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All Journal Nurse and Holistic Care
Tiarnida Nababan
PUI-PT Palliative Care, Faculty of Nursing and Midwifery, Universitas Prima Indonesia, Medan
Health Professions Medicine & Pharmacology Nursing Public Health

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MULTIDIMENSIONAL APPROACH TO PATIENT SATISFACTION IN HEMODIALYSIS NURSING SERVICES AT ROYAL PRIMA GENERAL HOSPITAL, MEDAN Evalatifah Nurhayati; Elis Anggeria; Tiarnida Nababan
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8443

Abstract

Background: The increasing population of patients with end-stage kidney disease necessitates high-quality nursing services. Patient satisfaction in hemodialysis is a multidimensional construct encompassing physical, psychological, and technical aspects of care. Objective: To analyze patient satisfaction through a multidimensional approach and identify the dominant factor influencing satisfaction at Royal Prima General Hospital, Medan, in 2025.Methods: This quantitative study used a cross-sectional design. Total sampling was applied to 115 hemodialysis patients (Sample). Variables included nine dimensions of service measured via a multidimensional questionnaire (Instrument). Data were analyzed using univariate, bivariate (Chi-square), and multivariate (Logistic Regression) tests (Analysis).Results: Patients reported high satisfaction levels, categorized as very satisfied (52.5%) and satisfied (47.5%). All service dimensions significantly correlated with satisfaction (p≤ 0.05). Multivariate analysis identified medical care as the most dominant factor (p = 0.000; B = 0.104), indicating its critical role in shaping patient perceptions.Conclusion: Nursing service quality across multiple dimensions significantly drives patient satisfaction, with medical care being the most influential. Hospitals should focus on enhancing medical care, nurse responsiveness, and therapeutic communication to sustain service quality.
ANALYSIS OF HEALTH WORKER AND PEER SUPPORT GROUP INFLUENCE ON ANTIRETROVIRAL (ARV) ADHERENCE AT DR. DJASAMEN SARAGIH GENERAL HOSPITAL, PEMATANGSIANTAR Jakasmir Girsang; Tiarnida Nababan; Refi ikhtiari
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8462

Abstract

Background: The low success of antiretroviral (ARV) therapy at Dr. Djasamen Saragih Regional Hospital is reflected in the small number of People Living with HIV (PLHIV) who achieve viral load suppression. This problem is strongly suspected to be related to the low level of medication adherence. Objective: To analyze the effect of support from health workers and Peer Support Groups (PSGs) on ARV adherence at Dr. Djasamen Saragih Regional Hospital.Methods: This study used a cross-sectional design. The study population was all PLHIV, totaling 229 people, with a sample size of 71 people taken through a purposive sampling method. Data were analyzed bivariate and multivariate to determine the relationship between variables and the odds ratio of patient adherence.Results: Bivariate analysis showed a significant relationship between support from health workers (p=0.000) and peer support (p=0.001) on ARV adherence. The results of the multivariate analysis showed that support from healthcare workers was the dominant factor, where PLHIV who received such support had a 7.830 times greater chance of adherence than those who did not receive support. In addition, peer support increased the chance of adherence by 4.729 times for patients.Conclusion: External support, both from medical personnel and the peer social environment, significantly determined the adherence behavior of PLHIV in undergoing therapy. The management of Dr. Djasamen Saragih Regional General Hospital is advised to improve the communication competency of healthcare workers and strengthen strategic collaboration with peer communities in Pematangsiantar City to optimize patient therapy outcomes.
Co-Authors Elis Anggeria Evalatifah Nurhayati Jakasmir Girsang Refi ikhtiari