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Gambaran Kepuasan Layanan Rawat Jalan Pada Pasien Lansia Di Poli Penyakit Dalam Ahmad Jailani; Hammad; Syamsul Firdaus; Bahrul Ilmi; Muhammad Rasyid
Jurnal Karya Generasi Sehat Vol. 4 No. 1 (2026): Edisi Juni 2026
Publisher : Poltekkes Kemenkes Banjarmasin

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Abstract

Kepuasan pasien merupakan indikator penting dalam menilai mutu pelayanan kesehatan, khususnya pada pelayanan rawat jalan. Pada kelompok lanjut usia (lansia), tingkat kepuasan dipengaruhi oleh pengalaman pelayanan yang diterima, termasuk sikap petugas, kenyamanan fasilitas, serta kejelasan informasi medis. Penelitian ini bertujuan untuk menggambarkan tingkat kepuasan layanan rawat jalan pada pasien lansia di Poli Penyakit Dalam RSU Permata Husada Banjarbaru. Penelitian ini menggunakan desain observasional deskriptif dengan pendekatan cross sectional. Sampel penelitian berjumlah 50 pasien lansia yang dipilih menggunakan teknik consecutive sampling. Data kepuasan layanan dikumpulkan menggunakan kuesioner Kepuasan Pasien 2017 (KKP-2017) versi 10 item. Analisis data dilakukan secara univariat. Hasil penelitian menunjukkan bahwa sebagian besar pasien lansia berada pada kategori puas terhadap pelayanan rawat jalan, yaitu sebesar 80%, sedangkan 20% lainnya berada pada kategori kurang puas. Temuan ini menunjukkan bahwa pelayanan rawat jalan di Poli Penyakit Dalam RSU Permata Husada Banjarbaru telah mampu memenuhi harapan sebagian besar pasien lansia, meskipun masih diperlukan upaya peningkatan mutu pelayanan secara berkelanjutan.
Hubungan Ketinggian Blok Spinal Anestesi dengan Kejadian Menggigil (shivering) Intra Operatif di Instalasi Bedah Sentral RSUD dr. Soedirman Yustiana Olfah; Sri Eni Restuti; Abdul Majid; Syamsul Firdaus
Jurnal Keperawatan Vol 3 No 1 (2018)
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v3i1.199

Abstract

Regional anesthesia (Sub ArachnoidBlock) produces sympathetic blocks of muscle relaxation and sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. Factors that may cause adecrease in core temperature and disruption of the information path derived from the first receptor are sympathetic blockades that may couse peripheral vasodilatation. To know the relationship between the height of the anesthetic spinal block with the intra operative shivering incidence at Central Surgery RSUD Dr. Soedirman Kebumen The research design was cross sectional. The research sampel were 72 respondents spinal anesthesia patients. The technique of sampling were consecutive sampling. The statistical test was chi square. Of 16 people with high spinal block, (75%) had shivering and 4 people (25%) had no shivering. of 36 people with moderate spinal block 21 people (58,3%) had shivering and 15 people (41,7%) had no shivering. of 20 people with low spinal block 14 people (70%) had shivering and 6 people (30%) had no shivering. Statistical test result using chi square obtained a significant relationship with p value of 0,021 smaller than 0,05 (0,021<0,05). There is a relationship between the height of the anethetic spinal block intra operative shivering incidence at Central Surgery RSUD Dr. Soedirman Kebumen
Efektivitas Pemberian Oksigen Posisi Semi Fowler Dan Fowler Terhadap Perubahan Saturasi Pada Pasien Asma Bronkial Persisten Ringan Syamsul Firdaus; Misbachul Munirul Ehwan; Agus Rachmadi
Jurnal Keperawatan Vol 4 No 1 (2019): Vol.4 No.1 2019
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v4i1.278

Abstract

Mild persistent bronchial asthma is a chronic inflammatory airway that cause the low oxygen saturation value (91-95%). Administering oxygen therapy, setting the position of the semi fowler and fowler can reduce the risk of a decreased chest configuration. This research aims to assess the difference of effectiveness of administering oxygen at semi fowler with fowler position to the saturation changes in mild persistent bronchial asthma patients in Ratu Zalecha Martapura Hospital. This research method is quasy Experiment. The population research are all patients who experience mild persistent bronchial asthma attack, the sample of this research are 20 respondents with purposive sampling technique and analyzed with independent T test. The results is at semi fowler position the average of oxygen saturation before the treatment is 93.10%, after administering oxygen therapy with semi fowler position the average saturation is 98.00%. At the fowler position the average of oxygen saturation before the treatment is 92.60%, after administering oxygen therapy with fowler position the average saturation is 98.00%. The independent T-test result showed no difference of effectiveness of administering oxygen at semi fowler with fowler position to the saturation changes in mild persistent bronchial asthma patients,so teh patients can be given both positions.