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All Journal CAKRA KIMIA (Indonesian E-Journal of Applied Chemistry) Public Health of Indonesia Meditory : The Journal of Medical Laboratory SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Rekam Medis dan Informasi Kesehatan JURNAL EDUCATION AND DEVELOPMENT Jurnal Kreativitas PKM Healthy-Mu Journal JURNAL ANALIS LABORATORIUM MEDIK Bali Medika Jurnal Adi Husada Nursing Journal jurnal ilmiah hospitality Jurnal Abdidas Jurnal Inovasi Penelitian Jurnal Pengabdian Kesehatan Jurnal Pengabdian UNDIKMA Jurnal Abdimas Ilmiah Citra Bakti (JAICB) Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Basic and Applied Nursing Research Journal Jurnal Pengabdian Masyarakat : Pemberdayaan, Inovasi dan Perubahan JRKN Jurnal Sehat Indonesia (JUSINDO) Jurnal Sosial dan Sains Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Seminar Nasional Aplikasi Iptek (SINAPTEK) Jurnal Kesehatan Terpadu Innovative: Journal Of Social Science Research JPNM : Jurnal Pustaka Nusantara Multidisiplin Jurnal Pengabdian Kepada Masyarakat Itekes Bali Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Kesehatan Cendikia Jenius E-Amal: Jurnal Pengabdian Kepada Masyarakat Multidisciplinary Indonesian Center Journal Jurnal MediLab Mandala Waluya
Diah Prihatiningsih
STIKes Wira Medika Bali
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Determinants Factors Related to Patient Satisfaction with Laboratory Services at Permata Hati General Hospital Wangi, Ni Putu Ayu Cendana; Prihatiningsih, Diah; Nopita Wati, Ni Made; Cahyani, Anak Agung Ayu Eka; Yanti, Ni Luh Gede Puspita
Basic and Applied Nursing Research Journal Vol 4 No 2 (2023): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.04.02.03

Abstract

Introduction: The quality of healthcare services is a crucial factor in the success of a hospital. Healthcare services are considered high-quality when they generate satisfaction for the patients served. This research aims to identify factors related to patient satisfaction with laboratory services. Methods: The research used a quantitative approach with a correlational research design and a cross-sectional approach. The sampling technique used in this study is purposive sampling. The sample size used in this research is 98 patients. The instrument used in this study is a patient satisfaction questionnaire consisting of 25 items. The questionnaire has been validated and has good reliability, with validity test values ranging from 0.477 to 0.980 and a reliability value of 0.913. Data processing in this research uses Chi-square and Rank Spearman tests. Results: The results of the study indicate that there is no relationship between age (p=0.100), gender (p=0.133), education (p=0.594), marital status (p=0.151), and occupation (p=0.155) with patient satisfaction. Conclusion: It can be concluded that age, gender, education, marital status, and occupation do not have a significant relationship with patient satisfaction with the services provided.
Quality Control Analysis of Creatinine Examination with Westgard Multi Rules and Six Sigma Wati, Wayan Shinta; Cahyani, Anak Agung Ayu Eka; Prihatiningsih, Diah; Parwati, Putu Ayu
Basic and Applied Nursing Research Journal Vol 6 No 1 (2025): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.06.01.05

Abstract

Introduction: Creatinine is an examination parameter for kidney function and can be measured by several methods. Quality control needs to be done to ensure the results of the creatinine examination are correct. Objective: This study aims to determine the results of the quality control analysis of creatinine examination with Westgard multirules and Six Sigma in the clinical pathology laboratory at Wangaya Hospital, Denpasar, in 2023. Methods: This study used a descriptive research design, secondary data, and quality control results. Data analysis was done by determining the mean value, SD, CV, d%, sigma, and making the Levey-Jennings graph. The results showed that the bias value (d%) was still below the maximum value; the CV value in January, March, April, and July exceeded the maximum limit. Evaluation of Westgard's rules obtained the results of violations of trends, shifts, and 1- 2s, then variations in sigma values each month, namely <3 and >4 from June and September to December 2023. Results: Based on the results of the study, it can be concluded that creatinine examination obtained a good accuracy value, low precision value in certain months, there are random (1- 2s) and systematic (trend and shift) errors, and a low sigma value, which is <3 (unacceptable performance and poor performance categories). However, the sigma value has increased from June to September to December, which is >3 (marginal performance, good performance, and world-class performance categories). Conclusion: Accuracy and precision values must be maintained because good accuracy and precision values will increase the sigma value, especially in creatinine testing.
Aktualisasi Rekam Medis Bersama Pelajar melalui Empathy Reinforcement Terhadap Teknologi Berbasis Kesehatan di SMK Kesehatan Pgri Denpasar Widana, Anak Agung Gde Oka; Purwanti, Ika Setya; Bintari, Ni wayan Desi; Prihatiningsih, Diah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22081

Abstract

ABSTRAK Masalah yang sering muncul pada kalangan pelajar di lingkungan pendidikan adalah rendahnya empati atau kepedulian (low empathy) dari para siswa ketika dihadapkan pada perkembangan teknologi kesehatan. Kegiatan pengabdian ini bertujuan untuk memperkenalkan, mempraktekkan serta membiasakan pengoperasian teknologi berbasis kesehatanbagi siswa SMK Kesehatan PGRI Denpasar. Kegiatan dilaksanakan dengan cara bimbingan serta penyuluhan, Pre Test, Post Test dan diskusi tanya jawab terkait materi yang telah disampaikan. Peserta kegiatan ini secara kuantitas berjumlah 21 orang dengan keseluruhan siswa perempuan. Pelaksanaan pengabdian masyarakat ini menunjukkan hasilbahwa; (1) Peserta pengabdian masyarakat di SMK Kesehatan PGRI Denpasar keseluruhan dihadiri oleh siswa perempuan dalam rentang usia 17 tahun, (2) Popularitas teknologi berbasis kesehatan pada siswa tergolong masih rendah, namun setelah diberikan sosialisasi secara intensif terdapat peningkatan yang signifikan pada pemahaman akan eksistensi, fungsi, kewajiban penggunaan dan keterampilan siswa. Aktualisasi rekam medis bersama pelajar melalui empathy reinforcement terhadap teknologi berbasis kesehatan di SMK Kesehatan PGRI Denpasar berjalan sesuai dengan rencana dan menunjukkan hasil yang baik dengan tingkat responsibility yang tinggi. Kata Kunci: Rekam Medis, Empathy Reinforcement, Teknologi Kesehatan  ABSTRACT A common problem among students in educational settings is low empathy or concern (low empathy) when faced with developments in health technology. This community service activity aims to introduce, practice, and familiarize students at PGRI Denpasar Health Vocational School with the operation of health-based technology. The activity was conducted through guidance and counseling, pre-tests, post-tests, and question-and-answer discussions related to the material presented. The number of participants in this activity was 21, all of whom were female students. The implementation of this community service activity showed the following results: (1) All participants in the community service activity at PGRI Denpasar Health Vocational School were female students aged 17 years, (2) The popularity of health-based technology among students was still low, but after intensive socialization, there was a significant increase in understanding of its existence, functions, usage obligations, and skills. The implementation of medical record updating with students through empathy reinforcement toward health-based technology at SMK Kesehatan PGRI Denpasar proceeded as planned and yielded good results with a high level of responsibility. Keywords: Medical Records, Empathy Reinforcement, Health Technology
Quality Control Analysis of Creatinine Examination with Westgard Multi Rules and Six Sigma Wati, Wayan Shinta; Cahyani, Anak Agung Ayu Eka; Prihatiningsih, Diah; Parwati, Putu Ayu
Basic and Applied Nursing Research Journal Vol. 6 No. 1 (2025): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.06.01.05

Abstract

Introduction: Creatinine is an examination parameter for kidney function and can be measured by several methods. Quality control needs to be done to ensure the results of the creatinine examination are correct. Objective: This study aims to determine the results of the quality control analysis of creatinine examination with Westgard multirules and Six Sigma in the clinical pathology laboratory at Wangaya Hospital, Denpasar, in 2023. Methods: This study used a descriptive research design, secondary data, and quality control results. Data analysis was done by determining the mean value, SD, CV, d%, sigma, and making the Levey-Jennings graph. The results showed that the bias value (d%) was still below the maximum value; the CV value in January, March, April, and July exceeded the maximum limit. Evaluation of Westgard's rules obtained the results of violations of trends, shifts, and 1- 2s, then variations in sigma values each month, namely <3 and >4 from June and September to December 2023. Results: Based on the results of the study, it can be concluded that creatinine examination obtained a good accuracy value, low precision value in certain months, there are random (1- 2s) and systematic (trend and shift) errors, and a low sigma value, which is <3 (unacceptable performance and poor performance categories). However, the sigma value has increased from June to September to December, which is >3 (marginal performance, good performance, and world-class performance categories). Conclusion: Accuracy and precision values must be maintained because good accuracy and precision values will increase the sigma value, especially in creatinine testing.
HUBUNGAN KADAR T3, T4, DAN TSH DENGAN DIAGNOSIS KANKER TIROID: THE RELATIONSHIP OF T3, T4, AND TSH LEVELS WITH THYROID CANCER DIAGNOSIS Anggraini, Desty Prastika; Abadi, Moh Fairuz; Sari, Lia Cahya; Prihatiningsih, Diah
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 5 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

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Abstract

Karsinoma tiroid sering kali bersifat euthyroid (kadar hormon normal), namun beberapa literatur terbaru menunjukkan adanya disregulasi hormon pada keganasan, sehingga hubungan spesifik antara profil hormon tiroid dengan diagnosis histopatologis masih menjadi perdebatan. Penelitian ini bertujuan untuk menganalisis korelasi kadar serum T3, T4, dan TSH dengan diagnosis karsinoma tiroid di Rumah Sakit Pusat Pertamina. Studi observasional analitik dengan desain potong lintang (cross-sectional) ini dilakukan pada data rekam medis pasien nodul tiroid periode 2020–2024, di mana 54 sampel dipilih melalui teknik simple random sampling dengan diagnosis histopatologi sebagai baku emas. Hasil analisis statistik menunjukkan proporsi karsinoma tiroid sebesar 46,3% dan mengungkapkan hubungan yang sangat signifikan antara kadar T4 dengan kejadian karsinoma tiroid (p=0,001). Menariknya, 100% pasien dengan peningkatan kadar T4 terdiagnosis mengalami keganasan, berbeda dengan kadar T3 (p=0,054) dan TSH (p=0,093) yang tidak menunjukkan signifikansi statistik meskipun terdapat tren klinis penurunan T3 pada kasus kanker. Dapat disimpulkan bahwa peningkatan kadar T4 merupakan indikator potensial untuk memprediksi keganasan pada nodul tiroid di populasi ini, sehingga disarankan sebagai panel rutin dalam stratifikasi risiko pra-operasi. Kata kunci: Hormon T3, Hormon T4, Hormon TSH, Kanker Tiroid Abstract Thyroid carcinoma typically presents as euthyroid; however, recent evidence suggests potential hormonal dysregulation in malignancy, leaving the specific association between thyroid hormone profiles and histopathological diagnosis controversial. This study aimed to analyze the correlation between serum T3, T4, and TSH levels with the diagnosis of thyroid carcinoma at Pertamina Central Hospital. An observational analytic study with a cross-sectional design was conducted using medical records from 2020 to 2024, selecting 54 samples via simple random sampling with histopathology as the gold standard. The results indicated a 46.3% prevalence of carcinoma and revealed a highly significant association between T4 levels and malignancy (p=0.001). Notably, 100% of patients with elevated T4 were diagnosed with cancer, whereas T3 (p=0.054) and TSH (p=0.093) levels showed no statistically significant association, despite a clinical trend of lower T3 in the cancer group. In conclusion, elevated serum T4 levels serve as a potential predictor for malignancy in this population and are recommended for preoperative risk stratification. Keywords: T3 hormone, T4 hormone, TSH hormone, Thyroid cancer
KORELASI PEMERIKSAAN IGE TOTAL DENGAN PERSENTASE EOSINOFIL PADA PASIEN TERDIAGNOSA HIPERSENSITIVITAS TIPE 1 : CORRELATION TOTAL IGE LEVELS AND EOSINOPHIL PERCENTAGE IN PATIENTS DIAGNOSED WITH TYPE 1 HYPERSENSITIVITY Fahri, Muhamad; Prihatiningsih, Diah; Sari, Lia Cahya
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 5 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

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Abstract

Hipersensitivitas tipe 1 merupakan reaksi imunologis kompleks yang umumnya ditandai oleh peningkatan kadar Imunoglobulin E (IgE) dan aktivasi eosinofil, namun literatur yang ada menunjukkan inkonsistensi mengenai hubungan linier antara kedua parameter biologis tersebut. Penelitian ini bertujuan untuk mengevaluasi korelasi antara kadar IgE total dengan persentase eosinofil pada populasi pasien yang terdiagnosis hipersensitivitas tipe 1, guna memahami pola respons imun yang terjadi. Studi ini menggunakan desain observasional analitik dengan pendekatan cross-sectional, yang melibatkan 114 pasien yang memenuhi kriteria diagnosis klinis di lokasi penelitian. Berdasarkan hasil analisis statistik menggunakan uji Chi-Square, penelitian ini menemukan bahwa tidak terdapat korelasi yang signifikan antara kadar IgE total dengan persentase eosinofil (p = 0,241). Temuan ini mengindikasikan bahwa meskipun IgE dan eosinofil sama-sama berperan sentral dalam patogenesis alergi, keduanya mungkin merepresentasikan jalur aktivasi imun atau fase peradangan yang berbeda, di mana peningkatan kadar IgE tidak serta-merta disertai dengan eosinofilia perifer. Oleh karena itu, faktor lain seperti variasi individual, aktivasi sel mast, atau mediator inflamasi lainnya perlu dipertimbangkan, dan penegakan diagnosis sebaiknya tidak bergantung pada parameter tunggal melainkan melalui pendekatan multiparameter yang komprehensif. Kata Kunci: Eosinofil, hipersensitivitas tipe 1, IgE total Abstract Type 1 hypersensitivity is a complex immune reaction typically characterized by elevated levels of Immunoglobulin E (IgE) and eosinophil activation; however, existing literature presents inconsistent findings regarding the linear relationship between these two biological markers. This study aimed to evaluate the correlation between total IgE levels and eosinophil percentage in patients diagnosed with type 1 hypersensitivity to elucidate the underlying immune response patterns. Employing an analytical observational design with a cross-sectional approach, this study involved 114 patients who met the specific diagnostic criteria at the study site. Statistical analysis using the Chi-Square test revealed no significant correlation between total IgE levels and eosinophil percentage (p = 0.241). These findings indicate that although both IgE and eosinophils play central roles in allergic pathogenesis, they may represent distinct immune activation pathways or different inflammatory phases, where elevated IgE levels are not necessarily accompanied by peripheral eosinophilia. Consequently, other factors such as individual variability, mast cell activation, or alternative inflammatory mediators should be considered, suggesting that clinical diagnosis requires a comprehensive multiparameter approach rather than reliance on a single biomarker. Keywords: Eosinophils, Total IgE, Type 1 Hypersensitivity
Pengaruh Waktu Penundaan Pemeriksaan dan Suhu Penyimpanan Specimen Darah Edta terhadap Jumlah Trombosit dan Platelet Distribution Width (PDW) Putra, I Gusti Putu Agus Ferry Sutrisna; Prihatiningsih, Diah
Jurnal Kesehatan Terpadu Vol. 9 No. 2 (2025): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

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Abstract

Pemeriksaan jumlah trombosit merupakan uji penyaring penting dalam membantu penegakan diagnosis. Namun, penundaan pemeriksaan darah utuh sering terjadi di berbagai fasilitas pelayanan kesehatan, sehingga dapat memengaruhi stabilitas sel darah. Penelitian ini bertujuan untuk mengetahui pengaruh waktu penundaan dan suhu penyimpanan terhadap jumlah trombosit dan Platelet Distribution Width (PDW). Penelitian ini merupakan eksperimen laboratorium dengan rancangan posttest only control group design. Sampel darah dari 20 responden dibagi menjadi enam kelompok perlakuan berdasarkan kombinasi waktu penundaan (segera, 1 jam, 3 jam, dan 6 jam) dan suhu penyimpanan (18–27 °C dan 2–8 °C). Data dianalisis menggunakan uji general linear model.Hasil menunjukkan bahwa suhu penyimpanan berpengaruh signifikan terhadap nilai trombosit dan PDW. Selain itu, interaksi antara waktu penundaan dan suhu juga menunjukkan perbedaan yang signifikan. Penyimpanan pada suhu ruang menyebabkan penurunan jumlah trombosit dan peningkatan PDW seiring lamanya waktu penundaan, sedangkan penyimpanan pada suhu 4–8 °C menunjukkan perubahan yang minimal. Temuan ini menegaskan bahwa waktu dan suhu penyimpanan berperan penting dalam menjaga keandalan hasil pemeriksaan trombosit dan PDW.
Co-Authors A.A Gde Oka Widana A.A Gde Oka Widana A.A Gde Oka Widana5 Oka Widana A.A. Gede Oka Widana AA Gde Oka Widana Abadi, Moh Fairuz Abadi, Moh. Fairuz Abdi Pertiwi, Dwi Liana Agus Ferry Sutrisna Putra, I Gusti Putu Aminah Aminah Anak Agung Ayu Eka Cahyani Anak Agung Oka Widana Andini, Ni Komang Sukra Anggraini, Desty Prastika Cahyani, Anak Agung Ayu Eka Dabi, Aberina Dewi, Luh Putu Diah Kusuma Didik Prasetya Dilisca Dwi Putri, Ni Luh Nova Fahri, Muhamad Gomes, Juvita Da Costa Gusti Ayu Kristalia Mustika Dewi I Gusti Ayu Agung Diah Dwi Sukma I Gusti Putu Agus Ferry Sutrisna I Gusti Putu Agus Ferry Sutrisna Putra I K. Putra Juliantara Ika Setya Purwanti Ika Yulfitrah James Sibarani Kariana, I Komang Kirawan, I Komang Yoki Laksmi, I Gusti Ayu Putu Satya M. FAIRUZ ABADI, M. FAIRUZ Mirayanti, Ni Ketut Ayu Nastiti, Herwin Rizky Ni Kadek Ayu Cintya Dewi Ni Komang Ayu Resiyanthi Ni Komang May Tri Arwindi Ni Komang Yuscika Devi Ni Luh Gede Puspita Yanti Ni Luh Putu Devhy Ni Luh Putu Devhy Ni Luh Putu Devhy, Ni Luh Putu Ni Luh Putu Devhy, Ni Luh Putu Devhy Ni Made Puspawati Ni Made Putri Sumyarini Ni Made Widyanthi Ni Putu Nanik Haryani Ni Wayan Desi Bintari Nopita Wati, Ni Made Nopita Wati, Ni Made Nuraini, Deswinda Fadhilah Nyoman Sudarma Nyoman Sudarma Pamungkas, Moh. Adreng Pamungkas, Mohammad Adreng Parwati, Putu Ayu Prasetya, Didik Puspita Yanti, Ni Luh Gede Putri, Maylina Putri, Ni Luh Nova Dilisca Dwi Putu Ayu Parwati Putu Gede Subhaktiyasa Putu Thrisna Dewi, Ni Luh Rastuti, Luh Putu Anik Santos, Silvino Dos Sari, Lia Cahya Sherly Novitasari Sri Idayani, Sri Sugyantari, Pande Putu Sutrisna Putra, I Gusti Putu Agus Ferry Timorensa, Katharina Novika Wangi, Ni Putu Ayu Cendana Wati, Ni Made Nopita Wati, Wayan Shinta Widana, A.A. G. Oka Widana, A.A.G. Oka Widana, Anak Agung Gde Oka Yanti, Ni Luh Gede Puspita