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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 868 Documents
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Effectiveness of Group-Based Health Belief Model (HBM) Interventions on Behavioral Change Among Patients with Type 2 Diabetes Mellitus: A Systematic Review Decynarwaty Decynarwaty; Priyanto Priyanto
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2420

Abstract

Type 2 diabetes mellitus (T2DM) requires effective self-management to prevent complications, yet sustaining healthy behaviors remains challenging. The Health Belief Model (HBM) is widely used to promote behavioral change through educational interventions. This systematic review evaluated the effectiveness of group-based HBM interventions in improving health behaviors among adults with T2DM. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. PubMed, Scopus, and Google Scholar were searched for studies published between January 2021 and June 2026. Eligible studies included randomized controlled trials, quasi-experimental studies, controlled trials, and pretest–posttest intervention studies involving adults with T2DM receiving group-based HBM interventions. Study quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Of the 255 articles identified, four studies met the inclusion criteria. Group-based Health Belief Model (HBM) interventions consistently improved self-care, medication adherence, dietary compliance, physical activity, blood glucose monitoring, self-efficacy, perceived susceptibility, and perceived benefits while reducing perceived barriers. However, improvements in glycated hemoglobin (HbA1c) were inconsistent across studies. Group-based HBM interventions effectively improve health behaviors in adults with T2DM and may strengthen Diabetes Self-Management Education (DSME). Further large-scale randomized controlled trials with longer follow-up are needed to confirm their long-term effects on glycemic control and diabetes-related outcomes.
Optimizing Patient Distribution Through the Adaptation of the RAFAELA System by Strengthening the Role of Nurse Unit Managers to Achieve Equitable Nursing Workload Distribution Mikha Arisia Helen; Tuti Afriani; Hening Pujasari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2434

Abstract

Increasing patient complexity and Bed Occupancy Rate (BOR) have contributed to higher nursing workload at X hospital. These conditions potentially lead to imbalanced workload distribution, nurse fatigue, and decreased quality of care and patient safety. This study aimed to optimize competency-based nurse staffing through the role of Nurse Unit Managers (NUMs) in managing nursing workload at X hospital. This study used a project improvement approach conducted during nursing management residency activities in inpatient units on the 5th, 10th, 11th, 12th, and 13th floors of X hospital from April to May 2026. Data were collected through observations, semi-structured interviews, and document reviews. Problem analysis was conducted using the POSAC approach and fishbone analysis. The intervention was implemented through competency-based staffing using the RAFAELA System as a nursing intensity measurement tool. Most patients had partial to total dependency levels with high clinical complexity. The nurse-to-patient ratio increased to 1:9–11 during full BOR conditions. Patient assignment was previously based on room location rather than patient complexity and nurses’ competency levels, resulting in workload imbalance. The implementation of competency-based staffing assisted NUMs in distributing patients more objectively according to patient complexity and nurses’ competencies. Competency-based nurse staffing optimization through strengthening the role of NUMs and utilization of the RAFAELA System has the potential to improve nursing service effectiveness, support patient safety, and create more proportional workload distribution.
Effectiveness of the Pediatric Early Warning Score (PEWS) in Improving Triage Accuracy among Pediatric Patients in the Emergency Department: A Systematic Review Mariam Efendi; Allenidekania Allenidekania; Mega Hasanul Huda; Ayu Widya Lestari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2435

Abstract

Changes in children's health status in the Emergency Department (ED) often occur suddenly, progressively, and are difficult to recognize due to children's limited verbal communication and non-specific clinical manifestations. This condition triggers a high risk of triage errors (mistriage), especially in general EDs, leading to delayed treatment and increased mortality. The Pediatric Early Warning Score (PEWS) assessment system has the potential to be a structured solution to improve assessment accuracy through objective monitoring of physiological parameters. This study aims to evaluate the effectiveness of implementing PEWS in improving triage accuracy for pediatric patients in the emergency department through a systematic review. This study employed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted across the PubMed, Scopus, ScienceDirect, Cochrane Library, and ProQuest databases for articles published between 2021 and 2025. The search strategy combined Medical Subject Headings (MeSH) terms and keywords, including "Pediatric Early Warning Score" OR "PEWS" AND "pediatric triage" OR "emergency department" OR "clinical deterioration" OR "early detection" OR "hospital admission" OR "critical care" OR "pediatric emergency". Articles were selected according to predefined inclusion criteria, and their methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. A total of 17 articles were included in the review. The findings demonstrated that the implementation of the Pediatric Early Warning Score (PEWS) enhances the early detection of clinical deterioration in pediatric patients and improves triage accuracy in emergency departments. Most studies reported that PEWS has good sensitivity and specificity for predicting the need for critical care admission, thereby facilitating faster and more accurate clinical decision-making. Furthermore, the use of PEWS improves communication among healthcare professionals and enhances pediatric patient safety.
Correlation of Blood Pressure with Abdominal Circumference and LDL in Adult Males Ronald Christian Madika; Huldani Huldani; Agung Biworo
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2458

Abstract

Hypertension remains a major public health burden in Indonesia, contributing substantially to cardiovascular morbidity and mortality. Central obesity and elevated low-density lipoprotein (LDL) have been proposed as modifiable risk factors, yet empirical evidence from community settings in Kalimantan remains limited. This study aimed to examine the correlation of blood pressure with abdominal circumference and LDL levels among adult males. An observational cross-sectional study was conducted at Puskesmas Pekauman, Banjarmasin Selatan, from September to November 2023. Thirty-two adult males aged 26 to 45 years were recruited through purposive sampling. Abdominal circumference, blood pressure, and LDL were measured using standardized protocols. Data were analyzed using the Pearson correlation test following normality verification with the Shapiro-Wilk test. Pearson analysis revealed no significant correlation between systolic or diastolic blood pressure and abdominal circumference (p = 0.516 and p = 0.133, respectively). Similarly, no significant correlation was found between systolic or diastolic blood pressure and LDL (p = 0.691 and p = 0.081, respectively). Blood pressure showed no significant correlation with abdominal circumference or LDL among adult males in this community sample. Further studies with larger samples and additional confounder controls are warranted.
Perceptions of Islamic Religiuos Figures on the Development of the Role of Exclusive Breastfeeding Ambassadors in Premarital Education as An Effort to Prevent Stunting Herawati Harahap; Guslaini Permata Intan Pan Harahap; Nila Handayani; Rika Apripan; Dewi Arjuna Putri Pan; Rosmainun Rosmainun; Fahrizal Alwi; Wiwi Wardani Tanjung
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.v8i4.2465

Abstract

Stunting remains a public health problem in Padangsidimpuan City, with a prevalence reaching 30.3%. Stunting prevention needs to begin premarital by improving literacy among prospective brides and grooms. Islamic religious leaders are trusted figures in the community and have the potential to act as ambassadors for exclusive breastfeeding in premarital education. This study aims to explore the perceptions of Islamic religious leaders regarding the development of their role as exclusive breastfeeding ambassadors in premarital education as an effort to prevent stunting in Padangsidimpuan City. The study used a qualitative approach with a phenomenological design. Six informants were purposively selected, consisting of Islamic religious leaders involved in premarital counseling. Data were collected through in-depth interviews using a semi-structured interview guide and analyzed thematically. The analysis yielded five themes: 1) religious leaders' understanding of stunting and exclusive breastfeeding; 2) perceptions of developing their role as exclusive breastfeeding ambassadors; 3) readiness and capacity building needs; and 4) expectations for model development. Religious leaders demonstrated positive perceptions and expressed a willingness to act as exclusive breastfeeding ambassadors, with support from training, modules, educational media, standard operating procedures (SOPs), and cross-sector collaboration. Islamic religious leaders have significant potential to be empowered as exclusive breastfeeding ambassadors in premarital education. Developing a model supported by capacity building and cross-sector collaboration is expected to improve literacy among prospective brides and grooms and contribute to stunting prevention in Padangsidimpuan City.
The Relationship between Social Support and Spirituality and Quality of Life among Stroke Patients Dena Mulya; Rohman Azzam; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2477

Abstract

Stroke is a neurovascular disease with multidimensional impacts on patients’ physical, psychological, social, and spiritual conditions. The complications of stroke not only reduce physical function but also affect patients’ overall quality of life. This study aims to analyze the relationship between social support and spirituality and the quality of life of stroke patients, as well as to examine the interaction of these factors in improving quality of life. This study employed a quantitative cross-sectional design involving 125 respondents selected through purposive sampling. Data were collected using validated and reliable instruments, including the Multidimensional Scale of Perceived Social Support (MSPSS; Cronbach’s α = 0.89), the Spiritual Well-Being Scale (SWBS; Cronbach’s α = 0.95), the Stroke-Specific Quality of Life Scale (SS-QOL; Cronbach’s α = 0.92), the Barthel Index (Cronbach’s α = 0.87–0.92), and the Patient Health Questionnaire-9 (PHQ-9; validity coefficient r = 0.73, Cronbach’s α = 0.87). Data were analyzed using Spearman’s rank correlation and multiple linear regression. The results showed significant correlations between gender, educational level, comorbidity, functional status, and depression with patients’ quality of life (p < 0.05). Multivariate analysis indicated that gender (p = 0.000), functional status (p = 0.000), and spirituality (p = 0.012) had significant effects on patients’ quality of life. Meanwhile, age and duration of stroke did not show significant relationships (p > 0.05). It can be concluded that spirituality and functional status significantly contribute to determining the quality of life among stroke patients.
Medication Adherence Profile among Hemodialysis Patients Gabriell Aldiaz Zahra; Zakky Cholisoh
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2478

Abstract

Medication adherence is an important component of long-term management among patients undergoing maintenance hemodialysis because complex medication regimens and chronic disease conditions may create challenges in maintaining optimal medication-taking behavior. Understanding medication adherence profiles is essential for identifying patients who may require additional support and improving comprehensive pharmaceutical care services. This study aimed to describe the medication adherence profile among maintenance hemodialysis patients at a referral hospital, Surakarta, Indonesia. A descriptive cross-sectional study was conducted involving 47 maintenance hemodialysis patients who met the inclusion criteria. Respondents were recruited using consecutive sampling. Data collection was conducted using a sociodemographic questionnaire and the validated Medication Adherence Report Scale-5 (MARS-5). Sociodemographic characteristics and medication adherence profiles were analyzed descriptively using frequencies and percentages. The findings showed that 59.6% of respondents had high medication adherence, 34.0% had moderate adherence, and 6.4% were categorized as non-adherent. Most participants were aged 45–60 years (66.0%), male (55.3%), had completed senior high school education (34.0%), were unemployed (80.9%), and had monthly incomes below the Solo Regional Minimum Wage (74.5%). Most respondents had undergone maintenance hemodialysis for 12–36 months (78.7%), and family assistance in medication management was reported by 66.0% of respondents. Medication adherence among maintenance hemodialysis patients at a referral hospital was generally favorable, with the majority of respondents demonstrating high adherence. However, a proportion of patients still showed moderate or poor adherence, indicating the need for continuous monitoring and targeted interventions.
Strengthening Knowledge of Female Adolescents at Middle School Through Reproductive Health Education Maulia Rusyda Permanasari; Adelse Prima Mulya; Ahmad Yamiin
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2499

Abstract

Adolescence is a transitional period marked by physical, psychological, and social changes, including development of reproductive health. Insufficient knowledge among adolescents regarding reproductive health potentially increase risk of health problems. Health education is a promotive strategy to increase knowledge and foster awareness among adolescents. This study aimed to describe the effectiveness of reproductive health education in improving the knowledge of IX-grade female student at middle school in Bandung. The method used was a pre-experimental with a one-group pretest-posttest design. A total of 101 IX-grade female student selected trough total sampling. The intervention involved reproductive health education through lectures and interactive discussions. Data were collected using a reproductive health knowledge questionnaire administered before and after intervention and analyzed using Wilcoxon Signed Rank-Test. Result showed an increase in average knowledge score from 91,2 to 98,2. The Wilcoxon test indicated a significant difference in the level of knowledge among adolescents following the intervention, with a p-value of 0.000 (p < 0.05). The results indicate that health education is effective in both strengthening and improving adolescents’ understanding of reproductive health. Reproductive health education should be implemented continuously through collaboration and integrated into school health programs to promote better reproductive health behaviors among adolescents.
Analysis of Intelligence Capabilities Among Sepak Takraw Athletes Ahmad Mubarok; Tri Aji
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.v8i4.2527

Abstract

Sepak Takraw demands exceptional physical prowess and acrobatic agility; however, the cognitive mechanisms enabling high-speed tactical execution are frequently overlooked in regional training paradigms. This study aims to systematically evaluate the intelligence capabilities of competitive Sepak Takraw athletes in Demak Regency to establish a foundational cognitive profile for future talent identification and coaching optimization. Employing a quantitative descriptive research design, the study utilized a purposive sampling technique to select 60 active athletes, aged 15 to 25 years, who have previously competed at the regional level. Data were collected using the Culture Fair Intelligence Test (CFIT), a standardized instrument chosen to measure fluid intelligence and spatial reasoning independently of educational backgrounds. The descriptive statistical analysis revealed a mean intelligence quotient (IQ) score of 104.5, alongside a standard deviation of 8.2. Categorically, 65% of the athletes were classified within the average to high-average intelligence bracket (IQ 90-114), 15% demonstrated superior intelligence (IQ > 115), and 20% fell into the below-average category (IQ < 90). Furthermore, participants scored highest on spatial pattern recognition, averaging in the 65th percentile. The findings indicate that while baseline cognitive capabilities are fundamentally average, significant variance exists. The study concludes that current coaching methodologies must evolve beyond purely physical metrics to incorporate formal cognitive assessments, thereby fostering better tactical anticipation and adaptability.
Determinant Factors of Inpatient Revisit Intention Based on Service Quality Martianawati Martianawati; Dyas Trina Purnama Sari; Ahmad Lathifi
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2534

Abstract

Hospital services constitute a critical sector within the healthcare system, and the proliferation of hospitals — particularly in Tuban, East Java — has intensified competition among providers. To attract and retain patients, hospitals must deliver high-quality services capable of generating satisfaction. Patient revisit intention, a key indicator of loyalty and hospital sustainability, is substantially shaped by patients’ perceptions of service quality dimensions. Inpatient visits at RS Nahdlatul Ulama (RSNU) Tuban declined over the three-year observation period, while inpatient complaints increased by 20.7% of total hospital complaints in 2021, raising concerns about future patient retention. This study aims to identify determinant factors of inpatient revisit intention based on service quality dimensions at RSNU Tuban. A quantitative cross-sectional design was employed. The study population comprised 911 inpatients, from which 278 participants were recruited through purposive sampling. Data were collected via structured questionnaires whose validity (Pearson product-moment correlation) and reliability (Cronbach's alpha, α = 0.758–0.806) had been confirmed and analysed using univariate, bivariate (Chi-square), and multivariate (binary logistic regression) approaches at a significance level of α = 0.05. Three service quality dimensions — tangibles (p = 0.001), reliability (p = 0.000), and assurance (p = 0.005) — demonstrated statistically significant associations with revisit intention. The assurance dimension exhibited the strongest influence, with the highest odds ratio (OR = 1.401). The responsiveness and empathy dimensions did not reach statistical significance. Tangibles, reliability, and assurance are significant determinants of inpatient revisit intention at RSNU Tuban. Assurance constitutes the most influential dimension, underscoring the importance of patients’ trust, perceived competence, and safety in shaping their willingness to return.

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