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INDONESIA
Indonesian Journal of Global Health Research
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.
Arjuna Subject : -
Articles 1,005 Documents
Association Between Systemic Lupus Erythematosus Disease Activity and Hearing Loss Siti Aisyah; Yuliani M. Lubis; Aliandri Aliandri
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.v8i5.2255

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease that may cause multiorgan inflammation and tissue damage, including auditory involvement. This study evaluated the association between SLE disease activity and hearing loss at Adam Malik Hospital. This analytic observational study used a cross-sectional design and was conducted at the Otorhinolaryngology and Internal Medicine outpatient clinics of Adam Malik Hospital from May to December 2025. The study population comprised patients with SLE diagnosed by an internal medicine rheumatology consultant. Forty-two patients who fulfilled the inclusion and exclusion criteria were enrolled in the study using a non-probability consecutive sampling technique. Data were analyzed using univariate and bivariate analyses, and receiver operating characteristic (ROC) analysis was performed to assess disease duration as a predictor of hearing loss. The study population was predominantly female (97.6%) and consisted of young adults. Mean disease duration was 5.21 ± 3.96 months, with a median of 5.5 months. Moderate disease activity based on the SLE Disease Activity Index (SLEDAI) was the most frequent category (38.1%). Mean hearing thresholds tended to increase with increasing frequency, indicating predominant high-frequency involvement. ROC analysis showed that disease duration had acceptable discriminative ability for hearing loss (AUC = 0.704), with an optimal cut-off of 6 months. Disease duration and SLE disease activity level were significantly associated with sensorineural hearing loss and hearing-loss severity. Higher SLE disease activity was associated with more severe hearing loss.
Associations of Disease Duration, Rheumatoid Factor, and Disease Activity with Hearing Loss in Patients with Rheumatoid Arthritis Fitrah Nurfauziah; Yuliani M. Lubis; M. Pahala H. Harahap
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.v8i5.2256

Abstract

Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disease that may involve extra-articular organs, including the auditory system. This study investigated the associations of disease duration, rheumatoid factor (RF) status, and disease activity level with hearing loss in patients with RA at Adam Malik Hospital, Medan. This analytic observational study employed a cross-sectional design and was conducted at the Otorhinolaryngology and Internal Medicine outpatient clinics of Adam Malik General Hospital, Medan, from February 2025 to October 2025. The study population consisted of patients with rheumatoid arthritis (RA) diagnosed by a consultant rheumatologist. A total of 47 patients who met the inclusion and exclusion criteria were enrolled using a non-probability consecutive sampling technique. After obtaining informed consent, demographic and clinical data, including rheumatoid factor (RF) levels and DAS28-ESR scores, were obtained from interviews and medical records. Hearing function was assessed using tympanometry and pure-tone audiometry. The collected data were analyzed using univariate, bivariate, and receiver operating characteristic (ROC) analyses. Most patients were female (93.6%), with a mean age of 40.02 ± 6.75 years. The most frequent clinical characteristics were disease duration ≤5 years (53.2%), low disease activity (53.2%), and RF positivity (85.1%). Type A tympanograms predominated (93.6%). Mean hearing thresholds increased at higher frequencies, indicating predominant high-frequency involvement. Sensorineural hearing loss was the most common type, and the degree of hearing loss was generally mild to moderate. Disease duration, disease activity level, and RF status were significantly associated with the type of hearing loss (p < 0.005). Disease duration and RF status were significantly associated with the degree of hearing loss (p ≤ 0.005), whereas disease activity level was not (p ≥ 0.05). A disease duration of ≥5 years was associated with hearing loss. Patients with RA, particularly those with disease duration ≥5 years, RF positivity, or high disease activity, should be prioritized for periodic audiological screening to enable early detection of hearing loss.
Education Based on Audiovisual Technology to Improve Self-Management in Chronic Kidney Failure Patients: A Literature Yuliasari Yuliasari; Fitri Arofiati; Azizah Khoiriyati
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.v8i5.2261

Abstract

Chronic Kidney Disease (CKD) is a chronic condition requiring long-term management, particularly in patients undergoing hemodialysis. Self-management plays a crucial role in improving patients’ quality of life. Health education, especially audiovisual-based education, is considered effective in enhancing patients’ understanding and adherence. This study aimed to analyze the effect of audiovisual education on self-management among patients with chronic kidney disease undergoing hemodialysis. This study employed a systematic review method using the PRISMA 2020 approach. Articles were searched through PubMed, Scopus, ScienceDirect, ProQuest, and SAGE Journals databases within the period of 2021–2026. A document review was conducted by systematically analyzing relevant literature retrieved from five electronic databases (ScienceDirect, Scopus, PubMed, ProQuest, and Sage) using predefined keywords. The selected articles were screened and evaluated according to the PRISMA 2020 guidelines, resulting in six eligible studies that met the established inclusion criteria. The findings indicate that health education, particularly audiovisual-based methods such as videos and multimedia, significantly improves self-management in CKD patients. Improvements were observed in knowledge, treatment adherence, self-efficacy, and disease management abilities. Additionally, healthcare providers and family support play important roles in the success of educational interventions. Audiovisual education is effective in improving self-management among CKD patients undergoing hemodialysis.
Endoscopic Removal of A Transversely Impacted Urethral Needle in Schizophrenia Muhammad Farras Afif Syamhudi; Muhammad Iqbal Tafwid; Encep Ivan Setiawan
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.v8i5.2272

Abstract

Self-inflicted urethral foreign body insertion is a rare urological emergency frequently associated with psychiatric disorders and may present significant management challenges, particularly when sharp metallic objects are involved. We report the case of a 44-year-old man with schizophrenia who presented with meatal bleeding and penile pain after self-inserting a needle into the urethra. Clinical evaluation, pelvic radiography, and urethroscopy revealed a 10-cm needle lodged transversely in the bulbomembranous urethra with bilateral mucosal penetration. The foreign body was successfully removed through a minimally invasive endoscopic approach under direct visualization, without fragmentation or the need for open surgery. The patient experienced an uneventful postoperative recovery and was referred for psychiatric follow-up. This case demonstrates that careful endoscopic planning and controlled extraction can facilitate the safe management of sharp urethral foreign bodies even in anatomically challenging locations, while multidisciplinary psychiatric care remains essential to prevent recurrence.
The Effect of Chemotherapy Especially in Inductiion Phase on Ocular Health of Acute Lymphoblastic Leukemia Patients: An Analytical Observational Study Rezka Darmawan Hatta; Olga Rasiyanti Siregar; Hendri Wijaya; Rina Amelia; Bidasari Lubis; Winra Pratita
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.v8i5.2276

Abstract

Leukemia is one of the most common malignancies in children and eye manifestations due to leukemia in children occur more frequently in acute leukemia which can be caused by the course of the disease or by chemotherapy drugs. This study to determine correlation between chemotherapy, hemoglobin levels, platelet counts, and occurrence of ocular manifestations in pediatric leukemia patients hospitalized at Adam Malik General Hospital Medan. This study was an analytical observational study with a pre-post design and consecutive sampling involving 45 pediatric leukemia patients. Data were collected through interviews, ophthalmologic examinations, and laboratory assessments. Statistical analysis with McNemar test was performed to evaluate the association between independent variables and ocular manifestations, with a significance level of p < 0.05. Low hemoglobin levels and platelet counts were significantly associated with the occurrence of ocular manifestations (p < 0.05). However, chemotherapy was not significantly associated with the occurrence of ocular manifestations in pediatric leukemia patients (p > 0.05). Anemia and thrombocytopenia contribute significantly to ocular manifestations development in pediatric leukemia patients, whereas chemotherapy did not show a significant effect.
Associations of Eating Behavior, Sugar-Sweetened Beverage Intake, and Physical Activity with Body Mass Index and Waist Circumference Nurul Huda Zaen; Dono Indarto; Sajidan Sajidan
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.v8i5.2279

Abstract

The high prevalence of obesity in Indonesia relates to dietary shifts, yet concurrent studies on appetitive traits (AEBQ), sugar-sweetened beverage (SSB) intake, and physical activity (GPAQ) remain limited. To investigate their associations with BMI and waist circumference (WC) in adults in Surakarta. Methods: A cross-sectional study utilized consecutive sampling to include 99 adults (73.7% female, mean age 49.3 years) at three primary health centers. Data were collected through structured questionnaires and anthropometric measurements (body weight, height, and waist circumference).  Multiple linear regression with bootstrap convidence intervals (1000 resamples). In the BMI model, significant positive associations were found for female sex (β=1.80; 95% CI –0.50 to 4.10; p=0.025), married (β=1.89; 95% CI –0.82 to 4.59; p=0.011), family history of obesity (β=4.41; 95% CI 0.88 to 7.93; p=0.014), moderate SSB intake (β=2.34; 95% CI 0.05 to 4.63; p=0.045), and excessive SSB intake (β=1.65; 95% CI 0.60 to 2.71; p=0.008). College education was inversely associated (β=–6.08; 95% CI –10.50 to –1.66; p=0.007). For WC, moderate (β=4.94; 95% CI 3.80 to 6.09; p<0.001) and excessive SSB intake (β=9.54; 95% CI 8.42 to 10.66; p<0.001) were the strongest predictors. Family history of obesity (β=8.75; 95% CI 0.82 to 16.68; p=0.031) and first-hand smoking (β=5.83; 95% CI 1.05 to 10.61; p=0.024) were also associated with larger WC, while intermediate (β=–20.55; 95% CI –38.32 to –2.78; p=0.023) and college education (β=–21.51; 95% CI –38.73 to –4.29; p=0.014) were protective. Physical activity and appetitive traits were not significant. High SSB consumption is independently associated with elevated BMI and central adiposity. Higher education was protective; family history of obesity and smoking increased risk.
Application of 432 Hz Frequency Music Therapy on Changes in Anxiety Levels in Pre-Operating Hernia Patients: A Case Report Dinar Nurhayati; Beti Kristinawati
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.v8i5.2281

Abstract

Preoperative anxiety is a common psychological response among surgical patients and may be associated with physiological changes, including increased blood pressure, pulse rate, and respiratory rate. Music therapy has been used as a non-pharmacological nursing intervention to promote relaxation; however, evidence on the use of 432 Hz music therapy in preoperative hernia patients remains limited. This case report aimed to describe changes in anxiety levels, information needs, and vital signs following 432 Hz music therapy in a preoperative patient with an inguinal hernia. This study used a descriptive case report design involving one 63-year-old male patient diagnosed with a left lateral inguinal hernia who experienced preoperative anxiety. Data were collected through interviews, observations, vital sign measurements, and medical record reviews. Anxiety and information needs were assessed before and after the intervention using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The intervention consisted of 10 minutes of instrumental music therapy tuned to 432 Hz in the preoperative room. The data were analyzed descriptively to identify changes in anxiety levels, information needs, and physiological parameters before and after the intervention. After the intervention, the APAIS anxiety score decreased from 18 to 13, although it remained within the preoperative anxiety category. The APAIS information needs score decreased from 8 to 6, indicating a shift from high to moderate information needs. Physiological changes were also observed, including decreases in blood pressure from 170/80 mmHg to 136/84 mmHg, pulse rate from 100 to 92 beats per minute, and respiratory rate from 22 to 18 breaths per minute. The application of 432 Hz music therapy was associated with decreased anxiety scores, information needs, and several vital sign parameters in this preoperative hernia patient. However, because this report involved a single case without a comparison group, the findings should be interpreted cautiously and cannot be generalised.
Implementation of Time-Restricted Eating in Glycemic Control in Patients with Type 2 Diabetes Mellitus: A Case Report Ellysa August Kartikasari; Beti Kristinawati
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.v8i5.2282

Abstract

Type 2 Diabetes Mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels and requiring long-term self-management to prevent complications. In addition to pharmacological therapy, non-pharmacological strategies such as Time-Restricted Eating (TRE) may support daily blood glucose regulation. This case report aimed to describe short-term changes in blood glucose levels following the implementation of TRE in a patient with type 2 DM. This case report used an Evidence-Based Nursing (EBN) approach. The subject was a 58-year-old man diagnosed with type 2 DM for 10 years, with a body mass index of 26.17 kg/m² and a pre-intervention fasting blood glucose level of 145 mg/dL. The patient continued to be prescribed oral antidiabetic medication during the intervention. TRE was implemented for 3 days with a 10-hour eating window from 10:00 AM to 08:00 PM, without calorie restriction. Blood glucose monitoring included fasting blood glucose, 2-hour postprandial glucose after lunch and dinner, and bedtime glucose levels. Results were obtained by monitoring blood glucose levels and making observations during the TRE intervention, which were then analyzed descriptively by calculating blood glucose levels before and after the intervention. After 3 days of TRE, fasting blood glucose decreased to 83 mg/dL; 2-hour postprandial glucose after lunch was 121 mg/dL, after dinner was 123 mg/dL, and bedtime glucose was 95 mg/dL. No signs or symptoms of hypoglycemia were reported during the intervention. This case report showed a short-term downward trend in blood glucose levels during TRE implementation in a patient with type 2 DM. However, the findings should be interpreted with caution because they were obtained from a single patient over a short intervention period, and medication use, dietary intake, and physical activity were not strictly controlled.
Strengthening Clinical Leadership Literacy and Leadership Style Approaches as Strategies for Patient Safety Culture Transformation Friska Friska; Henny Yulianita; La Ode Abd Rahman; Moh Fuad Almubarok; Muhamad Nurmansyah; Rr Tutik Sri Hariyati
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.v8i5.2283

Abstract

Patient safety culture is a key component of healthcare quality and is greatly influenced by ward leadership as first-line managers. Challenges such as low incident reporting, a culture of blame, and inconsistent implementation of safety procedures are still commonly found. Therefore, an innovative approach is needed to strengthen clinical leadership literacy as the foundation for changing patient safety culture. To evaluate the implementation of the Leadership for Change Initiative through strengthening the leadership style literacy of ward heads. This study used a case study design with a descriptive-educational intervention approach in two hospitals, involving ward heads (n=25 on the first day; n=20 on the second day) as samples in this study. The intervention consisted of providing reading modules on six leadership styles (autocratic, democratic, transformational, transactional, participatory, and laissez-faire) and interactive learning evaluation based on Quizizz. The evaluation included concept understanding, mini case analysis, reflective questions, and leadership decision-making simulations. There was an increase in the average learning score from the first day to the second day in concept understanding (76.4% to 81.2%), case analysis (71.8% to 78.5%), reflective ability (68.2% to 75.0%), and decision simulation (73.6% to 80.1%). Participants showed an increased awareness that leadership is situational and contextual to patient safety. The Leadership for Change Initiative, based on leadership literacy modules and digital reflective evaluation, has the potential to be an effective initial strategy for increasing the awareness and leadership competencies of ward heads as a foundation for strengthening patient safety culture.  
Analysis of Factors Influencing Visual Acuity in Preschool Children Imamatul Hikmah; Henry Sudiyanto; Rifaatul Laila Mahmudah
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.v8i5.2287

Abstract

Visual impairment in preschool-aged children is a significant public health concern because it may adversely affect cognitive development, learning performance, social interactions, and overall quality of life. Several factors, including parental characteristics, outdoor activities, and exposure to digital devices, have been suggested as potential contributors to impaired vision in early childhood. This study was to identify the factors associated with visual acuity among preschool children attending TK Elfath, Sumenep Regency. An analytical observational study with a cross-sectional design was conducted involving 80 preschool children selected through a total sampling technique Data on respondent characteristics were collected using a questionnaire that has been tested for validity and reliability, Visual acuity is measured with a direct vision screening examination utilising an E card. (tumbling E chart) at a standard distance of 3 meters according to the guidelines of the Ministry of Health of the Republic of Indonesia. The data were analyzed by using Chi-square tests followed by multiple logistic regression to determine the most influential predictor of visual impairment. The findings revealed that 86.3% of participants had normal visual acuity, whereas 13.8% were identified as having visual impairment. Bivariate analysis demonstrated that parental educational level, child sex, outdoor activity, and parental history of visual disorders were not significantly associated with visual impairment (p > 0.05). In contrast, screen exposure showed a statistically significant relationship with impaired vision (p < 0.001). Multivariate analysis further confirmed screen exposure as the strongest determinant of visual impairment. These findings highlight the importance of limiting screen time and strengthening parental awareness to support healthy visual development in preschool children.

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