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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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Implementation of A Family-Based Screen Time Reduction Program in Family Nursing Care for Adolescents with Gadget Addiction Marfita Khasanah; Nazuwa Gusmiarti; Zalfa Firyal Nuha; Nurhayati Nurhayati
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.v8i6.2652

Abstract

Adolescent gadget addiction is an increasing concern alongside the rapid advancement of digital technology. Excessive gadget use may negatively affect physical health, psychological well-being, social interactions, and academic performance. The Family-Based Screen Time Reduction Program is a family nursing intervention that may help address this problem. To describe the implementation of the Family-Based Screen Time Reduction Program in reducing gadget addiction among adolescents through family nursing care. This Final Nursing Scientific Project used a case study design involving three families with adolescents experiencing gadget addiction, selected through purposive sampling. Data were collected through interviews, observations, instrument completion, and documentation using a family nursing assessment form, observation sheets, the Family Gadget Control Card (KKGK), and the Smartphone Addiction Scale–Short Version (SAS-SV). The intervention was conducted over three consecutive days and included education on the impacts of gadget use, development of family media rules, monitoring of gadget use duration, enhancement of parent–adolescent communication, and alternative non-gadget activities. The SAS-SV was administered before and after the intervention, while gadget use duration and compliance with family rules were recorded daily. The intervention improved family knowledge and ability to supervise gadget use, reduced adolescents' screen time, enhanced parent–adolescent communication, and increased participation in family activities without gadgets. The Family-Based Screen Time Reduction Program may be an effective family nursing intervention for reducing gadget addiction among adolescents by strengthening the family's role in supervising and regulating gadget use.
Social Determinant Model of Utilization of Free Health Check Program at Community Health Centers and Its Impact on the Quality of Life of the Community Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
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.v8i6.2655

Abstract

The Free Health Check (CKG) Program is a promotive and preventive effort to improve early detection of health problems through primary health care services. Although provided free of charge, CKG utilization is not optimal and is influenced by social factors, access, and service delivery. In Surakarta City, as of December 22, 2025, 232,152 of the 588,419 residents had utilized CKG. This condition indicates a gap between service availability and utilization. The utilization of CKG has the potential to improve quality of life through early detection, education, and health follow-up, but research integrating social determinants, CKG utilization, and quality of life is still limited. To analyze the social determinants of CKG utilization, the relationship between CKG utilization and quality of life, and the relationship model between the two in the Surakarta City community. An analytical observational study using a cross-sectional approach involving 500 CKG target respondents from 10 Community Health Centers selected using stratified random sampling. Data were collected through structured interviews using a questionnaire administered directly to respondents. Analysis included univariate, bivariate, and Structural Equation Modeling (SEM) using maximum likelihood with p<0.05. Access to transportation (B=0.271; 95% CI: 0.180–0.362; p<0.001), family support (B=0.345; 95% CI: 0.255–0.435; p<0.001), perceived benefits (B=0.404; 95% CI: 0.312–0.496; p<0.001), and availability of services (B=0.166; 95% CI: 0.048–0.284; p=0.006) were positively associated with CKG utilization, while health needs were negatively associated (B=-0.147; 95% CI: -0.253–-0.041; p=0.007). CKG utilization was positively associated with quality of life (B=1.309; 95% CI: 1.108–1.510; p<0.001). The model showed adequate fit (RMSEA=0.055; CFI=0.915; TLI=0.885; SRMR=0.049). CKG utilization is influenced by access, social factors, perceptions, services, and health needs and is positively associated with quality of life. Strengthening access, family support, education, and facility readiness are needed to increase CKG utilization.
Cardiorespiratory Adaptations to Yoga: Mechanisms, Training Stimulus, and Implications for Vo₂Max: A Literature Review Alifa Nabila Putri; Anny Setijo Rahaju; Rimbun Rimbun
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.v8i6.2661

Abstract

The effects of yoga on cardiorespiratory fitness and VO₂max remain inconsistent, partly because yoga practices vary substantially in modality and physiological training stimulus. This literature review synthesized evidence on the effects of yoga on VO₂max and cardiorespiratory fitness, with emphasis on training stimulus and potential physiological mechanisms. A total of 1,072 records published between 2001 and 2024 were identified through PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar using keywords related to yoga, VO₂max, aerobic capacity, cardiorespiratory fitness, and physiological adaptation. Following screening and eligibility assessment, 13 studies were included in the review. Data were synthesized according to yoga modality, training frequency, intervention duration, participant characteristics, and methods used to assess cardiorespiratory fitness. Most chronic intervention studies reported improvements in VO₂max or aerobic capacity, with increases of approximately 1.9–9.8 mL/kg/min. Improvements were observed following Hatha, intensive Hatha, integrated yoga, and high-intensity cardio yoga, whereas Bikram yoga, once-weekly high-intensity Hatha yoga, and habitual yoga practice showed no significant improvements. The findings suggest that cardiorespiratory adaptation may depend more on the magnitude and cumulative dose of physiological training stimulus than on the yoga modality itself. Yoga may improve cardiorespiratory fitness when practiced with sufficient and repeated physiological stimulus. However, substantial heterogeneity limits generalization across modalities.
Age Matters: How Maternal Age Relates to Anxiety Levels in Pregnant Women Facing Childbirth Hendri Hendri; Tina Mawardika
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.v8i6.2664

Abstract

Pregnancy requires continuous psychological adaptation, and maternal age may shape how women perceive reproductive risk and childbirth. This study examined the association between maternal age and anxiety levels among pregnant women facing childbirth in the Membalong Community Health Center working area. An analytic cross-sectional study was conducted in July 2026 using total sampling of 90 pregnant women from all trimesters. Maternal age was categorized as non-risk (20-35 years) and risk age (<20 or >35 years). Anxiety was assessed using the 14-item Hamilton Anxiety Rating Scale (HARS/HAM-A); the Indonesian version has demonstrated construct-validity coefficients of 0.529-0.727 and acceptable internal consistency (Cronbach's alpha = 0.756). Data were summarized descriptively and analyzed with the Fisher-Freeman-Halton exact test. Most respondents were aged 20-35 years (77.8%) and had no anxiety (63.3%). Mild-to-severe anxiety occurred in 65.0% of women in the risk-age group compared with 28.6% in the non-risk group. Maternal age was significantly associated with anxiety level (p = 0.014). Maternal age can support early identification of psychological vulnerability, but anxiety screening should remain available to all pregnant women because symptoms were also present in the non-risk age group.
The Application of Pursed-Lip Breathing to Increase Tidal Volume in Patients with Pleural Effusion in the High Care Unit (HCU) Ernawati Ernawati; Yanti Yulianti; Windu Tri Rezeki; Masmun Zuryati
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.v8i6.2672

Abstract

Pleural effusion is characterized by fluid accumulation in the pleural cavity, resulting in reduced lung expansion, decreased tidal volume, increased work of breathing, and impaired gas exchange. This condition requires evidence-based nursing interventions to optimize pulmonary ventilation. Pursed-Lip Breathing (PLB) is a non-pharmacological breathing exercise that generates positive end-expiratory pressure, helping maintain airway patency and improve ventilation. To describe the implementation of PLB in improving tidal volume among patients with pleural effusion in the High Care Unit (HCU). A descriptive case study involved two patients with pleural effusion secondary to metastatic breast carcinoma and bilateral pleural effusion associated with stage V Chronic Kidney Disease, Hypertensive Heart Disease, and severe anemia. Data were collected through interviews, observation, physical examination, and medical and nursing record review. Tidal volume was measured using spirometry, while respiratory rate, oxygen saturation, accessory muscle use, and dyspnea were assessed before and after the intervention. PLB was administered twice daily for three consecutive days, with each session lasting 5–10 minutes. Data were analyzed descriptively by comparing patients' conditions before and after the intervention. Mrs. Y's tidal volume increased from 340 mL to 430 mL, while Mrs. M's increased from 360 mL to 470 mL. Both patients demonstrated improved oxygen saturation, reduced respiratory rate, decreased accessory muscle use, reduced dyspnea, and greater breathing comfort. PLB improved tidal volume and respiratory status in patients with pleural effusion and may serve as a supportive nursing intervention to optimize pulmonary ventilation.
Impact of Repositioning Duration on Cardiorespiratory Status in Ventilated Patients Bagus Ananta Tanujiarso; Dewi Handayani
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.v8i3.2677

Abstract

Immobilization in mechanically ventilated ICU patients frequently alters cardiorespiratory stability. While regular repositioning is standard nursing care to prevent complications, the optimal duration tolerated before hemodynamic shifts occur remains poorly characterized. Objective to analyze the effect of repositioning and its duration on hemodynamic and respiratory status among mechanically ventilated patients in the Intensive Care Unit. A pre-experimental study with a one-group pretest-posttest design was conducted in the ICU of Telogorejo Hospital, Semarang. A total of 20 mechanically ventilated patients were recruited via accidental sampling. Physiological parameters heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation (SpO2), respiratory rate (RR), and tidal volume (TV) were measured before and immediately after repositioning until physiological changes occurred (maximum duration 2 hours). Data were analyzed using paired comparative tests and correlation analyses. Repositioning significantly altered all measured cardiorespiratory parameters (p<0.05): HR increased from 89.00 ± 15.45 to 103.00 ± 18.79 bpm (p = 0.003), SBP from 119.00 ± 26.65 to 129.00 ± 23.49 mmHg (p = 0.014), DBP from 63.00 ± 15.68 to 67.00 ± 16.10 mmHg (p = 0.006), SpO2 from 99.00 ± 0.92% to 100.00 ± 0.59% (p = 0.035), RR from 16.00 ± 4.55 to 27.00 ± 9.01 breaths/min (p = 0.000), and TV from 441.00 ± 64.97 to 476.00 ± 76.77 mL (p = 0.002). The mean duration before parameter changes was 46.75 ± 10.42 minutes. Repositioning duration showed a significant moderate positive correlation only with changes in diastolic blood pressure (r = 0.602, p = 0.005), while changes in other parameters were not significantly correlated with duration (p > 0.05). Repositioning induces significant physiological responses in mechanically ventilated patients, with hemodynamic shifts emerging at an average of 47 minutes. Critical care nurses should adopt individualized repositioning intervals tailored to patient stability rather than relying solely on rigid two-hour protocols.  
Effect of Intim-DM Model on Sexual Dysfunction in Type 2 Diabetes Patients Ita Sulistiani; Nirwanto K. Rahim
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.v8i6.2683

Abstract

Sexual dysfunction is among the most frequently overlooked complications of type 2 diabetes mellitus. Chronic hyperglycaemia produces vascular damage, peripheral neuropathy, hormonal disturbance and psychosocial distress, yet stigma and limited provider competence keep the issue outside routine diabetes care in primary health services. To analyse the effect of the INTIM-DM (Integrated Intimacy Education for Diabetes Mellitus) model, an integrated sexual education model operationalised through the PLISSIT stages, on sexual dysfunction among productive-age patients with type 2 diabetes mellitus. A quasi-experimental study with a one group pretest-posttest design was conducted at Limboto Community Health Centre, Gorontalo Regency, Indonesia, from October to December 2025. Forty-four productive-age patients were recruited through purposive sampling. Sexual function was measured with the International Index of Erectile Function (IIEF) in 8 male respondents and the Female Sexual Function Index-6 (FSFI-6) in 36 female respondents, before and after three small-group education sessions delivered over three weeks. Both are validated Indonesian versions (IIEF-5: item validity r = 0.70-1.00, Cronbach's α = 0.828, Cohen's κ = 0.879; FSFI-6: item-total correlation > 0.3, Cronbach's α = 0.831). Data were analysed using the Wilcoxon Signed Ranks Test and the paired t-test in SPSS version 26. At baseline, 37 of 44 respondents (84.1%) showed sexual dysfunction. Among women, the Wilcoxon test produced Z = -5.061 with p = 0.000; 33 respondents (91.67%) recorded higher FSFI-6 scores, none recorded lower scores and 3 were unchanged. Among men, mean IIEF scores rose from 16.50 ± 6.02 to 19.63 ± 4.63, a mean difference of 3.125 (95% CI 1.681-4.569), t = -5.118, df = 7, p = 0.001, while the normal category rose from 25.0% to 50.0%.  The INTIM-DM model significantly improved sexual function in both male and female patients with type 2 diabetes mellitus. Structured sexual education is feasible for nurses in primary care and merits integration into chronic disease management programmes.
Rosemary Aroma and Warm Therapy for the Management of Primary Dysmenorrhea: A Comfort-Based Approach among Midwifery Students Nurry Ayuningtyas Kusumastuti; Solihati Solihati
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.v8i5.1943

Abstract

Adolescence is a crucial transitional stage characterized by reproductive system maturation and complex hormonal changes. One of the effects of these changes is primary dysmenorrhea, a common condition among adolescent females worldwide, including in Indonesia, with a prevalence ranging from 50% to 90%. This condition is caused by increased prostaglandin production, resulting in excessive uterine contractions, vasoconstriction, and ischemia, which lead to severe lower abdominal pain accompanied by nausea, fatigue, and reduced daily activity. This study aimed to apply warm compresses combined with rosemary essential oil as a non-pharmacological intervention to alleviate primary dysmenorrhea among midwifery students at Yatsi Madani University. The study employed a quasi-experimental design using a pre-test and post-test control group approach. The sample was selected using accidental sampling, with 16 students with dysmenorrhea in each group, resulting in a total of 32 participants. The intervention group received rosemary-aroma warm compresses based on a standard operating procedure. Pain intensity was measured using the Visual Analogue Scale (VAS). Data were analyzed using the non-parametric Mann–Whitney test to determine differences between the control and intervention groups. The application of warm compresses with rosemary essential oil showed a decrease in dysmenorrhea pain intensity scores compared to the control group, indicating that the combination therapy effectively reduced menstrual pain levels by p-value 0.001. Warm compress therapy combined with rosemary essential oil can serve as an effective, simple, and safe non-pharmacological intervention for managing primary dysmenorrhea among young women. This approach not only reduces pain intensity but also improves comfort and daily functioning.
Sehati Program as an Innovative Intervention to Improve Sexual Communication Self Effecacy among High School Students Tina Mawardika; Umi Aniroh; Puji Purwaningsih
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.v8i6.2069

Abstract

Adolescents are a vulnerable group facing reproductive health problems due to limited knowledge, inadequate sexual communication skills, and exposure to inappropriate information from their environment and digital media. These conditions may increase the risk of unsafe sexual behavior and negatively affect their health and future. Therefore, innovative interventions are needed to empower adolescents through self-education and sexual communication skills training. This study aimed to analyze the effectiveness of the SEHATI Program (Self Education on Health Reproduction and Adolescent Training Innovation) in improving sexual communication self-efficacy among high school students. A quasi-experimental study with a pretest–posttest control group design was conducted at SMA Negeri 2 Ungaran. The sample consisted of 70 students selected using purposive sampling and divided into intervention and control groups. The intervention group received the SEHATI Program, which included reproductive health education, healthy sexual communication simulations, and the use of innovative digital learning media, while the control group received no intervention. Data were collected using the validated Sexual Communication Self-Efficacy Scale (SCSES). Univariate analysis was performed using measures of central tendency, while bivariate analysis was conducted using the Mann–Whitney test. The statistical analysis showed a significant improvement in sexual communication self-efficacy in the intervention group compared to the control group, with a p-value of 0.01 (p < 0.05). The SEHATI Program is an effective and innovative educational intervention for improving sexual communication self-efficacy among adolescents.
Determinant Factors of Maternal Readiness in Caring for Post-Nicu Neonates: A Scoping Review Moh. Ikhzan Mahendra; Zubaidah Zubaidah; Megah Andriany
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.v8i5.2072

Abstract

Suboptimal maternal readiness to care for post-NICU neonates may increase the risk of readmission, with an incidence of 8.15 cases per 1,000 live births. Previous studies have extensively discussed predictors of discharge readiness among mothers with normal deliveries and healthy infants. However, reviews related to maternal readiness to care for post-NICU infants remain limited. This review aimed to identify the determinants of maternal readiness to care for post-NICU neonates based on the literature. The method used was a scoping review approach comprising five stages, based on the framework of Arksey and O’Malley. Articles were searched through PubMed, Scopus, EBSCO, and ProQuest databases using the keywords “maternal readiness” OR “mother readiness” OR “maternal preparedness” OR “maternal role attainment” OR “parental readiness” AND “neonate” OR “newborn” OR “infant” OR “ill neonate” OR “ill newborn” OR “neonatal illness” OR “neonatal care” AND “determinant” OR “factor” OR “predictor” OR “influencing factor” OR “associated factor” AND “caregiving” OR “maternal care” OR “neonatal nursing” OR “mother care”, using the PICO framework and PRISMA. A total of 155 articles were identified, and after screening, 70 met the criterion of publication within the last 10 years. Of these, 62 articles were excluded because they were irrelevant, did not use a quantitative methodology, or were not in the context of NICU care. Therefore, 8 articles published between 2017 and 2026 met the inclusion criteria and were analyzed. The scoping review identified five themes related to the determinants of maternal readiness to care for post-NICU neonates: psychological factors, sociodemographic factors, social and professional support, empowerment interventions, and educational interventions. The review concluded that maternal psychological factors, such as anxiety, stress, mental health, and self-efficacy, were the most prominent aspects because they were most consistently associated with maternal readiness during the transition of care from hospital to home.

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