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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 Relationship between Cariogenic Food Consumption and Tooth Brushing Habits to Dental Caries in 4th, 5th and 6th Grade Students at SDN 1 Cikulur, Lebak Banten Regency. Martalinda, Weny; Djaali, Nur Asniati; Prahastuti, Brian Sri
Eduvest - Journal of Universal Studies Vol. 6 No. 2 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i2.52277

Abstract

Dental caries is one of the most common oral health problems among school-aged children and is often neglected, despite its potential impact on quality of life, academic achievement, and overall health. High consumption of cariogenic foods such as candies, chocolates, sugary drinks, and other sweet snacks, combined with poor and irregular tooth-brushing habits, are the main contributing factors to the occurrence of dental caries in elementary school children. This research analyzed the relationship between cariogenic food consumption and tooth-brushing habits with the incidence of dental caries among 4th–6th graders at SDN 1 Cikulur, Lebak, Banten, and examined the confounding effects of gender, parental education, and socioeconomic status. A cross-sectional design with stratified random sampling was used, involving 76 respondents. Data were collected via questionnaires and visual dental examinations, then analyzed using Chi-Square and Multiple Logistic Regression to assess relationships while controlling for confounders. The findings revealed a significant relationship between cariogenic food consumption and tooth-brushing habits with dental caries. Children with high cariogenic food consumption were seven times more likely to develop caries, while those with poor tooth-brushing habits had an 11.6 times greater risk after adjusting for parental education and socioeconomic status. The study recommends strengthening oral health education in schools, enforcing stricter supervision of children's food consumption through school policies and Puskesmas programs, and increasing family involvement in shaping healthy behaviors. Cross-sectoral collaboration is expected to sustainably reduce the prevalence of dental caries among elementary school children.
The Effectiveness of the Combination of Hypnotherapy and Physical Activity in Reducing Anxiety Disorders in Elementary School Students Binangun, Aqso; Nur Asniati Djaali; Titi Indriyati
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.v6i1.3308

Abstract

Anxiety disorders in elementary school-aged children in urban settings show an increasing trend that requires contextual intervention. This study aims to analyze the effectiveness of a combination of hypnotherapy and physical activity compared to a single physical activity intervention in reducing anxiety levels in phase C students at SDN Pondok Kelapa 05 Pagi. Using a quasi-experimental design, 64 students were divided into an intervention group (n=31) and a control group (n=33). The research instrument used the Spence Children's Anxiety Scale (SCAS) questionnaire. The results of the bivariate analysis showed that the intervention group experienced a more significant decrease in anxiety scores (6.97 points) compared to the control group (2.70 points) with a p value of 0.01. However, the multivariate analysis showed that gender was the most dominant factor, where male students were 3.2 times more likely to experience a decrease in anxiety (p=0.043). This study concludes that the combination intervention provides promising added value for managing complex anxiety in schools. This research is very important to fill the literature gap regarding combination interventions in non-clinical elementary school settings. Practically, this study offers a low-cost and applicable solution for public schools in urban settings with limited resources for mental health professionals. By testing the synergy between hypnotherapy and physical activity, this research is expected to provide an effective coping model for students facing the stress of the metropolitan environment.
The Effect of Hypnotherapy on Work Stress Reduction Among Employees in a Private Company in West Jakarta, Indonesia Prasakti, Bambang Adhy; Djaali, Nur Asniati; Indriyati, Titi
Jurnal Ilmiah Kesehatan Vol 18 No 2 (2026): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v18i2.3329

Abstract

High work stress levels among employees of private companies in West Jakarta negatively impact psychological well-being and individual performance. An effective intervention approach is needed to address this issue, one of which is hypnotherapy. This study aimed to analyze the effect of hypnotherapy on reducing work stress among employees of private companies in West Jakarta. This study used a quasi-experimental design with a pretest-posttest control group design. A sample of 34 respondents was divided into an intervention group (n=16) and a control group (n=18). The research instrument was the Workplace Stress Scale (WSS) questionnaire. The intervention group received hypnotherapy sessions, while the control group did not. Data were analyzed statistically using the Paired t-test and Independent sample t-test, supplemented by thematic qualitative analysis. There was a significantly greater reduction in work stress scores in the intervention group (Mean before=38.25, SD=1.57; Mean after=13.38, SD=2.70; Mean difference=24.87; p<0.001) compared to the control group (Mean difference=3.61; p<0.001). The difference in stress levels between the two groups post-intervention was also significant (p=0.000). Qualitative analysis revealed two main themes: reduction of work stress and improvement of individual performance, reinforced by positive career development changes in the intervention group. Confounding factors such as age, gender, employment status, and job type also influenced the results. Hypnotherapy is proven to be significantly effective in reducing employee work stress. Therefore, it is recommended that companies consider hypnotherapy as an intervention program in organizational stress management. For future research, it is advised to control for confounding factors and explore the long-term impacts of hypnotherapy intervention.