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Hubungan Response Time Perawat dengan Kepuasan Pasien di IGD RSU Islam Harapan Anda Kota Tegal Nurul Muzamil; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2316

Abstract

Nurses’ response time is a crucial indicator of service quality in the Emergency Department (ED). A prompt response not only plays a vital role in ensuring patient safety but also significantly affects patient satisfaction with the care received. Patient satisfaction in the ED is often considered a benchmark of hospital quality, as the ED operates 24/7 and frequently deals with critical conditions. This study aimed to determine the relationship between nurses’ response time and patient satisfaction in the ED of Harapan Anda Islamic General Hospital, Tegal. This study employed an observational analytic design with a cross-sectional approach. A total of 92 ED patients were included as samples based on inclusion criteria. Nurses’ response time was measured using a stopwatch, starting from the completion of triage until the first contact with the nurse. Patient satisfaction was assessed using the standardized Brief Emergency Department Patient Satisfaction Scale (BEPSS) questionnaire. Data analysis was conducted using Pearson’s Chi-Square test to examine the relationship between the two variables. The results showed that 75 patients (81.5%) experienced a fast response time, while 72 patients (78.3%) reported being satisfied with the care provided. Statistical analysis yielded a Pearson’s Chi-Square value of 11.933, with an odds ratio of 6.545 and a significance level of 0.001 (p < 0.05). These findings indicate a significant association between nurses’ response time and patient satisfaction. In conclusion, nurses’ response time is strongly related to patient satisfaction in the ED of Harapan Anda Islamic General Hospital. Other factors such as effective communication, clinical competence, ED environment, and triage system may also influence satisfaction and should be considered in future studies.
Hubungan Dukungan Keluarga dan Komunikasi Terapeutik terhadap Tingkat Kecemasan Pasien di Ruang ICU Nur Anisah; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2318

Abstract

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.
Perbandingan Lokasi Kompres Ice Gel antara Dada dan Ketiak terhadap Perubahan Suhu Tubuh Pasien Post Craniotomy di Ruang ICU RSI Sultan Agung Semarang Fitri Cahyaningrum; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2321

Abstract

Craniotomy is a medical procedure to open the skull in order to repair and assess damage to the brain, which can cause fever due to thermoregulatory disturbances in the central nervous system. Monitoring the body temperature of post-craniotomy patients is crucial, as hyperthermia can increase the risk of complications. One non-pharmacological therapy to reduce fever is the use of ice gel compresses. This study aims to compare the effect of ice gel compress placement between the chest and armpit on body temperature changes in post-craniotomy patients in the ICU of RSI Sultan Agung Semarang. This research uses a pre-experimental design with a two-group pretest-posttest design, involving 22 respondents selected through total sampling technique. Data were collected using observation sheets, and statistical analysis was performed using the Paired Samples Test. The analysis results showed that the p-value for the chest was 0.867 (p > 0.05) and for the armpit was 0.199 (p > 0.05), indicating no significant difference in body temperature before and after the ice gel compress at both locations in relation to the body temperature changes of post-craniotomy patients. In conclusion, the application of ice gel compresses to the chest and armpit locations did not show a significant effect on reducing body temperature in post-craniotomy patients.
Pengaruh Kombinasi Clapping dan Suction terhadap Tidal volume pada Pasien Gagal Napas dengan Ventilasi Mekanik Aldilla Aini Rahma Latifa; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1753

Abstract

Patients who are admitted to the Intensive Care Unit (ICU) often require mechanical ventilation due to respiratory failure. One of the common problems that arises in patients with mechanical ventilation is the buildup of sputum, which can interfere with the ventilation process as well as lower the tidal volume. To overcome this, a combination of clapping and suction interventions are used as a therapeutic method with the aim of helping to clear the airways and improve ventilation function. This study aims to determine the effect of the combination of clapping and suction on tidal volume in patients with respiratory failure using mechanical ventilation. The research design used a pre-experiment with a one-group pretest-posttest approach on 43 respondents in the ICU room. Interventions in the form of clapping and suction are given in a structured manner according to standard nursing procedures. The results showed that the majority of respondents were female (53.5%), with the most medical diagnosis being SNH (23.3%). Most of the respondents were in the late adult age category (32.6%) and used PCV ventilation mode (51.2%). Before the intervention, most respondents had a low tidal volume (72.1%), while after the intervention the majority had an increase to the normal category (90.7%). The Wilcoxon test showed a value of p = 0.001, which means that there is a significant effect of the combination of clapping and suction on the increase in tidal volume. Thus, it can be concluded that the combination of clapping and suction is an effective intervention in increasing tidal volume in patients with respiratory failure with mechanical ventilation at the ICU of RSI Sultan Agung Semarang.
Dukungan Keluarga dan Kecemasan Pada Klien Diabetes Melitus Arma Vica Hulandari; Dwi Retno Sulistyaningsih
An-Najat Vol. 3 No. 4 (2025): November: An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i4.3449

Abstract

Diabetes melitus is a degenerative disease that increase every year and it is at risk of having serious complications that can cause anxiety. Family support is an important factor when a person had a healthy problem as a preventive effort to reduce anxiety. This research purpose to know the relation between family support and anxiety to the patients with diabetes melitus. This research applies cross sectional design. The populations in this research are patients with diabetes melitus at periuk jaya primary health center. The sampling technique used total sampling according to inclusion criteria as many as 43 respondents. The data were collected by using questionnaires. Analyzed by chi square. The result of the research showed that a small percentage of people with diabetes melitus who had anxiety were 2 people (4.7%) and those who did not get family support were 18 people (41,9%). Statistic test result with significance P=0.169, showed that P-value is bigger than 0.05 (0.169>0.05). In conclution the result showed that family support is not related with anxiety on patients with diabetes miletus. The significance result of this research showed that family support did not affect anxiety. It becomes a basic that family support is not one of the factors that affect anxiety. Therefore, hopefully health workers can pay attention to psychosocial needs, especially to the patients with diabetes melitus. Key words: Anxiety, Family support, Diabetes melitus. Diabetes melitus merupakan penyakit degeneratif yang mengalami peningkatan setiap tahunnya dan beresiko memiliki komplikasi serius sehingga bisa menimbulkan kecemasan. Dukungan keluarga merupakan faktor penting ketika seseorang mengalami masalah kesehatan, sebagai upaya preventif untuk mengurangi cemas. Penelitian ini bertujuan untuk mengetahui adakah hubungan dukungan keluarga dengan kecemasan pada klien diabetes melitus. Penelitian ini menggunakan desain cross sectional. Populasi dalam penelitian ini klien diabetes melitus di Puskesmas Periuk Jaya. Teknik sampling menggunakan total sampling sesuai dengan kriteria inklusi sebanyak 43 responden. Pengumpulan data menggunakan kuesioner. Analisa dilakukan menggunakan uji chi square. Hasil penelitian sebagian kecil klien diabetes melitus yang mengalami kecemasan yaitu 2 orang (4.7%) dan yang tidak memiliki dukungan keluarga yaitu 18 orang (41.9%). Hasil uji statistik diperoleh dengan nilai signifikasi p-0.169, yang menunjukkan nilai p-value lebih besar dari 0.05 (0.169 > 0.05). Dari hasil tersebut disimpulkan bahwa tidak ada hubungan antara dukungan keluarga dengan kecemasan pada klien diabetes melitus. Hasil yang signifikasi penelitian ini menunjukkan dukungan keluarga tidak mempengaruhi kecemasan. Ini menjadi dasar bahwa dukungan keluarga adalah bukan salah satu faktor yang mempengaruhi kecemasan. Dengan ini, diharapkan petugas kesehatan dapat memperhatikan kebutuhan tentang psikososial khususnya pada klien diabetes melitus. Kata kunci: Kecemasan, Dukungan keluarga, Diabetes melitus.