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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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The Impact of Sleep Quality on Clinical Outcomes in Hospitalized Children: A Systematic Review Mella Mardison Putri; Nani Nurhaeni; Astuti Astuti
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.v8i4.2090

Abstract

Sleep is an essential physiological need in children that plays an important role in physical growth, neurological development, and the recovery process during illness. Hospitalized children are at high risk of experiencing sleep quality disturbances due to environmental, clinical, and psychological factors. Sleep disturbances during hospitalization are known to be associated with various adverse clinical outcomes. To identify the relationship between sleep quality and clinical outcomes in hospitalized children based on the latest scientific evidence. This systematic review was conducted in accordance with the PRISMA guidelines. Literature searches were performed in PubMed, ScienceDirect, Scopus, and Wiley. “poor sleep quality” AND “hospitalized children” AND “length of stay.” Included studies were quantitative studies involving hospitalized children aged 0–18 years that reported the relationship between sleep disturbances and clinical outcomes. Study quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist, and the findings were analyzed using narrative synthesis. A total of six studies years 2021-2026 met the inclusion criteria. All studies reported decreased sleep quality during hospitalization, characterized by reduced sleep duration, increased nighttime awakenings, and decreased sleep efficiency. Sleep disturbances were associated with slower recovery, increased psychological distress, and a potential increase in length of hospital stay. The main contributing factors include environmental noise, medical interventions, pain, and anxiety. Non-pharmacological interventions were found to be effective in improving sleep quality. Sleep quality disturbances are common and multifactorial problems among hospitalized children and have a significant impact on clinical outcomes. Optimizing sleep quality should be integrated into clinical practice through simple interventions and family-centered approaches.
Formulation of Gel Extract of Gamat Leaf (Tinomiscium Petiolare Hook.F & Thomson) in Healing of Diabetic Ulcers and Bacterial Inhibitory Power in Rats Mawaqit Makani; Iqlila Romaidha; Olinda Kaulika
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.v8i2.2094

Abstract

Diabetic foot ulcers (DFUs) present a critical clinical challenge, where persistent bacterial infections frequently stall the healing cascade and escalate amputation risks. This delayed recovery is worsened by growing antibiotic resistance against conventional topical agents, underlining an urgent demand for multi target, plant derived alternatives. Although Tinomiscium petiolare Hook.f. & Thomson (locally known as Gamat leaf) is rich in tissue regenerative and antimicrobial compounds, its therapeutic potential in chronic diabetic wound microenvironments has not yet been investigated. This study aimed to formulate Gamat leaf extract (Tinomiscium petiolare) into a gel preparation and evaluate its effectiveness on diabetic ulcer healing and antibacterial inhibitory power in vivo using diabetic rat models. Method: This experimental study included the extraction of Gamat leaves by maceration with 96% ethanol, followed by gel formulation with varying extract concentrations (F1, F2, F3). The bacterial inhibition test was conducted in vitro (well method). The in vivo test used male Wistar rats induced by streptozotocin (STZ) to achieve a diabetic condition, then an excision wound was made as an ulcer model. The parameters observed included physical evaluation of the gel, percentage of wound area shrinkage over 14 days, and bacterial inhibition zone. GC-MS analysis identified dominant bioactive compounds with anti-inflammatory and antioxidant properties. The preparation showed stable viscosity, ensuring optimal adhesion and active ingredient penetration. HE results demonstrated significant increases in collagen deposition and epithelialization compared to the control group. The synergy of chemical, physical, and biological parameters proves that Gamat Leaf is a strong candidate for standardized pharmaceutical ingredients in accelerating wound healing.
The Relationship Between Social Support and the Incidence of Postpartum Depression among Primiparous Mothers Herlina Grenanda; Istri Yuliani; Atik Ba'diah
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.v8i2.2129

Abstract

Postpartum depression is a mental health disorder commonly experienced by women after the childbirth process, especially in primiparous mothers who are adjusting to their new role as a mother. Various factors can influence the occurrence of postpartum depression, including social support that encompasses support from a husband, parents, in-laws, and siblings. A lack of social support has the potential to increase the risk of psychological disorders in postpartum mothers, making it important to examine the relationship between social support and the incidence of postpartum depression. This research method uses a quantitative approach with a correlational analytical design. The sample consisted of 72 primiparous postpartum mothers registered at two Primary Clinics in the city of Samarinda. The sampling technique used was total sampling. Data collection was carried out cross-sectionally using the PSSQ and EPDS questionnaire instruments. Data analysis was conducted using the Chi-square test and ordinal logistic regression. The majority of respondents were aged 20-35 years (94.4%), had a secondary level education (40.3%), were unemployed (58.3%), had a family income above the regional minimum wage (62.5%), and had planned pregnancies (84.7%). The most frequently found postpartum depression level was in the mild category (38.9%). There was a significant relationship between social support from husbands (p=0.000), parents (p=0.012), in-laws (p=0.001), and siblings (p=0.002) with the occurrence of postpartum depression. Multivariate analysis showed that support from husbands was the most influential factor on postpartum depression (p=0.000), with a 2.031 times higher likelihood in mothers who received low support from their husbands. There is a significant relationship between family social support and the incidence of postpartum depression in primiparous mothers. Support from the husband is a key factor influencing the level of postpartum depression. Therefore, active involvement of the husband and family is very important in providing emotional, informational, and instrumental support to reduce the risk of postpartum depression.
Analysis of Factors Influencing the Quality of Nursing Care: Case Study in the Surgical Room Hendra Harwardi; Fatmawati Fatmawati; Ricco Arika Sandy; Indah Budi Yanti; Aryetmi Aryetmi; Roza Elia
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.v8i4.2137

Abstract

Nursing care quality is an important indicator in assessing healthcare service quality, particularly in surgical wards with high service complexity. Several factors such as competence, supervision, and workload are assumed to influence nursing care quality. This study aimed to analyze factors associated with nursing care quality in the surgical ward at Dr. M. Djamil General Hospital Padang in 2025. This study used an analytic design with a cross-sectional approach. The sample consisted of 96 nurses selected using proportional random sampling. Data were collected using structured s and analyzed using chi-square tests and logistic regression. The validity test showed that all questionnaire items on competence, supervision, workload, and nursing care quality variables were declared valid because the r-count values were higher than the r-table value (0.361). Meanwhile, the reliability test results indicated that all variables had Cronbach’s Alpha values greater than 0.70, meaning that the research instrument was reliable and appropriate for data collection. The results showed that 50% of nursing care quality was categorized as good. Most respondents had good competence (66.7%), good supervision (56.2%), and heavy workload (57.3%). Bivariate analysis showed that supervision and workload were significantly associated with nursing care quality (p < 0.05), while competence was not significantly associated (p = 0.279). Multivariate analysis showed that supervision was the most dominant factor influencing nursing care quality (p = 0.046; OR = 3.03).
Dynamics of Mental Workload and Occupational Stress in the High-Risk Public Healthcare Sector: A Systematic Literature Review Noufal Evan Septyan; Husaini Husaini; Rizqi Puteri Mahyudin; Lenie Marlinae; Mohamad Isa
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.v8i4.2144

Abstract

Mental health issues in the workplace are a fundamental priority in healthcare systems, particularly in high-risk environments characterized by complex operational demands and acute time pressures. Increased cognitive load, when exceeding individual thresholds, has consistently been identified as a major catalyst for work-related stress, which subsequently impairs the clinical performance of healthcare practitioner. This research is designed to rigorously evaluate the correlation between mental workload quantified through the NASA Task Load Index (NASA-TLX) instrument and job stress manifestations, anchored in the conceptual framework established by the National Institute for Occupational Safety and Health (NIOSH). The investigation focuses on high-risk public healthcare sectors to map the underlying psychosocial dynamics affecting the workforce. The synthesis of findings demonstrates a significant and positive correlation between mental workload and professional stress. Specifically, the dimensions of mental demand, temporal demand, and effort emerged as the predominant predictors of psychological strain. Furthermore, the analysis indicates that organizational variables, notably social support and job control, function as critical moderating factors that either attenuate or exacerbate the intensity of the relationship between cognitive demands and perceived stress. The study concludes that mental workload is a pivotal determinant of job stress among healthcare professionals within high-risk public service domains. Consequently, there is an imperative for interventions rooted in cognitive ergonomics and the reinforcement of organizational support systems. Such proactive measures are vital to mitigate psychosocial risks and sustain the overarching quality of healthcare delivery.
Legal Protection for Midwives in Performing Medical Services Outside Their Authority: A Normative Juridical Analysis Wayan Putu Sinarwati; Ida Bagus Surya Darma Jaya
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.v8i4.2157

Abstract

Legal protection for midwives in healthcare practices, particularly in emergency situations, is a crucial issue in Indonesia's healthcare legal system. Although various regulations, such as Law Number 4 of 2019 concerning Midwifery, Law Number 17 of 2023 concerning Health, and Government Regulation Number 28 of 2024, regulate the authority and legal protection of healthcare workers, these regulations are still general in nature and do not provide operational clarity in emergency situations. This study aims to analyze the legal norms regarding midwives' authority and the forms of legal protection they provide for performing medical procedures outside of their formal authority, particularly in emergency situations. The research method used is normative juridical with a statutory and conceptual approach, through an analysis of Law Number 4 of 2019 concerning Midwifery, Law Number 17 of 2023 concerning Health, and Government Regulation Number 28 of 2024. The analysis was conducted qualitatively by interpreting existing legal norms to identify legal gaps related to the legal protection of midwives in emergency situations. The results of the study indicate that normatively, legal protection for midwives has been regulated, but the regulations are still general and do not provide operational clarity regarding medical actions in emergency conditions. This gives rise to multiple interpretations of norms and has the potential to create legal uncertainty in practice. Thus, it is necessary to strengthen more specific and operational regulations to ensure legal certainty and optimal legal protection for midwives.
Factors Associated with HIV/AIDS Healthcare Access among PLHIV: A Systematic Review and Meta-Analysis Nelly Nur Cahya; Adi Nugroho; Musafaah Musafaah; Hardyan Sauqi; Meitria Syahadatina Noor; Roselina Parahiyangan
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.v8i4.2158

Abstract

Access to HIV/AIDS health services remains a major challenge in many developing countries. Factors such as health literacy, insurance coverage, health service availability, and psychosocial barriers influence healthcare utilization among people living with HIV/AIDS (PLHIV). This study aimed to analyze factors associated with access to health services among PLHIV through a systematic review and meta-analysis. A systematic review and meta-analysis were conducted using articles published between 2019–2024 from databases including PubMed, Scopus, ScienceDirect, and Google Scholar. 5094 articles were obtained, of which only 5 articles were used. The meta-analysis showed that PLHIV with good knowledge had significantly better access to healthcare services compared with those with poor knowledge (POR=2.03; 95% CI: 1.19–3.46; p=0.010). Health insurance ownership was also significantly associated with healthcare access (POR=0.83; 95% CI: 0.74–0.93; p=0.002). Narrative synthesis indicated that healthcare accessibility, healthcare worker support, patient perceptions, stigma, and financial barriers strongly influenced viral load monitoring and ART adherence. Knowledge and health insurance ownership are important determinants of healthcare access among PLHIV. Strengthening HIV health literacy, improving healthcare financing systems, and expanding accessible HIV services are essential to improve continuity of care and viral load monitoring.
Persistent Hoarseness Associated with Laryngopharyngeal Reflux and Suspected Ortner’s Syndrome: A Case Report Yusticia Maharani; Lina Marlina
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.v8i4.2185

Abstract

Laryngopharyngeal reflux (LPR) is an extraesophageal inflammatory disorder caused by the retrograde flow of gastric contents into the laryngopharyngeal region, leading to chronic irritation of the upper airway mucosa. Persistent hoarseness is a common symptom; however, dysphonia may also reflect rare cardiovascular causes such as Ortner’s syndrome (cardiovocal syndrome), which results from recurrent laryngeal nerve dysfunction secondary to cardiovascular pathology. Diagnostic differentiation between these entities can be challenging due to overlapping clinical features. We report a 70-year-old woman with two months of persistent hoarseness following coronary artery stenting after myocardial infarction. She also experienced nocturnal cough, globus sensation, intermittent choking, and dysphagia. Flexible laryngoscopy showed bilateral vocal fold hyperemia and edema, posterior commissure hypertrophy, and partial glottic narrowing. The Reflux Symptom Index (RSI) score was 22 and the Reflux Finding Score (RFS) was 17, supporting LPR. Coronary angiography revealed total occlusion of the right coronary artery. Given her significant cardiovascular history, recurrent laryngeal nerve involvement due to suspected Ortner’s syndrome was also considered. This case highlights overlapping manifestations of LPR and cardiovocal syndrome, complicating diagnosis. Comprehensive multidisciplinary evaluation is essential, particularly in elderly patients with cardiovascular disease, to avoid attributing persistent hoarseness solely to reflux and to identify potential cardiogenic causes of dysphonia.
The Influence of Diabetes Self-Management Education on Increasing Knowledge, Self-Management, and Current Blood Sugar Level Control in Type 2 Diabetes Mellitus Patients Hana Zumaedza Ulfa; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Wati Jumaiyah
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.v8i2.2188

Abstract

Type 2 diabetes mellitus (DM type 2) is a serious problem worldwide due to the impact of the disease which can cause complications and reduce the quality of life of sufferers. Factors that cause this are due to lack of knowledge, self-management and chronic hyperglycemia. Therefore, it is necessary to carry out continuous educational interventions such as Diabetes Self-Management Education (DSME). The purpose of this implementation is to improve knowledge, self-management and control of random blood sugar levels in patients with type 2 DM. This type of quantitative research uses a one-group pre-test-post-test approach, a sample of 15 respondents and the sampling technique used was purposive sampling. The implementation time is April 21 to May 24, 2025 at Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province. The measurement instruments used are Diabetes Knowledge Questionnaire (DKQ-24), Diabetes Self-Management Instrument (DSMI) and GDS measurement sheets. The analysis used is the paired t-test and the Wilcoxon test. The results of the implementation after being given 4 sessions of DSME showed an increase in knowledge as shown by a p-value of 0.003 (<0.05), an increase in self-management with a p-value of 0.001 (<0.05) and control of random blood glucose values with a p-value of 0.001 (<0.05).0.000 (<0.05). The 4-session ideo-based DSME had a positive impact on knowledge, self-management, and random blood sugar values because DSME is a continuous educational intervention that helps respondents understand their disease better.
Factors Influencing User Satisfaction with Family Parental Services in Independent Midwife Practices Ni Ketut Noriani; Ni Kadek Neza Dwiyanti; Ni Wayan Sri Rahayuni
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.v8i2.2198

Abstract

This study aims to analyze the factors influencing satisfaction with family planning (FP) services at Midwife Tatik Sulistriani's Independent Practice in Denpasar City. The variables studied included service quality, staff attitude, service facilities, user knowledge, and service time, with user satisfaction as the dependent variable. This study used a quantitative analytical design with a cross-sectional approach. The sample was drawn using the Lemeshow formula, with 196 respondents. Data were collected through a structured questionnaire based on standardized SOPs. Data were analyzed using the chi-square test and logistic regression to determine the relationships between variables and the dominant factors influencing satisfaction. The study showed that all independent variables significantly influenced family planning (FP) user satisfaction (p < 0.05). Service quality was the most dominant factor influencing satisfaction, followed by staff attitude, service facilities, user knowledge, and service time. This suggests that family planning user satisfaction is influenced by comprehensive service aspects, including service quality, staff professionalism, facility availability, user understanding of family planning, and service time efficiency. To increase the satisfaction of family planning users at Midwife Tatik Sulistriani's Independent Practice, it is necessary to improve the quality of services comprehensively, train staff to improve attitudes and communication, provide adequate facilities, educate users regularly, and manage service time more efficiently.

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