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How can service quality, patient value, and patient satisfaction increase hospital patient loyalty? Guspianto Guspianto; Muthia Mutmainnah; Wahyu Indah Dewi Aurora
JPPI (Jurnal Penelitian Pendidikan Indonesia) Vol 9, No 3 (2023): JPPI (Jurnal Penelitian Pendidikan Indonesia)
Publisher : Indonesian Institute for Counseling, Education and Theraphy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/020232917

Abstract

Patient loyalty will be created if the hospital is able to provide quality services that create the best values for patients thereby increasing patient satisfaction.Failure to understand quality of service, patient value, and patient satisfaction will risk losing patient loyalty to hospital services. This study aims to analyze the model of hospital patient loyalty as the effect of service quality, patient value and patient satisfaction. A cross sectional study was conducted through a survey among inpatients at eight hospitals in Jambi Province-Indonesia. A four-point likert scale was used to measure construct variables and analyzed using Partial Least Squares-Structural Equation Model. The results showed that the influence between factors in the coefficient path has a significant effect, except for the indirect effect between service quality and patient loyalty through value. Hospital management practitioners should focus on developing service quality improvement strategies that are able to create value for patients so as to increase satisfaction and ultimately encourage and maintain patient loyalty.Hospitals can take advantage of this research model as a self-evaluation instrument to achieve patient loyalty so as to increase hospital revenue and reputation.
Relation of Salivary Alpha-Amylase (sAA) Concentration to Fatigue Biomarkers in Palm Oil Office Workers in Jambi Province: Preliminary Study Kusmawan, David; Eka Rini, Willia Novita; Aurora, Wahyu Indah Dewi
Makara Journal of Science Vol. 27, No. 4
Publisher : UI Scholars Hub

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Abstract

The salivary α-amylase (sAA) concentration has a potential role as a biological indicator of occupational fatigue. This study aimed to determine the levels of sAA and its influencing factors. This research used a cross-sectional design with a sample of 40 office staff respondents at PT. X (Persero). Mental workload (MWL), sleep quality, and occupational fatigue were measured using the NASA-Total Load Index (TLX), Pittsburgh Sleep Quality Index, and Industrial Fatigue Research Committee, respectively. Meanwhile, the basic sAA levels was measured through the sandwich enzyme-linked immunosorbent assay method using the Bioenzy® Kit Assay. Descriptive analysis showed that the workers were mostly men, 75% of which had a high education level and 72.5% were of marital status. MWL scoring in NASA-TLX revealed an average score of 70.91, which indicates a high MWL. Pearson’s correlation analysis unveiled that occupational fatigue and sleep quality were significantly correlated with sAA concentration. The final model showed that for each one-unit increase in occupational fatigue, the sAA concentration increased by 15.90 U/mL. Furthermore, for every unit increase in sleep quality, the sAA concentration decreased by 13.38 U/mL. sAA concentration can be used as a potential noninvasive biological marker related to sleep quality and occupational fatigue.
Cycle Threshold (CT) and Neutrophil-To-Lymphocyte (NLR) Values As Predictors of Clinical Symptoms in Pediatric Covid-19 Cases: A Systematic Literature Review Sabar Hutabarat; Wahyu Indah Dewi Aurora
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.816

Abstract

Background: The COVID-19 epidemic has impacted persons across all age demographics, including children. An opposing viewpoint is that despite the extensive discussion surrounding the neutrophil-to-lymphocyte ratio as a potential indicator of clinical symptoms in pediatric COVID-19 cases. This systematic literature review aims to explores the correlation between CT readings, neutrophil-to-lymphocyte ratio, and clinical symptoms in pediatric cases with COVID-19. Method: This systematic review examined the existing research on Cycle Treshold (CT) and Neutrophil-To-Lymphocyte Ratio (NLR) values as indicators of the clinical progression in children with COVID-19. An extensive search of databases Scopus revealed studies that satisfied our inclusion criteria. They utilized CT valuess and the neutrophil-to-lymphocyte ratio as indicators for predicting clinical symptoms. The inclusion criteria for this study were specifically centered around juvenile patients with COVID-19 from scopus databased. The chosen studies underwent a thorough evaluation to determine their quality and relevance. Various nations, including Korea, China, Italy, the United States, Egypt, South Africa, India, Japan, Brazil, and others. Result: The papers included in the analysis demonstrate a noteworthy correlation between CT readings and clinical symptoms in children with COVID-19 Pediatric COVID-19 cases with elevated CT values demonstrated a greater propensity for severe clinical manifestations, including respiratory distress and pneumonia. Upon reviewing the available research, it is evident that hematological parameters, specifically the neutrophil-to-lymphocyte ratio, significantly impact forecasting the severity and clinical prognosis of juvenile COVID-19 cases. Conclusion: The neutrophil-to-lymphocyte ratio and CT values were identified as dependable indicators of illness severity in pediatric patients. The results emphasize the significance of hematologic measures, specifically the neutrophil-to-lymphocyte ratio, as helpful markers for evaluating the clinical symptoms and outcomes of juvenile COVID-19 patients.
GAMBARAN TINGKAT PENGETAHUAN, SIKAP DAN KEPATUHAN KONSUMSI TABLET TAMBAH DARAH PADA IBU HAMIL DI PUSKESMAS KEBUN KOPI KOTA JAMBI TAHUN 2023 Analita, Maulina; Aurora, Wahyu Indah Dewi; Rahmatilah, Imat
Scientific Of Environmental Health and Diseases Vol. 4 No. 2 (2024): Scientific Of Environmental And Health Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/esehad.v5i1.29423

Abstract

Background: Based on data from health center performance assessment reports (PKP), data coverage of the achievement of the TTD program for pregnant women in the working area of ​​Kebun Kopi Health Center has a target of 62%, whereas from PKP data from January to June 2023 it is only 46.38% . There is no data on the number of pregnant women who consume TTD of at least 90 tablets. To identify problems related to knowledge, attitudes and compliance with TTD consumption among pregnant women towards the low achievement of the TTD program at the coffee plantation health center.Objective: To identify problems related to knowledge, attitudes and compliance with TTD consumption among pregnant women towards the low achievement of the TTD program at the coffee plantation health center.Method: This research is descriptive research using a mix method in the form of interviews and questionnaires. Interviews were conducted with KIA and Nutrition program officers. Questionnaires were given to all pregnant women who visited the Kebun Kopi Health Center.Results: The sample of this research consisted of 30 people. With the characteristics of most respondents aged 21-29 years (70%), the highest level of education was high school (57%), number of children > 1 (53%), and not working (73%). Have good knowledge about blood supplement tablets (57%), with poor attitudes about blood supplement tablets (53%) and mothers who have poor compliance (60%). Officers who hold the program only provide education when pregnant women take medicine, never provide counseling, communication with cadres also does not run smoothly.Conclusion: The problems faced are that the attitude of pregnant women regarding the consumption of TTD during pregnancy is still lacking, the compliance of pregnant women in consuming TTD during pregnancy is still lacking, there is no routine monitoring to monitor compliance with taking TTD medication in pregnant women, pregnant women often forget to consume TTD, mothers Pregnant women do not want to consume TTD because of the side effect of nausea after consuming TTD, there is no interesting promotional media about the importance of consuming TTD and the achievement of the TTD program for pregnant women at the coffee plantation health center is still lacking.
Effectiveness Of Using The Skeletal System Pocketbook on The Grade of Anatomy Practicum For Medical Students at Universitas Jambi Enis, Rina Nofri; Hz, Tia Wida Ekaputri; Tarawifa, Susan; Aurora, Wahyu Indah Dewi; Shafira, Nyimas Natasha Ayu; Puspasari, Anggelia; Maharani, Citra; Halim, Rita; Virginsia, Sonya; Vivekanantharasa, Raveenthiran
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 2 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i2.37311

Abstract

ABSTRACT Background: Bone markings must be studied and mastered in learning skeletal system anatomy. The short and interesting material in the pocketbook helps students identify preparations during the practicum, increasing their understanding and gaining practical grades. Objective: This research aims to determine the effectiveness of using the Skeletal System pocketbook on grades practical anatomy block of the Integumentary System and Locomotion for medical students in the first semester of the Universitas Jambi in 2023. Method: This research used a quasi-experimental method with a pre-test and post-test control group. The 106 sample students were from the Medical Study Program at Universitas Jambi class of 2023. Result: The mean pre-test and post-test grades for students with pocketbooks were 61.86 and 78.04, while those without pocketbooks were 63.74 and 71.35. In the mean pre-test grade, there was no significant difference between the experimental and control groups' mean grades (p-value = 0.488). Meanwhile, in the mean post-test grades, there was a significant difference between the two groups (p-Value = 0.005), where the experimental group had a higher mean grade. Conclusion: There is a significant difference in using the skeletal system anatomy pocketbook on the grade of anatomy practicum for medical students at Universitas Jambi. Keywords: Anatomy, Practicum, Skeletal System, Pocket Book.
Relationship between Knowledge Level and Community Attitude in Dengue Fever Prevention Behavior Arief Romadhan; Putri Sari Wulandari; Rina Nofri Enis; Wahyu Indah Dewi Aurora; Esa Indah Ayudia
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

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Abstract

ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) is an acute infectious disease caused by the Dengue virus which is transmitted by the Aedes aegypti mosquito. In cases of dengue fever, the symptoms often experienced by sufferers are sudden high fever, frequent bleeding, and if it is severe, they will experience shock and death. This research aims to determine the relationship between the level of knowledge and attitudes of the community in the behavior of preventing Dengue Fever in Jambi city in 2023. Methods: This research design used quantitative research with a cross-sectional design. The sample for this study comprised of residents from Kenali Besar, Paal V, and Payo Silincah Health Centers, totaling 86 respondents. Research instruments utilized questionnaires. The data were analyzed univariately and bivariately with the chi-square test. Results: Among the respondents, 41 individuals (47.7%) exhibited a good level of knowledge, 52 individuals (60.5%) demonstrated a positive attitude, and 37 individuals (43%) displayed good behavior. From the chi-square test, a p-value of 0.000 was obtained between the level of knowledge and preventive behavior towards dengue fever. A p-value of 0.000 was also obtained between attitudes and preventive behavior towards dengue fever. Conclusion: The level of knowledge and attitude of the community has a relationship with dengue prevention behavior in Jambi city. Keywords: dengue hemorrhagic fever (DHF); dengue fever; behavior; knowledge; attitude
Cervical Cancer Knowledge, Attitudes, and VIA Willingness among Married Women Shabrina Nadilah Zahra; Erny Kusdiyah; Hanina; Wahyu Indah Dewi Aurora; Nyimas Natasha Ayu Shafira
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i3.38964

Abstract

ABSTRACT Background: Indonesia has the highest rate of cervical cancer in Southeast Asia. However, early detection through Visual Inspection of Acetate Acid (VIA) among Women of Childbearing Age (WCA) in Indonesia, including Jambi City, remains low. This research aims to determine knowledge and attitudes toward cervical cancer prevention, and the willingness undergo VIA examination among married WCA at the Kenali Besar Public Health Center in Jambi City. Methods: An observational-analytical study with a cross-sectional design was conducted using questionnaires. 110 samples were chosen by accidental sampling technique and analyzed using descriptive statistics. Results: Most participants were in early adulthood (52.7%), had secondary education (50.9%), were unemployed (59.1%), had sufficient knowledge (40%) and attitudes (51.8%), but low willingness for VIA (47.3%). The main reason for not undergoing VIA was the absence of symptoms (22.7%). Most who had VIA had only been tested once (70%), with all results negative (100%). Conclusion: The willingness to undergo VIA screening is still low. Increasing the VIA screening coverage requires the improvement of knowledge about cervical cancer and attitudes toward cervical cancer prevention through effective health promotion. Keywords: cervical cancer; women of childbearing age; VIA test; knowledge; attitudes; willingness; behavior
The impact of nutritional status and dietary intake on children's exposure to hazardous substances in food Aurora, Wahyu Indah Dewi; Darmawan, Armaidi; Kusdiyah, Erny; Suzan, Raihanah; Syauqy, Ahmad; Gading, Patrick William
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 13, No 2 (2025): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.13.2.124-131

Abstract

Introduction: Exposure to harmful substances in food is a significant factor contributing to stunting and nutritional problems in children, as it impacts their growth and development. While healthy diets are well-documented, direct links between dietary intake and harmful substance exposure are less explored. This study investigates key risk factors influencing such exposure in children.Objectives: This study aimed to analyses the impact of nutritional status, dietary intake, and exposure to harmful substances in children.Materials And Methods: A cross-sectional study involving 780 children in 30 elementary Schools, collected data on dietary intake, nutritional status, and laboratory testing for harmful substances like borax, formalin, Rhodamine B, and cyclamate using Qualitative Test Kit. Food samples were obtained from school vendors and commonly consumed items. Data were analysed using Chi-Square tests and binary logistic regression to assess the relationships between variables.Results: Among the children, 50% were aged 8–9 years, and 53.8% were female. Most had good nutritional status (69.2%), and 88.2% had sufficient dietary intake. However, 69.1% were exposed to harmful substances in food. Poor nutritional status increased exposure risk by 3.11 times (PR = 3.11; 95% CI: 1.75 - 5.51; p = 0.000), and insufficient dietary intake raised it by 13.26 times (PR = 13.26; 95% CI: 8.37 - 21.02; p = 0.000).Conclusion: A child’s nutrition and food safety are deeply connected. Poor nutrition makes children more susceptible to harmful substances, highlighting the importance of ensuring both a healthy diet and stricter food safety measures. By prioritizing better nutrition and safer food choices, we can help protect children's health and support their growth.
Training Mothers on Complementary Feeding Preparation and Toddler Growth Screening at Olak Kemang Health Center Harahap, Huntari; Aurora, Wahyu Indah Dewi; Hanina, Hanina; Ekaputri, Tia Wida; Ayudia, Esa Indah
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.37910

Abstract

Background: Proper complementary feeding is crucial for optimal child growth and development. However, many mothers lack knowledge about the correct preparation, timing, and nutritional composition of complementary feeding, increasing the risk of malnutrition and stunting in toddlers. This community service program aimed to enhance maternal knowledge on complementary feeding and conduct growth and development screenings for toddlers. Method: The program was conducted at Olak Kemang Health Center and involved 15 mothers and their children. The intervention included hands-on training led by nutrition experts on the proper preparation and nutritional composition of complementary feeding. Additionally, toddlers underwent growth and development assessments using anthropometric measurements and the Pre-Screening Questionnaire for Development (KPSP). Result: The majority of toddlers (73.33%) had normal nutritional status, while 13.33% were underweight and 13.33% were overweight. Growth and development screening showed that 93.3% of toddlers demonstrated normal development, whereas 6.67% had developmental delays. The training significantly improved mothers' knowledge of complementary feeding preparation. Conclusion: Regular educational programs are essential to improve maternal knowledge on complementary feeding and enhance early childhood growth monitoring. These efforts can help reduce the risk of malnutrition and stunting among toddlers.
TEACHING COMPLEMENTARY FEEDING AND SCREENING OF TODDLER GROWTH AT OLAK KEMANG HEALTH CENTER Harahap, Huntari; Indah Dewi Aurora, Wahyu; Hanina, Hanina; Wida, Tia; indah ayu dia, esa
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Based on a micronutrient survey in 12 provinces in Indonesia, it is known that children aged 6 to 11 months consume lower nutrients than other age groups. Toddlers who do not receive complementary feeding have a 7.4-fold risk of causing stunting in children. This community service aims to increase mothers' knowledge in making the correct complementary feeding, how to give it, when to provide it, and screening the nutritional status of toddlers. Community service activities were conducted at the Olak Kemang Health Center, attended by 15 mothers and children. Based on community service, it was found that most of them were toddlers aged 30 to 36 months (60%), had the highest anthropometric status of good nutrition (standard), namely 73.33%, and the assessment of child development using the Pre-Screening Questionnaire for Development found that 93.3% of toddlers had normal development. Routine activities are needed to increase the knowledge of mothers of toddlers regarding complementary feeding and screening the growth and development of toddlers to prevent stunting. Keywords: Complementary feeding, Mother, Growth, Toddler.
Co-Authors Adriaswara, Muhammad Rivansyah Afifa Rakfi, Nur ahmad syauqi, ahmad Ahmad Syauqy Ahmad Syauqy Ahmad Syauqy Akbidita, Putri Ameli Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Analita, Maulina Andika Sulistiawan Anggelia Puspasari Arief Romadhan Armaidi Darmawan Asty, Zahra Frizki Ave Olivia Rahman Cicilia Nopita Citra Maharani David Kusmawan Delfira, Annisa Dwi Rahmawati Dwiza, Mutiara Ekaputri, Tia Wida Elvi Roza Erina Shinta Anggraini Erny Kusdiyah Esa Indah Ayu, Esa Indah Fadillah, Tanty Fadli Fadli Gading, Patrick William Gracella, Michelle Guspianto Guspianto Hanina Hanina, Hanina Hanina, Hanina Harahap, Asro Hayani Harissa, Nuri Putri Hasibuan, Fitra Husni Mubarak Hasmita, Debby Hasna Dewi Herlambang Herlambang Hubaybah, Hubaybah Humaryanto, Humaryanto Humaryanto, Humaryanto Huntari Harahap Ikalius Ikalius Ima Maria indah ayu dia, Esa Iskandar, Mirna Marhami Juhaina, Ena Kusdiah, Erny Lipinwati ., Lipinwati Maharani, Amrina Marhami Iskandar, Mirna Maria Estela Karolina Maria, Ima Mayasari Mayasari Meinarisa, Meinarisa Miftahurrahmah Miftahurrahmah, Miftahurrahmah Moniga, Agra Farellio Mulyadi, Deri Mutmainnah, Muthia Nada Zahra, Risa NURIYAH Nuriyah Nuriyah Nuriyah, Nuriyah Nyimas Natasha Ayu Shafira Okta Arizki Paramitha Ekadeva Sari Patrick William Gading Putri Sari Wulandari Rahmatilah, Imat Rahmatillah, Imat Rina Nofri Enis Rini, Willia Novita Eka Rita Halim Sabar Hutabarat Shabrina Nadilah Zahra Siti Raudhah Sotianingsih Sri Mulyani Sri Wahyuni Sugiarti, Ratna Suzan, Raihanah Tarawifa, Susan Tia Wida Ekaputri Virginsia, Sonya Vivekanantharasa, Raveenthiran Wida, Tia Wijayanto, Rhendy