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Faktor-Faktor Mutu Pelayanan yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Inap RSU Stella Maris Kabupaten Nias Selatan Tahun 2025 Mesrawati Telambanua; Rahmat Alyakin Dachi; Frida Lina Tarigan; Kesaktian Manurung; Taruli Rohana Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1815

Abstract

Patient-reported service evaluations provide a basis for improving inpatient care. This analytical cross-sectional study examined associations between five SERVQUAL dimensions and patient satisfaction at Stella Maris General Hospital, South Nias Regency, Indonesia. A purposive sample of 115 respondents completed a structured questionnaire. Associations were assessed using Pearson’s chi-square tests and exploratory Firth penalized logistic regression. Overall, 59 respondents (51.3%) were satisfied. All five dimensions were associated with satisfaction in unadjusted analyses (all p < 0.001). Satisfaction ranged from 90.2% to 100.0% among respondents with high service-quality ratings, compared with 1.8% to 7.4% among those with low ratings. The dimensions were strongly correlated (r = 0.808–0.966). Adjusted odds ratios ranged from 1.53 to 11.11, and all 95% confidence intervals included 1. The adjusted odds ratios were 6.55 (95% CI 0.040–184.08) for responsiveness and 1.53 (95% CI 0.008–46.66) for tangibles. A sensitivity analysis restricted to 77 respondents with a recorded stay of at least two days yielded the same pattern. Favorable ratings across all five dimensions were associated with inpatient satisfaction, whereas the adjusted analysis did not identify an independently dominant dimension. The findings support an integrated approach to service improvement encompassing timely assistance, consistent care, effective communication, and the ward environment
Determinan Minat Pasien Dialisis dalam Memilih Terapi Continuous Ambulatory Peritoneal Dialysis (CAPD) di Rumah Sakit Murni Teguh Medan Tahun 2025 Niko Pindo Duha; Kesaktian Manurung; Frida Lina Tarigan; Taruli Rohana Sinaga; Janno Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1816

Abstract

Background: Continuous ambulatory peritoneal dialysis (CAPD) is a home-based option for kidney replacement therapy, but interest in this modality may depend on patients’ understanding, perceived risks, confidence, family resources, and the education they receive. Objective: To examine the associations of knowledge, perceived infection risk, family support, self-efficacy, and healthcare-provider education with interest in CAPD among patients receiving maintenance hemodialysis. Methods: This quantitative, cross-sectional correlational study was conducted at Murni Teguh Hospital, Medan, from November 2025 to February 2026. A purposive sample of 149 adults was selected from a reference population of 254 hemodialysis patients. Structured questionnaires assessed the five explanatory domains and interest in CAPD. Analyses included descriptive statistics, Pearson chi-square tests, crude prevalence ratios (PRs) with 95% confidence intervals (CIs), and exploratory simultaneous-entry binary logistic regression. Results: High interest in CAPD was reported by 59 participants (39.6%). The proportions with high interest were 90.0%, 43.8%, and 7.3% in the good-, fair-, and poor-knowledge groups, respectively. All five domains were associated with interest in unadjusted analyses (all p < 0.001). Good versus poor knowledge yielded a crude PR of 12.38 (95% CI, 4.78–32.04). No participant in the low-perception category reported high interest. The exploratory multivariable model did not converge, limiting interpretation of adjusted associations.Conclusion: Knowledge, perceived infection risk, family support, self-efficacy, and healthcare-provider education were associated with CAPD interest. These findings support individualized, family-inclusive counseling and prospective evaluation of balanced education and shared decision-making.
Faktor-Faktor yang Berhubungan dengan Kepatuhan Hemodialisis pada Pasien Penyakit Ginjal Kronik di Rumah Sakit Murni Teguh Medan Tahun 2025 Tiomsar Sianturi; Kesaktian Manurung; Janno Sinaga; Rahmat Alyakin Dachi; Frida Lina Tarigan
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1927

Abstract

Background: Hemodialysis adherence requires sustained engagement with a demanding treatment regimen. Objective: To examine factors associated with adherence at Murni Teguh Memorial Hospital, Medan. Methods: This analytical cross-sectional study included 172 purposively selected patients. Adherence was assessed using a modified six-item End-Stage Renal Disease Adherence Questionnaire. Associations were examined using chi-square tests and multivariable logistic regression. Results: Overall, 115 patients (66.9%) were adherent. Education, knowledge, and family support were associated with adherence (all p < 0.001), whereas age, sex, and dialysis duration were not (p = 0.866, 0.357, and 0.212, respectively). Adherence was 92.6% with good family support and 5.9% with poor support. Family support was the only significant adjusted term (Exp[B] = 416.36; 95% confidence interval [CI], 43.08–4024.31); sparse discordant observations and the wide interval limited precision. A post hoc unadjusted Firth analysis yielded an odds ratio of 164.10 (95% CI, 51.86–694.10). Conclusion: Family support was strongly associated with self-reported adherence. Family-centered counseling merits evaluation, but the cross-sectional design and imprecise estimates preclude causal interpretation.