https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/issue/feedIndonesian Journal of Global Health Research2025-04-01T00:00:00+00:00Livanalivana.ph@gmail.comOpen Journal Systems<p><strong>https://scholar.google.com/citations?user=tGXehfMAAAAJ&hl=id&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> (</strong><a href="https://issn.brin.go.id/terbit/detail/1571813262" target="_blank" rel="noopener">p-ISSN 2714-9749</a>; <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> aim to publish original research paper devoted to various area of all health sciences. <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> </p>https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4308The Effect of Virtual Reality (VR) Relaxation on the Pain Scale During Vascular Access Cannulation Procedures2024-11-25T22:16:00+00:00Eki Yuliartilivana.ph@gmail.comDiyanah Syolihan Rinjani PutriDiyanah@ukh.ac.idHappy Indri Hapsarilivana.ph@gmail.com<p>Cannulation is an act of inserting a needle through the skin into a blood vessel (AV Shunt or Femoral) as a means of connecting the vascular circulation and the dialysis machine during the hemodialysis process, cannulation is a procedure that causes psychological problems in the form of anxiety and physical problems in the form of pain due to the insertion of a large needle during hemodialysis. Relaxation training can be done for a limited period of time and usually has no side effects. One of them can use the Guided imagery technique. The purpose of this study was to determine the effect of Virtual Reality (VR) relaxation on the pain scale during the Vascular Access Cannulation procedure for Hemodialysis Patients at Maguan Husada Pracimantoro Hospital. This study used a Pre-experimental research type with One group pretest-posttest design, conducted in the Hemodialysis Room of Maguan Husada Pracimantoro Hospital in March 2024. This study uses purposive sampling techniqu. The sample used was 56 people. The data collection tool used a numeric rating scale pain assessment sheet. The data analysis used was the Wilcoxon analysis. The results of the study showed that pain before Virtual Reality (VR) relaxation was carried out, the average pain of respondents was 5.96. Pain after Virtual Reality (VR) relaxation for 10 minutes 38 seconds was known to have an average pain of respondents on a scale of 3.36. The results of the Wilcoxon Strained Rank Test with a significant value (p value) of 0.000 < 0.005. There is an effect of virtual reality (VR) relaxation on the pain scale during the procedure of installing vascular access cannulation for hemodialysis patients at Maguan Husada Pracimantoro Hospital.</p>2024-10-18T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4391The Effect of Stretching and Ergonomic Sitting Posture on Low Back Pain (LBP) in Workers2024-11-25T22:16:00+00:00Syna Yusterien Martatiaslivana.ph@gmail.comDiyanah Syolihan Rinjani PutriDiyanah@ukh.ac.idSaelan Saelanlivana.ph@gmail.com<p>LBP is the main cause of decreasing work productivity and work absence in most of the big countries in the world. Office employees generally use computers for a long duration with incorrect or non-ergonomic sitting posture. Incorrect or non-ergonomic sitting posture and long sitting duration increase the risk of LBP. Efforts that can be made to control LBP are stretching and ergonomic sitting posture. Objective: the aim of this study is to determine the effect of stretching and ergonomic sitting posture on Low Back Pain (LBP) in workers at PT ADMEDIKA Surakarta. Method: This study used an observational analytical design with a cross-sectional approach. Sampling used a total sampling technique. There were 52 workers who experienced LBP. This study was conducted in PT Admedika Surakarta from Apri 24 to May 26, 2024. The instrument used the Numeric Rating Scale (NRS) questionnaire. The intervention of stretching and ergonomic sitting posture was 2-3 minutes long for 2 rounds and carried out 3 times per week. The data analysis used a parametric test in the form of a Paired T-test. Results: The results of data analysis obtained a significance value of 0.000 < 0.05. Conclusions: which can be concluded that there is an effect of stretching and ergonomic sitting posture on Low Back Pain (LBP) in workers of PT ADMEDIKA Surakarta.</p>2024-10-18T02:38:58+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4697Improving Effective Communication Competence Through Team Building Training in Nursing Students: Quasi Eksperimen Study2025-01-10T09:54:15+00:00Nur Sriyantisriyantinur82@gmail.comLisa Musharyantilivana.ph@gmail.com<p>To support the learning process of North Kalimantan Polytechnic nursing students regarding effective communication in cognitive and psychomotor aspects within the scope of patient safety, namely SBAR, a learning method is needed that is considered capable of meeting these two aspects. Team Building Training is a learning method in the form of training that provides a complete package of the latest learning methods because it can improve effective communication, train team cohesion and learn how to solve problems and create solutions. The aim of this research is to determine the effect of Team Building Training on improving cognitive and psychomotor aspects related to effective communication in diploma III students of the North Kalimantan Nursing Polytechnic. Quantitative research with a quasi-experimental design is this research method. From the research results, it is known that students who took part in team building training experienced an increase in effective communication by 85.7% in the cognitive aspect and 76.2% in the psychomotor aspect. In the control group, students did not experience an increase in percentage. Through the research results, it can be concluded that it is very important to provide a variety of learning methods to nursing students so that they can obtain different learning experiences through experiential learning which is considered capable of building students' self-confidence in carrying out tasks. effective communication.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5010Forecasting Cardiovascular Drug Demand Using Triple Exponential Smoothing Additive2025-01-10T12:10:44+00:00Chairun Wiedyaningsihchairun_wied@ugm.ac.idEndang Yuniartiyoen_aji@yahoo.co.idAndi Fadillaandifadilla@mail.ugm.ac.id<p>Drug management and pharmaceutical services in hospitals often face two main problems: stockouts and overstocking. This research aims to apply the Triple Exponential Smoothing (TES) additive method to forcast cardiovascular drug needs for the period of January–March 2024 at RSUD Dr. Kanujoso Djatiwibowo. This research employs a retrospective method using cardiovascular drugs data collected between January 2021 and December 2023. The forecasting results were interpreted using Mean Absolute Percentage Error (MAPE). The forecasting conducted in the range of January - March 2024, there four drug items distribute in highly accurate forecasts (MAPE<10%), while four drugs exhibited good forecasting performance (MAPE 10%-20%). Additionally, two drug items showed fair forecast results (MAPE 20%-50). This study concluded that RSUD Dr. Kanujoso Djatiwibowo could use TES Additive forecasting method.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5112Factors Influencing the Incidence of Stunting: A case-control study at Balikpapan Primary Healthcare2025-01-28T07:35:00+00:00Rina Marinirinamariniskm@gmail.comRatih Wirapuspita Wisnuwardanilivana.ph@gmail.comNur Rohmahlivana.ph@gmail.com<p>Drug management and pharmaceutical services in hospitals often face two main problems: stockouts and overstocking. This research aims to apply the Triple Exponential Smoothing (TES) additive method to forcast cardiovascular drug needs for the period of January–March 2024 at RSUD Dr. Kanujoso Djatiwibowo. This research employs a retrospective method using cardiovascular drugs data collected between January 2021 and December 2023. The forecasting results were interpreted using Mean Absolute Percentage Error (MAPE). The forecasting conducted in the range of January - March 2024, there four drug items distribute in highly accurate forecasts (MAPE<10%), while four drugs exhibited good forecasting performance (MAPE 10%-20%). Additionally, two drug items showed fair forecast results (MAPE 20%-50). This study concluded that RSUD Dr. Kanujoso Djatiwibowo could use TES Additive forecasting method.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4386The Effect of A Skin-to-Skin Contact Educational Program on Midwives’ and Nurses’ Knowledge of Early Essential Newborn Care2025-01-16T04:18:13+00:00Yenita Agusyenita.agus@uinjkt.ac.id<p>Despite a decline in infant mortality rates (IMR) over the years, it remains a critical issue. Evidence-based interventions could prevent many infant deaths, but barriers such as a lack of health specialists and poor care quality persist. This study aims to assess the impact of an educational program on skin-to-skin contact to promote Early Essential Newborn Care (EENC) among midwives and nurses. Objective to evaluate the effectiveness of an educational program on skin-to-skin contact in improving midwives' and nurses' knowledge and skills related to EENC. A quasi-experimental design without a control group was used. Participants were selected through purposive sampling based on two criteria: 1) Midwives and nurses working in delivery rooms or perinatology units, and 2) Those with over five years of experience. Recruitment involved distributing cooperation requests to midwives and nurses at government hospitals and community health centers across Indonesia. Ultimately, 32 participants were enrolled. The study employed a self-administered questionnaire, pre-test and post-test assessments on skin-to-skin knowledge and skills, and training through video and lecture. Data analysis included descriptive statistics and t-tests. The average age of participants was 41.5 years (SD = 9.57). The training significantly improved knowledge (p = 0.003), though two of twelve questions showed no significant change. Limited participation in EENC training was observed. While the educational program improved overall knowledge, certain areas need further attention. Regular training and continuing education are essential for enhancing midwives' and nurses' skills. Future research will focus on evaluating newborn resuscitation and care initiatives, particularly breastfeeding knowledge.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5302Factors Influencing Nurse Retention in Conflict Zones: A Systematic Review2025-01-16T06:45:16+00:00Clara Cassandra Resubuncc.resubun@yahoo.comFerry Efendilivana.ph@gmail.comSylvia Dwi Wahyunilivana.ph@gmail.com<p>Nurse retention in conflict zones remains a critical global issue, significantly influencing the sustainability of healthcare services. Nurses in these areas face numerous challenges, including safety risks, emotional stress, and inadequate compensation, which impact their decision to continue working in such environments. This systematic review aims to identify and analyze factors influencing nurse retention in conflict zones and propose intervention strategies to address these challenges. A systematic review was conducted following PRISMA guidelines. Data were extracted from Scopus, PubMed, Web of Science, and CINAHL databases. Studies focusing on nurse retention in conflict zones were included, with data extraction guided by the PICOS framework. The quality of the included studies was assessed using Joanna Briggs Institute tools. A total of fifteen studies were reviewed, identifying key factors for nurse retention. These include improved working conditions, adequate safety measures, financial incentives (e.g., risk allowances), and emotional support systems. Job satisfaction, influenced by job security and a supportive work environment, was also a significant determinant of retention. Emotional and psychological support systems were found to reduce burnout, thereby fostering nurse retention. A multifaceted approach, incorporating improved working conditions, enhanced financial incentives, and robust emotional support, is essential for retaining nurses in conflict zones. Future research should focus on the long-term impact of these strategies and their adaptation to region-specific needs.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5293Factors Related to the Implementation of Patient Safety2025-01-17T23:42:08+00:00Anitha Anithanitasupriono@yahoo.comOktina Dwisusantioktinadwisusanti17@gmail.comNuraidah NuraidahNuraidah.ai@gmail.comKunti Wijiartikuntiwijiarti@gmail.comTiara Zakiyah Pratiwitiarazakiyah15@gmail.comSiti Maemunmuntee83@gmail.com<p>Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5218Digital Transformation as Part of Hospital Marketing Strategy: Literature Review2025-01-19T06:26:31+00:00Dyah Ayu Masitadiahayu_masita@yahoo.co.idMuhammad Zulfikar Asumtazulfikarasumta@fik.unipdu.ac.idHerin Mawartiherinmawarti@unipdu.fik.ac.idAchmad ZakariaAchmadzakaria@fik.unipdu.ic.id<p class="TableParagraph" style="text-align: justify; margin: .5pt 0cm .0001pt 0cm;"><span style="font-size: 10.0pt;">The number of clients of advanced communication instruments proceeds to extend, so most showcasing techniques utilize different web stages and social media. Advanced media is utilized as a shape of promoting communication not as it were by item fabricating companies but moreover by the healthcare segment, especially hospitals. Advanced change within the healthcare division is executed through a technology-based approach to move forward patient-centered healthcare administrations. The reason of this writing survey is to depict advanced change as portion of promoting methodology. This article employments the writing audit strategy to survey writing distributed in English and Indonesian. The taking after databases were utilized for the writing look: Pubmed, ProQuest, ScieneDirect, and Google Researcher. The information utilized in this consider are auxiliary information. This implies that they were not obtainedfrom coordinate perception, but or maybe from ponders conducted by past analysts. Healing centers must lock in in computerized change, counting compelling advanced promoting, to advance therapeutic administrations as portion of commerce development, give quality restorative administrations, and guarantee understanding fulfillment. Social media could be a computerized promoting stage broadly utilized by healthcare organizations. </span></p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5379Analysis of the Health Service Quality and Service Innovation of Dokter Muter on Patient Satisfaction2025-01-19T08:07:18+00:00Amellia Reikatiffanylivana.ph@gmail.comSugiyanta Sugiyantalivana.ph@gmail.comDodi Wijayalivana.ph@gmail.com<p>Dokter Muter (Near by Doctors and other health workers through integrated services) is an innovation of the Lumajang District Health, Population Control and Family Planning Office (Dinkes P2KB). This innovation aims to bring access to health services closer to remote or geographically challenging areas. The purpose of this study was to determine the effect of health service quality and the Doctor Muter service innovation on patient satisfaction in Lumajang District. The population of this study were patients who had received or were receiving Dokter Muter services in 25 health centers. The data collection method was a questionnaire using Likert scale. This study used a cross-sectional design with proportional stratified random sampling technique. The number of samples in this study was 384 respondents. Data analysis was done using path analysis. Based on the results of the study, it is known that the path coefficient value of service quality on patient satisfaction β = 0.234 is positive with a p-value of 0.000, so that service quality has an influence on patient satisfaction. The path coefficient value of Dokter Muter’s service innovation on patient satisfaction β = 0.639 is positive with a p-value of 0.000, so Dokter Muter's service innovation has an influence on patient satisfaction. The R-squared value for the patient satisfaction variable is 0.707, which means that 70.7 percent of the patient satisfaction variable is influenced by Dokter Muter's service quality and service innovation, and the remaining 29.3 percent is influenced by constructs outside the model.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4306Reliability of Positive and Negative Symptom Scale (PANSS) Indonesian Version in Acehnese Population2025-01-19T08:30:13+00:00Juwita Saragihjuwi.280573@gmail.comEndang Mutiawati Rahayuningsihendang.djeni@yahoo.comIrwan Saputraiwanbulba@usk.ac.idMarty Mawarpurymarty@usk.ac.id<p>The positive and negative syndrome scale (PANSS) has been widely used and validated for the assessment of severity of schizophrenia symptoms. However, the reliability of PANSS Indonesian version in Acehnese population has yet been divined. Research objective: to examine the reliability of PANSS in Acehnese schizophrenic patients. Methodology: A cross sectional study was conducted at Mental Hospital, Banda Aceh, Indonesia, from February to May 2024. Patients aged 18 and above, who were diagnosed with schizophrenia were included in this study, meanwhile patients with organic mental disorders, and history of alcohol or drug consumption were excluded. Two independent psychiatrists separately assessed the patients using PANSS, which consisted of 3 components: positive symptoms (P subscore - 7 questions), negative symptoms (N subscore – 7 questions) and general psychopathology symptoms (G score - 16 questions). Inter-rater reliability was measured using the intraclass correlation coefficient (ICC), in which ICC ≥ 0.60 was considered good. Results: Of twenty subjects enrolled, 70% were males, and the median age was 35 years (23-54). The overall ICC was excellent = 0.987 (0.982-0.994) on 95% confidence interval. Conclusion: PANSS is a reliable tool to assess the severity of schizophrenia in Acehnese population, emphasizing its importance in the clinical setting.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5497FACTORS Factors Affecting the Incidence of Placental Retention in Pregnant2025-01-19T17:26:44+00:00Annur Dian Elvianadianannur7@gmail.comFaizah Betty Rahayuningsihfbr200@ums.ac.id<p>Placental retention is a critical medical condition where the placenta fails to exit the uterus after childbirth, potentially causing severe bleeding and maternal death. It is identified when the placenta remains inside the uterus 30 minutes after delivery. This study examines factors influencing placental retention at Dr. Moewardi Regional General Hospital, Surakarta. Using a quantitative case-control design, this study compared 200 medical records: 100 with placental retention and 100 without, using a simple random sampling technique. Inclusion criteria were medical records from 2021 to 2024 detailing maternal age, parity, childbirth history, delivery type, uterine contractions, abortion history, and education, while incomplete records were excluded. The analysis of the data was conducted using the chi-square test, applying a significance threshold set at p less than 0.05. Results revealed significant relationships between childbirth history (p=0.000), delivery type (p=0.000), uterine contractions (p=0.000), and placental retention. However, maternal age (p=0.499), parity (p=1.000), abortion history (p=0.078), and education (p=0.091) showed no significant associations. These findings can guide future research using different methodologies.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5496Risk Factors of Disrupted Ectopic Pregnancy in Pregnant Women2025-01-27T04:22:39+00:00Anisa Nur Azizahj210210047@student.ums.ac.idFaizah Betty Rahayuningsihfbr200@ums.ac.id<p>Disrupted ectopic pregnancy is a serious pregnancy complication that threatens the life of both the fetus and the mother, yet there is limited exploration and analysis of the risk factors associated with disrupted ectopic pregnancy. This study aims to identify the risk factors affecting disrupted ectopic pregnancy. Method: This research is a case-control study with an analytical observational design. The sample used secondary data from medical records of 100 pregnant women with disrupted ectopic pregnancy in the case group and 100 pregnant women without disrupted ectopic pregnancy in the control group at Dr. Moewardi Regional Public Hospital from 2020-2025. Data were analyzed using the Chi-Square test to determine the p-value and odds ratio. The p-values for maternal age, gestational age, parity, abortion history, history of disrupted ectopic pregnancy, contraceptive use, and history of reproductive disease are all 0.000 or 0.003 (<0.05), indicating significant associations between these factors and the occurrence of disrupted ectopic pregnancy. There is a significant relationship between maternal age, gestational age, parity, abortion history, history of disrupted ectopic pregnancy, contraceptive use, and history of reproductive diseases in women with disrupted ectopic pregnancy.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4870The Effect of Lavender Aromatherapy on Insomnia in the Elderly2025-01-26T10:14:35+00:00Apriyanti Ainilivana.ph@gmail.comPopy Apriyantipopy.apriyanti@gmail.comRinda Lamdayanilivana.ph@gmail.com<p>The elderly are at risk of experiencing sleep disturbances caused by many factors. Insomnia is difficulty getting or staying asleep. Aromatherapy is a non-pharmacological treatment with essential oils obtained from plants to help improve health problems and improve sleep quality. One of the aromatherapy that can be used to overcome the problem of decreased sleep quality is lavender aromatherapy. This research was conducted to determine the effect of lavender aromatherapy on insomnia in the elderly at the Margo Mulyo Health Center, Jalan 16, Muara Sugihan District. The design of this study is to use a pre-experimental design. The sample of this study were elderly people aged 60 years and over who were obtained by purposive sampling technique with a population of 25 elderly people with insomnia. After that given lavender aromatherapy. Data analysis used the Paired T test statistic. The results showed that before giving lavender aromatherapy, the average was 17.96, which means that the respondent had insomnia behavior and after giving lavender aromatherapy, the average was 6.68, meaning that the respondent experienced a decrease in insomnia. Based on the results of bivariate analysis using the paired t-test statistic, a significance value of 0.001 was obtained with a p-value <0.05, indicating that there was an effect of giving lavender aromatherapy to insomnia in the elderly at the Margo Mulyo Health Center, Jalan 16, Muara Sugihan District.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5178Evaluation of Antipsychotic Drug Use in Paranoid Schizophrenia Patients2025-01-26T10:46:04+00:00Herwidhiya Azizahlivana.ph@gmail.com<p>One of schizophrenia’s treatment is pharmacological therapy using antipsychotic. This study aims to determine the demographic description (age, gender and length of stay), determine the pattern of antipsychotic drug use, determine the level of appropriateness of antipsychotic drug therapy based on the right patient, the right indication, the right drug, the right dose, and the right interval of administration based on the Rational Drug Use Module and Drug Information Handbook 27th Edition and determine the reduction in the final symptoms of schizophrenia patients after receiving antipsychotic drug therapy at the Inpatient Installation of dr. Soeharto Heerdjan Mental Hospital Jakarta for the period January - June 2023. The research method used is descriptive, with cross sectional design. Data collected retrospectively and using purposive sampling techniques. The study analyzed 95 prescription samples, showing that schizophrenia is more experience in in the range of 26-35 years old (44,21%) and in men (67.37%). The most common antipsychotic use was the atypical combination antipsychotic with the percentage of 37.5%. The single atypical antipsychotic most commonly prescribed is atypical antipsychotic with the percentage of 57.15%. The results showed that the appropriateness of the use of antipsychotics in correct patient is in 100%, correct indication is in 100%, correct drug is in 100%, correct dose is in 97.89% and the exact dosing interval of drug is in 92.63%. There was a decrease in schizophrenia symptoms in patients after undergoing hospitalization as seen from the decrease in Positive and Negative Syndrome Scale-Excited Component (PANSS-EC) scores with an average percentage decrease of 48%. This difference is clinically effective because the decrease exceeds 19– 28 %.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5179Design of Standar Operational Procedures Teman Hati Services2025-01-26T11:12:46+00:00Ifah Muzdalifahlivana.ph@gmail.comHosizah Hosizahlivana.ph@gmail.comNoor Yulialivana.ph@gmail.comAmbarwati Ambarwatilivana.ph@gmail.com<p>Standard operational procedures as guidelines to assist officers in completing work more effectively and efficiently. Telepsychiatry services at Psychiatry Dr. Soeharto Heerdjan changed the use of the application from Jitsi Meet to Teman Hati (Telemental Health and Home Visite). Several problems were found in the Jitsi Meet application, making it difficult for patients/families to use it. Changes to the application have an impact on changes to the SOP. So that services can be well organized and carried out according to procedures, SOP are needed for implementation.Objective: Designing of standard operational procedures Teman Hati (Telemental Health and Home Visite) Methods: Research Method with use R&D (Research & Development) from November 2022 – January 2023. Data collection doing by interview FGD (Focus Group Discussion) with 13 informants. First step of research are collect information, determine method and arrange the technic of SOP, writing SOP, simulation and the last is review. Results: There are 5 draft SOPs, namely registration SOP, drug delivery SOP, teleconsultation SOP, application usage SOP for patients/families, and application usage SOP for hospital staff. The 5 SOP that were designed were simulated and reviewed by the SOP implementers and the patient's family. Conclusion: The 5 SOP designs give more easier for officers to implement of Telepsychiatry service in Psychiatry Dr. Soeharto Heerdjan Hospital and decrease the satisfaction of patient's family to the hospital. The SOP that has been designed must legitimized, socialized, monitored and evaluated.</p> <p> </p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5588The Influence of Resilience and Nurse Motivation on Job Stress in Hospital: A Systematic Review2025-01-26T12:32:04+00:00Maria Silveira De Jesussilveiradejesus329@gmail.comMira Triharinilivana.ph@gmail.comNuzul Qur’aniatilivana.ph@gmail.com<p>This study aims to analyse the influences of resiliences and nurse motivation on job stress. This study was conducted because nursing is a profession that is often faced with stressful and environments work situations, and nurses also often involve interactions with patients who are suffering or dying, which can affect their mental health. Without resilience and motivation, they may feel overwhelmed, anxious, or even experience burnout (emotional exhaustion). Method: The method used was a systematic review sourced from journals searched through the Scopus, Science Direct, and Pubmed databases published in less than the last 5 years (2019-2024) This systematic review follows the PRISMA. by using four databases in journal searches. This research uses the PEOS framework to determine the criteria. Based on the results of the literature search that has been examined, and in accordance with the eligibility criteria, 10 articles were obtained that can be used in this systematic review. Results Based of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Based on the results of the review carried out, it can be concluded that nurses who have a good level of resilience will easily adapt and can control stress caused by work fatigue and burnout. Of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Conclusion The purpose of this research is to assess how resilience being important to mannage stress and burnout for a health workers especially nurses.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5445Risk Factors Related to the Event of Anaemia in Pregnant Mothers2025-01-27T04:37:23+00:00Tita Adilla Kaniasarij210210014@student.ums.ac.idFaizah Betty Rahayuningsihfbr200@ums.ac.id<p>Anaemia poses a significant health risk for pregnant women, increasing the likelihood of severe complications such as premature delivery, low birth weight, and maternal fatalities. This study investigates risk factors associated with anaemia in pregnancy using a case-control design with a quantitative approach. The participants included 200 medical records of pregnant women including 100 medical records of pregnant women who experienced anaemia during pregnancy and 100 medical records of pregnant women who did not experience anaemia, selected based on specific criteria, inclusion criteria in the study: Medical records of pregnant women at RSUD Dr. Moewardi Surakarta from 2023 to 2024, including maternal age, gestational age, parity, circumference of upper arm status, ANC visits, education level, employment status and haemoglobin values. Exclusion criteria in the study: Incomplete medical records of pregnant women. Secondary data from medical records were analysed using chi-square tests with a significance level of p<0.05. The findings revealed that gestational age (p=0.038), parity (p=0.028), and chronic energy deficiency status or CED (p=0.003) significantly influenced anaemia incidence. Conversely, maternal age (p=0.987), frequency of ANC visits (p=0.190), education level (p=0.537), and occupation (p=0.474) showed no significant associations. The study concludes that gestational age, parity, and CED status are key risk factors for anaemia in pregnancy, emphasizing the need for targeted health interventions to address these determinants and reduce anaemia prevalence.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5335The Impact of Electronic Medical Record Use on Doctors In Hospitals: Scoping Review2025-01-26T18:15:07+00:00Sani Khoirul Amaliasani.k.amalia@gmail.comCahya Tri Purnamilivana.ph@gmail.comFarid Agushybanalivana.ph@gmail.com<p>Electronic medical records (EMR) are an information technology innovation that has been adopted in various health facilities to improve operational efficiency and quality of health services. In addition to its benefits, the use of EMR also presents a number of challenges for doctors in hospitals. This study aims to evaluate the positive and negative impacts of EMR use on doctors in hospitals. This study used a scoping review method using the PRISMA guideline, and produced 13 articles that met the inclusion criteria related to the impact of EMR on doctors in hospitals. The results of the study showed that EMR had a positive impact on improving efficiency, quality of care, and patient safety, but also increased the administrative burden. The use of EMR outside of working hours increases the risk of burnout and decreases satisfaction with work-life balance. In addition, doctor-patient interaction can be reduced, and concerns about data privacy reduce patient openness. Hospitals need to optimize workflows, provide comprehensive and ongoing training, delegate administrative tasks to non-clinical staff and develop more user-friendly EMR systems. This is important to ensure that EMR technology can support improved quality of care without sacrificing doctor well-being and interaction with patients.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4852The Effect of Warm Compress with Lavender Aromatherapy on Reducing Dysmenorrhea Pain in Adolescent Girls2025-01-26T18:49:01+00:00Vika Tri Zelharsandyvikaharsandy@gmail.comMarchatus Solehalivana.ph@gmail.comWika Sepiwiryantilivana.ph@gmail.comRini Anggerianilivana.ph@gmail.com<p>Dysmenorrhea is a menstrual disorder that is felt in the form of pain or abdominal cramps. Dysmenorrhea can be reduced using pharmacological and non-pharmacological therapy. An example of non-conventional therapy in overcoming dysmenorrhea is by using warm compresses with lavender aromatherapy which provides a double effect, namely warm compresses and lavender aromatherapy which can reduce the level of dysmenorrhea. The purpose of this study was the effect of warm compresses with lavender aromatherapy on reducing dysmenorrhea pain in adolescent girls in the Sumber Deras Village Health Center Work Area. The research method used was experimental research with the One Group Pre-Test and Post-test Design approach. Sampling was carried out using purposive sampling technique with a total of 36 adolescent female respondents who experienced dysmenorrhea. The data analysis used was the Wilcoxon Test. The results of univariate analysis showed that from 36 respondents, most of the female adolescents before being given warm compresses and lavender aromatherapy experienced moderate pain as many as 29 people (80.6%), all female adolescents after being given warm compresses and lavender aromatherapy had no pain as many as 36 people (100%), there was an effect of warm compresses with lavender aromatherapy on reducing dysmenorrhea pain in female adolescents in the Working Area of the Sumber Deras Village Health Center with a p value = 0.000 <α = 0.05. It is expected that female adolescents can overcome dysmenorrhea pain with non-pharmacological efforts of warm compresses with lavender aromatherapy.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5469The Relationship Between Anxiety Level and Sleep Quality in Hypertensive Patients in the Haemodialysis Unit2025-01-27T08:00:01+00:00Rosida Nur AisahJ210210070@student.ums.ac.idArina Maliyaam169@ums.ac.id<p>Haemodialysis patients with hypertension often face complex mental and physical health challenges, including impaired anxiety and sleep quality. This has a profound effect on the individual's life. Objective: This study aims to analyse the relationship between anxiety levels and sleep quality in hypertensive patients undergoing haemodialysis. Quantitative with a cross-sectional approach with a total sampling method of 30 hypertensive patients in the haemodialysis unit of PKU Aisyah Boyolali Hospital. This study was conducted in September - November. The instruments for data collection included the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. Spearman's test was used for data analysis due to the non-normal distribution of the data. The results of the Spearman statistical test on hypertensive patients in the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital showed a p value = 0.044 > α = 0.05. the main findings (past tense). The results showed a significant relationship between anxiety levels and sleep quality in hypertensive patients at the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital. Researchers suggest examining other variables that affect sleep quality, such as physical activity, diet, and adherence to medication. Qualitative research methods can also be employed to investigate the personal experiences of patients and a broader range of individuals, allowing for more generalized findings.</p>2025-01-27T08:00:01+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5542The Effect of Physical Activity Intervention on the Well-Being of Pregnant Women: Literature Review2025-01-28T07:07:20+00:00Tetti Solehatitetti.solehati@unpad.ac.idAfni Faddilah Taslamlivana.ph@gmail.comNezla Puspitalivana.ph@gmail.comIma Rismawatilivana.ph@gmail.comDinyatul Arba Ramdhonalivana.ph@gmail.comKhalishah Salsabilalivana.ph@gmail.comAfni Faddilah Taslamlivana.ph@gmail.comLu'lu Nadiyya Samdjayalivana.ph@gmail.comYuliana Sri Rahayulivana.ph@gmail.comCecep Eli Kosasihlivana.ph@gmail.com<p>Physical activity during pregnancy needs to be considered because it will have a positive impact in reducing medical interventions during childbirth, such as: amniocentesis, labor induction, and the risk of cesarean section. Low physical activity in pregnant women causes adverse effects, such as: excess weight during pregnancy, diabetes, and hypertension. This study aimed to identify physical exercise that is effective in improving the welfare of pregnant women. Literature review research design. Literature search assisted by Pubmed, Science Direct, and Ebsco databases using the keywords "Pregnant women" OR "Pregnancy" OR "Pregnant" AND "Exercise" OR "Exercises" OR "Physical Activity" AND "Well-being" OR "Life satisfaction" OR "Life quality" by considering the inclusion criteria including: fultex on physical exercise interventions in pregnant women published from 2014-2024, in English, primary research with Randomized Controlled Trial, Clinical Trial, quasi-experiment designs.This study found 10 articles that met the requirements for analysis, which were then analyzed using JBI. The results of the study found six themes of the influence of physical activity during pregnancy on the welfare of pregnant women, namely: improving sleep quality and maternal-fetal attachment, reducing pain during pregnancy, affecting labor, improving fetal well-being and intrauterine safety, optimal weight gain, and preventing postpartum depression. Based on the results of the study, it was concluded that there are various types of physical exercise in improving maternal well-being during pregnancy, so it is recommended that pregnant women do physical activity during their pregnancy to improve the well-being of the mother and her fetus.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5553Analysis of Risk Factors for Pulmonary Tuberculosis Incidence2025-01-30T20:06:35+00:00Nevi Hasnitafaridatandibara@gmail.comFachmi Ichwansyahfaridatandibara@gmail.comFaisal bin Abdurrahmanfaridatandibara@gmail.comSaid Usmanfaridatandibara@gmail.comMeutia Zaharafaridatandibara@gmail.com<p>Pulmonary tuberculosis (TB) cases in Nagan Raya have increased every year. Efforts to prevent tuberculosis transmission with healthy lifestyle behaviors have been carried out. However, the prevalence of pulmonary tuberculosis is still high and many factors are associated with the incidence of pulmonary tuberculosis—analytical study with a case-control approach to determine risk factors for tuberculosis in the Nagan Raya district. The sample in this study was 290 people consisting of 58 cases and 232 controls. The sampling technique used purposive sampling. Data was collected by interviewing respondents, observing, and reporting TB case records. Multivariate analysis using multiple logistic regression tests with a 95% confidence level. The results showed that the characteristic factors associated with the incidence of pulmonary TB were primary education (p=0.002), not working (p=0.000), and income <REGIONAL MINIMUM WAGE (p=0.001). Environmental factors associated with the incidence of pulmonary TB were the number of household members >4 people (p=0.036) and no ventilation in each room (p=0.000). Health factors associated with the incidence of pulmonary TB were underweight nutritional status (p=0.019), obese nutritional status (p=0.042), and not containing BCG (p=0.014). The most dominant factor associated with the incidence of pulmonary TB is not working (OR = 4.17; 95% CI = 1.36-12.73). Respondents who did not work had a 4.17 times higher risk of experiencing pulmonary TB than those who did not work after controlling for environmental and health factors. For this reason, it is expected that respondents need to increase their income to prevent transmission of pulmonary TB and maintain cleanliness, improve nutritional status and limit contact with TB sufferers</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5554Risk Factors for Pulmonary Tuberculosis in Diabetes Mellitus Patients2025-01-30T20:16:01+00:00Cut Suwirdacutsuwirda@gmail.comRadhiah Zakariacutsuwirda@gmail.comNurjannah Nurjannahcutsuwirda@gmail.comMeutia Zaharacutsuwirda@gmail.comHafnidar A. Ranicutsuwirda@gmail.com<p>Tuberculosis (TB) is a contagious infectious disease that causes major health problems globally. Indonesia is a country with a high burden of TB cases, with an incidence of 312 per 100,000 population. The number of suspected tuberculosis cases in Aceh in 2022 is 85,945 cases. Aceh Besar has the second highest number of tuberculosis cases, namely 3644 people. DM sufferers have uncontrolled glucose levels so they are at risk of developing TB. This research was conducted to analyze the risk factors for the incidence of tuberculosis in DM sufferers at the Aceh Besar. This research is a quantitative research approach case control study. The sample in this study was DM sufferers with a total sample of 104 people with a sample number of 52 people in each group. Sampling in research uses the technique of purposive sampling. Sample selection for the control group was carried out by selecting DM sufferers of the same gender as the case group. Data collection was carried out using questionnaires and data from examination results from community health centers. Data analysis used multiple logistic regression tests with a confidence level of 95%. The results of the study showed that factors associated with the incidence of pulmonary tuberculosis in diabetes mellitus sufferers in Aceh Besar were secondary education (OR=8.84; 95%CI=1.67–46.69), not working (OR=3.12; 95%CI=1.16–8.35), poor lifestyle (OR=4.97; 95%CI=1.68–14.71), underweight nutritional status (OR=4.38; 95%CI=1.14–16.77), smoking (OR=3.19; 95%CI=1.35–7,55), unhealthy house (OR=2.36; 95%CI=1.07 – 5.18), poor quality of health services (OR=0.03; 95%CI=0.01–0.09), family history of TB (OR=9.40; 95%CI=2.57–34.34) and contact directly with TB sufferers (OR=4.71; 95%CI=1.79–12.40). The most dominant factor associated with the incidence of tuberculosis in diabetes mellitus sufferers in Aceh Besar is smoking (OR=12.71; 95%CI=2.07–77.68). It is hoped that the public, especially DM sufferers, will stop smoking to engage in physical activity or consider seeking support or health consultation to help stop smoking. Additionally, it is hoped to not have direct contact with TB sufferers, to and use a mask when interacting with TB sufferers.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4855The Effect of Giving A Heating Lamp on Increasing the Body Temperature of Patients with Postoperative Shivering2025-01-31T00:54:50+00:00Gevi Melliya Sarigevilie.lie@gmail.comKarisma Dwi Anamaknakarisma@gmail.comSylvie Puspitasylviepuspita@gmail.comErfan Zitni Amrullahmaknakarisma@gmail.com<p>Shivering is closely related to hypothermia and is one of the seriously problems in surgical patients that can hurt the patient's condition because it affects patient comfort and increases metabolic needs that cause cardiovascular complications. The causes of shivering are the temperature of the operating room, the extent of the surgical wound, age, body mass index, fluids, gender, type of anesthesia, and duration of surgery. The aim of this study was to determine the effect of giving a heating lamp on increasing the body temperature of patients with postoperative shivering. This study was a quantitative study with a pre-experimental design type one group pretest-posttest. The population in the survey was postoperative patients. The sample in this study amounted to 32 respondents using the accidental sampling technique. The instruments in this study were thermometers, heating lamps, and observation sheets. Data analysis used the Wilcoxon sign rank test with P <0.05. This study showed that the average body temperature of patients before being given a heating lamp was 35.10 C. After being given a heating lamp, the average patient temperature was 36.70C. The results of the statistical analysis test obtained a P value of 0.00, which means that there is an effect of providing a heating lamp on increasing the body temperature of patients with postoperative shivering. Postoperative shivering can be treated by minimizing heat loss during surgery with various mechanical interventions such as providing a heating lamp.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5416Identification of Risk Factors Causing Stunting in Children Under Five Years of Age2025-02-01T06:41:25+00:00Lindesi Yantidesirozak@gmail.comFermata Saritatatomy27@gmail.comAris Teguh Hidayatarishidayatat@gmail.comMasniati Arafahmasniarafah@gmail.com<p>Stunting is a global health problem in children that has an impact on increasing morbidity and mortality, developmental disorders (cognitive, motor, language), and increasing the economic burden for the costs of child care and treatment.The aim is to identify risk factors for stunting in children under five years of age. The research method uses a descriptive observational design and a cross-sectional approach, with a sample size of 94 respondents use cluster sampling. Measuring instruments used Questionnaire which contains a history of exclusive breastfeeding, history of infectious diseases, immunization status and 10 knowledge questions about stunting that have been tested for validity. Correlation data analysis using chi-square, and multiple logistic regression prediction modeling. The results of the study showed a significant relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Toddlers who do not receive exclusive breastfeeding have a 33.139 times greater chance of experiencing stunting compared to toddlers who receive exclusive breastfeeding with a wald value of 14.159. The conclusion is that the factor of exclusive breastfeeding is the factor that plays the most role in influencing the incidence of stunting in toddlers.An important role is needed for cadres, health promoters, and health services to support the government's program on providing exclusive breastfeeding, providing education and providing correct and accurate information regarding stunting and how to prevent it.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5523Analysis of Factors Related to Increased Interdyalitic Weight Gain (IDWG) in Patients with Chronic Kidney Diseases (CKD) in Hemodialysis Unit2025-02-01T18:02:53+00:00Fermata Saritatatomy27@gmail.comLindesi Yantidesirozak@gmail.comAris Teguh Hidayatarishidayatat@gmail.comMasniati Arafahmasniarafah@gmail.com<p>Weight gain between dialysis times (Intradialytic Weight Gain (IDWG)). IDWG values > 6% of dry body weight can cause various complications. Increased IDWG is influenced by various factors both internal and external. It is important to know the factors that influence IDWG in increasing patient compliance with fluid intake. Objective to determine the factors that influence the increase in IDWG of Chronic Kidney Disease Patients in the Hemodialysis Unit Method: The design of this study is descriptive correlation analysis with a Cross Sectional design. The sample of this study was CKD patients with hemodialysis at Dr. AK Gani Hospital, Palembang, the sample was determined through a total sampling technique, totaling 41 respondents. The research instruments consist of demographic data instruments, namely age, gender, education and marital status, fluid intake questionnaires, stress, thirst using standard questionnaires, family support questionnaires have been tested for validity with r results> r table (0.361), and reliable with r Alpha value of 0.749, self-efficacy questionnaires have been tested for validity with r results> r table (0.361), and declared reliable with r Alpha 0.822, and Body Weight is measured using ISO weight scalesAnalysis to determine the relationship between IDWG and fluid intake, thirst, self-efficacy, stress, family support with the Spearman Sign Rank Rho correlation test. There is a significant relationship between IDWG values and fluid intake (p = 0.001 r = 0.603), there is a relationship between IDWG values and thirst (p = 0.001 r = 0.484). There is no relationship between IDWG values and self-efficacy (p = 0.186 r = 0.244). The relationship between IDWG values and stress showed no relationship (p = 0.206 r = 0.202). The relationship between IDWG values and family support had no relationship with IDWG values (p = 0.976 r = 0.005). The increase in IDWG values is influenced by fluid intake and thirst in hemodialysis patients, the higher the fluid intake and thirst, the greater the increase in IDWG values.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5130Comparison of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing for Tibial Shaft Fracture: A Systematic Review and Meta-Analysis2025-02-01T18:46:00+00:00I Wayan Subawaorthounud082024@gmail.comAnak Agung Ngurah Bagus Surya Darmasuryadarmaa63@yahoo.com<p>Tibia shaft fractures are thought to affect 4% of the elderly population. Both low energy and high energy mechanisms have the potential to damage the tibia. Two frequently utilized surgical procedures that are superior to other available choices (external fixation and conventional plate fixation) for the treatment of tibia shaft fractures are intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO). We compare minimally invasive plate osteosynthesis versus intramedullary nailing for tibial shaft fracture in terms of return to work, hospital stay, and complications over the duration of 1-2 years of follow-up.Methods: A PRISMA guided systematic review was done. A comprehensive literature search was performed to find study in English comparing between MIPO and IMN for tibial shaft fracture from January 2017 until August 2022. PubMed, Google Scholar, and Cochrane Library. The focus in this systematic review and meta-analysis is to compare outcome between MIPO and IMN for tibial shaft fracture. ((“Minimally Invasive Plate Osteosynthesis”, “Intramedullary Nailing”), AND (“Tibial Shaft Fracture”), AND (“Outcome Measure”)) were utilized in the search.Results: This meta-analysis included a total number of 214 patients with 91 patients undergoing MIPO and 123 patients undergoing IMN. The follow-up period was 1-2 years after the treatment. There were found no significant differences statistically in terms of hostpital stay, return to work, infection, malunion, and non union. Conclusion: Our investigations show that both IMN and MIPO are safe and effective methods in treating tibial shaft fractures, and our results show that both methods provide similar outcomes in length of stay, return to work, infection, malunion, and non-union aspects.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5117Comparison of Plating Versus Intramedullary Nailing in Metaphyseal Fractures: A Systematic Review and Meta-Analysis2025-02-01T19:00:34+00:00Anak Agung Ngurah Bagus Surya Darmasuryadarmaa63@yahoo.comI Wayan Subawasuryadarmaa63@yahoo.com<p>Metaphyseal fractures are common orthopedic injuries that often require surgical intervention for optimal management. The choice between plating and intramedullary nailing as fixation methods remains a subject of debate among orthopedic surgeons, with considerations including fracture type, patient characteristics, and surgical outcomes. This study aim to compare the efficacy, safety, and outcomes of plating versus intramedullary nailing in the treatment of metaphyseal fractures.Methods: A comprehensive search was conducted across major electronic databases for relevant studies published up to 2023. Studies comparing plating and nailing techniques in metaphyseal fracture fixation were included. Data regarding study characteristics, patient demographics, surgical techniques, outcomes, and follow-up durations were extracted and analyzed using appropriate statistical methods. Our primary outcomes were union rate and time, functional outcome using patient reported outcome measure, and complications. Results: The initial search yielded a total of 687 studies, of which 7 studies met the inclusion criteria, consisting of a total of 758 skeletally-mature patients with metaphyseal fractures treated with either intramedullary nailing or plate fixations. The meta-analysis revealed that there is no evidence to draw definitive conclusions on which indicates the best method in treating metaphyseal fractures. Subgroup analyses were performed based on fracture type, patient age, and other relevant factors to further elucidate the comparative effectiveness of plating versus screwing.Conclusion: The meta-analysis findings indicated that using intramedullary nailing led to shorter surgical and complications when compared to plate fixation. Additionally, both treatments frequently resulted in similar union times and union-related issues. However, further randomized controlled trials (RCTs) are necessary to bolster the existing evidence base.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5120Comparison between Peroneus Longus Tendon Autograft Versus Hamstring Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis2025-02-01T19:11:40+00:00Anak Agung Ngurah Bagus Surya Darmasuryadarmaa63@yahoo.comI Gusti Ngurah Wien Aryanawienaryanaortho@gmail.com<p>Peroneus longus tendon (PLT) autografts offer a promising alternative to hamstring tendon (HT) autografts in ACL reconstruction, addressing limitations like donor site morbidity and insufficient graft material. This systematic review compares clinical outcomes, highlighting PLT comparable effectiveness and potential advantages, supporting its use as a viable option for ACL repair.Material & Methods: This systematic review compared PLT and HT autografts in ACL reconstruction, assessing clinical trials via PRISMA guidelines and robust statistical methods to evaluate outcomes, study quality, and heterogeneity.Results: Four studies met the inclusion criteria for qualitative and quantitative synthesis. The analysis revealed a statistically significant improvement in International Knee Documentation Committee (IKDC) scores for PLT autografts compared to HT autografts (p < 0.0001; MD=3.16; 95% CI=2.00, 4.32). Lysholm scores showed no significant difference between the two groups (p = 0.95; MD=1.56; 95% CI=0.03, 3.09). PLT autografts demonstrated similar knee laxity outcomes and graft survival rates to HT autografts, with minimal donor site complications. Conclusions: PLT autografts offer a promising alternative to HT autografts in ACLR, providing comparable functional outcomes and graft survival rates. The use of PLT may also mitigate potential donor site complications associated with intra-knee graft harvesting.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5096Utilizing Monopoly Game Media to Enhance Students' Motivation Acquisition about the Fulfillment of Balanced Nutrition2025-02-02T06:01:10+00:00Firnaliza Rizonafirnaliza.rizona@fk.unsri.ac.idFuji Rahmawatilivana.ph@gmail.comSigit Purwantolivana.ph@gmail.comRijal Akbar Difa Padianalivana.ph@gmail.com<p>The limited knowledge and motivation of balanced nutrition among school children poses a significant challenge to their health and overall development. Inadequate motivation in fulfillmnet of balanced nutrition among school children contributes significantly to the triple burden of malnutrition, encompassing undernutrition, micronutrient deficiencies, and overnutrition. One such approach is the use of interactive educational tools, such as monopoly-based games, which combine learning with play to effectively enhance motivation retention. This study examines the potential of a monopoly game as a health education tool to improve students' understanding and motivation the fulfillment of balanced nutrition. This study was quantitative research which used pre-experimental with one group pre posttest design. A total of 30 students participated in the study, selected through purposive sampling. A pre-test and post-test design was employed to measure the motivation level before and after the intervention. Statistical analysis using the Wilcoxon test revealed a significant improvement in students' motivation, with a p-value of 0.000 (p < 0.05), indicating the effectiveness of the intervention by using monopoly games about balanced nutrition. Implementing educational media through games, such as the monopoly game, significantly enhances students' motivation in fulfillment of balanced nutrition.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5405Effectiveness of Grow Me Coaching Model Module on Improving Self Efficacy in Laboratory Learning of Nursing Students2025-02-02T07:53:21+00:00Nunik Purwantinoniek@unusa.ac.idAyu Isnawatilivana.ph@gmail.comSiti Nur Hasinalivana.ph@gmail.com<p>Laboratory practice is a skill, knowledge, and attitude training exercise designed to help students comprehend professional nursing competencies. Students' capacity to learn the content can be impacted by low levels of self-efficacy. Numerous research have demonstrated that student learning strategies can raise self-efficacy. To increase student self-efficacy, a variety of teaching strategies can be employed; in this study, the model Grow Me coaching module. Research methods: The type of research used is quantitative quasi-experimental research with a nonequivalent control group design approach. The population of this study were all D3 Nursing students in the 3rd semester of the 2024 academic year, totaling 58 students. The research used a simple random sampling method, namely using the Slovin equation with a sample size of 50 students. This study was divided into 2 groups, namely the control group and the mediation group. The variables in this study are the Grow Me Coaching Model Learning Module as the independent variable and student self-efficacy during practicum at the health center as the dependent variable. The research instrument was the Grow Me Coaching Model Module given to students and the GSE questionnaire to measure the level of student self-efficacy. Data examination was carried out using the Wilcoxon Sign Rank test with significance <0.05. Result: Examination of the frequency distribution of respondents based on the level of self-efficacy progress using the Wilcoxon Marked Rank Test in the intervention group obtained a significance value (p) = 0.000 smaller than α = 0.05, while in the control group obtained a significance value (p) = 0.317 greater than α = 0.05, meaning that there is a sufficient influence between the Grow Me Coaching Model Learning Module and increased self-efficacy in learning the infusion installation laboratory in nursing students. Conclusions: The results of this study are the implementation of the coaching module based on the GROW ME model, proven effective in improving the self-efficacy of nursing students in laboratory learning.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5543Effectiveness of Information–Motivation–Behavioral (IMB) Skills Model on Diabetes Mellitus Patients Knowledge2025-02-02T09:05:34+00:00Exodus Maruaba Barutudavid.exodus@yahoo.comDudut Tanjunglivana.ph@gmail.comNur Asnah Sitohangsitohangnurasnah@gmail.com<p>Laboratory practice is a skill, knowledge, and attitude training exercise designed to help students comprehend professional nursing competencies. Students' capacity to learn the content can be impacted by low levels of self-efficacy. Numerous research have demonstrated that student learning strategies can raise self-efficacy. To increase student self-efficacy, a variety of teaching strategies can be employed; in this study, the model Grow Me coaching module. Research methods: The type of research used is quantitative quasi-experimental research with a nonequivalent control group design approach. The population of this study were all D3 Nursing students in the 3rd semester of the 2024 academic year, totaling 58 students. The research used a simple random sampling method, namely using the Slovin equation with a sample size of 50 students. This study was divided into 2 groups, namely the control group and the mediation group. The variables in this study are the Grow Me Coaching Model Learning Module as the independent variable and student self-efficacy during practicum at the health center as the dependent variable. The research instrument was the Grow Me Coaching Model Module given to students and the GSE questionnaire to measure the level of student self-efficacy. Data examination was carried out using the Wilcoxon Sign Rank test with significance <0.05. Result: Examination of the frequency distribution of respondents based on the level of self-efficacy progress using the Wilcoxon Marked Rank Test in the intervention group obtained a significance value (p) = 0.000 smaller than α = 0.05, while in the control group obtained a significance value (p) = 0.317 greater than α = 0.05, meaning that there is a sufficient influence between the Grow Me Coaching Model Learning Module and increased self-efficacy in learning the infusion installation laboratory in nursing students. Conclusions: The results of this study are the implementation of the coaching module based on the GROW ME model, proven effective in improving the self-efficacy of nursing students in laboratory learning.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5184The Association of Non-Conformance Toward Unsafe ACTS and Condition in Mills PT XYZ: The Correlational Study2025-02-04T02:55:26+00:00Muhammad Isranul Hakimmuhammadisranulhakim@mail.ugm.ac.idPerie Anugraha Wigunalivana.ph@gmail.comElen Sahan Wijayalivana.ph@gmail.comRobi Kurnialivana.ph@gmail.com<p>The issue of workplace safety is a critical concern globally, particularly in high-risk industries such as manufacturing and milling. Using quantitative methods. This study aims to investigate the relationship between non-compliance with safety protocols and the prevalence of unsafe acts and conditions across 37 mills at PT XYZ, which includes 14 paper buyer mills, 13 paper pulp mills, and 10 paper tissue mills. We collected data in May from secondary sources such as safety records and incident reports and then used the Statistical Package for the Social Sciences (SPSS) for analysis. We performed normality tests prior to conducting correlation analyses to ensure the appropriateness of the applied statistical methods. The study of Mill PT XYZ (N=37) found weak negative correlations between non-conformance and unsafe conditions (-0.292, p=0.80) and unsafe acts (0.140, p=0.410). This means that non-conformance does not have a big effect on unsafe behaviors. In the Paper Buyer Mills (N=14), correlations are weakly positive for unsafe conditions (0.127, p=0.666) and weakly negative for unsafe acts (-0.402, p=0.154), both lacking significance. For the Paper Pulp Mills (N=13), weak negative correlations of -0.366 (p=0.219) and -0.455 (p=0.118) also show no significance. The Paper Tissue Mills (N=10) have a moderately negative correlation of -0.599 (p=0.067), which points to a possible link between higher non-conformance and unsafe conditions. However, the correlation with unsafe acts (0.238, p=0.508) is still weak, which makes it challenging to draw firm conclusions.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5479The Role of Elementary Schools in Dengue Fever Control: A Scoping Review2025-02-06T23:08:00+00:00Opik Taufikopikp2kotapekalongan@gmail.comBudiyono Budiyonolivana.ph@gmail.comCahya Tri Purnamilivana.ph@gmail.com<p>This study aims to evaluate the role of elementary schools in controlling Dengue Fever (DF) through education of students as agents of change in the community. This research uses a quantitative approach with survey and experimental designs. Data were collected through questionnaires distributed to students, teachers, and school principals from several elementary schools involved in the DF empowerment program. Data analysis was performed using descriptive statistics and difference tests to evaluate the students' knowledge levels before and after participating in the educational program. The findings show that educational programs involving students in DF prevention activities, such as mosquito larvae monitoring and community outreach, can improve students' knowledge and attitudes toward DF prevention.Activities such as using educational media based on comics and awareness calendars were found to be effective. Elementary schools play a crucial role in DF control by empowering students through health education. Proper educational programs can enhance students' and the community's awareness in DF prevention, supporting broader efforts in disease control.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5494The Effect of Yoga on Back Pain, Anxiety and Sleep Quality of Pregnant Women: A Systematic Literature Review2025-02-06T23:46:40+00:00Eka Setyowatiekasetyowati1985@gmail.comMelyana Nurul Widyawatimelyana_nurul@poltekkes-smg.ac.idCipta Pramanapramanacipta@yahoo.com<p>Pregnant women often experience various physical and psychological discomforts, such as back pain, anxiety, and sleep disorders that adversely affect maternal and fetal health. One approach that has to widely studied is yoga, which is believed to be able to reduce discomfort.Objective: To analyze and evaluate the literature regarding the effects of yoga on back pain, anxiety and sleep quality in pregnant women.Methods: This study used the Systematic Literature Review (SLR) method with the PRISMA approach. The articles analyzed were obtained from the Google Scholar, PubMed, and ResearchGate databases with the keywords "pregnancy, yoga, anxiety, low back pain, and sleep quality." Inclusion criteria used the PICOS framework and resulted in 15 relevant articles.Results: An analysis of 15 articles showed that yoga is consistently effective in reducing back pain, reducing anxiety, and improving sleep quality in pregnant women, especially in the second and third trimesters.Conclusion: Yoga is a safe and effective intervention for pregnant women to reduce back pain, reduce anxiety and improve sleep quality so it can be used as an alternative to improve the overall well-being of pregnant women.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5527Effectiveness of Consuming Thalassa Eggplant and Date Extract in Increasing Hemoglobin Levels in Pregnant Women: Systematic Literature Review2025-02-07T00:14:41+00:00Ulfia Fitrianingsihulfafitrianingsih93@gmail.comRunjati Runjatirunjati@yahoo.comBetty Yosephinpatricknmom@yahoo.co.id<p>Anemia in pregnant women is a significant public health problem, especially in developing countries. Iron deficiency in pregnant women can interfere with fetal growth and maternal health. One alternative to increase hemoglobin levels is to consume local foods such as tamarillo and date palm juice, which are rich in iron and vitamin C.Objective: The aim of this study was to identify the effectiveness of consuming tamarillo and date palm juice in increasing hemoglobin levels in pregnant women with anemia based on a systematic literature review.Method: The research design is a Systematic Literature Review of articles or journals published in 2020-2024, accessed on Google Scholar, PubMed and Scopus with the Prisma Flow technique. Relevant articles were selected using the PRISMA flow technique, with the inclusion criteria being in Indonesian or English that can be accessed in full.Results: The results of the analysis of 10 articles showed that consumption of tamarillo and date palm juice significantly increased hemoglobin levels in pregnant women with anemia. The increase in hemoglobin levels ranged from 1.0-2.0 g/dL in the intervention group. Tamarillo is effective due to its vitamin C content which increases the absorption of non-heme iron, while date palm juice provides additional iron and energy to support hemoglobin formation.Conclusions: tamarillo and date palm extract have been proven effective as non-pharmacological interventions in treating anemia in pregnant women. The combination of these two ingredients can be a safe natural alternative and has the potential to increase the success of managing pregnancy anemia</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5473The Effect of Exclusive Breastfeeding Module Intervention on the Knowledge and Attitudes of Prospective Fathers about Breastfeeding in Bengkulu City2025-02-07T05:52:49+00:00Sabrina Sellasabrinasella395@gmail.comRiska Yanuartiriskayanuarti@umb.ac.idAgus Ramonagusramon1963@gmail.comIda Samidaidasamidah@yahoo.comBintang Agustina Pratiwibintangagustina@umb.ac.id<p>Bengkulu City has experienced a decline in exclusive breastfeeding coverage over the past three years (2020-2022). Research related to education for prospective fathers in Bengkulu City has not been widely implemented. This study aims to analyze the effect of exclusive breastfeeding module interventions on the knowledge and attitudes of prospective fathers about breastfeeding in Bengkulu City. A quasi-experimental study was conducted in April-September 2024 with a population of prospective fathers who have wives with a gestational age of more than 27 weeks or the third trimester. The sample consisted of 15 people in the control group and 15 people in the intervention group. The sampling method used purposive sampling. The research variables include the knowledge and attitudes of prospective fathers about breastfeeding, as well as the exclusive breastfeeding module. The instrument used was a questionnaire that had been tested for validity and reliability. Data analysis was carried out univariately and bivariately. There were insignificant results from the knowledge variable between the two groups, both pre-test (p = 0.074) and post-test (0.546). While on the attitude variable, significant results were obtained between the two groups, both pre-test (0.001) and post-test (0.044). The exclusive breastfeeding module intervention only affected the attitude variable of prospective fathers about breastfeeding between the intervention group and the control group, both before and after the intervention. While on the knowledge variable of prospective fathers about exclusive breastfeeding, there was no effect between the two groups, both pre-test and post-test.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4944The Effect of Dysminore Gymnastics on Menstrual Pain in Young Girls In Grades VII and VIII2025-02-07T07:35:30+00:00Ade Marlisa Rahmadayantilivana.ph@gmail.comTitin Apriyanititinapriyani65@gmail.com<p>Dismenorrhea is pain in the pelvic region due to menstruation and the production of prostaglandins. Dismenorrheic exercise is a physical exercise activity that can relieve menstrual pain. During exercise, endorphins are produced in the body. Endhorpin acts as a natural sedative and can make you feel comfortable. This study aims to find out the effect of dysmenorrheic gymnastics on menstrual pain in teenage daughters. The research design used was a quasi-experiment with a two-group pre-test-post-test design and sampling using non probability Sampling method with a total sampler technique consisting of 30 students of classes VII and VIII in Bakti Mother 2 Palembang High School, samples were divided into two groups, 15 control groups and 15 intervention groups. The average menstrual pain in the intervention group was 4.60 and after exercise disminored 3.13, in the control group the average pre-test was 3.33 and after the post-test 3.20. Data analysis using the wilcoxon test showed that there was a significant value in the intervention group with a p-value of 0,000, whereas in the control group there was no significant value with the p- value of 0.157. It is expected that adolescents who experience menstrual pain will be able to deal with non-pharmacological treatments such as dysmenorrheic gymnastics, thereby reducing pain and the use of pharmacological drugs that have side effects.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5237Effects of Caring Leadership in Nursing Services: Scoping Review2025-02-07T08:14:59+00:00Roselien Putri Ariestiantiroselienputria@gmail.comLuky Dwiantorolukydwiantoro@fk.undip.ac.idMeidiana Dwidiyantimdwidiyanti@gmail.com<p>Nurses have many complex problems when carrying out their nursing services affected high number of nursing turnover. The head nurse plays an important role in solving the problems faced by her staff. One of the leadership styles that can be used is caring leadership. The results of previous studies show that caring leadership has a positive impact to nurses. The purpose of this paper is to determine the effect of caring leadership carried out by the head nurse in nursing services. Method: The method used in this writing is scoping review. Literature search was taken from data based on Pubmed, Science Direct, Proquest, and EBSCO with restrictions on the year of publication 2019 – 2023. There are 2 outlines of the effects of caring leadership in nursing services including: direct effects on nursing service work and indirect effects. Caring leadership is one of the leadership styles that can be used by the head nurse. The results of this paper can be used as a consideration in nursing for the selection of leadership style to be used.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/4964Development of Early Detection Assessment Questionnaire for Type 2 Diabetes Mellitus for Health Cadres2025-02-07T09:13:11+00:00Fuji Rahmawatifujirahmawati@fk.unsri.ac.idHerliawati Herliawatilivana.ph@gmail.comFirnaliza Rizonalivana.ph@gmail.com<p>In 2021 Diabetes Mellitus (DM) type 2 contributes to more than 90% of the total diabetes cases globally, which means more than 482.94 million individuals suffer from this disease. This figure is believed to be higher because there are still many residents who have not been detected. In Indonesia, early detection of type 2 DM is integrated with the Posbindu program, but it is still not running optimally because there is no instrument that can identify high-risk community groups. Objective: This study aims to design an early detection assessment questionnaire for type 2 DM that can be used by health cadres. Method: This study used research and development method. According of the 10 steps of the research and development method, researchers only used 9 steps due to environmental conditions, limited time and research costs. The product that will be produced in this research is an early detection assessment instrument in the form of a questionnaire consisting of questions related to signs and symptoms as well as risk factors for type 2 DM. The population consists of people in the working area of the Puskesmas Simpang Timbangan. The data analysis technique used during product testing is validity testing using Pearson product moment and reliability testing using Cronbach's alpha with validity value r count > r table (0.3008) and reliability value 0.746 (> 0.60). Results: From the development of the questionnaire, 15 closed questions were obtained that were valid and reliable for use. Conclusions: This early detection assessment questionnaire can be used by health cadres in early detection of risk factors for DM Type 2 in the community.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5676A Deadly Electrocardiography Shark Fin Sign in ST Elevation Myocardial Infarction: A Case Report2025-02-09T01:07:29+00:00Syahwina Inayasarisyahwina10@gmail.comLuhur Pribadilivana.ph@gmail.comMargono Gatot Suwandilivana.ph@gmail.com<p>Shark fin ECG pattern, also known as 'giant R waves', or 'triangular QRS-ST-T waveform' is a high-risk ECG pattern associated with ST-elevation myocardial infarction (STEMI). Shark fin ECG is typically accompanied by occlusion of the left main coronary artery and the left anterior descending artery, and it is considered to be related to a high risk of death through cardiac arrest and cardiogenic shock. Objective: This case report aims to present a case study of a patient with acute coronary syndrome st-elevation myocardial infarction with a shark fin ECG pattern. Methods: The method used is a descriptive case report design conducted on one subject. Data were collected by conducting interviews, assessments, and therapy for one patient with a shark fin ECG sign in ST-Elevation myocardial infarction. Data analysis compared the results with the theory and previous study. Results: The result of this study indicated that Mr. X aged 44 years, was in cardiac arrest and unstable hemodynamic, and experienced a return of spontaneous circulation (ROSC) after he was given 45 minutes of cardiopulmonary resuscitation (CPR), and the electrocardiography result showed shark fin sign and extensive anterior st elevation, the patient then underwent primary percutaneous intervention and the coronary catheterization showed total occlusion in left anterior descending artery (LAD), proximal stenosis 20% in the left circumflex artery (LCx), and proximal stenosis 30% in the right coronary artery (RCA). The drug-eluting stent was finally placed in the LAD. Conclusions: Shark fin sign ECG pattern indicates total occlusion and a large area of transmural ischemia, and predicts high mortality, early recognition and prompt aggressive treatment can reduce the risk of more serious complications and mortality.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5460Mindfulness Technique and Lavender Aromatherapy on Anxiety in Cervical Cancer Patients Undergoing Chemotherapy2025-02-09T00:52:34+00:00Rosniati Rosniatirosniati.bulat@gmail.comErika Erikalivana.ph@gmail.comNurul Hudalivana.ph@gmail.comSri Wahyunilivana.ph@gmail.comMisrawati Misrawatilivana.ph@gmail.com<p>Mindfulness technique and lavender aromatherapy in reducing anxiety levels in cervical cancer patients undergoing chemotherapy. This research method uses a quasi-experimental design with a one-group pretest-posttest approach. A total of 49 respondents who experienced mild to moderate anxiety were involved in this study. The level of patient anxiety was measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS) questionnaire. The interventions provided included mindfulness technique training and lavender aromatherapy during chemotherapy sessions. The results showed a significant decrease in patient anxiety levels after the intervention, with the average anxiety level dropping from 43.40 to 34.26. The results of the paired sample t-test statistical test showed a p value <0.05, indicating that mindfulness and lavender aromatherapy interventions were effective in reducing anxiety in cervical cancer patients undergoing chemotherapy. Based on these findings, mindfulness and lavender aromatherapy interventions can be integrated as complementary therapies in cancer patient care to reduce anxiety during the treatment process. This study supports Calista Roy's adaptation theory, which emphasizes the importance of environmental interventions in helping patients adapt emotionally and physically to the disease. Suggestions for educational and health institutions are to integrate mindfulness techniques and lavender aromatherapy into nursing curricula and clinical practice to improve the well-being of cancer patients. These techniques can also be applied independently by the community as a simple way to manage everyday anxiety.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5492Autogenic Relaxation is Effective in Reducing Blood Pressure in Elderly People who Experience Hypertension2025-02-09T03:30:41+00:00Risdiana Melinda Naibahorisdiana.naibaho78@gmail.comWiwik Dwi Ariantilivana.ph@gmail.com<p>Hypertension in the elderly is a degenerative disease health problem that tends to worsen over time and can increase the risk of various cardiovascular diseases. Autogenic relaxation, which involves deep breathing and self-suggestion to calm the body, is expected to help lower blood pressure. This study aims to explore the effects of autogenic relaxation techniques in lowering blood pressure in the elderly with hypertension. The research method used was pre-experimental with a One Group Pretest-Posttest Design. The population of this study were all active elderly at Posyandu for the elderly of Bintang Village in the working area of UPT Puskesmas Batang Beruh who experienced hypertension 34 samples with purposive sampling technique to collect data with measuring instruments using blood pressure meters according to SOP and observation sheets. The average decrease in blood pressure after intervention was 137.56 mmHg with an average difference in systole reduction of 15.41 mmHg, diastole blood pressure after intervention was 83.41 mmHg with an average difference in diastolic reduction of 9.26 mmHg. Statistical tests using Paired Sample t-test resulted in a p value <0.01, which indicates significance at the 95% level of significance (α = 0.05). Autogenic relaxation is effective in reducing blood pressure in the elderly who experience hypertension.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5670Description of the Quality of Life in Elderly at Nursing Home2025-02-10T07:17:57+00:00Salsabila Fajarisalsabila21009@mail.unpad.ac.idNina Sumarnilivana.ph@gmail.comAdelse Prima Mulyalivana.ph@gmail.com<p>The quality of life among the elderly is prone to decline due to physical, mental, and social deterioration. Assesing the quality of life in the elderly is essential to measure the effectiveness of care in nursing homes, ensuring that residents live safely and comfortable. This study aims to describe of the quality of life among the elderly at UPTD Pusat Pelayanan Sosial Griya Lansia (PPSGL) Ciparay. Method: This research is a quantitative descriptive study. The sample consisted of 60 elderly individuals selected using purposive sampling technique. Data were collected through the WHOQOL-OLD questionnaire which has been translated into Indonesian and has been tested for validity using the Rasch Model and its reliability with the results of the Cronbach's Alpha value of 0.75. Data were analysis using univariate analysis. The results showed that 55% of the elderly had a good quality of life, with 80% at a good level in the death and dying domain and 48.3% at a poor level in the sensory abilities domain. Good quality of life is something that needs to be maintained. However, almost half of the elderly at the UPTD Pusat Pelayanan Sosial Griya Lansia (PPSGL) Ciparay are at a poor level in the past, present and future activity and sensory abilities domain.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3497Overview of the Effectiveness of Light Emitting Diode (LED) and Compact Fuorescent Lamp (CFL) Phototherapy on Neonatory Jaundice Bilirubin Levels2025-02-10T10:30:21+00:00Tia Setiawatitiasetiawati@unisa-bandung.ac.idMaya Amaliamayaamalia@unisa-bandung.ac.idSipa Dwi Astutilivana.ph@gmail.com<p>Neonatal jaundice is the condition of a newborn with high levels of bilirubin, which can cause various negative impacts on the baby, such as neurological abnormalities, mental retardation and seizures. The main treatment that can be done is by administering light phototherapy. Preliminary studies in the city of Bandung, there are still hospitals in Bandung that use phototherapy with the Compact Flourescent Lamp (CFL) type of lamp and there are also hospitals that use phototherapy with the Light Emitting Diode (LED) type. Objective: The aim of this research is to identify the effectiveness of LED and CFL phototherapy in reducing bilirubin levels in babies with neonatal jaundice in Bandung City. Method: This research method is a quasi-experiment with a retrospective approach. The sample for this study was 72 babies who were given phototherapy from January to July 2023. The data collection technique used data recorded at hospitals in Bandung City. Data was collected with checklist sheets and data analysis using the independent sample t test. The research locations were Bandung Kiwari Hospital and Bandung Muhamadiyah Hospital. Results: The results of the independent t-test showed a significant difference in total serum bilirubin values in the two groups before and after phototherapy (sig coefficient = 0.000 < 0.05). The group of neonates with CFL had a bilirubin value of 9.3989 which was higher compared to the group of neonates with LED phototherapy, namely 6.4189. LED phototherapy is more effective in reducing bilirubin compared to CFL phototherapy. Conclusions: Hospital policies to add LED phototherapy facilities can be considered, because they are more effective in reducing bilirubin levels.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5525Evaluation of Pharmacy Service Implementation in Class C Hospitals in Kebumen and Improvement Strategies2025-02-10T11:05:31+00:00Muchromin Muchrominmuchromin@unimugo.ac.idTri Wijayantitriwijayanti@setiabudi.ac.idLucia Vita Inandha Dewivitainandha@gmail.com<p>Health is a fundamental human right, and pharmacy services are a vital component of the healthcare system, especially in hospitals. The Ministry of Health Regulation No. 72 of 2016 serves as a guideline for implementing pharmacy services to ensure optimal healthcare delivery. Objective: This study aims to evaluate the implementation of Ministry of Health Regulation No. 72 of 2016 regarding pharmacy services in three class C hospitals in Kebumen Regency and to formulate improvement strategies using the Hanlon method. Method: A descriptive-analytical approach with a cross-sectional design was used. Data were collected through observations and interviews with the heads of pharmacy departments in the three hospitals. Results: The implementation of pharmaceutical supply management and clinical pharmacy services achieved 72.7% of the established standards. Key activities such as prescription review, medication history tracking, and counseling were conducted. However, activities like Drug Use Evaluation, sterile dispensing, and Therapeutic Drug Monitoring were not implemented due to limited facilities and skilled personnel. Hanlon analysis identified priority issues, including drug procurement accuracy, the number of items per prescription, and the lack of Drug Use Evaluation and Therapeutic Drug Monitoring. Conclusions: To improve service quality, recommendations include increasing budget allocation, training medical staff, and improving infrastructure. Addressing these issues is expected to enhance patient safety, drug use efficiency, and overall service satisfaction in the hospitals.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5375Mindfulness Intervention Reduces Care Burden Status of Family Caregivers for the Elderly: A Systematic Review2025-02-10T15:10:18+00:00Syahrani Iskandarsyahraniskandar@gmail.comEtty Rekawatiettyrekawati@gmail.comKuntarti Kuntartilivana.ph@gmail.com<p><strong>ABSTRACT</strong></p> <p>The increasing elderly population in Indonesia poses significant challenges for families acting as caregivers responsible for providing optimal care. Caregivers often experience physical, mental, and emotional stress, commonly referred to as caregiver burden. Mindfulness therapy has emerged as an effective approach to reducing stress by transforming negative thought patterns. Objective: This study aims to evaluate the effectiveness of mindfulness interventions in reducing caregiver burden and enhancing the health and well-being of caregivers for elderly family members through a systematic review. Method: A systematic review was conducted using the PRISMA approach. Data were collected from three databases: PubMed, EBSCOHost, and Scopus, with inclusion criteria focusing on research articles evaluating the effectiveness of mindfulness for caregivers of the elderly, published between 2019–2024. Five studies with a Randomized Controlled Trial (RCT) design were thoroughly analyzed using the Critical Appraisal Skills Programme (CASP). Results: The findings revealed that mindfulness interventions significantly reduced stress levels, depressive symptoms, and anxiety among caregivers. Additionally, improvements in sleep quality and emotional well-being were noted in some studies. While the effect on reducing caregiver burden was inconsistent, most studies demonstrated significant enhancements in mental health and overall well-being. Conclusion: Mindfulness-based interventions have proven effective in supporting the physical and mental health of caregivers for the elderly.</p>2025-02-10T12:40:35+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5412The Effect of Early Ambulation on Postoperative Elderly: A Systematic Review2025-02-10T15:40:09+00:00Susana Susanasusansan@gmail.comEtty Rekawatirekawati@ui.ac.idJunaiti Saharjunsr@ui.ac.idYossie Susanti Eka Putriyossie_putri@yahoo.com<p>Elderly patients face various surgical risks, including complications, slower recovery, prolonged hospital stays, functional decline, and even death. Early ambulation is beneficial in reducing these risks in older adults. However, elderly patients often lack motivation to ambulate due to insufficient understanding and family support, leading to longer bed rest. Aim : To evaluate the impact of early ambulation as an intervention to enhance postoperative recovery in elderly patients. Methods: This is a systematic review study with a PICO approach. Article searches were conducted using online databases such as EBSCO, PubMed, ScienceDirect, SpringerLink, and Scopus with the keywords (Elderly OR Older Adult) AND (Post Operative OR Post Surgery) AND (Early Ambulation OR Early Mobilization) AND (Reduce Length of Stay) published between 2014–2024 and The 5 relevant articles were found. Results: Five studies indicated that the implementation of early ambulation programs in elderly surgical patients not only reduces length of stay but also improves functional capacity and decreases the incidence of complications such as pneumonia, atelectasis, and venous thrombosis. Conclusion: The studies show that early mobilization reduces hospital stays, accelerates organ function recovery, and provides psychological benefits, such as reduced postoperative anxiety.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5330Optimizing the Role and Function of Managers in Nurse Performance Assessment or Ongoing Professional Practice Evaluation2025-02-10T17:54:04+00:00Wildan Wildanwildanjumleen@gmail.comAndi Amalia Wildaandiamaliawilda@gmail.comSarvita Dewisarvitadewi@gmail.com<p>The success of healthcare organizations depends heavily on the quality of human resources, particularly nurses, who play a critical role in the organization's growth and sustainability. Performance evaluation, such as Ongoing Professional Practice Evaluation (OPPE), is essential to assess nurses' contributions, productivity, and competencies. Objective: This study aims to optimize the role and function of managers in nurse performance evaluation through the OPPE approach.Methods: The study employed a case study method with a pilot study approach involving 21 nurses at RSAB Harapan Kita. Data collection was conducted through interviews, observations, and questionnaires. Problems were analyzed using the Ishikawa diagram, followed by problem prioritization, action planning, and implementation based on the POSAC method (Planning, Organizing, Staffing, Actuating, Controlling). Results : The analysis revealed that performance evaluation was not optimal, with outdated guidelines, the absence of standard operating procedures (SOPs), and irrelevant assessment tools. Current OPPE evaluations showed behavior scores at 48.5%, clinical performance at 93.5%, and professional development at 55.5%. Interventions included developing updated guidelines, SOPs, and relevant assessment tools. Conclusion: Optimizing managers' roles through updated guidelines, SOP development, and improved assessment tools significantly enhanced the effectiveness of performance evaluations. The implementation of tiered supervision and periodic evaluations is expected to improve nursing service quality and support the sustainable achievement of organizational vision and mission.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5729The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review2025-02-10T22:59:56+00:00Aminah Soemadi Al Djuwardiminnasoemadialdj@Gmail.comEtty Rekawatiettyrekawati@gmail.comDikha Ayu Kurniadikhaayukurnia@gmail.com<p>Approximately 40-50% of hemodialysis patients are elderly who experience chronic health conditions such as end-stage renal disease. Routine medications, lifestyle changes, and side effects of treatment often cause anxiety. Anxiety is described as a disturbing feeling as a situation of fear or threat. The sensation of anxiety can consist of palpitations, tremors, nervousness, and shortness of breath, interfering with the procedure. hemodialysis. Long duration of treatment and physical discomfort caused by it cause anxiety. Therefore, appropriate and safe non-pharmacological therapy is needed in the elderly. Objective to reduce anxiety in the elderly undergoing hemodialysis. The search was conducted through journal sources from ScienceDirect, ProQuest, EBSCO, and Pubmed (2019-2024) with keywords using medical subject headings (MeSH) "older adults" OR "elderly" OR "geriatrics" AND "music therapy" AND "acoustic therapy" OR "mindfullness" OR "Meditation" from 2899 article, 3 articles reviewed consisting of 1 quasi-experimental article 2 RCT articles it was proven that music therapy has a positive effect and increases satisfaction during hemodialysis as well as mindful meditation has been shown to reduce anxiety. Music therapy as an intervention that is cheap, easy and safe for the elderly can reduce anxiety levels, as well as mindful meditation although more research is still needed to see the evidence base.</p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/5501Clinical Symptoms of Cholelithiasis and Abdominal Ultrasound Findings in the Radiology Installation of RSD2025-02-11T02:19:56+00:00Dewi Darmayantiddarmayanti77@gmail.comLiasari Armaijnlivana.ph@gmail.comNani Supriyatnilivana.ph@gmail.com<p>Cholelithiasis is one of the main causes of abdominal pain morbidity worldwide. The prevalence of cholelithiasis in developed countries is around 10-15% of the adult population, while in Asian countries the epidemiology of cholelithiasis ranges from 3-10%, with the prevalence of cholesterol cholelithiasis. This study aims to determine the relationship between clinical symptoms of cholelithiasis and abdominal USG findings at the radiology installation of Tidore Islands City Hospital. Methods: The type of research is observational with a cross-sectional study design. The research was conducted at the Radiology Installation of RSD Kota Tidore Kepulauan. The research sample consisted of 104 patients, with a total sampling method. Data were collected using secondary data obtained from the medical records of patients showing clinical symptoms of cholelithiasis from January to December 2023. data analysis used the Fisher’s exact test statistical method. Results and Discussions: The results of the study showed that the characteristics of patients aged 46-65 years were 50 people (48.1%), female gender was 66 people (63.5%), the largest patient clinical was cholelithiasis as many as 98 people (94.2%), the largest patient ultrasound findings were cholelithiasis as many as 98 people (94.2%), the results of the correlation between clinical cholelithiasis and ultrasound findings showed that clinical cholelithiasis with ultrasound findings of cholelithiasis was the most with a total of 95 people. The results of the Fisher's exact test obtained a p value = 0.002, which means that there is a correlation between clinical cholelithiasis and ultrasound findings of cholelithiasis.</p> <p> </p>2025-04-01T00:00:00+00:00##submission.copyrightStatement##