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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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Differences in Mentzer Index Values in Children with Helicobacter Pylori and Non-Helicobacter Pylori Infections Dinda Seruni Medina Nasution; Supriatmo Supriatmo; Lili Rohmawati; Arlinda Sari Wahyuni; Selvi Nafianti; Hendri Wijaya
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.v8i5.2319

Abstract

Helicobacter pylori infection is a common cause of chronic gastritis in children and has been associated with several haematological abnormalities, particularly iron deficiency anaemia. The Mentzer Index is a simple haematological parameter that may reflect disturbances in iron metabolism; however, its relationship with H. pylori infection in children remains unclear. To compare Mentzer Index values between children with and without Helicobacter pylori infection and to evaluate associated haematological characteristics.  A cross-sectional analytical study was conducted involving 44 children aged 2–18 years who underwent diagnostic testing for H. pylori. Demographic data and haematological parameters, including haemoglobin, erythrocyte count, mean corpuscular volume, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration, red cell distribution width, platelet count, white blood cell count, erythrocyte sedimentation rate, and Mentzer Index, were collected from medical records. Statistical analyses were performed using chi-square and comparative tests, with statistical significance defined as p < 0.05. No significant differences were observed between the two groups regarding age, sex, nutritional status, haemoglobin concentration, erythrocyte indices, platelet count, white blood cell count, or Mentzer Index (all p > 0.05). Most participants in both groups had a Mentzer Index ≥13, suggesting a haematological pattern compatible with iron deficiency anaemia. However, children with H. pylori infection demonstrated significantly higher ESR values compared with non-infected children (37.23 ± 6.20 vs. 27.32 ± 13.92 mm/hour; p = 0.005), indicating increased inflammatory activity. Helicobacter pylori infection in children was associated with elevated erythrocyte sedimentation rate but not with significant differences in Mentzer Index or other routine haematological parameters.  
Analysis of Factors Assciated with Employee Performance Form A Health Promotion Perspective Najmi Fadhilah Ali; Ferly Oktriyedi; Masagus Hakim; Taufik Kurrohman; Dedek Sutinbuk
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.v8i5.2324

Abstract

Employee performance is a key determinant of organizational effectiveness, while the psychosocial work environment can simultaneously influence employee well-being and productivity. This study analyzed factors associated with employee performance from a workplace health promotion perspective among employees of PT Bank BTN (Persero) Tbk, Pangkalpinang Branch, Indonesia. A quantitative cross-sectional study was conducted from May 1 to 5, 2026. Total sampling was used, and 131 employees participated. The study examined work motivation, knowledge, job satisfaction/compensation, work environment, workload, work discipline, work stress, leadership style, and employee performance. Data were analyzed using descriptive statistics, Chi-square tests, and multivariable logistic regression. In bivariate analysis, work motivation, knowledge, job satisfaction/compensation, work environment, workload, work discipline, and leadership style were significantly associated with both work stress and employee performance (all p < .001). Work stress was also significantly associated with employee performance (χ² = 31.856, df = 4, p < .001). In the multivariable model, work motivation (aOR = 3.473; 95% CI [1.521, 7.930]), knowledge (aOR = 2.354; 95% CI [1.092, 5.076]), job satisfaction/compensation (aOR = 3.016; 95% CI [1.277, 7.122]), workload (aOR = 0.377; 95% CI [0.171, 0.832]), work discipline (aOR = 4.003; 95% CI [1.645, 9.739]), work stress (aOR = 0.315; 95% CI [0.122, 0.812]), and leadership style (aOR = 4.769; 95% CI [1.796, 12.667]) remained statistically significant. Work environment did not remain significant after adjustment (p = .059). Leadership style showed the largest adjusted odds ratio. These findings support workplace health promotion strategies that address organizational and psychosocial conditions, particularly leadership quality, workload management, stress prevention, employee knowledge, motivation, discipline, and job satisfaction.
The Effects of Dhikr Combined with Deep Breathing Exercises on Stress, Anxiety, and Cortisol Levels among Chronic Kidney Disease (CKD) Patients Mega Wulandari; Dyah Ika Krisnawati; Chilyatiz Zahroh
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.v8i5.2328

Abstract

Chronic kidney disease is a critical global healthcare challenge frequently exacerbated by psychological distress. Non-pharmacological interventions targeting both psychological and physiological pathways remain poorly understood. Objective: This study evaluated the effects of combining dhikr with deep breathing exercise on stress, anxiety, and cortisol level among chronic kidney disease patients. A randomised controlled trial was conducted at Syarifah Ambami Rato Ebhu Hospital, Bangkalan, involving 34 hospitalised patients equally allocated to an intervention programme (n = 17) or a standard health education control group (n = 17). Data were analysed using the paired t-test, independent t-test, and multivariate analysis of variance. The combined intervention significantly decreased post-test stress (p = 0.001) and anxiety (p = 0.021) relative to the control cohort. Changes in serum cortisol concentration were not statistically significant within or between groups (p = 0.864). However, the omnibus multivariate analysis demonstrated a highly significant concurrent effect across all tracked parameters (p < 0.001). Integrating dhikr with deep breathing exercise effectively minimises psychological distress in individuals with chronic kidney disease, providing a viable non-pharmacological complementary modality.
The Effect of Instagram Exposure on Adolescents’ Knowledge and Attitudes Toward HIV/AIDS Winda Rahmadhani; Arni Amir; Rozi Sastra Purna
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.v8i5.2329

Abstract

Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) remain major public health problems among adolescents, who are vulnerable due to limited knowledge, inappropriate attitudes, and exposure to risky behaviors. Social media, particularly Instagram, has potential as a health education medium because it is accessible, visually engaging, and closely integrated into adolescents’ daily lives. This study aimed to analyze the effect of Instagram-based educational exposure on adolescents’ knowledge and attitudes toward HIV/AIDS at SMA X Padang in 2025. A quasi-experimental study with a pretest–posttest control group design was conducted. A total of 58 students were selected using simple random sampling and divided into an intervention group and a control group. The intervention group received HIV/AIDS educational content through the Instagram account “stop_hiv_aids” for one week, while the control group received no intervention. Data were collected using questionnaires before and after the intervention then analyzed using paired t-test and independent t-test, as well as Wilcoxon signed-rank test and Mann–Whitney U test. The results showed a significant difference in posttest scores between the control and intervention groups after the intervention for knowledge (p = 0.022) and attitudes (p = 0.000). Within-group analysis of the intervention group also demonstrated significant differences between pretest and posttest scores for knowledge (p = 0.000) and attitudes (p = 0.000). In conclusion, Instagram-based health education has a significant effect on improving adolescents’ knowledge and attitudes toward HIV/AIDS and can be utilized as an effective health promotion strategy for adolescents.
Association between Sepsis and Mortality among Patients with Pneumonia Admitted to the Intensive Care Unit Syaela Fitri Nasution; Syamsul Bihar; Ella Rhinsilva; Taufik Ashar
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.v8i5.2336

Abstract

Pneumonia is one of the leading causes of morbidity and mortality worldwide, particularly among patients admitted to the Intensive Care Unit (ICU). This condition is often associated with sepsis, which can worsen prognosis and increase the risk of death. This study aimed to determine the association between demographic characteristics, length of stay, sepsis, and qSOFA score with mortality among pneumonia patients admitted to the Intensive Care Unit. This study was an analytical observational study with a retrospective cohort design using medical record data of pneumonia patients admitted to the ICU at Adam Malik General Hospital Medan. A total of 74 patients who met the inclusion and exclusion criteria were included. Data were analyzed using univariate and bivariate analyses with Chi-square and Fisher’s exact tests. Statistical significance was set at p < 0.05, and the strength of association was measured using Odds Ratio (OR) with a 95% confidence interval. Most patients were aged 56–65 years and >65 years, each accounting for 25.7%, and were predominantly male (59.5%). The most common comorbidity was kidney disease (AKI/CKD) at 33.8%. The mean length of ICU stay was 13.81 ± 7.97 days. Mortality among pneumonia patients with sepsis was 75.7%. There was no significant association between sex and mortality (p=0.698) or age and mortality (p=0.247). A significant association was found between length of ICU stay and mortality (p=0.029). In addition, qSOFA score was significantly associated with mortality (p=0.004), with an OR of 5.409 (95% CI: 1.575–18.577). Length of stay, sepsis, and qSOFA score were significantly associated with mortality among pneumonia patients in the ICU, while demographic characteristics showed no significant association.
Chevron Osteotomy for Intra-Articular Distal Humerus Fracture: An Evidence-Based Case Report with Systematic Review Chairul Ichwan; Murian Syahputra
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.v8i5.2349

Abstract

Intra-articular distal humerus fractures are complex injuries that require anatomical reduction, stable internal fixation, and adequate surgical exposure to restore elbow function. Chevron osteotomy is widely used to improve visualization of the distal humeral articular surface during open reduction and internal fixation (ORIF). To present the management of an intercondylar distal humerus fracture using the chevron osteotomy approach and synthesize the available evidence regarding its clinical outcomes. An evidence-based case report with a systematic literature review was conducted following the PRISMA framework. A comprehensive search of PubMed, Cochrane Library, and ScienceDirect identified studies published between 2009 and 2025 using the keywords chevron osteotomy, distal humerus fracture, distal humeral fracture, intercondylar humerus fracture, trans-olecranon approach, open reduction internal fixation (ORIF), fixation, and surgical approach. Of 458 records identified, eight studies met the eligibility criteria and were included in the qualitative synthesis. Most included studies reported good-to-excellent functional outcomes, with mean Mayo Elbow Performance Score values generally exceeding 80 points, together with high rates of fracture union and osteotomy healing. Although implant-related irritation was the most frequently reported complication, osteotomy nonunion and fixation failure were uncommon. These findings were consistent with the presented case, in which chevron osteotomy facilitated anatomical reduction and stable fixation. Chevron osteotomy remains an effective surgical approach for complex intra-articular distal humerus fractures, providing excellent articular exposure, reliable union, and favorable functional outcomes when combined with accurate reduction and stable fixation.
Factors Affecting Cholesterol Levels in the Elderly Ichwan Afrijal; Kartinah Kartinah
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.v8i5.2350

Abstract

Hypercholesterolemia is a health condition that commonly affects the elderly and has the potential to trigger cardiovascular disease. Fluctuations in cholesterol levels are generally influenced by various factors, including dietary patterns, physical activity levels, smoking habits, age, and gender. To gain a deeper understanding of the various factors correlated with cholesterol levels among the elderly in the service area of the Kartasura Community Health Center, an analytical observational study using a cross-sectional design was conducted. The sample consisted of 105 elderly respondents selected through purposive sampling. The data collection instruments included the SQ-FFQ for dietary patterns, the GPAQ for physical activity, the FTND to assess tobacco dependence, and a POCT device to measure cholesterol. The validity of the instruments showed that the SQ-FFQ ranged from 0.30 to 20.50, the GPAQ was 0.48, and the FTND was >0.451. Meanwhile, the GPAQ reliability index ranged from 0.67 to 0.73, and the FTND was greater than 0.86. Data analysis utilized the chi-square test and logistic regression models. The data showed that the majority of older adults had cholesterol levels exceeding the normal threshold. Through bivariate analysis, a significant association was found between dietary patterns, physical activity levels, and smoking behavior and cholesterol levels, whereas age and gender were found to be unrelated. Based on the results of multivariate analysis, dietary patterns and physical activity were confirmed to have a significant influence, with dietary patterns acting as the strongest determining factor. Cholesterol profiles in the elderly population tend to be more influenced by behavioral or lifestyle variables, particularly dietary management and physical fitness.
The Effect of Classical Music Therapy on Pain Intensity in Patients Following Open Reduction and Internal Fixation (ORIF) Surgery Noviyana Cindy Aorazizah; Fahrun Nur Rosyid
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.v8i5.2362

Abstract

Pain is one of the primary concerns in patients following Open Reduction and Internal Fixation (ORIF) surgery, as it may hinder the recovery process and delay early mobilization. Non-pharmacological interventions are needed as complementary therapies to support pain management. This study aimed to evaluate the effect of classical music therapy on pain intensity in patients following ORIF surgery. This study employed an Evidence-Based Practice Nursing (EBPN) approach using a one-group pretest–posttest implementation design. Five participants were selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The intervention consisted of 20 minutes of classical music therapy delivered through a mobile phone and earphones. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS). The intervention consisted of 20 minutes of classical music therapy delivered through a mobile phone and earphones. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS). The results showed that all participants experienced a reduction in pain scores, with a mean decrease of 2 points, from 5.8 (moderate pain) to 3.8 (mild-to-moderate pain). These findings indicate that classical music therapy was effective in reducing pain intensity in patients following ORIF surgery. Therefore, classical music therapy can be recommended as a safe, simple, and effective evidence-based non-pharmacological nursing intervention for pain management.
The Effectiveness of A Structured Phone Call Follow-Up Peer Group in Cataract Surgery Patients: A Quasi-Experimental Study Isa Taufiq; Eppy Setiyowati; Faridah Umamah
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.v8i5.2368

Abstract

Cataract surgery patients often experience limited knowledge, perioperative anxiety, and suboptimal satisfaction with care. Patients with limited knowledge about cataracts tend to imagine frightening scenarios, such as pain, surgical failure, or loss of vision. This condition can provoke anxiety, reduce patients' readiness to undergo surgery, and ultimately affect their satisfaction assessment regarding the quality of care received. The novelty of this study lies in the application of the Phone Call Follow-Up Peer Group (PCFPG), a structured intervention integrating therapeutic nurse communication, repeated education, and peer experiential support across three perioperative phases. To examine the effectiveness of PCFPG on knowledge, anxiety, and satisfaction among cataract surgery patients. A quasi-experimental pre-test-post-test control group study was conducted in 70 cataract patients recruited through purposive sampling. The intervention was delivered through WhatsApp video calls on day -1, day +1, and day +7 by nurses and peer group members. Data were collected using a cataract knowledge questionnaire, the Zung Self-Rating Anxiety Scale, and the KKP-2017, then analyzed using Wilcoxon and Mann–Whitney tests. After the intervention, 91.4% of patients in the intervention group reached the high-knowledge category, 80.0% were not anxious, and 40.0% were very satisfied. In contrast, the control group showed only limited improvement, with 37.1% in the high-knowledge category, 40.0% not anxious, and 22.9% still dissatisfied. PCFPG was effective for knowledge, anxiety, and satisfaction (all p<0.001), with large effect sizes across outcomes. PCFPG effectively shifted patients into more favorable clinical categories and may serve as a structured, replicable perioperative nursing model in cataract care.
The Great Imitator Meets Pruritic Papular Eruption: A Case of Secondary Syphilis and HIV Co-Infection Gede Yoga Utama Putra; Anak Agung Ari Agung Kayika Silayukti; Tjokorda Istri Amrita Rosvanti; Anak Agung Istri Saraswati Dewi; Made Hemina Laksmi
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.v8i5.2379

Abstract

Secondary syphilis, notoriously known as "the great imitator," can present with highly atypical cutaneous manifestations, particularly in immunocompromised individuals. In patients with human immunodeficiency virus (HIV) co-infection, distinguishing secondary syphilis from HIV-associated dermatoses, such as pruritic papular eruption (PPE), poses a significant diagnostic challenge. This report aims to describe an atypical case of secondary syphilis mimicking PPE in a newly diagnosed HIV patient, to highlight the diagnostic complexities and the potential risks of inappropriate empiric systemic corticosteroid therapy. A 26-year-old male presented with a one-month history of a generalized, intensely pruritic, and crusted papular rash. His condition rapidly disseminated and worsened following empiric treatment with systemic corticosteroids by a general practitioner. Dermatological examination revealed generalized, well-demarcated erythematous papules with overlying crusts and fine scales, closely mimicking PPE. The patient reported a history of high-risk sexual behavior. Serological testing confirmed active secondary syphilis (VDRL 1:64, TPHA reactive) and revealed a previously undiagnosed HIV infection. The patient was successfully treated with a single dose of intramuscular benzathine penicillin G (2.4 million IU) and topical therapy comprising desoximetasone 0.25% and gentamicin 0.1% creams, alongside an immediate referral for antiretroviral therapy (ART). This case highlights the clinical overlap between atypical secondary syphilis and PPE in HIV-positive patients. It strongly underscores the critical need for comprehensive sexually transmitted infection (STI) screening prior to initiating systemic immunosuppressive therapy for generalized eruptions, especially in high-risk populations. 

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