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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 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 Bambang Adhy Prasakti; Nur Asniati Djaali; Titi Indriyati
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.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.
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.
The Relationship Between Knowledge and Attitudes Towards Employee Behavior in Completeness of Electronic Medical Record Filling at Cibatu Community Health Center: Hubungan Pengetahuan Dan Sikap Terhadap Perilaku Pegawai Dalam Kelengkapan Pengisian Rekam Medis Elektronik Di Puskesmas Cibatu Malikul Mansur; Nur Asniati Djaali; 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.v18i1.3093

Abstract

Transformasi digital di bidang pelayanan kesehatan menuntut adanya implementasi Rekam Medis Elektronik (RME) secara optimal di setiap fasilitas kesehatan, termasuk Puskesmas Cibatu, Purwakarta. Namun, kelengkapan pengisian RME masih menghadapi kendala yang dipengaruhi oleh pengetahuan dan sikap pegawai. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap terhadap perilaku pegawai dalam kelengkapan pengisian Rekam Medis Elektronik di Puskesmas Cibatu. Penelitian menggunakan pendekatan kuantitatif dengan desain asosiatif korelasional, melibatkan seluruh tenaga kesehatan di Puskesmas Cibatu. Data dikumpulkan menggunakan kuesioner terstruktur, dianalisis dengan uji bivariat dan multivariat. Hasil penelitian menunjukkan adanya hubungan yang sangat kuat dan signifikan antara pengetahuan serta sikap dengan perilaku pengisian kelengkapan RME. Pegawai dengan sikap positif memiliki peluang sekitar 24 kali lebih besar untuk berperilaku baik dalam pengisian RME dibandingkan yang bersikap negatif. Selain itu, pegawai dengan tingkat pengetahuan baik memiliki peluang sekitar 17 kali lebih besar untuk menunjukkan perilaku pengisian RME yang lengkap dibandingkan pegawai dengan pengetahuan rendah, meskipun dalam analisis lanjutan pengaruh sikap tetap menjadi yang paling dominan. Sikap merupakan faktor utama yang memengaruhi perilaku pengisian RME di Puskesmas Cibatu, didukung oleh pengetahuan yang tinggi. Intervensi yang efektif untuk meningkatkan kelengkapan pengisian RME sebaiknya berfokus pada penguatan sikap melalui pelatihan, motivasi, dan role modeling, serta didukung peningkatan pengetahuan teknis pegawai.
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.