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Kepuasan Klien Terhadap Pelayanan Kesehatan Berdasarkan Analisis Diagram Kartesius Di Klinik Prima Medika Sidoarjo Widiharti, Widiharti; Sari, Diah Jerita eka
Jurnal Keperawatan Muhammadiyah Vol 6, No 2 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i2.2760

Abstract

BPJS insurance makes the community free to choose the best service place for themselves and their families. Prima Medika Sidoarjo clinic also serves BPJS participants so that most of the visitors come from the BPJS membership. The customer's expectations from time to time continue to develop according to their needs. Intense competition which will make Prima Medika clinic make improvements. The purpose of this study was to analyze patient satisfaction of the health service at the Prima Medika Sidoarjo clinic.The design of this study used a cross sectional method. The population in this study were all patients who visited at Prima Medika Sidoarjo clinic in March - April 2018. The sample in this study was 110 patient. Satisfaction analysis using cartesius diagram.Client satisfaction with service in terms of the gap between experience and expectations on; reliability was very satisfied (92.34%), responsiveness was very satisfied (98.89%), very satisfied beliefs (96.52%), empathy was very satisfied (90.50%), very satisfied (84.61%). Based on the Cartesius diagram of 18 items entered in position A is 3 items, position B is 3 items, position C is 4 items and Position D is 7 items.Based on the analysis of the cartesius diagram the level of patient satisfaction on health services at the Prima Medika Sidoarjo clinic was largely very satisfied while the items on administrative services and procedures were not complicated and the improvement of facilities and infrastructure the level of patient satisfaction was still at a satisfied level.Some suggestions and recommendations that can be proposed include: Prima Medika Sidoarjo clinic need to improve service quality countinously and improve infrastructure facilities regularly.
THE USE OF SOAKING WARM WATER FOR BLOOD PRESSURE REDUCTION IN ELDERLY HYPERTENSIVE PATIENTS Andita Nugroho, Fiza Paluphi; Widiharti, Widiharti; Suminar, Ervi; Fitrianur, Widya Lita
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.601

Abstract

Introduction: According to a survey conducted by the Indonesian Gerontology Doctor Association in 2022, 37.8% of the elderly population in Indonesia have a history of hypertension. In addition to medication therapy, hypertension can be controlled through non-pharmacological therapy, including to soak the feet in warm water. The purpose of this study is to investigate the use of soaking the feet in warm water to reduce blood pressure in elderly hypertensive patients in Jatikalang, Prambon District.Method: This pre-experimental study uses a one-group of pre-test post-test strategy. The population for this study consists of 46 elderly hypertensive patients. The technique of sampling is purposive, resulting in a sample size of 42 elderly patients. The instruments used are a questionnaire and an observation sheet. Data analysis was by the Wilcoxon test.Results: The systolic blood pressure before soaking the feet in warm water was 140.98 mmHg, and the diastolicof  blood pressure was 83.29 mmHg. The results of the analytical test yielded 0.000 (a p-value) for systolic blood pressure, and 0.000 for blood pressure of diastolic.Conclusions: Soaking the feet in warm water has an effect on reducing blood pressure of elderly hypertensive patients. It is hoped that this therapy can be used as an additional treatment for hypertension patients, allowing the community to perform it at home for 15 minutes daily, to lower blood pressure at a low cost.Keywords: Soaking Feet in Warm Water, Blood Pressure, Elderly
Hubungan Fungsi Kognitif Dengan Tingkat Kemandirian Activity Of Daily Living (ADL) Pada Lansia Zahroh, Chainunatuz; Suminar, Ervi; Widiharti, Widiharti; Fitrianur, Widyalita
Indonesian Journal of Professional Nursing Vol 5 No 1 (2024)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v5i1.8453

Abstract

Lanjut usia adalah orang dengan usia berada di tahap akhir kehidupan. Proses penuaan pada orang lanjut usia menyebabkan banyak perubahan pada organ tubuh lansia, seperti penurunan fungsi kognitif. Penurunan fungsi kognitif pada lansia penyebab utama ketidakmampuan lansia melakukan aktivitas sehari-hari. Tujuan penelitian ini untuk mengetahui hubungan fungsi kognitif dengan tingkat kemandirian Activity Of Daily Living (ADL) di Panti Jompo Lestari Menganti. Pendekatan pada penelitian adalah “cross sectional”. Populasi sebanyak 40 lansia dan sampel sebanyak 40 lansia dengan teknik total sampling. Variabel independen fungsi kognitif dan variabel dependen tingkat kemandirian Activity Of Daily Living (ADL). Instrumen pada penelitian ini menggunakan kuesioner Mini Mental State Examination (MMSE) dan Indeks Barthel. Uji statistik menggunakan Spearman Rank. Hasil penelitian didapatkan hampir setengah lansia memiliki fungsi kognitif dengan kategori global buruk sebanyak 19 orang (47,5%) dan hampir seluruhnya memiliki tingkat kemandirian Activity Of Daily Living (ADL) kategori ketergantungan ringan sebanyak 35 orang (87,5%). Nilai p-value 0,683> 0,05. Tidak terdapat hubungan fungsi kognitif dengan tingkat kemandirian Activity Of Daily Living (ADL) pada lansia di Panti Jompo Lestari Menganti Gresik diharapkan bagi panti untuk selalu meningkatkan kesehatan lansia teruatama pada fungsi kognitif.
Pengaruh Tekhnik Relaksasi Genggam Jari Terhadap Penurunan Tingkat Nyeri Insersi Intravena Utari, Agustin Anina; Sari, Diah Jerita Eka; Widiharti, Widiharti; Fitrianur, Widyalita
Indonesian Journal of Professional Nursing Vol 5 No 1 (2024)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v5i1.8034

Abstract

Pemasangan infus merupakan salah satu prosedur medis yang paling sering dilakukan sebagai tindakan terapeutik pada pasien rawat inap. Pemasangan infus akan menimbulkan nyeri dengan respon yang berbeda-beda pada pasien. Nyeri tersebut dapat menimbulkan rasa tidak nyaman pada pasien sehingga perawat perlu melakukan tindakan untuk mengurangi nyeri yang dirasakan pasien. Tujuan penelitian adalah menganalisis pengaruh teknik relaksasi genggaman jari terhadap penurunan tingkat nyeri pemasangan infus di unit gawat darurat RS Muhammadiyah Gresik. Penelitian ini merupakan penelitian quasy eksperimental dengan pendekatan post test only control group. Besar sampel sebanyak 60 responden dengan menggunakan simple random sampling. Kelompok intervensi diberikan teknik relaksasi genggaman jari dan kelompok kontrol diberikan intervensi sesuai standar rumah sakit. Instrumen yang digunakan adalah lembar observasi. Hasil penelitian menunjukkan bahwa tingkat nyeri pemasangan infus tanpa teknik relaksasi genggaman jari pada kelompok kontrol paling banyak mengalami nyeri sedang (56,7%) sedangkan tingkat nyeri pemasangan intravena pada kelompok intervensi paling banyak mengalami nyeri ringan (85%) dengan uji statistik. nilai p=0,000. Teknik relaksasi genggaman jari berpengaruh terhadap penurunan tingkat nyeri pemasangan infus.
Perbedaan Kadar Gula Darah Pada Penderita DM Sebelum Dan Setelah Intervensi Latihan Fisik Senam Diabetes Di Wilayah Kerja Puskesmas Duduksampeyan Meilani, Deby Ayu; Widiharti, Widiharti; Sari, Diah Jerita Eka; Suminar, Ervi
Indonesian Journal of Professional Nursing Vol 4 No 2 (2023)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v4i2.6788

Abstract

Menurut proyeksi yang dibuat oleh Federasi Diabetes Internasional, 537 juta orang di seluruh dunia diperkirakan menderita diabetes melitus pada tahun 2021, yang akan mengakibatkan lebih dari 6,7 juta kematian akibat kondisi tersebut. Dengan 19,47 juta orang menderita diabetes melitus, Indonesia berada pada posisi kelima. Berdasarkan temuan Riskesdas tahun 2018, Provinsi Jawa Timur menduduki peringkat keenam. Senam diabetes merupakan salah satu metode pengobatan diabetes melitus non farmakologi selain terapi medikamentosa. Tujuan penelitian ini adalah untuk mengetahui bagaimana olahraga mempengaruhi kadar gula darah penderita diabetes. Penelitian ini menggunakan desain kuantitatif pra-eksperimental dengan single group pretest dan posttest. Ada tiga puluh enam partisipan dalam penelitian ini. Metode yang digunakan adalah purposive sampling, dan sampelnya terdiri dari 33 orang. Alat yang digunakan adalah lembar observasi kadar gula darah, SOP senam diabetes, dan glukometer. Uji statistik Wilcoxon digunakan untuk analisis data. Sebagian besar (54,5%) pasien memiliki kadar gula darah yang dikategorikan diabetes (>200 mg/dL) sebelum melakukan olahraga diabetes, sedangkan hampir setengahnya (36,4%) memiliki kadar gula darah normal (<140 mg/dL) setelah latihan diabetes. Berdasarkan hasil uji Wilcoxon ditemukan nilai p sebesar 0,000. Penderita diabetes melitus yang melakukan olahraga mempunyai kadar gula darah yang lebih rendah di wilayah kerja Puskesmas Duduksampeyan.
The Effect of Audio Distraction Technique Hearing The Murrotal Al-Qur’an on Anxiety in Pre-Operative Patients at Muhammadiyah Gresik Hospital Purnomo, Didik Andika; Sari, Diah Jerita Eka; Widiyawati, Wiwik; Widiharti, Widiharti
Kontribusia : Research Dissemination for Community Development Vol 7 No 2 (2024): Kontribusia, August 2024
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v7i2.8047

Abstract

Anxiety in pre-cesarean section patients can be due to fear of pain or death. One form of nurse intervention in reducing anxiety is by giving audio distractions namely diverting attention to other stimuli by listening to the audio of the Qur’an Murottal. The purpose of this study was to determine the patient’s level of anxiety before and after audio distraction listening to The Qur’an Murottal. The study design used is Pre-Experiment one-group pre-test-post test design. The entire population studied patients who will face the first operation cesarean section and elective at the Hospital Muhammadiyah Gresik with a number of 41 patients. The number of samples that met the inclusion criteria as many as 37 patients. Collecting data anxiety level using the APAIS questionnaire before and after giving audio distraction techniques. Analysis using statistical tests Wilxocon Signed Rank Test with significance level α <0.05. The result showed most of respondents experiencing severe anxiety 51.4% before doing audio distraction listening to the Qur’an Murottal, there was a decrease in anxiety after audio distraction listening to the Qur’an murottal was as much as 54.1% are not worried. From the analysis of the statistical test obtained value α = 0.001 which means that α <0,05 then Ho is rejected and H1 is accepted, which means that there is an effect of audio distraction listening to the Qur’an murottal on the anxiety of preoperative cesarean section patients.
The Effect of Brisk Walking Exercise on Blood Pressure in Hypertension Patients at Muhammadiyah Gresik Hospital Islami, Mufatachul; Sari, Diah Jerita Eka; Widiharti, Widiharti; Fitrianur, Widya Lita
Kontribusia : Research Dissemination for Community Development Vol 7 No 2 (2024): Kontribusia, August 2024
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v7i2.8026

Abstract

One of the non-communicable diseases that is very serious and experienced by many people is hypertension, pharmacological therapy often fails in practice because hypertensive patients are lazy to take medication, forget to take medication/difficulty accessing medication. One type of non-pharmacological therapy to assist in controlling blood pressure is to carry out brisk walking exercise routinely. Objective: To analyze the effect of brisk walking exercise on changes in blood pressure in hypertensive patients at Muhammidyah Gresik Hospital. The design of this study used a quasy experiment with a one-group pre-posttest design approach. The population was all high blood pressure sufferers at Muhammadiyah Gresik Hospital, a sample of 36 patients with a sampling technique using simple random sampling. Data collection using questionnaires and SOP and data analysis using paired t test From the results of the study, the average blood pressure measurement results for the majority of patients who did the brisk walking exercise at the Muhammadiyah Gresik MAP Hospital (pretest) in the study patients was 124.7mmHg. From these results it was found that there was an average decrease in MAP (posttest) blood pressure in patients by 120mmHg. From the results of the paired t test, the PValue was 0.001 <α (0.05). There is an effect of the brisk walking exercise on changes in blood pressure in hypertensive patients at the Muhammadiyah Gresik Hospital.
PENINGKATAN KEBIASAAN BERPERILAKU SEHAT LANSIA MENUJU LANSIA SEHAT DAN BAHAGIA Widiharti, Widiharti; Widyawati, Wiwik; Zahroh, Zahroh; Jannah, Nurul Hidayatul
ADIMAS Jurnal Pengabdian Kepada Masyarakat Vol 5, No 2 (2021): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/adi.v5i2.2843

Abstract

Lansia merupakan usia rentan terhadap kesehatan. Angka kesakitan pada lansia  terus meningkat hal ini seharusnya bisa di cegah dengan pemeriksaan rutin dan berkala sehingga diketahui sejak dini permasalahan yang terjadi. Lansia juga membutuhkan aktivitas fisik untuk meningkatkan daya tahan tubuhnya (Widiyawati, W. 2015). Daya tahan tubuh akan meningkat jika tubuh tidak mengalami stress, jika lansia mengalami stress maka akan menurunkan daya tahan tubuhnya dan jatuh dalam kondisi sakit sehingga mengalami depresi hanya diam menyendiri tidak terbuka dengan anggota keluarga. Lansia di Desa Babatan cukup banyak dan ada yang sedang sakit mulai Hipertensi, DM. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan perilaku sehat, pemeriksaan kesehatan sehingga tercapai lansia yang sehat dan bahagia Metode pengabdian masyarakat ini metode ceramah, diskusi dan konsultasi, senam lansia. Pada pengabdian masyarakat ini rencananya akan dilakukan di Desa Babatan Kelurahan Babatan Kecamatan Wiyung. Desa ini terletak dikota Surabaya sebelah barat dekat dengan Universitas Negeri Surabaya. Pengabdian masyarakat ini dilakkukan pada bulan maret – mei 2020.Hasil penngabdian masyarakat ini sebagian besar (78%) jenis kelamin lansia perempuan. Sebagain besar (78%) usia lebih dari 64 tahun, lansia sebagian besar mengalami kegemukan 31%, sebagian kecil mengalami hipertensi. Tingkat depresi lansia hampir sebagain mengalami depresi ringan.Kesimpulannya hampir sebagaian besar mengalami depresi ringan hal ini disebabkan saat pengabdian lagi pandemic covid 19.
Respon Time Pelayanan IGD Berhubungan dengan Tingkat Kepuasan Pasien di IGD Rumah Sakit Muhammadiyah Gresik Munkhofid, Moh; Widiharti, Widiharti; Zuhroh, Diah Fauzia; Widiyawati, Wiwik
Wiraraja Medika : Jurnal Kesehatan Vol 14 No 1 (2024): Wiraraja Medika : Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24929/fik.v14i1.3061

Abstract

Hospitals as health service providers, when patients feel satisfaction with the health services provided, this has a positive impact on the patient's recovery process. In serving patients, the concept of Response Time refers to the length of time staff are able to treat patients upon arrival at the health service unit, with a time of ≤ 5 minutes. Efficient service provision, namely characterized by fast response times, can contribute to overall patient satisfaction in the emergency department. The aim of this research is to determine the relationship between Response Time of services in the ER and the level of patient satisfaction at the Muhammadiyah Gresik Hospital. This research uses an analytical survey design with a cross-sectional approach. Researchers used an accidental sampling strategy, a population of 317 respondents. The research sample consisted of 176 individuals who sought treatment at the Muhammadiyah Gresik Hospital Emergency Room. The tools used in this research consisted of a Response Time observation sheet and a patient satisfaction level questionnaire sheet. Almost all service response times in the emergency room at Muhammadiyah Gresik Hospital are in the fast category, as much as 80%. Half the level of patient satisfaction in the satisfied category is 41%. From the chi-square statistical test carried out to analyze the relationship between response time and the level of patient satisfaction in the Muhammadiyah Gresik emergency room, it produces a P-value of 0.000 with α = 0.05. There is a relationship between response time and patient satisfaction level in the emergency room at Muhammadiyah Gresik Hospital. Patient satisfaction shows the nurse's ability to meet patient expectations for high quality services
Pelatihan Pengelolaan Sampah Rumah Tangga Dengan Metode Komposting Di Desa Tumapel Widiharti, Widiharti; Sari, Diah Jerita Eka; Suminar, Ervi; Lita, Diana Aura; Nabilasari, Khoirunnisa Nisrina
Indonesian Journal of Community Dedication in Health (IJCDH) Vol. 4 No. 02 (2024): IJCDH Vol 04 No 02
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijcdh.v4i02.7813

Abstract

Sampah merupakan hasil dari aktifitas manusia yang sudah tidak dipergunakan atau tidak disukai. Sampah dikelola melalui pemilahan jenis sampah. Namun, pengetahuan warga yang terbatas tentang cara mengelola sampah organik menjadikan pengelolaan sampah organik tidak efektif. Kegiatan yang dilakukan pada pengabdian masyarakat ini dibagi menjadi 3 (tiga) tahapan yaitu: tahap pertama (Analisis kebutuhan dan situasi), tahap kedua (pelaksanaan dan pendampingan), Tahap ketiga (pelaporan). Kegiatan pengabdian Masyarakat yang telah dilakukan berupa pelatihan pengolahan sampah dengan metode komposting yang dilaksanakan pada 28 Februari 2024 di Balai Desa Tumapel Kecamatan Duduksampeyan. Pengabdian masyarakat ini dihadiri oleh ibu – ibu PKK yang Desa Tumapel sebanyak 30 orang. Pelakansaan evaluasi ini dilakukan setelah pemberian materi yaitu mengisi kuesioner tentang pengetahuan ibu ibu PKK dalam pengelolaan sampah rumah tangga. evaluasi hasil pelatihan kommposting yang sudah dilakukan oleh beberapa warga dengan memberikan pupuk kompos kepada tanaman di sekitar rumahnya.