Indonesian Journal of Global Health Research http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR <p><strong>https://scholar.google.com/citations?user=tGXehfMAAAAJ&amp;hl=id&amp;oi=sra<img src="/public/site/images/nimda/cover_ijghr_tunggal.png" width="370" height="524"></strong></p> <p><strong>Indonesian Journal of Global Health Research</strong><strong>&nbsp;(</strong><a href="https://issn.brin.go.id/terbit/detail/1571813262" target="_blank" rel="noopener">p-ISSN&nbsp;2714-9749</a>;&nbsp;<a href="https://issn.brin.go.id/terbit/detail/1571813262" target="_blank" rel="noopener"></a><a href="https://issn.brin.go.id/terbit/detail/1574263945" target="_blank" rel="noopener">e-ISSN 2715-1972</a>) is a open access, peer reviewed and refereed international journal. <strong>IJGHR</strong>&nbsp;aim to publish original research paper devoted to various area of all health sciences.&nbsp;<strong>IJGHR</strong> 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. The topics related to this journal include but are not limited to: public health, health promotion, environmental health, occupational health, clinical aspects related to health, healthcare services, health policy and management, school health, food health, remote health, rural health, community health, mental health, adolescent health, industrial health, circumpolar health, drug health, equity in health, reproductive health care, urban health, health geographics, women's health, paediatrics and child health.</p> <p>&nbsp;</p> en-US livana.ph@gmail.com (Livana) Mon, 02 Sep 2024 07:30:54 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 The Effect of Mindfulness Meditation on Nursing Students’ Stress and Anxiety Levels http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3932 <p>Nursing students often face significant stress and anxiety, impacting their cognitive function, academic performance, and clinical skills. Effective interventions to support their mental health are needed. This study investigates the effect of an eight-week mindfulness meditation course on stress and anxiety levels of nursing students during clinical placements. Conducted from February to May 2024 at nursing schools in Surakarta, Indonesia, the quasi-experimental study included 35 students who attended weekly 50-minute mindfulness sessions. The Five Facet Mindfulness Questionnaire (FFMQ), Zung Self-Rating Anxiety Scale (Zung-SARS), and Beck Depression Inventory (BDI) were administered at baseline (T0), post-intervention (T1), and four weeks post-intervention (T2). Results showed significant improvements in mindfulness, with FFMQ scores increasing by 11.43 from T0 to T1 (p &lt; 0.001) and by 10.86 from T0 to T2 (p &lt; 0.001). Anxiety and depression levels significantly decreased, with Zung-SARS scores dropping by -6.89 from T0 to T1 (p &lt; 0.001) and -7.08 from T0 to T2 (p &lt; 0.001), and BDI scores decreasing by -5.89 from T0 to T1 (p &lt; 0.001) and -5.86 from T0 to T2 (p &lt; 0.001). The study suggests mindfulness meditation can significantly enhance mental health among nursing students.</p> Ady Irawan. AM, Anggie Pradana Putri, Mheru Nisha, Agung Widiastuti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3932 Mon, 02 Sep 2024 00:00:00 +0000 Implementation of A Fuzzy Logic for Early Detecting of A Pregnant Women Risk of Hypertension http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3969 <p>Hypertension is one of the diseases that can cause fatal effects to health, especially for pregnant women. Hypertension during pregnancy can cause serious effects such as pre-eclampsia and eclampsia which can threaten the lives of pregnant women and fetuses.&nbsp; The purpose of this study is to determine the input and output variables related to hypertension during pregnancy and used for analysis using Tsukamoto FIS to determine risk factors for hypertension in pregnant women. This study uses input variables in the form of maternal age, systolic blood pressure (SBP), diastolic blood pressure (DBP), history of hypertension and genetic. Furthermore, it is analyzed using fuzzy logic through the process of fuzzyfication, inference engine and defuzzyfication. The examination of data samples of pregnant women with systolic and diastolic blood pressure categories included in the high category or potentially have hypertension. The Z value (defuzzyfication) shows that the output is in the category of severe hypertension so that the patient needs immediate treatment by medical personnel. The results showed that the risk of a mother having hypertension can be obtained through Tsukamoto FIS in the form of concrete values that can describe risk factors in the form of normal, hypertension and severe hypertension as well as recommended actions related to these risk factors.</p> Khairul Fuady, Cut Mainy Handiana, Eva Zulisa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3969 Mon, 02 Sep 2024 00:00:00 +0000 Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4011 <p>Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.</p> Nurul Hidayati, Ika Yuni Widyawati, Ira Suarilah, Trihaningsih Puji Astuti, Fauzi Tsanifiandi, Andi Safutra Suraya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4011 Mon, 02 Sep 2024 00:00:00 +0000 Stress and Quality of Life in Hypertension Sufferes: A Systematic Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3996 <p>Hypertension has the potential to cause serious complications such as heart disease, stroke, and kidney failure if not treated properly. Apart from physical factors, hypertension sufferers also often face psychological problems such as stress, which can worsen their condition and affect their quality of life. This study aimed to explore the relationship between stress and quality of life in hypertension sufferers. This systematic review searched for relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Sage Journal, and Web of Science. The article inclusion criteria were: population: patients with hypertension, intervention: no intervention, comparison: no comparison, results: the article's results showed a relationship between stress and quality of life in people with hypertension. Article quality assessment was carried out using the Joanna Briggs Institute guidelines. Descriptive analysis was carried out using a narrative approach by considering articles published from 2012 to 2024. Based on a literature search, 36229 articles were found with appropriate keywords from Scopus (2578), PubMed (683), Sage Journal (31999), and Web of Science (969). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These eleven articles show that there is a relationship between stress and quality of life in people with hypertension. The importance of a comprehensive approach that considers socioeconomic, demographic, and psychological factors to improve the quality of life of hypertension sufferers.</p> Surma Elisa Manihuruk, Soenarnatalina Melaniani, Diah Indriani, Andi Safutra Suraya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3996 Mon, 02 Sep 2024 00:00:00 +0000 The Relationship between Gymball use and the Duration of Active Phase 1 in Primigravida Mothers http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4054 <p>Prolonged labour can cause death, infection, exhaustion, ehydration, and postpartum hemorrhage. In a long fetus, there is a risk of causing infection, injury and asphyxia which can increase infant mortality. prolonged labour can be prevented by doing complementary care, relaxation techniques that relieve prolonged labour and provide healthy childbirth outcomes, yoga, pregnancy exercises and gymball techniques. The purpose of this study is to analyze the effectiveness of gym ball on the duration of 1 active phase of primigravida labor. This type of quasy experimental research was conducted at Pertamina Hospital, Tarakan City, from April to June 2024. The sample in this study was 20 respondents using purposive sampling. The interventions given were gym balls on pelvic rocking movement patterns, rebozo, and child's pose techniques. Bivariate analysis using the chi square test. Multivariate analysis in the form of multiple logistic regression. The results of bivariate analysis showed that there was a significant relationship between the gym ball group and the duration of 1 active phase. This is shown by a p value of 0.020 &lt;0.05.</p> Rahmi Padlilah, Ika Yulianti, Doris Noviani, Ayu Hari Setiawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4054 Mon, 02 Sep 2024 00:00:00 +0000 Application of Range of Motion Exercises to Increase Muscle Strength in Non-Hemorrhagic Stroke Patients http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4111 <p>Stroke is a disruption of blood flow in the brain, patients who suffer from weakness in the limbs can cause a decrease in muscle strength, so they cannot move their body. Solutions to prevent and reduce disability, complications and death after having a stroke. Rehabilitation in stroke patients one of them is by doing Range of Motion exercises. Objective: This study was to analyze the application of ROM exercise to increase muscle strength in ischemic stroke patients. Design: This study used quasi-experimental with Pre-Test and Post-Test approaches with a sample of 15 people using Purposive Sampling techniques. Data analysis using the Wilcoxon Match Pairs test. The data collected consisted of respondents' characteristics in the form of age, gender, history of stroke and muscle strength. The instrument used is an observation sheet and muscle strength measurement, MMT (Manual Muscle Testing). Results: Showed that there was an increase in muscle strength after (post-test) intervening with an average value of 4,13, while muscle strength up to condition 5 (normal) after implementing as many as 7 people (40,67%).</p> Adirson Barbosa De Oliveira, Abdul Muhith, Siti Nur Hasina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4111 Mon, 02 Sep 2024 00:00:00 +0000 The Relationship of EMR (Electronic Medical Record) Documentation Performance with Patient Satisfaction http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4088 <p>Technological developments have an impact on developments in the world of health, especially information technology in hospitals. The use of EMR makes medical records more orderly and improves health services that are faster, more precise, valuable and accountable. User usage and satisfaction will influence individual impact. Methods: An analysis of the relationship between EMR documentation and nurse satisfaction is needed. This study used a cross-sectional, The sampling technique in this research used purposive sampling correlational design with a sample of 80 patient at RSUD Dr. Soetomo. Research data was collected through questionnaires from the EMR documentation performance variables and nurse satisfaction. The results of the validity test of the EMR Documentation Performance instrument obtained a Parson correlation value in the range 0.590-0.926 &gt; r table 0.514 and the results of the reliability test in this research showed a Cronbach's Alpha value of 0.966 so it is reliable. results of the validity and reliability of the patient satisfaction instrument Cronbach α reliability coefficient was high, ranging from 0.900 to 0.940. Research data was processed using the Spearmen rho test with a p value &lt;0.05. Results: The results of the study showed that EMR documentation performance was related to patient satisfaction (0.009). Discussion: Good electronic medical record documentation performance can increase patient satisfaction.</p> Agus Agus, Tri Ratnaningsih, Windu Santoso ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4088 Mon, 02 Sep 2024 00:00:00 +0000 Effectiveness of Centella Asiatica (Pegagan) Spray Gel on Perineal Wound Healing in Postpartum Women http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3960 <p>Perineal wounds in postpartum mothers can potentially cause infections. The perineal area exposed to lochia and moisture creates an environment conducive to bacterial growth, thus hindering the wound healing process. Infections of perineal wounds can involve various types of bacteria that naturally colonize the skin and genital mucosa. The application of centella asiatica spray gel is one of the non-pharmacological methods for healing perineal wounds in postpartum mothers. This study aims to determine the effectiveness of applying centella asiatica spray gel 3 times a day with a concentration of 25% for 7 days on perineal wound healing and the growth of Staphylococcus aureus bacteria in postpartum mothers. This is a True Experimental study with a pretest–posttest control group design. Based on the inclusion criteria of second-degree perineal wounds with sutures were selected using random sampling, 17 participants to receive centella asiatica spray gel and 17 participants received standard dry-clean care. The level of wound healing was measured using the REEDA score. The growth of Staphylococcus aureus bacteria was measured using a colony counter. REEDA score data were analyzed using the Friedman and Mann-Whitney tests, while Staphylococcus aureus growth was analyzed using the Wilcoxon and Mann-Whitney tests. Based on the average decrease in REEDA scores by 1.06, the application of centella asiatica spray gel was effective for perineal wound healing (p=0.000). There was a significant difference in the average growth of S.aureus (p=0.040) in perineal wounds of postpartum mothers, with the intervention group showing an average difference of 6.34. The application of centella asiatica spray gel 3 times a day with a concentration of 25% for 7 days was effective for perineal wound healing and reducing Staphylococcus aureus growth in postpartum mothers.</p> Nanda Lutfia Salsabila, Diyah Fatmasari, Sri Wahyuni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3960 Mon, 02 Sep 2024 00:00:00 +0000 An Overview of Patient Safety Supervision in Government Hospitals http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4028 <p>Effective supervision is needed to achieve optimal implementation of patient safety goals, where patient safety is prioritized in every activity. Nurses' performance in implementing patient safety goals is influenced by several factors. Objective to know the description of patient safety supervision in hospitals in 2024. This study is a quantitative study with a cross-sectional design conducted in April-June 2024 at the Hospital. The study population was all executive nurses in the hospital inpatient room. The population was 42 people with total sampling technique. The research instrument used a questionnaire to collect data on the characteristics of respondents consisting of nurse identity, namely: level of education, length of work, and supervision. Patient safety supervision is mostly in the good category (78.57%). Patient safety supervision in hospitals in 2024 is mostly in the good category. This indicates that nurses have implemented various safety standards and effective procedures to protect patients from injury or harm during treatment.</p> Apriando Rahmadani, Yulastri Arif, Rian Ferdian ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4028 Mon, 02 Sep 2024 00:00:00 +0000 The Effect of using E-Booklet Media on Increasing the Knowledge of Primigravida Mothers about Breastfeeding Techniques and Newborn Umbilical Cord Care http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4040 <p>Primigravida mothers often lack sufficient knowledge about newborn care, including umbilical cord care and breastfeeding techniques. Better education and support from healthcare professionals are essential to enhance their knowledge and skills in infant care. Effective training and counseling can help primigravida mothers feel more confident and competent in caring for their children. This study aims to determine the effect of e-booklet media on the knowledge of primigravida mothers regarding breastfeeding techniques and umbilical cord care in the service area of the Pamandegan Health Center and Midwife Clinic. This research uses a quantitative method with a pre-experimental design and a one-group pretest-posttest research design. The sample size in this study was 68 respondents, selected using total sampling, and all respondents received the intervention for 1 month. The measurement tool used in this study was a questionnaire that had undergone normality and validity tests. Normality was tested using the Shapiro-Wilk test, and data analysis was conducted using univariate analysis and bivariate analysis with the Wilcoxon test. The hypothesis test results showed a p-value = 0.000 &lt; 0.05, indicating that the use of e-booklet media significantly affected the knowledge of primigravida mothers regarding breastfeeding techniques and umbilical cord care. It is crucial for primigravida mothers to improve their knowledge in these two aspects as it can greatly impact their ability to care for their babies effectively.</p> Hasrida Hasrida, Melisa Rian Sari, Silvia Nada ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4040 Mon, 02 Sep 2024 00:00:00 +0000 Management Support in Implementing A Career Path System for Nurses in Local Government Hospitals http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4070 <p>Career ladder systems are an important mechanism in supporting the professional development of nurses and have been implemented in various models in a number of countries. Effective management support is critical to the successful implementation of career ladder systems in Indonesia. This study aims to determine the description of management support in the implementation of career ladder system in Local Government Hospitals. This study is a quantitative study with a cross-sectional design conducted in May-June 2024. The study population was all nurses who applied for competency assessment and credentialing/recredentialing as many as 76 people who also became samples with total sampling technique. Data were analyzed using descriptive statistics including frequency distribution and percentage. These questionnaires have undergone validity and reliability testing, with Cronbach's alpha values of 0.905 for the Management Support Questionnaire and 0.927 for the Nursing Career Path Questionnaire. The results showed that the majority of executive nurses were female (92%) with vocational education (84%) and were in early adulthood (26-35 years old). Most of them had between 8 to 15 years of service and almost half of them were at the Pre PK level (43%). Management support in implementing career ladders was mostly categorized as good (54%). This study concludes that management support in the implementation of the career ladder system in Local Government Hospitals is mostly good, but there are still some aspects that need to be improved. Optimal management support includes the provision of adequate resources, structured training programs, and continuous feedback to ensure the successful implementation of the career ladder system.</p> Asmeriyanty Asmeriyanty, Yulastri Arif, Zifriyanthi Minanda Putri, Esthika Ariany Maisa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4070 Tue, 20 Aug 2024 18:09:11 +0000 Remodeling Pregnancy Exercises with Pelvic Rocking Exercise as Management of Back Pain in Pregnant Women http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4124 <p>The discomfort that often arises during the third trimester of pregnancy and is often complained of by pregnant women is back pain. Back pain in pregnant women can be treated with pregnancy exercises. In pregnancy exercises, the 5th movement, namely rocking back arches, can be continued with the Pelvic Rocking Exercise for optimal results. Objective: The aim of this study was to determine the effectiveness of remodeling pregnancy exercises using pelvic rocking exercise on back pain in pregnant women. Method: Quasi Experimental research method with pretest-posttest with control group design. The purposive sampling sample was 20 third trimester pregnant women with back pain, divided into 2 groups, namely the control group (pregnancy exercise only) and the intervention group (remodeling pregnancy exercise with pelvic rocking exercise). The instrument used was the Numerical Rating Scale pain scale observation sheet. Data analysis with a difference test between pre and post. Results: The results of the back pain scale for pregnant women in the control group after being given pregnancy exercises obtained an average of 11.71, while in the intervention group after being given remodeling pregnancy exercises with pelvic rocking exercise the average was 9.46. The results of data analysis using the Mann-Whitney U-Test showed a p value of 0.001 ≤ 0.05, which means the pain scale in the intervention group decreased more than the pain scale in the control group. Conclusion: Remodeling pregnancy exercise with pelvic rocking exercise is more effective in managing back pain in pregnant women.</p> Darah Ifalahma, Ana Yuliana, Zainie Aboo Bakkar, Rizki Nugraha Wargani, Rara Ayu Puspitasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4124 Mon, 02 Sep 2024 00:00:00 +0000 The Influence of Stress on the Severity of Acne Vulgaris in Adolescents http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4010 <p>In Indonesia, acne vulgaris is a common skin disease, almost everyone has experienced acne vulgaris, especially in young people, it occurs around 85 - 100%. The highest prevalence occurs in women aged 14-17 years, 83-85%, and men aged 16-17 years. 19 years old, accounting for 95-100%. One of the factors that causes acne to appear is stress. Stress is pressure that occurs due to a mismatch between the desired situation and expectations. Teenagers who experience acne will certainly feel uncomfortable. This study aims to determine the effect of stress on the severity of acne vulgaris in adolescents. Method: Jenis penelitian ini merupakan penelitian analitik kuantitatif dengan pendekatan observasional menggunakan desain cross-sectional. Populasi dalam penelitian ini adalah remaja di Kota Tegal dengan jumlah sampel sebanyak 288 yang diambil secara acak. Uji analisis menggunakan uji Chi-square. Results: This study aims to determine the effect of stress on the severity of acne vulgaris in adolescents. Method: This type of research is quantitative analytical research with an observational approach using a cross-sectional design. The population in this study were teenagers in Tegal City with a total sample of 288 taken randomly. Test the analysis using the Chi-square test. Conclusions: Stress factors influence the severity of acne vulgaris, the more stressed a teenager is, the more severe the incidence of acne vulgaris they suffer.</p> Ulfatul Latifah, Iroma Maulida, Ardhi Henda K ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4010 Mon, 02 Sep 2024 00:00:00 +0000 Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4092 <p>The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a qualitative with phenomenology approach. Twenty-five informants were applied in this study using purposive sampling. Data were collected using in-depth interviews. Data were analyzed using content analysis by the collaizi method. The study emerged nine themes, namely: 1) knowledge about neonatal visits; 2) neonatal visit quantity standards; 3) neonatal visit quality standards; 4) health care workers providing neonatal visiting services; 5) purpose of neonatal visits; 6) relationship between education and neonatal visit compliance; 7) relationship between husband/family support and neonatal visit compliance; 8) reasons for non-compliance with neonatal visits; and 9) culture in support of public health. These results can be input for policymakers to increase the coverage of neonatal visits in Serdang Bedagai Regency, Indonesia.</p> Novita Br Ginting Munthe, Rizanda Machmud, Rima Semiarty, Joserizal Serudji, Adang Bachtiar, Finny Fitry Yani, Denas Symond, Nelwati Nelwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4092 Tue, 20 Aug 2024 20:25:21 +0000 The Effect of Marjoram Aromatherapy and Deep Breathing Techniques on Blood Pressure of Hypertensive Patients http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4068 <p>Hypertension is a major cause and risk factor for death worldwide. Nonpharmacological therapy of hypertension to reduce blood pressure of hypertensive patients, one of which is marjoram aromatherapy and deep breathing techniques that have proven effective in hypertensive patients. Objective: The purpose of the study was to determine the effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients. Methods: This type of research is a quasy experiment with a one group pretest-postest design without control group approach, the number of samples was 20 respondents using total sampling. The data collection technique used is observation through blood pressure measurement. Hypothesis analysis is normality test, One Way Repeated Measurement (ANOVA), and multiple linear regression. Results: There is an effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients (p-value &lt;0.05). Conclusion: There is an effect of marjoram aromatherapy and deep breathing techniques on the blood pressure of hypertensive patients. Marjoram aromatherapy interventions and deep breathing techniques can be socialized in hospitals and can be done independently at home to reduce blood pressure in people with hypertension.</p> Firza Pinamiranti, Irna Nusanti, Wati Jumaiyah, Dhea Natashia, Ii Ismail, Noviana Noviana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4068 Fri, 23 Aug 2024 23:34:25 +0000 Effectiveness of Interventions to Improve Preceptor Performance in Nursing Student Competencies http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4141 <p>Perceptors need to be proficient in clinical teaching and assessment in reaching learning objectives while handling client caseload and delivering safe and efficient care. However, evidence to inform best practices for mentor development is limited, as is evidence regarding the efficacy of programs for the mentor role. This study aims to analyse interventions to improve preceptor performance on nursing student competencies. Methods: This study employs a systematic review, with study literature gathered from multiple electronic databases, including Pubmed, Science Direct, ProQuest, and SAGE using a PRISMA flow guidline. Data was collected by searching for research for 2019-2024 and searches were conducted until March 4, 2024. The keywords used are "Intervention" "Improve" "Preceptor" "Student Nursing Performance". Eligible studies require the use of quasi-experiments to identify interventions to improve preceptor performance in the competence of nursing students in different data base sources. Results: A total of 12 articles were analyzed because they provide information about interventions to improve preceptor performance in the competence of nursing students. Five articles on Randomized Controlled Trials, 7 articles using Quasi-experimental design. This article recommends an intervention clinical teaching on One Minute Preceptor because it is effective and can be used in a limited time. Conclusions: Overall, research shows that nursing education should improve recent graduates' readiness to achieve competence. Nurse educators should facilitate comprehensive assistance in order to enable students to acclimatise to the nursing profession’s culture before beginning their clinical education.</p> Ummi Kulsum, Rizki Fitryasari, Nuzul Qur’aniati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4141 Sat, 24 Aug 2024 00:13:01 +0000 Contribution of Self-Efficacy and Work Motivation in Shaping Caring Beharvior of Nurses http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4129 <p>Caring is the core of nursing practice, reflecting a nurse's approach to expressing genuine concern for the patient. Caring behavior of nurses is a form of caretaking that facilitates patients to achieve an optimal improvement in the quality of their recovery and health. Caring is driven by the self-confidence and work motivation of an individual nurse. This study aims to explore the correlation between nurses' self-efficacy, work motivation, and the caring behavior at Military Hospital in South Jakarta. This study used a cross-sectional design to explore the relationship between the variables of self-efficacy, motivation, and caring behavior. The study population included nursing staff from both inpatient and outpatient units. A total sample size was 122 nurses and was collected through a e-questionnaire and analyzed using descriptive statistics and bivariate correlation analysis. The results showed that there was a significant relationship between self-efficacy (p value 0.001, R = 0.295) and work motivation (p value 0.012, R = 0.236) with nurses' caring behavior. The correlation coefficient showed that both self-efficacy and work motivation had a positive correlation with nurses' caring behavior. Self-efficacy and work motivation significantly influence nurses’ caring behavior, highlighting the need for interventions to enhance these factors among nursing staff to improve patient care.</p> Hany Wihardja, Mey Lona Verawaty Zendrato, Ni Putu Ika Novita Gunawan, Rina Fitriani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4129 Sun, 25 Aug 2024 00:01:24 +0000 The Effectiveness of Media Disc Triage Assessment on Clinical Reasoning Skills of Australasian Triage Scale (ATS) in Nursing Students http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4069 <p>Australasian Triage Scale (ATS) is a tool used by emergency department nurses to assess a patient's health status and prioritise services based on the severity of the patient's condition. Clinical Reasoning skills are cognitive processes in the form of theoretical applications and clinical abilities of a nurse in evaluating, diagnosing, and providing nursing care for patients based on information and condition. Objective: This study aims to evaluate the effectiveness of using learning tools by using media Disc Triage Assessment to improve clinical reasoning skills using ATS triage. Method: The research method used was quasi-experimental without control group design. A total of 193 nursing diploma students who passed the Emergency Nursing course were selected using purposive sampling. Therefore, the sample is 35 students. Data analysis was performed using Wilcoxon test. Result: The results were significant improvements across five domains of Nurses Clinical Reasoning Skills (NCRS): Assessment, Diagnosis, Intervention, Implementation, and Evaluation, all with p-values &lt; 0.05. Conclusions: This has a significant positive effect on improving students' clinical reasoning skills in determining triage ATS. This shows can be effective in improving the ability of students to determine triage levels and make informed clinical decisions.</p> Nikma Alfi Rosida, Anissa Cindy Nurul Afni, Muhamad Nur Rahmad, Elok Faradisa, Sigit Yulianto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4069 Thu, 29 Aug 2024 02:49:14 +0000 The Application of Tera Exercises in Reducing Levels of Gout Pain in the Elderly http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4112 <p>Gout is a disease caused by the accumulation of uric acid crystals in the body. In the elderly, cells decline due to the aging process which can cause various diseases, one of which is an increase in uric acid levels (hyperuricemia). Elderly people who suffer from gout experience metabolic imbalances in the body. This disorder causes the formation of monosodium urate crystals which cause inflammation and pain. Exercise, one of which is tera exercise, is a non-pharmacological therapy that aims to reduce pain. Objective: This research is to determine the effect of tera exercise on reducing the level of gout pain in the elderly. Method: This type of research is experimental research with design quasy experiment (nonequivalent control group design). The population in this study were elderly people who attended posbindu in Karanganom. The sampling technique was purposive sampling with a total sample of 26 people. The data in this study was collected using a research instrument in the form of a NRS (Numeric Rating Scale) questionnaire pain scale assessment sheet. The data obtained were analyzed using a non-parametric test with the Wilcoxon test to compare the same subjects before and after being given the intervention. Results: The results of statistical tests using the Wilcoxon test showed that the value was p (0.001) &lt;α (0.005) where the p-value was smaller than the alpha value and Ha was accepted. Conclusion: Based on the research results, it was concluded that there was an effect of applying tera exercise in reducing the level of gout pain in the elderly at Posbindu Karanganom.</p> Witriyani Witriyani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4112 Sat, 31 Aug 2024 01:48:18 +0000 Overview of Knowledge about Basic Life Support (BLS) for Nature Lovers Students http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4156 <p>Basic life support (BLS), comprising cardiovascular resuscitation and automated external defibrillator use, is not exclusively taught to health care workers but also to layman. BLS could save the lives of trauma and/or other emergency patients, particularly where health care facility is unreachable. Students’ mountaineering club members particularly are under constant risks of these conditions. There has been no study regarding BLS knowledge profile in North Maluku, especially among students’ mountaineering club members. Objective: To describe the level of knowledge about BLS among students’ mountaineering club members at Khairun University. Methods: This observational, descriptive, cross-sectional descriptive study was conducted on all students’ mountaineering club members at Khairun University in 2022. Analysis was performed using univariate analysis. Results: Among 123 respondents from 14 study programs, most were male (57,7%), were civil engineering students (22,2%), and had previous BLS training (87,8%). Regarding the level of BLS knowledge, 6,5% had good knowledge, 50,4% mediocre, and 43,1%had low level of knowledge. Conclusion: Most students’ mountaineering club members at Khairun University had mediocre level of knowledge regarding BLS. Further study is required to confirm this finding.</p> Resti Hardianti Ali, Andi Sakurawati, Tuthanurani Nachrawy ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4156 Sat, 31 Aug 2024 03:08:05 +0000 The Relationship of the Implementation of Discharge Planning with the Level of Patient Satisfaction in the Inpatient Health Center http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4145 <p>Discharge planning that is not yet optimal has an impact on patients. This impact is an increase in the number of re-admissions and ultimately patients will bear the costs of inpatient care at the health center. The aim of this research is to find out the relationship between the implementation of discharge planning and the level of patient satisfaction at the Banjar Agung Inpatient Health Center, South Lampung Regency in 2024. This type of research is quantitative using a crosssectional approach. The population and sample in this study were all inpatients from January-April 2024, totaling 47 respondents. The sampling technique used is quota sampling, The sample was determined from a population with certain characteristics to the desired number (quota) of 47 patients. Based on the results of statistical tests, the P-value &lt; 0.05 was obtained, namely the satisfaction variable 0.014, the tangible variable 0.007, the reliability variable 0.041, the responsiveness variable 0.000, the assurance variable 0.034 and the empathy variable 0.017, which means that there is a relationship between the implementation of discharge planning and the level of patient satisfaction based on dimensions. Tangible at the Banjar Agung Inpatient Health Center, South Lampung Regency in 2024.</p> Nanda Puspita Sari, Dian Utama Pratiwi Putri, Rustika Rustika ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4145 Sun, 01 Sep 2024 04:28:21 +0000 Identification of Microbiota Causing Bromhidrosis in the Axillary http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4194 <p>Bromhidrosis is a clinical condition defined by an uncomfortable or unpleasant body odor. Since the apocrine glands are only active during puberty, most bromhidrosis occurs in the apocrine glands in the armpit and occurs when apocrine gland secretions approach the skin's surface, where they undergo various biochemical reactions caused by the presence of microbiota in the axillary skin, resulting in odor in the axilla. This research aims to identify microbiota species in the axilla that can cause bromhidrosis. A laboratory experimental research design with purposive sampling is used in this study. In this study, 60 samples were collected from students aged 15 to 18 years old at a high school in Medan, and the samples were analyzed at the University of North Sumatra Hospital's Microbiology Laboratory. All samples were taken from the right axillary skin swab, a Gram stain was performed, and the identified microbiota isolates were identified. The results of skin smear culture revealed a Gram-positive cocci group in 59 samples (98.3%) and a Gram-positive bacilli group in only one sample (1.7%). The microbiota responsible for bromhidrosis was identified as Staphylococcus hominis spp. hominins (30.4%), Staphylococcus epidermidis (27.8%), Staphylococcus aureus (16.5%), Kocuria kristinae and Staphylococcus haemolyticus (6.3%), Staphylococcus lugdunensis and Staphylococcus saprophyticus. The most common microbiota that causes bromhidrosis in the axilla is Staphylococcis hominis spp. Hominis, Staphylococcus epidermidis, and Staphylococcus aureus.</p> Putri Wahdiah Utama, Nelva Karmila Jusuf, Imam Budi Putra, Muhammad Ichwan, R. Lia Kusumawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4194 Mon, 02 Sep 2024 07:26:45 +0000 Wound Healing Potency of Edible Bird’s Nest http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4065 <p>Edible bird's nest (EBN) or swiftlet's nest has recently been used extensively in regenerative medicine. This study aims to give a more thorough overview on the efficacy of EBN as a wound-healing agent. Method: We searched literature through several databases: Google Scholar, PubMed, Proquest, JSTOR, EBSCOhost, and SAGE. The keywords used were "bird nest, scar, wound healing" and their synonyms. The inclusion criteria were original articles written in English and assessed the effects of EBN in the wound healing process. We found 9 in vitro studies and 4 in vivo studies reporting wound healing effect of EBN, both macroscopically and microscopically. EBN could increase wound healing process through several mechanisms, such as cell proliferation, anti-oxidants, anti-inflammation, increased collagen synthesis, and tissue hydration. EBN has the potential to be used as a natural bioactive agent to increase the wound healing process.</p> Jessica Alysia, Maureen Miracle Stella, Maureen Widjaja, Lorettha Wijaya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4065 Mon, 02 Sep 2024 00:00:00 +0000 The Effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children During Hospitalization http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4180 <p>Preschool children aged 3-6 years are affected exposure environment new when treated At home Sick will result emergence feeling anxious and afraid. One of effort For reduce worried that is with give therapy play balloon rockets. Objective: This study was conducted using the T test which showed the effect of Rocket Balloon Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is &lt;0.001 which means it is less than 0.05 (0.001 &lt;0.05). Method: This study is a quasi-experimental study with a one group pretest-posttest design and uses a purposive sampling technique with a sample size of 20 children. Result: This study was conducted using the T test which showed the effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is &lt;0.001, which means it is less than 0.05 (0.001 &lt;0.05). Conclusions: There is an effect of balloon rocket play therapy on preschool children's anxiety during hospitalization in the children's ward of UNS Sukoharjo Hospital.</p> Bulan Rexy Pratiwi, Siti Arifah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4180 Mon, 02 Sep 2024 12:33:03 +0000 Complementary Feeding Perception among Nursing Mothers in Nigeria http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3459 <p>Complementary feeding is one of the top measures in Nigeria to reduce malnutrition. However, there is consistent evidence of poor practice in Nigeria. This study aims to evaluate how nursing mothers in Nigeria perceive complementary feeding and understand how their perceptions influence their complementary feeding practices. The study involved four sessions of Focus Group Discussions with a total of 31 participants. The findings revealed that mothers introduced complementary feeding early because they believed that breast milk alone was insufficient before the age of 6 months. Some mothers also perceived that non-infant cereals and milk were better than their infant counterparts, claiming that they aid weight gain. Additionally, some healthy foods were avoided due to myths, and local herbs, commonly known as agbo, were given to some children. To ensure that the World Health Organization guidelines on complementary feeding are accepted in Nigeria, policymakers need to target all those involved in caregiving for the child in the Nigerian setting. This includes health workers, mothers, fathers, and grandmothers.</p> Linda Nwaodu-Ufomba ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3459 Tue, 03 Sep 2024 00:26:01 +0000 The Effect of Deep Breathing Exercise Therapy Combination of Aromatherapy Based on Orem's Self Care Theory on Fatigue and Sleep Quality in Chronic Kidney Disease Patients Hemodialysis http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4198 <p>Patients hemodialysis with experience complaints of anemia, fatigue, sleep disturbances, and increased urea levels. Fatigue and sleep disorders are still a high problem in Indonesia. Increased urea levels can cause decreased appetite, poor nutritional intake and complaints of fatigue. The aim of the research was to analyze the effect of deep breathing exercise therapy combined with Orem self-care based aromatherapy on fatigue levels and sleep quality. The design in this research is quasi-experimental. Population of all hemodialysis patients at RSI Jemursari Surabaya. The sample size was 40 people, divided into 2 groups, namely the intervention group and the control group. The sampling technique was taken using a total sampling technique. Data were analyzed using the independent t-test a &lt; 0.05 and looking at the difference in values using the delta test. The results of research conducted at RSI Jemursari Surabaya, showed that the average fatigue score in the intervention group before giving deep breathing exercise therapy, a combination of aromatherapy based on self-care Orem, was 36.90 and after being given the intervention, it was found to decrease by 15.90, while the control group did not. given any therapy, according to hospital standards of 34.65 and experienced a decrease of 19.65. Based on the independent t - test, it shows p = 0.003 and sleep quality shows p = 0.001, which means that deep breathing exercise therapy combined with aromatherapy based on Orem self-care has an effect on fatigue and sleep quality. Deep breathing exercise therapy a combination of aromatherapy based on Self-Care Orem according to standards, can reduce fatigue levels and improve sleep quality.</p> Elok Tamarah, Umdatus Soleha, Wesiana Heris Santy, Siti Nur Hasina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4198 Tue, 03 Sep 2024 08:33:04 +0000 Behaviour of Using Personal Protective Equipment by Midwives During Normal Childbirth Based on Health Belief Model and Social Capital at Maternity Clinics http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3997 <p>The implementation mechanism of normal childbirth care is inseparable from the potential risks to midwifery health disorders. One of the efforts to prevent health problems due to work is to use Personal Protective Equipment (PPE). The behavior of using PPE by midwives is important to prevent work accidents or occupational diseases during normal childbirth assistance which can be reviewed from a person's health behavior. Theories that can describe health behaviors are the Health Belief Model and Social Capital. The purpose of this study is to analyze the influence of the theory of Health Belief Model and Social Capital on the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The research design uses clinical observation with a cross sectional approach. The population consists of 80 midwives and the sample consisted of 66 respondents. All aspects of HBM and social capital have a sig &gt; 0.05 which means that these aspects are related to the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. All aspects of HBM and social capital have a sig of &lt; 0.05 which means that these aspects affect the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The vulnerability aspect of HBM theory and the proactive action aspect of Social Capital theory significantly affect normal childbirth care.</p> Azarine Dwinta Framudella, Nurfika Asmaningrum, Leersia Yusi Ratnawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3997 Thu, 05 Sep 2024 00:00:00 +0000 Study of Differences in Blood Sugar Levels of Diabetes Mellitus Patients Who Consume Rice Cooked with the Rice Cooker Method and The Steaming Method http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4291 <p>The 2023 Indonesian Health Survey Report issued by the Ministry of Health revealed that there was an increase in the prevalence of diabetes mellitus (DM) in the population aged over 15 years based on the results of blood sugar level measurements. In the 2018 Basic Health Research, it was recorded that the prevalence of diabetes in Indonesia reached 10.9%. Now, the prevalence has reached 11.7% in 2023. The Aceh Health Office recorded that sufferers of Diabetes Mellitus until early 2023 reached 154,889 cases. The purpose of this study is to find out the difference in blood sugar levels in people with diabetes mellitus who consume rice after cooking with&nbsp; the <em>rice cooker</em> method and with the steaming method. This quantitative analytical research uses a cross-sectional study design. The population of the study was all people with diabetes mellitus at the Calang Health Center, Aceh Jaya Regency, totaling 50 people. Data collection was carried out from January 15 to March 15, 2024 using nonprobability sampling techniques. This study also took direct data by looking at the sugar content of the respondents by eating rice cooked by the rice cooker method and 1 month later by measuring the sugar content of the respondents consuming rice by cooking the rice by steaming. Data were analyzed using univariate, bivariate and multivariate statistical tests. The results of the study showed that factors related to blood sugar levels in DM patients were gender, age, education, occupation, income, physical activity, nutritional status, smoking behavior, and family history of diabetes. The factors most related to increased blood sugar levels in diabetes mellitus patients were steaming with OR=7.47, use of a rice cooker of 11.2 and family history of diabetes mellitus of 7.50. It is expected that respondents will control their blood sugar levels, so that DM sufferers and their families will cook rice using the steaming method, and control other risk factors that can cause high blood sugar levels.</p> Jamaluddin Jamaluddin, Meutia Zahara, Hermansyah Hermansyah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4291 Thu, 05 Sep 2024 16:59:23 +0000 The Effect of Mindfulness Based Cognitive Therapy (MBCT) for Optimizing Efficacy Self-Care in Cancer Patients Undergoing Treatment http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3775 <p>Cancer is a disease that can threaten a person's life which can occur in every cancer sufferer, apart from that cancer can also cause psychological problems such as low efficacy of patient self-care which will have an impact on treatment compliance in cancer patients.Objective: The aim of this study was to determine the effect of the MBCT intervention on whether it could increase self-care efficacy in cancer patients undergoing cancer treatment. Method: The method used in this research is an experiment with a pretest-posttest design with control group design. The research subjects were 20 people who were divided into experimental and control groups with inclusive. Data analysis used the Wilcoxon and Mann-Whitney tests. Results: The results showed an increase in self-care efficacy after administering the mindfulness-based cognitive therapy (MBCT) intervention with a self-care efficacy value of Z = -2.660 and p = 0.008. Conclusions: The research results show that mindfulness based cognitive behavior therapy (MBCT) can increase patient confidence in carrying out treatment regularly. Cancer patients who Applying MBCT in everyday life they can also feel the effects such as tense muscles becoming more comfortable, better conscious breathing begins to feel the impact on the subject's calmness, and increased ability to detect the body. Mindfulness-based cognitive therapy (MBCT) changes the behavior of each participant to be able to accept themselves in any situation, more easily adapt to changes that occur in their physical and life and establish social relationships with other people.</p> Rovica Probowati, Witriyani Witriyani, Andriani Mei Astuti, Veren Pinka Nabila ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3775 Mon, 09 Sep 2024 00:00:00 +0000 Effects of Acupressure on Psychological Symptoms in Chronic Disease Patients: A Scoping Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4170 <p>Research related to the effects of acupressure on psychological problems in patients with chronic diseases has been conducted by previous researchers. However, so far reviews on this topic are still limited. The purpose of this review is to obtain an overview of the extent of the effects of acupressure on psychological symptoms of chronic disease sufferers based on the results of research that has been conducted. The method used is a scoping review, determining the research questions to be reviewed using the PICO (Population, Intervention, Comparison, Outcome) framework. The keywords used in the article search are "Acupressure" AND "Acupoints" AND "Psychological Symptoms" AND "Chronic disease" OR "Chronic ilness". Several databases used in this study such as Pubmed (n = 14), Science Direct (n = 495), Ebsco (n = 82), Proquest (n = 562), Scopus (n = 973) were then eliminated and screened into 10 articles studied. The review analysis was carried out using the Arksey and O'Malley theory approach. Based on the results of the analysis of 10 articles, it was found that acupressure has a positive effect in helping to reduce symptoms and improve the psychological condition of patients with chronic diseases, including relieving patient symptoms such as depression and anxiety in patients undergoing hemodialysis and breast cancer, reducing pain in osteoarthritis patients, overcoming insomnia which is often accompanied by anxiety disorders, emotional disorders (worry, nervousness, irritability), treating depression, anxiety, and insomnia in acute stroke patients, improving stress index, and sleep efficiency in the elderly with essential hypertension, reducing anxiety in female patients with coronary artery disease (CAD), decreasing the average stress score and improving the quality of life in patients with type 2 diabetes mellitus, increasing the quality of life and reducing emotional disorders in patients with polycystic ovary syndrome (PCOS). The conclusion of the journal review shows that acupressure has the effect of improving psychological conditions by reducing symptoms of anxiety, depression, stress, sleep disorders or insomnia and helping to improve the quality of life in patients with chronic diseases.</p> Hanifah Sahar Al Afra, Fitria Handayani, Meria Erawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4170 Mon, 09 Sep 2024 03:11:48 +0000 The Effect of Moringa (Moringa Oleifera L.) Leaf Extract Capsules in Increasing Hemoglobin Levels in Adolescent Girls http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4293 <p>Moringa leaves can be an alternative to increase hemoglobin (hb) levels because they contain high iron, protein, and vitamin C. Adolescent girls have a higher risk of experiencing anemia due to increased iron requirements resulting from menstruation. Objective: To determine the effect of moringa leaf extract capsules (Moringa Oleifera L) on increasing hemoglobin levels in teenage girls at SMKN 1 Takokak, Cianjur Regency. Method: The research design employed in this study is a pre-experimental approach, utilizing a one-group pretest-posttest design. The sample size consists of 30 adolescent girls selected through purposive sampling technique. Data collection involves measuring hemoglobin levels. Data analysis is conducted through univariate and bivariate analyses using the Wilcoxon Signed Rank Test. Results: The research findings indicate that there was an increase in hemoglobin levels before (10.69) and after (12.78) the intervention, with an average difference of -2.09. Furthermore, there was a significant p-value of 0.001 (&lt;0.05). Conclusions: The moringa leaf extract capsules have shown an influence in increasing the hemoglobin levels of adolescent girls. Moringa Leaf Extract can be recommended as a non-pharmacological alternative to enhance hemoglobin levels.</p> Novie Mauliku, Hana Yuliana, Farida Murtiani, Norma Norma ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4293 Mon, 09 Sep 2024 06:08:16 +0000 Docking and Structural Modification of Flavonoid Derivative Compounds as Cycloxygenas-2 Enzyme Inhibitors http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4041 <p>Seven flavonoid compounds have the activity of inhibiting the cyclooxygenase-2 (COX-2) enzyme, thus providing an anti-inflammatory effect. Molecular docking analysis is needed to determine the binding interaction between flavonoid compounds and the cyclooxygenase-2 (COX-2) enzyme. Objective: This study aims to determine the interaction of flavonoid compounds with the cyclooxygenase-2 (COX-2) enzyme along with the modification of the flavonoid compound structure to increase the binding energy to the cyclooxygenase-2 (COX-2) enzyme. Method: Flavonoid derivative compounds were geometry optimized using VegaZZ software, then target preparation, ligand preparation, docking method validation, and docking analysis were carried out to obtain the interaction between flavonoid compounds and the cyclooxygenase-2 (COX-2) enzyme which is expressed as ∆G and interaction patterns, which include hydrogen bonds, amino acids and functional groups involved, using the program using PyRx-Python 0.8 - AutoDock Vina. Results: The interaction pattern of seven flavonoid derivative compounds with COX-2 enzyme showed hydrogen bonds with amino acids ARG 121, ILE 113, LEU 93, VAL 117. The interaction is similar to the interaction of protoporphrin ix containing co which is the original ligand of the target protein. There is no relationship between the inhibitory activity of flavonoid derivatives and the free energy value of binding (∆G). Modification of the new compound luteolin 7 glucosidase has a better amino acid interaction pattern, namely PRO 155, 154, ARG 44, TYR 131, LEU 153. Conclusions: The binding profile of flavonoid derivatives has the potential to be a candidate for oral cyclooxygenase-2 (COX-2) inhibitor compounds as an anti-inflammatory.</p> Tiara Ajeng Listyani; Muniroh Addawiyyah, Danang Raharjo; Pang Jyh Chyang ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4041 Wed, 11 Sep 2024 00:00:00 +0000 When, How, and Barriers of Palliative Care in Intensive Care Unit: A Scoping Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4258 <p>Palliative and near-death conditions in critical ill patients may occur, either predictable prognosis or acute conditions. Nurses are often unprepared for these care needs, resulting in suboptimal patient care. This study aims to review empirical evidence over the past 10 years regarding when to start, how to apply, and constraints during applying palliative care and end of life (EoL) care in intensive care. This review was conducted using journal database CINAHL, PubMed, Scopus, and WOS and selected article by PRISMA. The findings show EoL care begins when the medical team has assessed and approved by the patient and family including using the referral checklist format from intensive care to EoL care including the resources needed. In addition, during the upbringing process counselling and consultation with the family for any decision-making medical measures, nursing rounds, emotional and spiritual support and touches and hugs for the patient and family, including support for the entire medical team. However, there are also obstacles in the right communication time to families, discussions about death, and improving the competence of nurses through EoL education and training.</p> Sanny Frisca, Dheni Koerniawan, Ketut Suryani, Vincensius Surani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4258 Wed, 11 Sep 2024 02:05:05 +0000 The Effect of Spiritual Care Development to Reduce the Level of Depression in the Families of Intensive Care Patients http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3854 <p>Depression is a mental condition that affects a person's physical, psychological and social functioning. Depression occurs when problems in life arise, such as feeling disappointed, lost, depression is also a form of feeling sad, which can cause unhappiness and hopelessness. This study aimed was to analyze the effect of spiritual care development to reduce the level of depression in the families of intensive care patients. This research design uses Quasy experiment pre and posttest. The population is all families of patients in the Intensive Care ward at RSUD Haji Surabaya, totaling 108 respondents. The sample size was 85 respondents who met the inclusion criteria. The independent variable from the research is spiritual care with the intervention medium being a spiritual kit and the dependent variable is the level of depression in the family who keeps the patient in the intensive care room. Data was collected using the Beck's Depression Inventory questionnaire and then analyzed using the Wilcoxon Signed rank test. The Z score value for the pre-post variable for the incidence of depression is -5.940 with a p value of Asymp. Sig. (2-tailed) of .000 &lt; 0.05, it can be seen that there is a significant influence between the results of the level of depression before and after the spiritual therapy kit. Developing spiritual care using the spiritual kit method can reduce the level of depression in the families of intensive care patients.</p> Nugroho Ari Wibowo, Diah Priyantini, Siswanto Agung Wijaya, Kristin Widiyowati, Nanik Dwi Lestari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3854 Mon, 16 Sep 2024 17:24:02 +0000 Effectiveness of Deep Breathing Relaxation on Anxiety Due to Hospitalization in Preschool Age Children http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4288 <p>Hospitalization in preschool children causes them to lose control over their environment, resulting in psychological and physical distress, characterized by panic, phobia, obsessive, compulsive, and generalized anxiety disorders. Objective: This study aims to analyze the effectiveness of Deep Breathing Relaxation. on hospitalization anxiety. Method: This study is a quantitative study with a quasi-experimental design of two groups pre and posttest. The sample of this study was preschool children who underwent hospitalization as many as 32 children. This study used the Preschool Anxiety Scale (PAS) instrument which is of international standard with proven validity (r=0.68) and reliability (0.87). The bivariate data analysis used the Wilcoxon test for the intervention group, the Paired T Test for the control group, and Man Whitney test for comparison of intervention group with control, and N-Gain test to see the effectiveness of the intervention. Result: The results of the study showed that hospitalization anxiety in children before Deep Breathing Relaxation averaged 65.75 with the lowest score of 32 and the highest 79 (SD: 13.394). After the intervention, the children's anxiety score decreased, namely an average score of 53.69, the lowest score of 27 and the highest 66 (SD: 12.877). There was a significant difference between the intervention group and the control group with a p value of 0.038 (&lt;0.05), but the N-Gain results showed that the intervention was in the ineffective category (N-Gain: 20.46%).</p> Nur Ilah Padhila, Iin Inayah, Fauziah Rudhiati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4288 Thu, 26 Sep 2024 15:11:36 +0000 Factors that Influence the Self-Efficacy of Former Drug Addicts to Stop Using Drugs: A Scooping Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4072 <p>A common problem among ex-drug users is relapse. Addiction in former drug users can be caused by self efficacy factors. This study aims to get a clear picture of the factors that influence the self-efficacy of former drug addicts to stop using drugs. Methods: Researchers used the scoping review method. The literature search was conducted using the search keywords "self efficacy" AND "relapse" OR "abstinence" AND "drugs". The databases used were Sciencedirect, Scopus, and Pubmed. The inclusion criteria were articles reviewed from publications in the last 5 years (2019-2023), articles that were in English, quantitative and/or qualitative research with a study population of former drug addicts who experienced relapse, and the full article was accessible. Stepwise screening was conducted and documented according to the PRISMA flowchart.&nbsp; Results: based on identification, there are 212 articles from search engines from sciencedirect, scopus, and pubmed. The final results obtained are 6 articles that match the criteria after going through the selection process. Self efficacy has many factors that can affect it such as negative emotions, apathy, shame and guilt, psychological, and delay factors predicting recurrence, as well as age. The researcher used the PEO (population, exposure, outcome) question format to find related research articles. Based on the analysis of 6 literatures, it can be concluded that former drug addicts have more serious challenges to stop using drugs.</p> Mohamad Fikriyanto H. Kilo, Megah Andriany, Nur Setiawati Dewi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4072 Mon, 30 Sep 2024 05:45:06 +0000 Psychological Impact of Childhood Trauma on Adolescents: A Scoping Review http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4073 <p>Violence experienced in childhood will lead to a period of crisis when a person is in adolescence. The crisis period that arises is unique to adolescence. Some adolescents become increasingly experiencing crises or problems when in childhood they experience an unpleasant event or even trauma. Traumatic experiences in childhood will have their own impact on adolescents. Objektive: This study aims to get a clear picture of the psychological impact of childhood trauma on adolescents. Methods: Researchers use the scoping review method. The literature search was conducted using the search keywords "adolescents" AND "psychological" AND "childhood" AND "trauma". The databases used were Sciencedirect, Scopus, and Pubmed. Inclusion criteria were articles reviewed from publications within the last 5 years (2019-2023), articles that were in English, quantitative and/or qualitative research with a study population of former adolescents who experienced childhood trauma, and the full article was accessible. Stepwise screening was conducted and documented according to the PRISMA flowchart. Results: Based on identification, there were 463 articles from search engines from sciencedirect, scopus, and pubmed. The final results obtained were 6 articles that fit the criteria after going through the selection process. Childhood trauma has psychological effects that can arise such as the impact of mental distress at risk of suicide, the impact of suicide, psychosis (mental disorders), psychiatric disorders in offspring, borderline personality disorder and the impact on internet addiction. Researchers used the PEO (population, exposure, outcome) question format to find related research articles. Conclusion: Based on the analysis of the 6 literatures that have been reviewed, it can be concluded that the incidence of childhood trauma in adolescents will have a psychological impact.</p> Mei Putri Crismayanti, Meidiana Dwidiyanti, Anggorowati Anggorowati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 http://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4073 Mon, 30 Sep 2024 08:04:24 +0000