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Sismulyanto
Universitas Qamarul Huda Badaruddin Bagu
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Eksplorasi Kualitas Layanan Antenatal (ANC) Pada Ibu Hamil: Studi Kasus DI Puskesmas Kuta Lombok Tengah Baiq Hikma Rahmatien; Menap Menap; Sismulyanto Sismulyanto; Dita Retno Pratiwi; Saimi Saimi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49767

Abstract

Pelayanan antenatal care (ANC) merupakan intervensi penting untuk menurunkan angka kematian ibu dan bayi melalui deteksi dini risiko kehamilan, pemantauan kesehatan ibu, serta pemberian edukasi. Penelitian ini bertujuan mengeksplorasi kualitas pelayanan ANC di Puskesmas dengan pendekatan kualitatif desain studi kasus. Informan terdiri dari tenaga kesehatan (dokter, bidan, pimpinan Puskesmas) dan ibu hamil yang pernah menerima layanan. Data diperoleh melalui wawancara mendalam, observasi, dan telaah dokumen, kemudian dianalisis dengan metode tematik. Hasil penelitian menunjukkan bahwa kualitas layanan ANC masih menghadapi keterbatasan, terutama terkait ketersediaan tenaga bidan yang kompetensinya belum sesuai rasio kebutuhan. Sarana pemeriksaan seperti Doppler dan USG tidak dikalibrasi berdampak tidak akurasi, serta ruang periksa belum memenuhi standar pelayanan. Selain itu, faktor non-teknis juga memengaruhi mutu layanan, antara lain sikap petugas yang kurang ramah, minimnya edukasi kepada ibu hamil, serta lamanya waktu tunggu yang menimbulkan ketidakpuasan pasien. Kesimpulan menekankan pentingnya penguatan sumber daya, peningkatan kompetensi, dan perbaikan sistem pelayanan untuk mengoptimalkan kualitas ANC di Puskesmas.
Determinants of Blood Pressure Stability in Hypertensive Patients on Quality of Life Maidiarto, Dedi; Saimi, Saimi; Sismulyanto, Sismulyanto
Jurnal Penelitian Pendidikan IPA Vol 12 No 2 (2026): In Progress
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i2.14463

Abstract

Hypertension is a global health problem with an increasing prevalence that impacts the quality of life of patients. This study aims to analyze the determinants of blood pressure stability and quality of life in hypertensive patients through a comprehensive multivariate approach. A cross-sectional design with a quantitative analytical approach was applied to 251 hypertensive patients undergoing routine treatment at primary health care facilities. Data collection used a validated standardized questionnaire to measure medication adherence, diet, physical activity, psychological stress levels, family social support, blood pressure stability, and quality of life. Data analysis included Chi-Square tests, Spearman's correlation, multiple linear regression, and multinomial logistic regression. The results showed that all independent variables had a significant relationship with blood pressure stability and quality of life. Diet showed the strongest correlation with blood pressure stability, while physical activity was the dominant predictor of blood pressure stability and quality of life. The regression model produced a coefficient of determination of 87.9% for blood pressure stability and 83.3% for quality of life, with classification accuracy reaching 95.2% and 96.4%, respectively. The findings indicate the importance of holistic interventions that integrate lifestyle modification, stress management, and strengthening social support in optimizing hypertension management to improve blood pressure stability and quality of life in patients
Co-Authors Abdul Muin Adhyaksa Indrajid Putra Adhyaksa Indrajid Putra Aditha Angga Pratama Agus Supinganto Agusta Dian Ellina Akhmad Fanani Alfian Fawzi Alfian Fawzi Aprin Rusmawati Ariesta Afrelia Supeni Baiq Hikma Rahmatien Bibi Amikasari Bustanul Atfal Dewi, Rini Puspita Fanani, Akhmad Ferry Efendi Fitra Arsy Nur Cory'ah Fitra Arsy Nur Cory'ah Hadi, Zulfi Wirman Hardiansah, Yayan Hayun, Rambu Af’Idatussolihah Hazar, Maylia Sulasiyani Istiharini, Baiq Jimni Maulana Joko Sutrisno Joko Sutrisno Kurnia Sari, Dhita L. Sulaiman Lalu Abdul Khalik Lalu Sulaiman Lalu Sulaiman M. Asad Effendy M. Asad Effendy Made Mahaguna Putra Maidiarto, Dedi Mariani Mariani Menap Muara Ria, Roma Tao Toba Muh Sapi'i Mursaka Musawirin, Musawirin Musparlin Halid Nova Budiharjo Nur Hamim Nurhayati Nurhayati Nursalam, Nursalam Nurwijayanti Ovie Lestya Nurdiana Payanadi, Sarwan Perangin-angin, Relita Br Pratiwi, Dita Retno Rahmi Lestari Rizal Pratama Adi Putra Rizka Maisaroh, Anika Ruri Firmansyah S. Supriyanto Saimi Saimi Saimi Saimi, Saimi Sapi'i, Muh Sastrawan Sastrawan Sastrawan, Sastrawan Setiani, Ermy Suardi Suardi Sulaiman, Lalu Sumbarwati, Nazaliya Swandayana, Putu Gede Wawan Taadi Taadi Triyono, Wahyu Wirawan Uswatun Hasanah Wahyati, Endang Wahyu Wirawan Triyono Wahyu Wirawan Triyono Wulandari, R.A Yayan Hardiansah Yusnah Haerani