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sandra dewi
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Asuhan Keperawatan Gerontik Pada Tn. N Dengan Hipertens Hisbul Habib, Habib; Ramaita; Dewi, Sandra; Yuderna, Vivi
Jurnal Keperawatan Medika Vol 4 No 1 (2025): Jurnal Keperawatan Medika
Publisher : Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/jkem.v4i1.412

Abstract

Hypertension is a chronic disease that is often found in the elderly and is the main cause of serious complications such as stroke and heart failure. Based on data from the Sabai Nan Aluih Sicincin Padang Pariaman Regency Social Home (PSTW), hypertension is one of the seven most common diseases, with a prevalence of 13 cases in 2022, decreasing to 7 cases in 2024. This study aims to provide a comprehensive picture of geriatric nursing care for the elderly with hypertension. The study was conducted at the Sabai Nan Aluih Sicincin PSTW, Regency Padang Pariaman Regency, in 23 May 2025. The method used was a case study with a nursing care approach that included assessment, diagnosis, intervention, implementation, and evaluation. The results showed that the elderly who received directed nursing care experienced improvements in blood pressure management, reduced symptoms such as headaches and insomnia, and increased understanding of the disease and its treatment. The evaluation showed an increase in compliance in taking medication and diet management. In conclusion, the provision of continuous nursing care and appropriate education play an important role in controlling hypertension in the elderly in social care. This study contributes to geriatric nursing practice in an effort to improve the quality of life of the elderly with hypertension.
Pengaruh Patient Experience Dan Handling Complaint terhadap Revisit Intention Dengan Integrity Sebagai Variabel Intervening di Poli Rawat Jalan Rumah Sakit Pertamina Pusat Dwi Intan Puspitasari; Supriyantoro, Supriyantoro; Sandra Dewi
Jurnal Ekonomi Manajemen Sistem Informasi Vol. 7 No. 2 (2025): Jurnal Ekonomi Manajemen Sistem Informasi (November-Desember 2025)
Publisher : Dinasti Review

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jemsi.v7i2.7095

Abstract

Perbandingan kunjungan pada tahun 2019 – 2020 dengan pasca pandemi Covid-19 di tahun 2023-2024 mengenai jumlah pasien baru dan lama mengalami penurunan. Hal tersebut mengindikasikan menurunnya loyalitas pasien dengan fasilitas pembayaran pribadi serta asuransi terhadap Rumah Sakit Pertamina Pusat. Penelitian ini bertujuan guna menganalisis pengaruh patient experience dan handling complaint terhadap revisit intention dengan integrity sebagai variabel intervening. Dalam penelitian ini, digunakan jenis penelitian pendekatan kuantitatif dengan desain cross-sectional study. Populasi yang dipilih dalam penelitian ini adalah seluruh pasien yang berkunjung untuk berobat di RS Pusat Pertamina yang berjumlah 95.952 orang dengan jumlah sampel sebanyak 100 orang yang dihitung menggunakan rumus slovin dengan tingkat eror 10%. Kriteria inklusi digunakan dalam penelitian ini. Metode analisis data menggunakan PLS SEM. Hasil penelitian menemukan terdapat pengaruh simultan dan juga masing-masing dari patient experience, handling complaint, integrity terhadap revisit intention. Namun, Patient experience dan handling complaint tidak berpengaruh terhadap integrity. Integrity ditemukan tidak memediasi pengaruh patient experience dan juga handling complaint terhadap revisit intention. Manajemen RS perlu meningkatkan “care coordination” (koordinasi pelayanan) dengan pelatihan patient center care antar tenaga kesehatan dan unit layanan. Manajemen RS perlu menyusun sistem yang cepat tanggap dalam menangani keluhan pasien dan mengembangkan sistem patient relationship management. Manajemen RS harus menanamkan nilai integritas dan konsistensi pada setiap petugas kesehatan melalui pelatihan etika profesional dan budaya organisasi.
The Effect of Compliance Clinical Pathway on the Quality Of Service, Cost of Treatment, Length of Stay at Linggajati Hospital Roheman; M.F. Arrozi; Sandra Dewi
Jurnal Cinta Nusantara (JCN) Vol. 3 No. 2 (2025): JURNAL CINTA NUSANTARA
Publisher : CV. Bunda Ratu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63754/jcn.v3i2.65

Abstract

Clinical pathways are essential for achieving good clinical governance in hospitals as they standardize patient care. However, the compliance with the implementation of the inguinal hernia clinical pathway at Linggajati Hospital does not meet the minimum standard of 80%. Specifically, the service quality is below the desired 80%, treatment costs do not align with INA CBGs standards, and the length of stay exceeds the recommended ≤3 days. This study aims to analyze the effect of compliance with the implementation of the inguinal hernia clinical pathway on service quality, treatment costs and length of stay at Linggajati Hospital. This type of research is survey research. The population of this study was the medical records of inguinal hernia patients from January 2023 to June 2024. The sample in this study was 204 respondents taken using the purposive sampling technique. Univariate data analysis uses frequency distribution and the Three Box Method, and multivariate analysis uses multinomial regression and ordinary least squares (OLS) regression. Results: Compliance with the implementation of the inguinal hernia clinical pathway does not have an impact on the quality of service and cost of care but only has an impact on the length of stay at Linggajati Hospital with an R-square value of 0.039 and a P-value of 0.000. Conclusions: The results of this research have implications for providing information to health workers to further optimise clinical pathway compliance and monitor quality control evaluation and hospital care costs.
Co-Authors , Rahmi Abubakar, Mohammad Ade Pratiwi Susanty, Ade Pratiwi Adria Fahyumi Alfanzha Afni, Widia Khairun Afrizal Agatha Vivian Giovani, Agatha Vivian Giovani Agrina Riandani Agustina, Annisya Akhmad Darmawan Alamsyah, Ferdy Aliza Novia Rahmawati Alsyahidan Arsyad Amanda, Jelli Putra Andrew Shandy Utama andrew shandy utama, andrew shandy Andry Andry Anne Putri Annisya Agustina Ardiansah, Ardiansah Ardiansah, Ardiansah Ariani, Yuri Arlen, Fauzi Armaita Arrozi, M.F. Asri Rozak Astri, Difia Baginda Parsaulian Bagio Kadaryanto, Bagio Beni Rawadi Berlianto, Margaretha Pink Bintang Purba Christever, Christever Chrisvi Febriani Adha Cici Pramida Cixo Cixo Debby Sinthania Delfit Devy Winata Dewi Haryati Dewiana, Meita Dian, Wahyuni Dickson, Dickson DM, M. Yusuf Dwi happy anggia sari Dwi Intan Puspitasari Dzakiyah Suci Yuhary Endang Ruswanti Fadhilah Fitria Fadilla Putri Fadillah, Resi Fahmarita Fahmarita Fahrila Firdaus Faiza, Jennifer Anggela Faizah, Mayla Safira Fatika, Neza Fayane, Ostari Febrina, Cory Fiki Pramita Fitra Gunarti Fitri Handayani Fresia Grestiana Fyona Hadisty Ghina Alya Dzakwan Ghina Fitri Tampubolon Girsang, Andri J. Haifa Najla Amri Hakim, Fakhri Taufiqul Handayani, Reska Hani, Rahma Almira Haryanto, Totok Hasby Assidiqi Hasibuan, Eka Khairani Hasmita Hasmita, Hasmita Hasnati Hasnati, Hasnati Hayati, Syukra Helmi Helmi Henmaidi Henmaidi Henmaidi, Henmaidi Hesi Eka Puteri Hidarpa, Nana Hilma Yessi Hilmy, M. Reza Hisbul Habib, Habib I Made Raditya Mahardika idris, Wafda Aulia Ihsan, Diky Nafisa Imelda, Rezky Indayana Febriani Tanjung, Indayana Febriani indriani monica, muthia Natasya veronica Intan Kumala Dewi Intan Muliana Rhamdhani Intan Silviana Intan Silviana Ira Paramastri Ira Safira Irsakinah, Irsakinah Ismail, Djauhar Ismail Johar, Olivia Anggie Kemala, Qori Dwi Khadis, Syarif Khairunnisa, Viona Kurnia Ramadhan Kurniawan, Mario Kusumapradja, Rokiah Lara Paradilla Lathifa Asma Hayati Lisa Monica Lydia Lydia, Lydia M.F. Arrozi maidawilis, maidawilis Malika Candra Kirana MARDATUL HUSNI, RISA Marlina, Vivi Mashudani, Lizda Mayasari, Destin Dwi Mela Aliani Meliza Dara Puspita Mevya, Eva Azharina MF Arrozi Adhikara MF. , Arrozi Miftahur Rahmah Miftahurrahmi Oktavia Mike Asmaria Mila Nor Elijha Moh. Fachrurrozy Basalamah Mohamad Reza Hilmy Mona Adria Wirda Muhammad Panji Al Gazali Muji R., Tri Septin Muliawan, Marjono Mutia Alya Surianto Nabila Rahmadani Najmi, Pyona Faddila Nasfi, Nasfi Nasution, Tasya Nasya Aulia Ramadhani Nazilla Fahira Nazillaturrahmi Niken Rika Saputri Nilam Permata Sari Nisfi Rahmadhani Nofierni, Nofierni Nofita, Alsil Novera Martilova Novera, Milya Nur fajarriah Nurfadila Oksep Adhayanto Oktaviandini, Dila Pardede, Rudi Popy Ardian Ningsih Zega Pratiwi Susanty, Ade Pratiwi, Velina Prima Minerva Putri Yulia Ningsih Putri, Anggie Kurnia Putri, Natasya Kaila Putri, Nayla Dwi Putri, Windi Elsa Rahmad, Tantri Yanuar Rahmadani Eka Putri RAHMAT SYAHNI Rahmatika, Zulfa Rahmayani, Novi Rahmi Rahmi Rahmi Rahmi Ramaita Ramaita, Ramaita RESPATI, RUSVI Resty Dila Aryanti Rian Adi Pamungkas Rina Anindita Rina Mariyana Rina Panggabean Rini Andriani Riska Aulia Rita Wahidi , Kemala Rizkia, Dian Gema Roheman Roheman, Roheman Rudi Febriamansyah Sabri Sabri SAFEI, MUHAMMAD Safitri, Tiara Sahala Fransiskus Marbun Saputra, Muhammad Rian Saputri, Niken Rika Selfira, Lyoni Selvia Selvia Sesi Ulul Azizah Shela Kurnia Putri Sherly Oktaviani Sianturi, Yessyca Sihotang, Roma Ulina Br SRI RAHAYU Suci Ramadhani Sudiono, David Supriyantoro Supriyantoro Surianto, Mutia Alya Syaputra, Zikir Irwanda Tasya Nasution Tito Andryansyah Tri Indah Prasasti Tri Yuliana Trisna Ajan, Anggra Utama, Andrew Sandy WAHYUNI, VANIA Welvy Fenancy Wijaya, Sudarma Wiwit Febrina Wulanda Putri Widy Yalid Yalid Yaswinda Yaswinda Yaswirman, Yaswirman Yasypi’i Pakhiri Caniago Yesi, Hilma Yesyka Yetti Yuderna, Vivi Yuliana, Wilda Yulsyofriend, Yulsyofriend Zauzza Stabita Zulhelmi zulhelmi zulhelmi Zulhelmi, Zulhelmi Zulvera