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All Journal Media Ilmiah Kesehatan Indonesia NMI THE JOURNAL OF Nursing Management Issues
Safaruddin Safaruddin
Sekolah Tinggi Ilmu Kesehatan Panti Kosala
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Effect of Distance to Health Care Facilities on Tuberculosis Treatment Compliance in Tuberculosis Patients: A Meta-Analysis Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.957

Abstract

Patient adherence to tuberculosis (TB) treatment is an essential factor in ensuring therapeutic success, preventing relapse, and mitigating the rate of drug resistance in the community. One structural barrier frequently associated with suboptimal adherence levels is the geographical distance between the patient's residence and healthcare facilities. Given that previous literature still exhibits variations in empirical findings, this study aims to quantitatively synthesize and estimate the magnitude of the effect of healthcare facility distance on the treatment adherence of TB patients. This systematic review and meta-analysis was designed in adherence to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search strategy focused on the Google Scholar database by establishing inclusion criteria based on the PICO framework: TB patients (Population), easily accessible healthcare facilities (Exposure), inaccessible healthcare facilities (Comparator), and the level of treatment adherence (Outcome). Statistical synthesis was executed using Review Manager 5.3 software. The eligibility evaluation identified three case-control primary studies included in the analysis. The forest plot visualization confirmed that patients facing inaccessible healthcare facilities possess a significantly higher probability of non-adherence by 3.76 times compared to patients with easy access (aOR = 3.76; 95% CI = 2.11–6.70; p = 0.0001). Although the statistical test demonstrated perfect methodological homogeneity across the studies (I² = 0%), an indication of potential publication bias was detected through the funnel plot visualization. In conclusion, geographical distance barriers are proven to significantly degrade TB treatment adherence. Proactive policy interventions, such as service decentralization and community-based medical governance innovations, are highly crucial to overcome these spatial obstacles.
Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas Hendra Dwi Kurniawan; Safaruddin Safaruddin; Rizki Aqsyari
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.975

Abstract

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.
Analisis determinan kepuasan pasien terhadap loyalitas pasien pada pelayanan keperawatan maternitas Eunike Tamariska; Ditya Yankusuma Setiani; Diyono Diyono; Safaruddin Safaruddin
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3436

Abstract

Background: Patient loyalty is one of the indicators of the quality of healthcare services, including maternity nursing services. High-quality services are expected to improve patient satisfaction and loyalty toward the services provided. Purpose: To analyze the relationship between the quality of maternity nursing services based on the SERVQUAL dimensions, namely tangibles, empathy, reliability, responsiveness, and assurance, and patient loyalty at RSUD Ibu Fatmawati Soekarno, Surakarta. Methods: This quantitative study employed a cross-sectional design. The study population consisted of patients receiving maternity nursing services at RSUD Ibu Fatmawati Soekarno, Surakarta. A total of 282 respondents were selected using purposive sampling, and the data were analyzed using the chi-square test. Results: The reliability, responsiveness, and assurance dimensions were significantly associated with patient loyalty (p < 0.05). Meanwhile, the tangibles and empathy dimensions were not significantly associated with patient loyalty. Most respondents (99.3%) demonstrated a high level of loyalty toward maternity nursing services. Conclusion: There was a significant relationship between the reliability, responsiveness, and assurance dimensions of maternity nursing service quality and patient loyalty. Keywords: Maternity Nursing; Patient Loyalty; Patient Satisfaction. Pendahuluan: Loyalitas pasien merupakan salah satu indikator keberhasilan mutu pelayanan kesehatan, termasuk dalam pelayanan keperawatan maternitas. Kualitas pelayanan yang baik diharapkan mampu meningkatkan kepuasan dan loyalitas pasien terhadap layanan yang diberikan. Tujuan: Menganalisis hubungan kualitas pelayanan keperawatan maternitas berdasarkan dimensi SERVQUAL yang meliputi tangibles (bukti fisik), empathy (empati), reliability (keandalan), responsiveness (daya tanggap), dan assurance (jaminan) dengan loyalitas pasien di RSUD Ibu Fatmawati Soekarno Kota Surakarta. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Pasien pelayanan keperawatan maternitas RSUD Ibu Fatmawati Soekarno Kota Surakarta. Pengambilan sampel dilakukan menggunakan teknik purposive sampling sehingga diperoleh sebanyak 282 responden, kemudian dianalisis dengan uji chi-square. Hasil: Menunjukkan bahwa dimensi reliability, responsiveness, dan assurance memiliki hubungan yang signifikan dengan loyalitas pasien (p-value <0.05). Sementara itu dimensi tangibles dan empathy tidak menunjukkan hubungan yang signifikan. Sebagian responden (993%) memiliki tingkat loyalitas yang tinggi terhadap pelayanan keperawatan maternitas Simpulan: Terdapat hubungan antara kualitas pelayanan keperawatan maternitas pada dimensi keandalan, daya tanggap, dan jaminan dengan loyalitas pasien. Kata kunci: Loyalitas Pasien, Kepuasan Pasien, Keperawatan Maternitas
Co-Authors Ditya Yankusuma Setiani Diyono Diyono Eunike Tamariska Hendra Dwi Kurniawan Rizki Aqsyari