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Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction Munawaroh, Siti Mar'atul; Nurhayati, Happy; Sudarmono, Andang; Dhony, Ervia Fahma; Veibiani, Nindita Arum; Krisnawati, Hesthi; Puspita, Wita Hana; Handayani, Dian; Dianika, Bani; Sumarah, Kristuti Catur
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.049 KB)

Abstract

Background: patient-oriented health services are the primary strategy for health service organiza­tions. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfac­tion is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health ser­vices with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the key­words service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satis­faction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Mu­na­waroh. Ahmad Dahlan Uni­ver­sity. Jl. Prof. Dr. Soepomo, Jantu­ran, Um­bulharjo, Yogyakarta. Email: siti­maratul08@­gmail.com. Mobile +62821­33295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.03
Upaya Menurunkan Nyeri Dengan Mobilisasi Dini Pada Pasien Post Operasi Sectio Caesarea Dengan Spinal Anestesi Happy Nurhayati; Galih Pria Pambayun; Clara febyola
Journal Pharma Saintika Vol. 4 No. 2 (2021): April : Jurnal Pharma Saintika
Publisher : Program Studi DIII Farmasi Akademi Farmasi Dwi Farma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51225/jps.v4i2.34

Abstract

Background: Spinal anesthesia is a procedure performed by injecting a local anesthetic into the subarachnoid space. Sectio caesarea is a delivery process that does not pass through the birth canal but is an artificial process of expelling the fetus through abdominal surgery. The process of abdominal surgery causes wounds and has an impact on the mother, the most felt impact is acute pain. Early mobilization is one of the non-pharmacological approaches used to reduce postoperative pain.. Objective: Knowing the effect of early mobilization on postoperative cesarean section pain and acute pain nursing problems in the Bougenvil Room of RSUD dr. Sudirman, Kebumen.. Methods: The method in this case study uses data collection methods through interviews, observations, and documentation and is added using case study instruments which include: assessment, diagnosis, intervention, implementation, and evaluation carried out on 5 post Sectio Caesarea patients. So that the case study obtained a priority diagnosis of acute pain. The implementation carried out on both clients is to identify the location, characteristics, duration, frequency, quality and intensity of pain, provide a comfortable position for the patient, provide relaxation and distraction technique therapy: gradual mobilization, provide analgesic therapy according to doctor's advice. Early mobilization distraction techniques are joint motion exercises, gait, activity tolerance according to ability and body alignment. Evaluation of the five patients with acute pain nursing problems found that the patient said the pain was reduced.. Results: after the anesthetic nursing action the pain decreased slightly. Conclusion: performing non-pharmacological techniques (early mobilization) resulted in slightly reduced pain in post-sectional Caesarea patients
Pengaruh Pemberian Edukasi Pra Anestesi Terhadap Tingkat Kecemasan Pada Pasien Laparatomy Dengan General Anestesi Happy Nurhayati; Nabhani Nabhani; Adinda Thalia Amarra Septa
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 2 (2023): April : Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i2.1997

Abstract

Background Surgical planning for preoperative patients is a psychosocial stressor that can cause stress, anxiety, and depression. Preoperative is the period before surgery is performed, starting from the time the decision is made for surgery until the patient is on the operating table. Laparotomy is one of the major surgical procedures by making an incision in the lining of the abdominal wall to obtain problems in the abdominal organs, such as cancer, bleeding, obstruction, and perforation. Research objectives: The general objective of this study was to determine the effect of implementing education on anxiety levels in preoperative apparatus patients with general anesthesia. Research methodology: This type of research is a quantitative study, with a quasy experimental research plan, with a non-randomized post-test one group design. . Results: It is known that the asymo.sig, (2-tailed) value is 0.000 <0.05. So it can be concluded that the "hypothesis is accepted". Thus it can be said that there are differences in the results of the intervention group and the control group. Because there is a significant difference, it is said that "there is an effect of providing education to preoperative laparotomy patients" Conclusion: Based on the results of the research and discussion that has been put forward under the title "the effect of providing pre-anesthesia education on anxiety levels in laparotomy patients with general anesthesia" it can be concluded as follows: There is a significant effect on providing education on preoperative anxiety of laparotomy with general anesthesia p = 0.000 (p <0.05) in the central surgical installation of Siti Fatimah Az-Zahra Hospital, South Sumatra Province.
Hubungan Status Fisik (Asa) Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Spinal Anestesi Di Ruang Pemulihan Waskitojati Pamungkas, Akbar; Hafiduddin, Muhammad; Nurhayati, Happy
Profesi (Profesional Islam) : Media Publikasi Penelitian Vol. 21 No. 2 (2024): Profesi (Profesional Islam): Media Publikasi Penelitian
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) ITS PKU Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26576/profesi.v21i2.213

Abstract

AbstrakSpinal anestesi merupakan blok regional dengan menyuntikkan obat anestesike dalam ruang subarachnoid. Anestesi dapat berdampak pada sistem syarafpusat. Efek pada sistem syaraf pusat lainnya termasuk mengantuk, kepalaterasa ringan, gangguan visual dan pendengaran, dan kecemasan. Faktor-faktor yang mempengaruhi pemulihan motorik ekstermitas inferior pasienpasca anestesi spinal, adalah jenis dan dosis obat anestesi, penyebaran obat,efek vasokontriksi, lengkung tulang belakang, umur, jenis kelamin, obesitas,posisi operasi serta status fisik America Society of Anesthesiologist (ASA).Penelitian ini bertujuan untuk mengetahui hubungan status fisik AmericaSociety of Anesthesiologist (ASA) dengan waktu pencapaian bromage score 2pada pasien spinal anestesi di ruang pemulihan. Jenis penelitian ini adalahkuantitatif dengan metode observasional analitik. Jenis penelitian inimenggunakan desain penelitian korelasi analitik dengan pendekatancrossectional. Sampel yang digunakan sebanyak 30 sampel. Analisa datamenggunakan uji korelasi spearman. Hasil penelitian menunjukkan bahwakedua kelompok data tersebut memiliki hubungan karena nilai signifikansi pvalue= 0,000 yaitu kurang dari 0,05, artinya hubungan antara status fisik(ASA) dan waktu pencapaian bromage score 2 signifikan secara statistik.Kesimpulannya adalah terdapat hubungan status fisik (ASA) dengan waktupencapaian bromage score 2 dan semakin tinggi ASA maka semakin lamawaktu pencapaian bromage score 2.      
Hubungan Antara Hipotensi Dengan Kejadian Post Operative Nausea And Vomiting (Ponv) Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Azzahra , Luthfia; Mintarsih, Sri; Enikmawati, Anik; Nurhayati, Happy; Ma’ruf, Mohammad
Profesi (Profesional Islam) : Media Publikasi Penelitian Vol. 21 No. 2 (2024): Profesi (Profesional Islam): Media Publikasi Penelitian
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) ITS PKU Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26576/profesi.v21i2.239

Abstract

Abstrak Latar Belakang: Teknik anestesi spinal merupakan teknik anestesi yang digunakan untuk menghambat rasa nyeri pada sebagian tubuh dengan memiliki kekurangan seperti terjadinya hipotensi, sedangkan hipotensi dikaitkan dengan PONV. semakin tinggi nilai integrasi waktu hipotensi intraoperatif, semakin tinggi pula kejadian PONV. Pemeliharaan tekanan darah yang ketat pada saat masuk kamar operasi dapat menyebabkan penurunan PONV pada pasien sectio caesarea. Tujuan: Mengetahui Hubungan Antara Hipotensi Dengan Kejadian Post Operative Nausea and Vomiting (PONV) Pada Pasien Sectio Caesarea Dengan Spinal Anestesi. Metode Penelitian: Metode kuantitatif dengan jenis penelitian analitik observasional. Dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang menjalani operasi Sectio Caesarea dengan spinal anestesi sebanyak 30 responden, dengan tehnik sampling yang digunakan adalah purposive sampling. Instrumen penelitian untuk kejadian PONV dengan lembar observasi Skor Gordon dan untuk Hipotensi dengan Bedsite monitor. Hasil Penelitian: Hasil uji Spearman rho didapatkan hasil nilai p= 0,045< (α = 0,05). Mayoritas responden hipotensi (96,7%), sebagian responden tidak hipotensi (3,3%) sedangkan penilaian PONV merasa mual saja (63,3%), hampir setengah responden mengalami retching (33,3%), dan kecil responden tidak merasa mual dan muntah (3,3%). Untuk karakteristik responden sebagian besar responden berusia 26-35 tahun (80%), sedangkan sebagian kecil responden berusia 17-25 tahun (20%), mayoritas responden SMA (89,7%), sedangkan sebagian kecil responden perguruan tinggi (13,3%), setengah responden kategori ringan (56,7%), sedangkan hampir setengah responden kategori sedang (43,3%), kebanyakan responden ASA II (66.7%), sedangkan kecil responden ASA I (20%). Simpulan: Ada hubungan antara hipotensi dengan kejadian post operative nausea and vomiting (PONV) pada pasien sectio caesarea dengan spinal anestesi.
Efektifitas Ajufan Morfin pada Sab dalam Menekan Nyeri Pembedahan Seksio Sesaria Nurhayati, Happy; Mintarsih, Sri; Sudarmono, Andang
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16703

Abstract

Analgesia perioperatif untuk operasi caesar bertujuan untuk memastikan kenyamanan ibu, memfasilitasi pengalaman pembedahan yang lancar, dan mendorong pemulihan yang sukses. Enam puluh pasien digunakan dalam studi komparatif yang dirancang untuk menilai kualitas analgesia perioperative pada operasi seksio sesaria elektif dengan anestesi spinal ketika morfin ditambahkan pada penggunaan kombinasi fentanyl dan lidodex. Dua kelompok responden terdiri masing-masing 30 subjek dibandingkan dalam analisis prosedur: A (fentanyl dosis standar 25 μg) dan B (morfin dosis standar 100 μg dan fentanyl dosis standar 25 μg). Skor nyeri numerik dicatat pada awal dilakukan sayatan, pernyataan responden selama intra operasi dan pernyataan responden saat akan dipindahkan ke ruang rawat lanjutan. Kedua kelompok responden memiliki manajemen yang sama pada awal sayatan pembedahan. Pada intra operasi kelompok morfin memiliki manajemen nyeri yang jauh lebih baik (uji Mann-Whitney U, p < 0,035) begitu pula pada evaluasi menjelang responden dipindahkan ke ruang rawat lanjutan (uji Mann-Whitney U, p < 0,000). Berdasarkan hasil dari analisis dan pembahasan dapat ditarik kesimpulan bahwa penambahan ajufan morfin dalam obat yang disuntikkan secara intratekaluntuk pembiusan regional anestesi Sub Arachnoid Block (SAB) pada pasien dengan pembedahan seksio sesaria sangat efektif menekan timbulnya nyeri selama dan setelah tindakan operatif dibuktikan dengan nilai p value kurang dari 0.050
Perbedaan Pemberian ROM Pasif Ekstremitas Bawah terhadap Bromage Score Pasien Post Operasi Sectio Caesarea dengan Spinal Anestesi Happy Nurhayati; Cemy Nur Fitria; Wijayanti Wijayanti; Hasna A’ida Lutfi Nindita
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 1 No. 3 (2023): July : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v1i3.1042

Abstract

Sectio caesarea is an act of removing the fetus and placenta through an incision in the abdominal wall and uterine wall in an intact state. Sectio caesarea is certainly inseparable from anesthesia, namely spinal anesthesia which will later use the bromage score as an indicator of anesthesia recovery. Range of Motion (ROM) can be interpreted as the maximum movement possible in a joint without causing pain. ROM is an important action that can affect the recovery of muscle movement after surgery. Purpose: To determine the difference in providing passive Range of Motion (ROM) of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia. This study used a quasi-experimental research method (Quasi Experiment Method) with a Pre-post-test Design design with 15 respondents receiving intervention. Sampling with consecutive sampling. The test used was the Wilcoxon test. Data analysis using Wilcoxon with p = 0.005 (p <0.05). There is a difference in providing passive ROM of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia.
Meta-Analysis of the Effectiveness of Using Antiplatelet Drugs Uptake in Decreasing Mortality in COVID-19 Patients Nurhayati, Happy; Pamungkasari, Eti Poncorini; Murti, Bhisma
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.991 KB)

Abstract

Background: Viscoelastic coagulation testing in COVID-19 patients often found elevated concentrations of D-dimer and fibrinogen. Thrombotic complications can be in the form of Venous Thromboembolism (VTE), where this thrombotic disease is one of the factors associated with increased mortality of COVID-19 patients. This study aims to analyze the effectiveness of antiplatelet drugs in reducing mortality in COVID-19 patients.Subjects and Method: This is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2020-2021 using PubMed, Science Direct, Google Scholar, and Scopus databases. The article search was carried out by considering the eligibility criteria defined in the PICO model. Population= COVID-19 patients, Intervention= using antiplatelet drugs, Comparison= not using anticoagulant drugs, Outcome= mortality. The keywords used were "antiplatelet" AND "mortality" AND "COVID-19". The inclusion criteria used were English full-text cohort papers and the relationship measure used as the adjusted odds ratio (aOR). Based on the database, 9 articles fulfilled the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: The meta-analysis was carried out on 9 articles from the UK, Spain, Germany, Poland, America, Israel, and China. The results of data processing showed that COVID-19 patients who received antiplatelet drugs had a 0.70 times risk of dying than those without antiplatelet drugs, and it was not statistically significant (aOR= 0.70; CI 95%= 0.46 to 1.07; p= 0.100).Conclusion: The use of anticoagulant drugs reduces the mortality risk of COVID-19 patients, but it is not statistically significant.Keywords: antiplatelet, mortality, COVID-19Correspondence: Happy Nurhayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: happyajja3@gmail.com. Phone: +62 81226160538.Indonesian Journal of Medicine (2021), 06(03): 315-324https://doi.org/10.26911/theijmed.2021.06.03.09
Pendampingan Keluarga Pasien dalam Mengelola Kecemasan Sebelum Prosedur Anestesi Happy Nurhayati; Fransi Arsani
Jurnal Masyarakat Mengabdi Nusantara Vol. 1 No. 4 (2022): Desember : Jurnal Masyarakat Mengabdi Nusantara
Publisher : STIPAS Tahasak Danum Pambelum Keuskupan Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58374/jmmn.v1i4.301

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Anxiety before anesthesia procedures is a common problem in patients and their families. High levels of anxiety can affect the patient's physiological stability and postoperative outcomes. The family assistance program aims to provide education and emotional support to reduce anxiety before anesthesia. The methods used include socialization, interactive education, and evaluation of the patient's family's understanding before and after the intervention. This study involved 15 respondents at RSIA Aisyiyah Klaten. The results showed that after the intervention, there was a decrease in the level of anxiety in the patient's family from 70% to 35%. This finding indicates that family education and assistance have an important role in improving the mental readiness of patients and their families before undergoing anesthesia.
Penyuluhan Manajemen Hipotensi pada Pasien Lansia Happy Nurhayati; Suyanto Suyanto
Jurnal Pengabdian Masyarakat Nusantara Vol. 4 No. 1 (2022): Maret : Jurnal Pengabmas Nusantara
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/pengabmas.v4i1.754

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Hypotension in the elderly is a common condition and requires special attention in health management. This community service program aims to improve patient understanding of hypotension management through education and practical training. The methods used include socialization, interactive counseling, and evaluation of patient understanding before and after education. The results showed an increase in patient understanding from 55% before education to 85% after education. In addition, there was a decrease in complaints of dizziness from 80% to 40% after the intervention. These findings indicate that health education plays an important role in increasing patient awareness and readiness in managing hypotension. This program is recommended to be implemented widely to improve the quality of life of elderly patients.