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All Journal Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Penyakit Dalam Indonesia
Devi, SNA Ratnasari
Unknown Affiliation
Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology

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Correlation between Parathyroid Hormone Serum Levels andAbdominal Aortic Calcification in Chronic Hemodialysis Patientsat Dr. Mohammad Hoesin Center General Hospital Palembang Akbar, M Yusuf Arief; Ali, Zulkhair; Indrajaya, Taufik; Suhaimi, Novadian; Devi, SNA Ratnasari; Bahar, Erial
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Cardiovascular disease is the most common cause of death in patients with chronic kidney disease (CKD). This is evidenced by the finding of vascular calcification in CKD patients. The process of vascular calcification that occurs is often associated with secondary hyperparathyroid conditions that are complications of CKD patients. The aim of this study was to asses the relationship between serum PTH levels and the abdominal aorta calcification (AAC) in CKD patients undergoing hemodialysis (HD) Methods. This observational analytic study with cross-sectional correlation test was conducted in the internal medicine ward of dr. Mohammad Hoesin Palembang from July to December 2019. Subjects were patients who had undergone HD >3 months with age >18 years. All subjects were examined for serum PTH levels and measured the carotid artery wall using doppler ultrasonography and the degree of calcification of the abdominal aorta using a lateral lumbar X-ray which was calculated using the Kauppila score. Results. There were 86 of HD patients studied, 65 subjects (75.6%) had high serum PTH levels and 46 subjects (53.5%) who had AAC. The Spearman correlation analysis showed that serum PTH levels had a relationship with Kauppila score (p=0.014, r=0.264). Multivariate linear regression analysis obtained age (p<0.001, r=0.510), duration of HD (p=0.020, r=0.256), history of hypertension (p=0.031, r=0.239) and serum phosphate levels (p=0.011, r=0.281) had a relationship to the Kauppila score. Conclusions. There is a significant relationship between serum PTH levels and AAC in chronic HD patients. The presence of factors including age, duration of HD, hypertension, and serum phosphate levels also affect the incidence of AAC
Faktor Determinan Kualitas Pelayanan Radiodiagnostik Terhadap Kepuasan Pasien Onkologi Di Rumah Sakit Mohammad Hoesin Palembang Devi, SNA Ratnasari; Uli, Hanna Marsinta; Harahap, Debby Handayati
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.7535

Abstract

Latar Belakang: Salah satu upaya yang untuk meningkatkan kualitas hidup pasien adalah dengan meningkatkan mutu pelayanan bagi pasien kanker. Mutu pelayanan yang baik akan meningkatkan kepuasan pasien.Tujuan penelitian ini adalah untuk menganalisis faktor determinan kualitas pelayanan Radiodiagnostik terhadap kepuasan pasien onkologi di Rumah Sakit Mohammad Hoesin Palembang Metode: Penelitian analitik observasional dengan rancangan cross sectional telah dilakukan di Instalasi Radiologi Rumah Sakit Mohammad Hoesin Palembang sejak bulan Juni hingga November 2025. Didapatkan 293 pasien kanker yang memenuhi kriteria penelitian. Hubungan kualitas pelayanan Radiodiagnostik terhadap kepuasan pasien onkologi dianalisis menggunakan uji Uji Chi-Square/Fisher Exact dilanjutkan dengan Uji Regresi Logistik. Hasil: Terdapat hubungan antara dimensi kualitas teknik ((PR sama dengan 43,672 atau p sama dengan 0,000) atau prosedural (PR sama dengan 12,179 atau p sama dengan 0,000) atau infrastruktur (PR sama dengan 26,625 atau p sama dengan 0,000) atau interaksi (PR sama dnegan 34,380 atau p sama dengan 0,000) atau personal (PR sama dengan 18,783 atau p sama dengan 0,000) atau dan dukungan sosial (PR sama dengan 16,928 atau p sama dengan 0,000) terhadap kepuasan pasien onkologi di Rumah Sakit Mohammad Hoesin Palembang Simpulan: Dimensi kualitas interaksi, prosedural dan personal merupakan faktor determinan terhadap tingkat kepuasan pasien. Kata kunci: Determinan, Kepuasan Pasien, Kualitas Pelayanan, Onkologi, Radiodiagnostik
Co-Authors Akbar, M Yusuf Arief Debby Handayati Harahap Erial Bahar, Erial Hanna Marsinta Uli Indrajaya, Taufik Suhaimi, Novadian Zulkhair Ali