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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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Development of Nutraceutical Spirulina-Moringa Oleifera (Nutrismo) Products as Natural Immunomodulator and Antioxidant Supplements M Noris; Alkhair Alkhair; Juraidin Juraidin
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.v8i4.1950

Abstract

Phycocyanin research shows fluctuating trends and remains underexplored, particularly in its application for functional food and nutraceutical development, creating significant research gaps and opportunities for innovation such as NutrisMO This study aims to identify research trends and gaps in phycocyanin studies and to analyze factors influencing consumer intention to use NutrisMO, a nutraceutical product based on Spirulina and Moringa oleifera.A Systematic Literature Review (SLR) was conducted using the PRISMA approach with data sourced from Scopus (2005–2024), analyzed באמצעות VOSviewer and Leximancer. In addition, a quantitative explanatory study was conducted with 150 respondents selected through purposive sampling to review public acceptance of NUTRISMO products. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with Smart-PLS. The SLR results indicate that research on phycocyanin is still limited and fluctuative, with identified gaps in food-related applications (21%), product-related challenges (8%), and C-phycocyanin concepts (6%), highlighting opportunities for further research and innovation. Meanwhile, the Smart-PLS analysis shows that all constructs meet validity and reliability criteria. Perceived Bioactive Content (β = 0.400), Health Awareness (β = 0.438), and Trust in Herbal Products (β = 0.440) significantly influence Perceived Benefit, which in turn strongly affects Intention to Use (β = 0.775). The model demonstrates moderate to strong explanatory power, with R² values of 0.513 for Perceived Benefit and 0.600 for Intention to Use. This study confirms that perceived benefit plays a crucial mediating role in shaping consumer intention to use nutraceutical products. It also emphasizes the need for further research on phycocyanin and supports the development of functional nutraceutical innovations like NutrisMO by integrating scientific evidence, health awareness, and consumer trust.
The Effect of Implementing SBAR Handover on the Continuity of Nursing Care in Inpatient Wards Otrina Otrina; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi; Awaliyah Ulfah Ayudytha Ezdha
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.v8i4.1953

Abstract

Continuity of nursing care is an important indicator of hospital service quality and is strongly influenced by the effectiveness of communication among nurses, particularly during handover. One communication method recommended to enhance patient safety is SBAR (Situation, Background, Assessment, Recommendation). Integrating the SBAR method with Jean Watson's caring theory is expected to strengthen clinical communication in a more humanistic and holistic manner. This study aimed to analyze the effect of SBAR handover implementation on the continuity of nursing care in the inpatient wards of Pekanbaru Medical Center Hospital. This study employed a quasi-experimental design with control and experimental groups.This study used a total sampling technique involving 30 inpatient nurses, who were divided into an experimental group (n = 15) and a control group (n = 15). Data were collected by measuring continuity of nursing care scores before and after the intervention. Data analysis was conducted using the Generalized Linear Model Repeated Measures to assess changes in scores over time and differences between groups. The results showed that before the intervention, the mean continuity of nursing care scores were 37.27 ± 5.92 in the control group and 35.67 ± 4.37 in the experimental group. Following the implementation of SBAR handover, scores increased in both groups; however, the improvement was greater in the experimental group, with a mean score of 50.93 ± 1.10 compared to 41.80 ± 3.45 in the control group. The control group showed a statistically significant improvement (p = 0.020), whereas the experimental group demonstrated a highly significant increase (p = 0.000). Between-group analysis revealed a significant difference (F = 9.414; p = 0.005), as well as significant time effects and time × group interaction effects (p = 0.000). In conclusion, the implementation of SBAR handover was effective in improving the continuity of nursing care in inpatient wards.
The Role of Spiritual Well-Being on the Psychological Resilience of Chronic Disease Patiens Mad Zaini; Luh Titi Handayani; Nailatul Aulia; Farah Nur Amalia Putri
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.v8i2.1983

Abstract

Resilience and spiritual well-being are important aspects of life. Objective:  This study aims to analyze the relationship between psychological resilience and spiritual well-being in individuals with chronic illnesses. The researcher used a cross-sectional approach to analyze this study. The sample consisted of 106 respondents living in Jember Regency. The researcher selected the sample using a purposive sampling technique. Data for this study were collected using a structured questionnaire administered to eligible respondents. The questionnaire was distributed electronically, and participants provided responses based on their experiences and perceptions related to the variables under investigation. Data were analyzed using the Pearson Correlation test. The results of the univariate test showed that the average score of psychological resilience was 64.70, and the average score of spiritual well-being was 22.35. The results of the bivariate test proved that there was a relationship between resilience and spiritual well-being in respondents (p-value = 0.000). The conclusion of this study is that there is a relationship between resilience and spiritual well-being in individuals with chronic illnesses in Jember Regency.
The Relationship between Stress Level with Menstrual Cycle Disorders among Female Adolescents Cut Nabilla Naifa Syahira Wibawa; Yaslinda Yaunin; Fika Tri Anggraini
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.v8i4.1984

Abstract

Adolescent represents a critical transitional stage characterized by biological, psychological, and social changes, including the onset of menstruation as an indicator of reproductive maturity. Menstrual cycle disorders are common among adolescents and may be influenced by several stress. This study aimed to examine the association between stress levels with menstrual cycle disorders among female adolescents. A quantitative analytic observational study with a cross-sectional design was conducted among 278 female students selected through proportionate stratified random sampling. Data were collected using a standardized structured questionnaires, interviews, and anthropometric measurements, and analyzed using the Chi-square test. The results showed that most respondents were 16 years old (53.2%), and menarche predominantly occurring at the age of 12 years old (43.2%). The majority had mild stress levels. Bivariate analysis revealed significant associations between stress level (p = 0.000 ; p = 0.005). The conclusion of the study is that stress levels the factors most closely related to menstrual cycle disorders in adolescent girls.
Constraints and Barriers in Handling Severe Preeclampsia Windu Reswari; Fatmawati Fatmawati; Ema Julita; Lelly Deswitri; Rahmadevita Rahmadevita
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.v8i4.2003

Abstract

WHO 2020 data shows a Maternal Mortality Rate (MMR) of 223 per 100,000. The Indonesian Health Profile in 2023, MMR in Indonesia is 189 per 100,000 live births. The most common causes of death are hypertension in pregnancy (412 cases), obstetric hemorrhage (360 cases) and other obstetric complications (204 cases). Preeclampsia is the most common hypertension in pregnancy in Indonesia, 7-10% of all pregnancies. Preeclampsia causes >70,000 maternal deaths and 500,000 fetal deaths worldwide each year. This study aims to explore in depth the obstacles and constraints in the management of severe preeclampsia at Dr. M. Djamil Padang General Hospital in 2025. Qualitative research methods. Informants were selected purposively with the following criteria: medical and nursing service managers, obstetrician/gynecologist specialists, midwives and nurses (in the emergency room or delivery room, obstetrics polyclinic, obstetrics inpatient, operating room, intensive care unit, and NICU), working for at least 1 year, directly involved in the management of severe preeclampsia, patients or their families. The number of informants was determined based on the saturation principle. Data collection techniques were in-depth interviews, field observations, document analysis, and FGDs. Data collection instruments used interview guidelines, voice recorders (with permission), and field notes. The analysis used was thematic. Data validity was verified by triangulation. Research results: Main strengths: the system is standardized (SOP, financing, evaluation). Main weaknesses: human resources, facilities, communication, and logistics. Biggest opportunities: strengthening the referral system and increasing human resources capacity. The main threat of patient overload due to referrals and delays in PEB management is influenced by several factors, including input, process, and output aspects of the healthcare system. Input Aspects (Men, Money, Methods)  
Effectiveness of Various Chlorhexidine-Based Insertion Site Protocols in Preventing CRBSI among Hemodialysis Patients: A Systematic Review and Synthesis Without Meta-analysis (SWiM) Sri Hariyanti; Yulia Yulia; Dikha Ayu Kurnia
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.v8i4.2012

Abstract

Chronic Kidney Disease (CKD) is a global health issue affecting 10–15% of the world's population, often progressing to End-Stage Renal Disease (ESRD). Hemodialysis (HD) is the primary renal replacement therapy; however, the use of a Central Venous Catheter (CVC) for vascular access increases the risk of Catheter-Related Bloodstream Infections (CRBSI). Skin pathogens such as Staphylococcus aureus account for 40–80% of CRBSI cases, contributing to increased morbidity and mortality. The use of chlorhexidine (Chlorhexidine Gluconate/CHG) at the insertion site aims to inhibit extraluminal bacterial colonization. However, the effectiveness of various CHG protocols remains a subject of debate due to the risk of contact dermatitis and cost-effectiveness. This systematic review aims to evaluate the effectiveness of various chlorhexidine-based insertion site care protocols in preventing CRBSI events in hemodialysis patient. This systematic review was conducted in accordance with the PRISMA 2020 guidelines, using the “Synthesis Without Meta-analysis” approach, and is registered with PROSPERO 2026 under CRD420261368887. A search was conducted in the EBSCO, PubMed, Sage Journals, ScienceDirect, Scopus, and Wiley databases using the keyword “chlorhexidine-based catheter insertion care for the prevention of CRBSI.” Articles published between 2010 and 2025 were searched, resulting in a total of 1,412 articles identified from the initial database search.. A total of 7 articles meeting the inclusion criteria, consisting of RCTs and quasi-experimental studies. The outcomes analyzed included catheter-related infections such as CRBSI, CLABSI, and CRI. The direction of effects was analyzed narratively, and study quality was assessed using RoB 2 and JBI. Four studies showed a reduction in the incidence of infection, while three studies showed no significant difference. No increased risk of infection was found in any of the studies. Most studies used chlorhexidine sponges or patches (4 studies, 57%); 28% used chlorhexidine-impregnated dressings; and the remainder used chlorhexidine solution. Most studies were of moderate to good quality, with some potential for bias. Three studies showed p-values < 0.05. Chlorhexidine-based care protocol interventions show a tendency to reduce catheter-related infections in hemodialysis, but results remain inconsistent. The implementation of evidence-based nursing practices, particularly tailored to tunneled and non-tunneled catheters, is necessary to optimize infection prevention.
Optimizing the Role of Talent First Line Manager through Nursing Resource Development Strategy Based on External and Internal Analysis: Case Report Friska Lestari; Choriati Nuormanisa; Ilham Cahyo Nugroho; Taufik Kurahman; Inyalebe Talaohu; Teuku Muhammad Zaini; Rr Tutik Sri Hariyati
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.v8i4.2013

Abstract

Abstract The role of the first line man The role of the first line manager (FLM) is strategic in improving hospital service quality as a link between managerial policies and clinical practice. However, the transition from clinical nurse to managerial position, along with the complexity of healthcare services, creates challenges in managing nursing human resources. This case report aims to develop a strategic human resource development plan to support the transition of FLM talent at Hospital X Jakarta. The study participants consisted of 41 head nurses serving as First Line Managers (FLMs) at RS X. The method used is a descriptive-analytic approach with field study, using primary data (interviews and observations) and secondary data (literature and documents). The analysis applies SWOT, IFE-EFE matrices, IE matrix, and TOWS, integrated with the Balanced Scorecard (BSC). The results show that Hospital Strengths include educational qualifications, clinical experience, and a structured head nurse selection system. Weaknesses include uneven managerial competencies, a non–talent-based appointment system, and high workload. Opportunities arise from digitalization, accreditation demands, and HR development, while threats include burnout risk, hospital competition, and regulatory changes. ager (FLM) is strategic in improving hospital service quality as a link between managerial policies and clinical practice. However, the transition from clinical nurse to managerial position, along with the complexity of healthcare services, creates challenges in managing nursing human resources. This case report aims to develop a strategic human resource development plan to support the transition of FLM talent at Hospital X Jakarta. The method used is a descriptive-analytic approach with field study, using primary data (interviews and observations) and secondary data (literature and documents). The analysis applies SWOT, IFE-EFE matrices, IE matrix, and TOWS, integrated with the Balanced Scorecard (BSC). The results show that Hospital Strengths include educational qualifications, clinical experience, and a structured head nurse selection system. Weaknesses include uneven managerial competencies, a non–talent-based appointment system, and high workload. Opportunities arise from digitalization, accreditation demands, and HR development, while threats include burnout risk, hospital competition, and regulatory changes. The recommended strategies include strengthening leadership competencies through continuous training, developing mentoring systems, implementing objective talent management, and optimizing the FLM role in improving service quality and patient safety.
The Effect of Superior and Inferior Extremity Point Acupuncture Therapy on Improving Daily Living Activities in Stroke Patients Dodik Hartono; Rizka Yunita; Erna Handayani
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.v8i4.2021

Abstract

Stroke is a pathological condition that occurs due to the interruption or reduction of blood flow to certain parts of the brain. This condition can be caused by two main mechanisms: blockage of cerebral blood vessels or the sudden rupture of blood vessels in the brain. As a result, there is a significant decrease in the supply of oxygen and nutrients to the affected brain tissue. One of the common symptoms of stroke is weakness on one side of the body, known as hemiparesis, which leads to difficulties in performing activities of daily living (ADL). This study aimed to analyze the effect of acupuncture therapy (at superior and inferior extremity points) on improving activities of daily living (ADL) in stroke patients at the Holistic Nursing Therapy Clinic in Probolinggo. The research method used was a pre-experimental design with a one-group pre-test and post-test approach. The sample consisted of 91 respondents, selected using accidental sampling from May to June 2025. The research instrument used was the Barthel Index questionnaire sheet, with a validity value of r > (0,4438) and a reliability test of (0,884). The intervention was administered three times per week, with each session lasting one hour, for four weeks. Data were analyzed using the Wilcoxon test. The results showed that before the acupuncture therapy intervention, most respondents were in the moderate category (42 respondents, 46.2%). After the intervention, respondents were mostly in the independent and mild categories, each with 39 respondents (42.9%). The statistical analysis indicated that there was a significant effect of acupuncture therapy (at superior and inferior extremity points) on improving activities of daily living (ADL) in stroke patients, with a p-value of 0.001 (p = 0.001 < α = 0.05). Acupuncture therapy has a positive impact on patients’ physical condition, including improving muscle strength in extremities that were weakened due to stroke. It may also enhance blood flow and oxygenation to the brain, promote neuroplasticity and nerve regeneration, and ultimately improve the ability to perform activities of daily living.
Factors Influencing the Level of Depression in Post-Hysterectomy Women Ni Nyoman Wariyanti; Ni Wayan Septarini; Ni Putu Widarini
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.v8i4.2025

Abstract

Hysterectomy is one of the most commonly performed gynecological procedures to treat various conditions such as uterine fibroids, endometriosis, and malignancies. Although it can improve physical health, this procedure may lead to psychological impacts, particularly depression. So, hysterectomy can lead to depression influenced by biopsychosocial factors such as body image, social stigma, and family support, so analyzing factors associated with depression, particularly body image, among post-hysterectomy women at Sanjiwani General Hospital helps identify risks and improve psychological care for these patients. Based on this, this study aims to analyze factors associated with depression, particularly body image, among post-hysterectomy women at Sanjiwani General Hospital, Gianyar. This study used an analytical observational design with a cross-sectional approach. The sample consisted of 58 post-hysterectomy women selected using purposive sampling technique. Data were collected using the Multidimensional Body-Self Relations Questionnaire–Appearance Scales (MBSRQ-AS) to measure body image and the Depression Anxiety Stress Scale (DASS-21) to assess depression. Validity and reliability testing of these instruments were conducted prior to the study, showing that all items were valid (r-count > r-table) and reliable with a Cronbach’s alpha value > 0.70. Data analysis was performed descriptively, using the Chi-square test for bivariate analysis, and logistic regression for multivariate analysis with a significance level of 5%. Most respondents did not experience depression (67.2%), while 24.1% experienced mild depression and 8.6% experienced moderate depression. Bivariate analysis showed that body image (p=0.001), social stigma (p=0.006), and family support (p=0.002) were significantly associated with depression. Comorbidities were not significantly associated (p=0.054). Multivariate analysis showed that body image was the dominant factor influencing depression (p=0.048; OR=2.958; 95% CI: 1.011–8.658). Body image, social stigma, and family support are factors associated with depression among post-hysterectomy women, with body image being the most dominant factor.
Determinants of Discharge Planning Implementation Ellis Siti Suhartini; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
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.v8i4.2036

Abstract

Discharge planning a day prior to discharge is vital for care continuity. TThis study aims to analyze the determinants of nursing service quality, including nurse competence, knowledge, motivation, and role perception. A descriptive correlational study with a cross-sectional design was conducted involving 110 associate nurses in the inpatient ward using a total sampling technique. Data were collected using structured questionnaires and observation checklists. Prior to data collection, the instruments were tested for validity and reliability. The validity test results indicated that all questionnaire items were valid, while the reliability test showed good internal consistency with Cronbach’s alpha values greater than 0.70 for each variable. Data were analyzed using multiple linear regression to determine the influence of nurse competence, knowledge, motivation, and role perception on the quality of nursing services.. The observation results showed a very high compliance rate (90.9 percent). The analysis proved that competence, knowledge, and nurse roles were not significant. Nurse motivation was proven to be the only dominant factor influencing the compliance level. In conclusion, intrinsic motivation determines nurse performance amidst competence and procedural homogeneity.

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