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All Journal Professional Evidence-based Research and Advances in Wellness and Treatment Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems
Dian Sari
Stikes Dharma Landbouw, Indonesia
Health Professions Nursing

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The Relationship of Length of Treatment with the Stress Level of Surgical Inpatients in Dr. Rasidin Padang Ratna Dewi; Dian Sari
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 2 (2026): April, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i2.612

Abstract

Length of hospital stay is a key factor influencing patient stress, especially among individuals in surgical wards who face both physical and psychological challenges. Unmanaged stress may delay recovery and reduce quality of life. This study aimed to examine the relationship between length of stay and stress levels among patients in the surgical ward of Dr. Rasidin Padang Hospital. A quantitative approach with a cross-sectional design was used. The sample consisted of 72 patients selected through purposive sampling based on inclusion criteria. Data were collected using the DASS-21 stress questionnaire and an observation sheet to record length of stay. Univariate analysis described the frequency distribution, while bivariate analysis using the Chi-square test assessed the relationship between variables. Results showed that most respondents had a length of stay of 5 days (58.3%) and experienced moderate stress levels (45.8%). The bivariate analysis indicated a significant relationship between length of stay and stress levels (p-value = 0.002), with longer hospitalization associated with higher stress. In conclusion, length of treatment is significantly related to patient stress levels. These findings highlight the importance of implementing stress management interventions, including patient education, psychological support, and regular mental health monitoring, to improve care quality and promote faster recovery.
Overview of Inpatient Medical Record Return Delays to the Filing Unit: A Case Study in a Siti Rahmah Hospital Dian Sari; Maisharoh; Aulia Rahmi Cheni
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.705

Abstract

Timely return of inpatient medical records to the filing unit is essential to support continuity of health information management, coding accuracy, claim processing, and the availability of records for future healthcare services. However, delays in returning medical records remain a common issue in hospitals and may affect service quality. This study aimed to describe delays in the return of inpatient medical records and identify factors contributing to these delays at Siti Rahmah Hospital, Padang, Indonesia. A quantitative descriptive study was conducted in the Medical Record Unit of Siti Rahmah Hospital in 2025. The population included all inpatient medical records returned during the study period. Using a total sampling technique, 150 medical record files were observed. Data were collected through observation sheets and document review and analyzed using univariate analysis. The results showed that 95 (63.3%) inpatient medical records were returned late, while 55 (36.7%) were returned on time according to hospital standards. The main contributing factors were incomplete physician documentation (40.0%), delays in ward administrative processes (30.5%), incomplete nursing documentation (18.9%), and delays in discharge administration (10.6%). The average return time was 4 days, exceeding the hospital standard of 2 × 24 hours. Incomplete documentation and administrative delays were identified as the primary contributing factors. Strengthening monitoring systems, improving staff compliance, and enhancing coordination among healthcare professionals are recommended to reduce delays in medical record return.
Co-Authors Aulia Rahmi Cheni Maisharoh Ratna Dewi