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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat Nuansa Informatika Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Ilmiah Kesehatan Anakes: Jurnal Ilmiah Analis Kesehatan Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Jurnal Kesehatan Masyarakat Perkotaan Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta
Ajeng Tias Endarti
Universitas Mohammad Husni Thamrin
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Factors Associated with Patient Satisfaction at Kalideres Community Health Center, West Jakarta Krestanti, Yeni Padmini; Endarti, Ajeng Tias; Djaali, Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3154

Abstract

Marketing strategies are used to ensure business success, including in the healthcare sector, which now faces intense competition among hospitals, clinics, and community health centers. Community health centers, as the primary government healthcare facilities, play a crucial role in providing first-level services. Patient satisfaction is a key indicator of service quality in primary healthcare facilities, including community health centers (puskesmas). Preliminary observations at Kalideres Community Health Center, West Jakarta, showed a satisfaction level of 77.8%, although complaints regarding waiting time, facility completeness, and cleanliness were still reported. Sociodemographic factors, BPJS insurance membership, and visit frequency may influence patients’ perceptions and expectations of healthcare services. This study aimed to analyze factors associated with patient satisfaction at Kalideres Community Health Center. A quantitative approach with a cross-sectional design was used. The sample consisted of 100 patients selected through non-probability incidental sampling. Data were collected using a structured questionnaire and analyzed through univariate, bivariate, and multivariate methods. Bivariate analysis showed that monthly income (p=0.005; OR=3.840; CI 1.55–9.55) and visit frequency (p=0.000; OR=11.806; CI 4.17–33.41) were significantly associated with patient satisfaction. Multivariate analysis produced a Nagelkerke R² of 0.317, identifying employment status (p=0.038; OR=2.872), income (p=0.037; OR=0.282), and visit frequency (p=0.000; OR=0.138) as significant predictors. Visit frequency was the most dominant factor influencing satisfaction. These findings recommend optimizing BPJS administrative processes, strengthening patient education regarding the benefits of regular visits, enhancing satisfaction monitoring, and improving communication quality and service delivery to support sustained patient satisfaction.
Validity and Reliability Test of the WHOQOL-HIV BREF Instrument on PLHIV in Bandar Lampung City in 2025 Prahastuti, Brian Sri; Endarti, Ajeng Tias; Solikhin, M Halfani
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3168

Abstract

Quality of life (QoL) is an essential indicator for assessing the physical, psychological, social, and spiritual well-being of People Living with HIV (PLHIV). For people living with HIV (PLHIV), this concept is particularly important because HIV infection is chronic and requires long-term therapy, which carries various clinical and psychosocial consequences. The impact of HIV is not only related to physiological changes but also emotional and social problems caused by societal stigma and discrimination. Measuring the quality of life of people living with HIV requires valid, reliable instruments that accurately reflect the patient's condition. The WHOQOL-HIV BREF is an instrument developed by the World Health Organization to measure QoL among PLHIV across six main domains. This study aimed to evaluate the validity and reliability of the Indonesian version of WHOQOL-HIV BREF among PLHIV in Bandar Lampung City in 2025. A cross-sectional design was employed, using purposive sampling to recruit PLHIV who met the inclusion criteria. The Indonesian version of WHOQOL-HIV BREF was administered as the research instrument. Validity testing was conducted using item-total correlation analysis, while reliability testing employed Cronbach’s Alpha coefficient. The results showed that all 31 items of the WHOQOL-HIV BREF were valid (r‑calculated > r‑table 0.349), indicating that the instrument is suitable for assessing the quality of life of PLHIV. These findings provide a strong basis for the implementation of WHOQOL-HIV BREF in clinical practice, research, and health program planning for PLHIV at the local level..
The Influence of Workload on Work Motivation of Health Workers at the Sukatani Community Health Center in Purwakarta Marliana, Rina; Djaali, Nur Asniati; Endarti, Ajeng Tias
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3201

Abstract

Health workers who are less motivated to work will show less than optimal performance, characterized by higher levels of fatigue, decreased work discipline, and decreased concern for service quality. Often the lack of motivation is caused by things such as lack of opportunities for career development, inadequate compensation, excessive workload, and lack of appreciation for performance. To determine the effect of workload on the work motivation of health workers at the Sukatani Health Center in Purwakarta. This study uses a quantitative research method with a cross-sectional approach. The sampling technique uses a total sampling method of 60 health workers at the Sukatani Health Center in Purwakarta. Bivariate analysis uses the chi-square test and multivariate analysis uses multiple logistic regression. Based on the Chi-square test, the P value is 0.000 <0.05, which indicates that there is a significant influence between workload on the motivation of health workers at the Sukatani Health Center with an Odd Ratio (OR) value of 13. The results of the multiple logistic regression test obtained the largest result of 63.865 which indicates that the variable number of positions as the most dominant confounder factor influences workload on work motivation. Health center management should develop policy plans that can reduce workload and increase employee motivation by managing time wisely to help reduce stress, conducting open discussions in finding solutions together with task division and target adjustments, delegating tasks and integrating activities to increase efficiency, ensuring adequate rest to avoid physical and mental fatigue, optimizing the use of existing systems to reduce manual workload, providing regular training on occupational safety (K3).
The Relationship Between Literacy About the JKN System and Outpatient Satisfaction at the Bungursari Community Health Center, Purwakarta Regency Marlina, Rina; Endarti, Ajeng Tias; Djaali, Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3202

Abstract

Low levels of patient satisfaction can negatively affect the quality of health care facilities, particularly at the primary care level such as community health centers (puskesmas). One of the factors influencing patient satisfaction is the limited level of patient literacy regarding the National Health Insurance (Jaminan Kesehatan Nasional—JKN) system. Insufficient understanding of patients’ rights, procedures, and service pathways may lead to misunderstandings, dissatisfaction, and even negative perceptions of service quality. This condition poses a challenge for Puskesmas Bungursari, Purwakarta, which is a primary health care facility with a high patient visit rate. This study aimed to determine the relationship between literacy regarding the JKN system and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency. A quantitative study with a cross-sectional design was conducted. The study population consisted of 1,431 individuals, with a sample size of 257 respondents. The sampling technique used was non-probability sampling with an accidental sampling approach. The research instruments were literacy and satisfaction questionnaires that had been tested for validity. Statistical analysis included the chi-square test and multivariate analysis using multiple logistic regression. The results showed a significant relationship between literacy and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency (p-value < 0.001), with an odds ratio of 13.084. Furthermore, literacy remained significantly associated with patient satisfaction (p-value < 0.001) after controlling for the employment variable (p-value = 0.019). To improve patient satisfaction at puskesmas, efforts should focus on enhancing health literacy through the use of visual strategies and effective communication, as well as improving the quality of empathetic services that include attentive listening to patient complaints and fair treatment.
The Effect of Hypnotherapy on Students’ Anxiety Levels and Learning Motivation in Mathematics at SMPN 252 Jakarta Noviyanti, Adhe; Endarti, Ajeng Tias; Djaali , Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 6 No. 1 (2026): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v6i1.3345

Abstract

Mathematics anxiety and low learning motivation are psychological factors that may hinder students’ academic achievement. Emotional-based learning approaches are needed to create a more effective and humanistic learning process. This study aimed to analyze the effect of hypnotherapy on students’ anxiety levels and learning motivation in mathematics at SMPN 252 Jakarta. A quantitative method with a quasi-experimental pretest–posttest control group design was employed. The sample consisted of 52 students divided into an intervention group (26 students) and a control group (26 students). Data were collected through questionnaires administered before and after the intervention and analyzed using the Wilcoxon test and paired sample test. The results showed a significant decrease in anxiety levels in the intervention group from 9.346 to 5.250 (p = 0.000) and a significant increase in learning motivation from 54.827 to 76.173 (p = 0.000). The control group showed no significant changes in anxiety (p = 0.180) or motivation (p = 0.745). It can be concluded that hypnotherapy is an effective psychoeducational intervention to reduce mathematics anxiety and enhance students’ learning motivation.
The Role of Hypnotherapy in Reducing Anxiety and Enhancing Work Motivation among Employees: A Phenomenological Study of Clients at Rumah Terapi Kita Hypnotherapy Center: Peranan Hipnoterapi Dalam Mengatasi Kecemasan Dan Meningkatkan Motivasi Kerja Pada Karyawan; Studi Fenomenologis Klien Di Rumah Terapi Kita Hipnoterapi Sofiana Dewi Indriati; Ajeng Tias Endarti; Lilis Heri Mis Cicih
Jurnal Ilmiah Kesehatan Vol 18 No 1 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i1.3267

Abstract

Mental health in the workplace plays a crucial role in sustaining organizational performance and productivity. Untreated anxiety can impair concentration, reduce motivation, and diminish work effectiveness. Hypnotherapy has emerged as a potential alternative intervention to address these challenges, although its application in Indonesia remains limited. This study aims to explore the subjective experiences of employees undergoing hypnotherapy, particularly in relation to reducing anxiety and enhancing work motivation.Method: Using a qualitative phenomenological approach, six informants were selected based on their General Anxiety Disorder-7 (GAD-7) scores. Data were collected through in-depth interviews, observations, and documentation at Rumah Terapi Kita Hypnotherapy in July 2025. Thematic analysis was applied, with validity ensured through source triangulation and member checking. The findings reveal that before therapy, employees experienced anxiety symptoms such as sleep disturbances, fatigue, difficulty concentrating, and decreased motivation. During hypnotherapy, participants reported deep relaxation, reduced negative thoughts, and a sense of calm. After therapy, anxiety levels significantly declined, work motivation increased, concentration and sleep quality improved, and emotional regulation became more stable.This study concludes that hypnotherapy is an effective, efficient, safe, and sustainable alternative intervention for alleviating anxiety and enhancing work motivation. These findings are expected to serve as a valuable reference for practitioners, organizations, and future research in developing workplace mental health programs.
Correlation between Handgrip Strength and Pulmonary Function Parameters (% Predicted) in an Urban Adult Population Yohanes Firmansyah; Ajeng Tias Endarti; Nur Asniati Djaali; Ernawati Ernawati
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24324

Abstract

ABSTRACT Handgrip strength is a simple indicator of peripheral muscle strength that may reflect pulmonary function status, particularly in urban adult populations exposed to high levels of air pollution. However, empirical evidence regarding the association between handgrip strength and predicted pulmonary function parameters in Indonesia remains limited. This study aimed to analyze the correlation between handgrip strength and pulmonary function parameters (% predicted) in an urban adult population. An observational analytic study with a cross-sectional design was conducted among 539 adults (≥18 years) across five administrative regions of DKI Jakarta. Pulmonary function parameters assessed included vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and the FEV₁/FVC ratio, all expressed as % predicted. Handgrip strength was measured bilaterally and averaged. Univariate and bivariate analyses were performed using Spearman’s correlation test. Mean handgrip strength showed a significant positive correlation with VC (% predicted) (r = 0.182; p 0.001) and FVC (% predicted) (r = 0.222; p 0.001). A weaker positive correlation was observed between left-hand grip strength and FEV₁ (% predicted) (r = 0.091; p = 0.034). In contrast, the FEV₁/FVC ratio (% predicted) demonstrated consistent and significant negative correlations with right-hand, left-hand, and mean handgrip strength (r ranging from −0.186 to −0.200; p 0.001). Handgrip strength is significantly associated with pulmonary function capacity (% predicted), particularly volume-related parameters, and may serve as a simple screening indicator of pulmonary function in urban adult populations. Keywords: Handgrip, Pulmonary Function, Spirometry, Adults, Urban Population.
Analysis of Patient Satisfaction in the Inpatient Unit at Permata Dalima Hospital, Serpong: Analisis Kepuasan Pasien Pada Pada Unit Rawat Inap Di RS Permata Dalima Serpong Noviane Indah Susanti; Nur Asniati Djaali; Ajeng Tias Endarti
Jurnal Ilmiah Kesehatan Vol 18 No 1 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i1.3157

Abstract

Patient satisfaction is an important indicator in assessing the quality of hospital services because it reflects the extent to which patient expectations are met. The increase in the number of National Health Insurance (JKN) participants, which will reach 98.19% by 2024, poses a challenge for hospitals, including Permata Dalima Hospital, in maintaining service quality. The results of the Public Satisfaction Index (IKM) survey show a decline in the score to 85,51%, still below the ideal standard of ≥95%. This is primarily due to complaints from BPJS patients regarding long waiting times, administrative complexity, and limited facilities. This situation indicates differences in service experiences between patient groups based on the financing system and demographic characteristics such as age, education, and occupation. This study aims to determine the relationship between financing type and patient satisfaction after controlling for patient demographics in the Inpatient Unit at Permata Dalima Hospital, Serpong. This study is a quantitative study using a correlational design. The study involved 246 patients receiving services at the Inpatient Unit of Permata Dalima Hospital, Serpong. Unvariate, bivariate, and multivariate analysis methods were used. The bivariate analysis, using the Chi Square test, yielded a p-value of 0.000 (0.000 <0.05), indicating a relationship between the type of financing and patient satisfaction at the Inpatient Unit of Permata Dalima Hospital, Serpong. The multivariate test showed that the p-value for the type of financing (p-value 0.000 and OR of 4.422) and the variable age (p-value 0.211 and OR of 1.423) indicated that age was a Confounding variable in the relationship between the type of financing and patient satisfaction. Permata Dalima Serpong Hospital needs to improve its overall service quality through regular evaluations, strengthening the competency of healthcare workers, and ensuring equal service quality for all patients, both BPJS and Non BPJS, to achieve optimal and sustainable satisfaction levels.
Peran Mediasi Sindrom Metabolik dalam Hubungan antara Generasi dan Sarkopenia: Studi Multisenter pada Populasi Perkotaan di Jakarta, Indonesia Bryan Anna Wijaya; Fiona Valencia Setiawan; Ajeng Tias Endarti; Yohanes Firmansyah; E Ernawati
Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta 2026: Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pendahuluan: Peningkatan populasi usia lanjut disertai dengan meningkatnya beban gangguan muskuloskeletal, termasuk sarkopenia, yang kini dipahami sebagai kondisi multifaktorial dan tidak terbatas pada usia lanjut. Peran sindrom metabolik sebagai mediator dalam hubungan antara generasi dan sarkopenia masih belum banyak dikaji, terutama pada populasi perkotaan. Metode: Penelitian ini merupakan studi observasional analitik dengan desain potong lintang multisenter pada populasi perkotaan di Jakarta. Sampel ditentukan dengan metode total sampling (n=1551), dan analisis data dilakukan menggunakan korelasi Spearman serta Partial Least Squares Structural Equation Modeling (PLS-SEM). Hasil: Ditemukan bahwa generasi berasosiasi positif dengan sindrom metabolik (β=0,276), dan sindrom metabolik berasosiasi kuat dengan sarkopenia (β=0,590), sementara hubungan langsung generasi dengan sarkopenia menunjukkan arah negatif (β=-0,375), yang mengindikasikan adanya mediasi tidak konsisten. Model menjelaskan 36,6% variasi sarkopenia (R²=0,366). Kesimpulan: Sindrom metabolik berperan sebagai mediator penting dalam hubungan antara generasi dan sarkopenia, sehingga pengendalian faktor metabolik sejak usia dini menjadi strategi kunci dalam pencegahan sarkopenia.
Co-Authors Adelia Ulya Rachman Agung Pratama Agus Handito, Agus Anua, Siti Marwanis Brian Sri Prahastuti Brian Sri Prahastuti Brian Sri Prahastuti Bryan Anna Wijaya Dian Kusdian Djaali , Nur Asniati E Ernawati E Ibrahim, Tengku Azmina Eko Setyo Pambudi Eko Setyo Pambudi Erie Aditia Ernawati Ernawati Febriyanti, Syeri Fiona Valencia Setiawan Hardi Susanto Helda Helda Helmi Indriyati, Titi Izza Suraya Karlina, Lini Krestanti, Yeni Padmini Lilis Heri Mis Cicih Lilis Heri Mis Cicih Marliana, Rina Mazlan, Nurzafirah Mira Netti Muttaqien Muttaqien Naa, Martince Noviane Indah Susanti Noviyanti, Adhe Nur Asniati Djaali Nursa’adah Nursa’adah Nydia Andriani Nydia Andriani Parnonto, Wiratama Ibnu Ratna Djuwita Ratna Djuwita Riana Anggraini, Hesti Rina Marlina Rizki Tsalatshita Khair M Rusli, Nur Husna Rusman, Ruspa S, Eti Wiyanti Sofiana Dewi Indriati Solikhin, M Halfani Sudarto Ronoatmodjo Sutanto Priyo Hastono Sutanto Priyo Hastono Tata Sutabri Usdayana, I Gusti Ngurah Yoga Wan Mohd Amin, Wan Siti Hajar Woro Riyadina Yohanes Bowo Widodo Yohanes Firmansyah