis after surgery demonstrate complex challenges, but also demonstrate resilience and strong motivation to continue breastfeeding.
The Impact of Lead Levels in Blood on Blood Pressure, Body Mass Index, and Hand Strength in Rice Farmers” Noviana Zahrotul Mufidah; Putri Citra Rahmawati; Regita Agnesya Putri; Indah Tri Susilowati
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.v8i1.1671

Abstract

Lead contamination in pesticides poses a serious threat to health due to its bioaccumulative and toxic properties to various organ systems, including the nervous, hormonal, and cardiovascular systems. This study aims to determine the relationship between blood lead levels and blood pressure, body mass index (BMI), and handgrip strength in rice farmers in Tlingsing Village, Cawas District, Klaten Regency. This analytical study used a cross-sectional design with a sample of 24 rice farmers. Venous blood samples were taken using 3 cc EDTA vacuum tubes and examined for lead levels using the Graphite Furnace Atomic Absorption Spectrophotometry (GFAAS) method at BBLK Yogyakarta. Blood pressure was measured using an Omron 7120 digital sphygmomanometer, BMI using a HN 289 digital scale and a GEA SH2A stature meter, and hand strength using a Camry EH101 electronic hand dynamometer. Data analysis was carried out using a bivariate correlation test at a 95% confidence level (p=0.05). The results showed that blood lead levels were significantly associated with blood pressure (p=0.028), with a percentage of stage 1 hypertension of 50.0% and hypertensive crisis of 45.8%. Lead levels were not significantly associated with BMI (p=0.082), with 29.2% of participants classified as overweight and 8.3% as obese. There was no significant association with hand grip strength (p=0.360), with 20.8% of participants classified as having medium strength and 33.3% as having low strength.

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