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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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Comparison of Pain and Comfort Scores in Patients with Closed Extremity Fractures Who Received Double-Sided and Triple-Sided Splints in the Emergency Department of a Hospital Ari Wibowo; Masfuri Masfuri; Liya Arista; Chiyar Edison; Tatang Sutisna
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.v8i5.2450

Abstract

Two-sided splinting (two-sided trauma to splinting) provides good stabilization of musculoskeletal fractures, commonly used in the form of a Rigid Board-splint, while 3-sided splinting provides stability that limits multidirectional movements. This study was to analyze the comparison of pain and comfort scores in two-sided splinting and three-sided splinting. This type of research is a Quasi-experimental study with a pre- and post-test nonequivalent control group. The study was conducted in the hospital's emergency room from January to April 2026. The sampling technique used was non-probability sampling in the form of convenience sampling. The researcher calculated the sample size using the G*Power program. The study sample was 52 divided into 2 groups. Data were collected using a questionnaire containing respondent characteristics, a VAS pain questionnaire, and a VAS comfort questionnaire. The data were analyzed univariately using descriptive statistics and bivariate tests to measure before and after the intervention in both the control and treatment groups. Two-sided and three-sided splinting had the same effect on reducing pain in patients with extremity fractures (p < 0.001). Two-sided and three-sided splinting had the same significant effect on increasing comfort in patients with extremity fractures (p < 0.001). Three-sided splinting significantly reduced pain scores and significantly increased comfort scores compared to two-sided splinting in patients with extremity fractures (p < 0.001). Three-sided splinting provides better stability support, thus limiting multidirectional movements, which is more effective in reducing pain, thus helping to reduce muscle spasms and tissue pressure, so that patients feel more comfortable.
The Role of Multimedia Based Preoperative Education in Improving Surgical Outcomes: A Systematic Literature Review Isnaeni Nurhayati; Yunie Armiyati
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.v8i5.2462

Abstract

Preoperative education is an important part of surgical care to improve patient understanding, readiness, and engagement before surgery. The limitations of conventional educational methods encourage the use of multimedia as a more interactive educational medium. To evaluate the effectiveness of multimedia-based preoperative education in improving patient outcomes compared to conventional education. This study used a Systematic Literature Review method based on the PRISMA 2020 guidelines. Literature searches were conducted through PubMed and ScienceDirect using keywords related to multimedia, preoperative education, patient education, surgery, and surgical outcomes. The included articles were Randomized Controlled Trials (RCTs) and quasi-experimental studies in English for the period 2020–2025. A total of 199 articles were selected, 5 of which met the inclusion criteria and were described narratively. Multimedia-based education, such as Virtual Reality (VR), educational videos, informed consent videos, and mobile applications, were proven to be more effective than conventional education in reducing preoperative anxiety, increasing knowledge, compliance with surgical preparation instructions, psychological readiness, and patient cooperation during medical procedures. However, its impact on postoperative clinical outcomes still shows varying results. Multimedia-based preoperative education is effective in improving the quality of education and patient experience before surgery, but cannot replace direct communication with healthcare professionals and is therefore more appropriate as a complement to conventional education.
A Phenomenological Study on People with Physical Changes Caused by Burn Injury Suci Rahmadia; Rohman Azzam; Yani Sofiani; Yuni Shahroh; Christina Yeni Kustanti; Ninik Yunitri
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.v8i5.2464

Abstract

Not only do burns cause damage physically but also they have significant impacts in psychological, social and spiritual changes of the sufferers. The burnt wounds after effect on the appearance can cause various challenges; including emotional disturbance, low self-esteem, and limited social interactions. The study aims to understand patients' burnt wound experiences, especially in the face-change appearance, as well as how they adapt with the mentioned condition. The study applied was incorporating the qualitative and phenomenological approaches. The data collection was then collected through deep interview sessions with seven respondents who have experienced the change in their appearance due to burnt wounds. After then, the data analysis was acquired through the Colaizzi method in order to identify the actual themes. Six themes established from the study: coping mechanism adaptation, acceptance and adaptation, acquiring social support, sources of assistance, lessons learnt, limited motor function and psychiatric illnesses. Changes in appearance consequence of burnt wounds impacted on various aspects to patients' aspects of life. Effective coping strategies and adequate social support contributes to patients' ability to adapt with their condition.
The Potential of Curcuma Xanthorrhiza as An Adjuvant Therapy for Malaria: A Narrative Review Ni Kadek Rita Rosadi; Dewa Ayu Agus Sri Laksemi; I Made Sudarmaja
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.v8i5.2467

Abstract

Malaria continues to be a major global health issue, associated with high rates of morbidity and mortality. The primary treatment is artemisinin-based combination therapy (ACT), however ts effectiveness is being threatened by resistance associated with mutations in the kelch13 (K13) gene. Furthermore, an excessive inflammatory response also plays a role in malaria pathogenesis, making immunomodulation-based therapeutic approaches an important strategy. This study aims to evaluate the potential and mecahnism of Curcuma xanthorrhiza (Javanese turmeric or temulawak) as an antiplasmodial agent and adjuvant therapy. This narrative review aimed to evaluate the potential of Curcuma xanthorrhiza as an adjuvant therapy for malaria. Literature was collected from PubMed, ScienceDirect, and Google Scholar for studies published between 2010 and 2025 using keywords related to malaria, Curcuma xanthorrhiza, artemisinin resistance, oxidative stress, and immunomodulation. A total of 268 records were identified through the database search. After duplicate removal and eligibility screening, 39 articles met the inclusion criteria and were included in this narrative review.  Selected studies included experimental research, reviews, and preclinical investigations relevant to the pharmacological activity of Curcuma xanthorrhiza in malaria management. Evidence indicates that bioactive compounds such as xanthorrhizol, curcuminoids, and terpenoids exhibit moderate antiplasmodial activity and significantly regulate inflammatory pathways through inhibition of nuclear factor-kappa B (NF-κB), cyclooxygenase-2 (COX-2), inducible nitric oxide synthase (iNOS), and pro-inflammatory cytokines including TNF-α and IL-6. In addition, antioxidant activity contributes to reducing oxidative tissue damage associated with malaria pathogenesis. Although its direct antiparasitic potency remains inferior to artemisinin-based combination therapy (ACT), Curcuma xanthorrhiza demonstrates promising potential as a host-directed adjunctive therapy capable of enhancing immune homeostasis and mitigating malaria-associated complications. However, current evidence is predominantly limited to in vitro and animal studies.
Self-Efficacy and Tuberculosis Treatment Adherence: A Literature Review Renata Yuliandari Frisa Subin
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.v8i5.2468

Abstract

Tuberculosis (TB) remains one of the deadliest infectious diseases worldwide, with Indonesia ranking third globally in new case incidence. The prolonged six-month treatment regimen often leads to nonadherence, which increases risks of treatment failure, continued transmission, and multidrug-resistant TB. Self-efficacy, defined as an individual's belief in their capacity to execute behaviors necessary to achieve specific outcomes, has emerged as a critical psychological determinant of treatment adherence. This literature review aims to synthesize current evidence on the relationship between self-efficacy and treatment adherence among TB patients. A systematic literature search was conducted using Google Scholar for articles published between 2018 and 2025. Inclusion criteria encompassed cross-sectional or case-control studies examining self-efficacy and TB treatment adherence, available in full text. The initial search identified 80 articles. After applying the predefined inclusion and exclusion criteria, including study design, publication period, language, and full-text availability, 11 eligible articles were included in the final analysis. All eleven studies demonstrated statistically significant associations between self-efficacy and TB treatment adherence, with correlation coefficients ranging from weak to strong (r = 0.332 to 0.682). Higher self-efficacy was consistently associated with greater adherence to TB medication regimens. Self-efficacy exerts a direct and proportional influence on TB treatment adherence. Integrating self-efficacy enhancement strategies into community health center standards of care may improve treatment completion rates.
Rationality of Antihypertensive Therapy and Blood Pressure Control in Comorbid Inpatients Truly Anggraini; Hartono Hartono; Anita Mursiany
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.v8i5.2469

Abstract

Hypertension management in patients with comorbidities requires drug selection and dosing that are consistent with clinical conditions, organ function, and evidence-based recommendations. Inappropriate therapy may compromise blood pressure control and increase treatment-related risk. To evaluate the rationality of antihypertensive therapy and its association with blood pressure control among hospitalised patients with hypertension and comorbidities. An analytical retrospective cohort study used medical records from January to August 2025 at a public hospital in Central Java, Indonesia. Total sampling identified 76 eligible patients. Rational therapy required concordant assessments of right patient, right drug, and right dose. Blood pressure control was defined as a final measurement below 140/90 mmHg. Descriptive statistics, the Wilcoxon signed-rank test, and Fisher’s exact test were used. The mean age was 59.37 ± 13.01 years and 51.3% were male. Overall therapy was rational in 68 patients (89.5%); right-patient and right-dose criteria were each fulfilled in 98.7%, while right-drug criteria were fulfilled in 89.5%. Mean blood pressure declined from 187.39/100.24 mmHg to 133.07/81.89 mmHg (p<0.001). Forty-seven patients (61.8%) achieved control. Control occurred in 63.2% of the rational group and 50.0% of the non-rational group; the association was not statistically significant (OR 1.72; 95% CI 0.40–7.49; p=0.472). Most antihypertensive regimens met the documented rationality criteria and blood pressure improved substantially during hospitalisation. Although control was more frequent with rational therapy, the association was inconclusive because the non-rational group was small and inpatient outcomes were influenced by multiple clinical factors.
The Impact of Back Pain on Pregnant Mothers in the Third Trimester: A Scoping Review Elin Puspitasari; Meira Erawati; Anggorowati Anggorowati; Luky Dwiantoro
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.v8i5.2470

Abstract

Back pain in third-trimester pregnant women is a common complaint affecting physical and psychological conditions. It often causes activity limitations, sleep disturbances, fatigue, anxiety, and decreased quality of life. This study aimed to map the impact of back pain in third-trimester pregnant women based on recent studies. A scoping review was conducted by searching the EBSCO, Scopus, PubMed, and ProQuest databases for literature on pregnancy, back pain, and quality of life using keywords. The review showed that back pain significantly affects daily activities, mobility, sleep quality, and psychological conditions in pregnant women. Common impacts included limited mobility, sleep disturbances, fatigue, increased anxiety, and decreased quality of life, which tended to worsen with increasing gestational age. Back pain in the third trimester has multidimensional impacts; therefore, appropriate prevention, education, and management are needed to improve maternal well-being and quality of life during pregnancy.
Analysis of the Difference Between Actual Costs and Indonesian Case-Based Group (INA-CBG) Rates for Inpatients with Stroke Muhammad Kahfiyansyah; Ernani Hadiyati; Umi Muawanah; Yuni Kusuma Arumsari
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.v8i5.2471

Abstract

The implementation of the INA-CBGs prospective payment system requires hospitals to ensure that reimbursement tariffs adequately cover actual treatment costs, particularly for stroke, which is a high-cost catastrophic disease. Differences between INA-CBGs tariffs and actual hospital costs may affect hospital financial sustainability. This study aimed to analyse the differences between actual hospital costs and INA-CBGs tariffs in inpatient stroke cases and to identify the effects of length of stay, stroke severity, stroke type, complications, and Cost Recovery Rate (CRR) on these cost differences. This quantitative retrospective study used secondary data from medical records and BPJS claims of 101 inpatient stroke cases selected using total sampling, including all eligible stroke inpatients treated at RSUD dr. Abdul Aziz Singkawang in 2024. Data were analysed using descriptive analysis, t-tests, logistic regression, and CRR calculations. Total actual hospital costs exceeded INA-CBGs reimbursement, resulting in a financial deficit and an overall CRR of 93%. Stroke severity and stroke type significantly influenced cost differences, while length of stay and complications showed indirect effects through increased resource utilisation and prolonged hospitalisation. Severe haemorrhagic stroke cases generated the largest financial losses. Differences between actual costs and INA-CBGs tariffs are influenced by multiple interrelated factors. Severe stroke cases, particularly haemorrhagic stroke, create the greatest financial burden. Tariff evaluation and improved hospital cost management are required to enhance financial efficiency.
Lived Experiences of Productive-Age Hemodialysis Patients: A Phenomenological Study of Meaning-Making, Acceptance, and Adaptation Afif Ghariza; Hardono Hardono; Wisnu Sadhana; Rika Damayanti; Feri Kameliawati
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.v8i5.2473

Abstract

Chronic kidney disease (CKD) requiring lifelong hemodialysis creates multidimensional challenges for productive-age patients, affecting physical, psychological, social, and spiritual aspects of life. This study aimed to explore the lived experiences of productive-age patients undergoing hemodialysis in the processes of meaning-making, acceptance, and adaptation to CKD. This qualitative phenomenological study involved eight participants aged 18-40 years undergoing hemodialysis for at least six months at the Hemodialysis Unit of Pringsewu District Hospital, Indonesia. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s phenomenological method. Four themes were identified: spiritual struggles following diagnosis, meaning-making and spiritual transformation, the process of self-acceptance toward chronic illness, and sources of strength and adaptation through family support and active coping strategies. Adaptation to CKD and lifelong hemodialysis is a gradual and dynamic process involving spiritual reconstruction, emotional adjustment, and behavioral adaptation. Contribution to science: This study enriches nursing knowledge by providing deeper insight into the experiences of productive-age hemodialysis patients and emphasizing the importance of holistic, spiritually sensitive, and family-centered nursing interventions to support successful adaptation and improve patients’ well-being.
Generalized Exfoliative Dermatitis Associated with Co-Amoxiclav and Stage 2 Pressure Ulcer Miranty Sasmita; Dina Arwina Dalimunthe; Kristo Alberto Nababan
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.v8i5.2474

Abstract

Generalized exfoliative dermatitis (GED), or erythroderma, is a severe inflammatory skin disorder characterized by diffuse erythema and scaling involving more than 90% of the body surface area. Drug hypersensitivity is a common cause of GED, while extensive skin barrier disruption and systemic physiological disturbances may increase susceptibility to pressure ulcer development. Early pressure ulcer development in GED, particularly without prolonged immobilization, remains insufficiently recognized. This case is clinically significant because the pressure ulcer developed despite the absence of prolonged immobilization, suggesting that severe skin barrier dysfunction and systemic physiological disturbances may contribute to reduced tissue tolerance and early pressure-related tissue injury. This case report aims to highlight the clinical presentation, diagnostic challenges, and therapeutic management of drug-induced GED complicated by an early-onset Stage 2 pressure ulcer and emphasize the importance of early pressure ulcer risk assessment. We reported a 43-year-old woman who developed generalized erythema and diffuse scaling two days after taking co-amoxiclav and was diagnosed with drug-induced GED. Dermoscopy showed a diffuse erythematous background with superficial white scaling. Laboratory evaluation revealed a hemoglobin level of 10.8 g/dL. No pressure ulcer was present at admission; however, a Stage 2 pressure ulcer developed in the gluteal region on the third day. Data were obtained through anamnesis, physical and dermatological examination, dermoscopic evaluation, laboratory investigations, clinical observation, treatment interventions, and follow-up during hospitalization at Adam Malik Hospital, Medan. The patient received intravenous methylprednisolone 62.5 mg/day and topical desoximetasone 0.25% combined with urea and salicylic acid twice daily. The pressure ulcer was treated with topical gentamicin 1% cream twice daily, repositioning, and pressure offloading. Significant clinical improvement was observed by the ninth day. This case highlights the potential for early pressure ulcer development in drug-induced GED  without prolonged immobilization, and underscores the importance of early risk assessment, pressure redistribution, repositioning, and preventive skin care.

Page 96 of 101 | Total Record : 1005

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