Claim Missing Document
Check
Articles

Found 17 Documents
Search

Evaluasi Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien di Instalasi Rawat Inap RS Imelda Pekerja Indonesia Medan Tasya Estu Hidayana; Asriwati Asriwati; Nuraini Nuraini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 3 (2024): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i3.729

Abstract

The quality of health services is one of the important factors in the utilization of health services. Assessment of the quality of good health services is not limited to physical healing of the disease, but also to the attitude, knowledge and skills of officers in providing services, communication, information, courtesy, punctuality, responsiveness and the availability of facilities and physical environment. The research design used in this study was qualitative with in-depth interview techniques to key informants who were used as research objects totaling 1 (one) person, main informants 2 (two) people and supporters in this study totaling 3 (three) people with the characteristics as mentioned above, the total informants were 6 people. The results of the study all patients were satisfied with the physical evidence service (Tangible) about the cleanliness of the room in preventing and controlling infections. Some patients were satisfied with the responsiveness service regarding the collaboration of doctors, nurses and pharmacists in responding quickly to patient complaints. Some patients were satisfied with the reliability service regarding patient admission procedures, examination services, treatment and care. The conclusion is that there is an influence between service quality (Reliability, Responsiveness, Assurance, Empathy, Physical Evidence) on patient satisfaction at the inpatient installation of the Imelda Buruh Indonesia Hospital, Medan.
Analisis Faktor Resiko yang Berhubungan dengan Kejadian Hipertensi pada Kepala Keluarga di Desa Waesala Kabupaten Seram Bagian Barat Provinsi Maluku Tahun 2024 Iksan Soumena; Asriwati Asriwati; Darwin Syamsul
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.715

Abstract

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.
Analisis Mutu Pelayanan Kesehatan Masyarakat terhadap Kepuasan Pasien di Puskesmas Bukit Lawang Kabupaten Langkat Tahun 2023 Sari Inrianita; Asriwati Asriwati; Nur Aini
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.717

Abstract

The quality of health services is very important to measure how far the Community Health Center is in providing services to patients by looking at the number of BPJS patient visits at the Bukit Lawang Community Health Center, Langkat Regency, which only reached 82.00% in 2020, 77.9% in 2022 and 76.9% in 2023 compared to the target of 95%. Data from the Bukit Lawang Community Health Center, Langkat Regency for the period 2021-2023 showed fluctuations in the number of BPJS patient visits every month. The purpose of this study was to analyze the effect of the quality of public health services on patient satisfaction at the Bukit Lawang Health Center, Langkat Regency in 2023. The research design used a quantitative method with a cross-sectional study approach. The population in this study were all patients who visited the Bukit Lawang Health Center, Langkat Regency in 2023 with an average number of visits of 292 patients per month, the number of samples of 75 people was obtained using a purposive sampling technique. Data analysis used univariate, bivariate and multivariate analysis with logistic regression tests. The results of the study using the chi-square test showed that the variables reliability, assurance, tangible, empathy and responsiveness had a p-value <0.05. The results of the study using the logistic regression test showed that the variables reliability, empathy and responsiveness had a sig. <0.05 and the variables assurance and tangible had a sig.> 0.05. The conclusion of the study is that the variables that significantly affect patient satisfaction are the variables reliability, empathy and responsiveness and the variable that most significantly affects patient satisfaction is the variable reliability.
Faktor-faktor yang Mempengaruhi Perubahan Temperatur Terhadap Tubuh Bayi Sesudah 2 Jam Post Partum di Rumah Sakit Columbia Asia Medan Tahun 2021 Novita Sari; Razia Begum Suroyo; Fatma Sylvana Dewi Harahap; Asriwati Asriwati; Ramadhani Syafitri Nasution
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2827

Abstract

Bayi Baru Lahir (BBL) harus menyesuaikan diri dari kehidupan intrauterin ke kehidupan ekstrauterin. Salah satu adaptasi BBL normal adalah mengatur suhu tubuh walaupun BBL sangat rentan untuk mengalami hipotermi, yanag menjadi penyebab yang sangat serius terhadap kesakitan dan kematian BBL. Tujuan penelitian untuk mengetahui Faktor-Faktor yang Mempengaruhi Perubahan Temperatur Tubuh Bayi Sesudah 2 jam Post Partum di Rumah Sakit Columbia Asia Medan tahun 2021. Desain penelitian yang digunakan dalam penelitian ini adalah survey analitik dengan rancangan cross sectional. Populasi pada penelitian ini adalah seluruh pasien bayi baru lahir di Rumah Sakit Columbia Asia Medan sebanyak 185 orang pada kurun waktu februari sampai dengan april 2021. Jumlah sampel yang akan di teliti adalah 65 orang. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariat. Uji statistik yang digunakan adalah uji chi square dan regresi logistik. Hasil penelitian uji chi square menunjukkan bahwa variabel proses persalinan, suhu ruangan, lampu penghangat, metode skin to skin, mengeringkan bayi dengan seksama, selimut tubuh bayi dan tutup kepala bayi, menunda memandikan bayi 6 jam setelah lahir, bantalan penghangat, apgar score  nilai p-value = 0,000 < α 0,05, artinya ada pengaruh antara proses persalinan , terhadap perubahan temperature tubuh bayi sesudah 2 jam post pastum, dari hasil analisis multivariat didapatkan variabel yang paling berpengaruh dalam penelitian ini adalah variabel metode skin to skin. Kesimpulan ada pengaruh antara proses persalinan, suhu ruangan, lampu penghangat, metode skin to skin, mengeringkan bayi dengan seksama, selimut tubuh bayi dan tutup kepala bayi, menunda memandikan bayi 6 jam setelah lahir, bantalan penghangat, apgar score terhadap perubahan temperature tubuh bayi sesudah 2 jam post pastum. sedangkan analisa multivariat menunjukkan hasil bahwa faktor yang paling dominan adalah variabel metode skin to skin terhadap terhadap perubahan temperatur tubuh bayi sesudah 2 jam post pastum. Disarankan kepada pihak rumah sakit agar dapat meningkatkan kompetensi metode skin to skin kepada perawat atau bidan di Rumah Sakit Columbia Asia Medan dengan cara mengadakan pelatihan dan workshop baik internal maupun eksternal, juga Rumah sakit Columbia Asia medan harus mendukung metode skin to skin dari segi kelengkapan sarana dan prasarana yang menunjang pelayanan metode skin to skin.Kata Kunci : Bayi baru lahir, proses persalinan, metode skin to skinNewborns must adjust from intrauterine life to extrauterine life. One of the adaptations of normal newborns is to regulate body temperature even though they are very susceptible to hypothermia, which is a very serious cause of morbidity and mortality in newborn babies. The purpose of the study was to determine the Factors Affecting Changes in Infant Body Temperature After 2 hours Post Partum at Columbia Asia Hospital Medan in 2021. The research design used in this study was an analytic survey with a cross sectional design. The population in this study were all newborn patients at Columbia Asia Hospital Medan as many as 185 people from February to April 2021. The number of samples to be studied was 65 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. The statistical test used is the chi square test and logistic regression. The results of the chi square test showed that the variables of the labor process, room temperature, heating lamp, skin to skin method, drying the baby thoroughly, baby blanket and baby headgear, delaying bathing the baby 6 hours after birth, heating pads, Apgar score p value -value = 0.000 < 0.05, meaning that there is an influence between the labor process and changes in the baby's body temperature after 2 hours post-pastum, from the results of multivariate analysis, the most influential variable in this study is the skin-to-skin method variable. The conclusion is that there is an influence between the delivery process, room temperature, heating lamp, skin to skin method, drying the baby thoroughly, baby blanket and baby headgear, delaying bathing the baby 6 hours after birth, heating pads, Apgar score on changes in the baby's body temperature after birth. 2 hours post pastum. while the multivariate analysis showed that the most dominant factor was the skin to skin method variable on changes in the baby's body temperature after 2 hours post-paste. It is recommended to the hospital to be able to improve the competence of the skin to skin method for nurses or midwives at Columbia Asia Hospital Medan by conducting training and workshops both internally and externally, also Columbia Asia Medan Hospital must support the skin to skin method in terms of completeness of facilities. and infrastructure that supports the service of the skin to skin method.Keywords : Newborn, delivery process, skin to skin method
Faktor - faktor yang Mempengaruhi Kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) di ruang Rawat Inap Rumah Sakit Haji Medan Aisyah Alviani; Juliandi Harahap; Asriwati Asriwati
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2835

Abstract

Rumah Sakit merupakan sarana upaya kesehatan yang menyelenggarakan kegiatan pelayanan kesehatan dan merupakan institusi penyedia jasa. Pelayanan yang kompleks perlu dikelola secara profesional oleh sumber daya manusianya. Pelayanan kesehatan di Indonesia. Kesiapan Sistem pengembangan manajemen kinerja klinis (SPMKK) adalah suatu organisasi pelayanan kesehatan dan proses manajerial untuk meningkatkan kemampuan klinis perawat dan bidan di rumah sakit dan puskesmas. Model ini sudah diperkenalkan di beberapa kabupaten di Indonesia karena telah mendapat dukungan pimpinan institusi dimana SPMKK telah diterapkan. Tujuan penelitian ini  untuk mengetahui hubungan  kesiapan kinerja klinis perawat  terhadap kesiapan penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) di ruang rawat inap Rumah Sakit Haji Medan. Desain penelitian yang digunakan dalam penelitian ini adalah survei  analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini  seluruh perawat di  ruang rawat inap di Rumah Sakit Umum Haji Medan Sumatera Utara sebanyak 91 orang dan sampel berjumlah 74 orang. Analisa data dilakukan  dengan analisis univariat, bivariat dengan uji chi square dan multivariat. Hasil penelitian menunjukkan bahwa variabel pengetahuan, motivasi, monitoring.dan sikap < 0,05. Berdasarkan hasil uji chi-square dengan faktor yang mempengaruhi adalah pengetahuan, motivasi, monitoring.dan sikap dan analisis multivariat diperoleh bahwa variabel monitoring paling berpengaruh terhadap kesiapan  penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) Di RS Haji Medan 2022. Kesimpulan dalam penelitian ini adalah ada pengaruh pengetahuan, motivasi, monitoring dan  sikap terhadap kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) dan variabel yang memiliki peluang lebih tinggi diurutkan yaitu: faktor Monitoring, Motivasi, Pengetahuan dan Sikap.Kata Kunci        : Kinerja klinis perawat, Kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK)Hospital is a health effort facility that organizes health service activities and is a service provider institution. Complex services need to be managed professionally by human resources. Health services in Indonesia. Readiness The clinical performance management development system (SPMKK) is a health service organization and managerial process to improve the clinical skills of nurses and midwives in hospitals and health centers. This model has been introduced in several districts in Indonesia because it has received support from the leadership of the institution where the SPMKK has been implemented. The purpose of this study was to determine the relationship between nurses' clinical performance readiness and readiness for the application of the Clinical Performance Management Development System (SPMKK) in the inpatient ward of Medan Haji Hospital. The research design used in this study was a descriptive analytic survey with a cross sectional design. The population in this study were all nurses in the inpatient room at Haji General Hospital Medan, North Sumatra as many as 91 people and a sample of 74 people. Data analysis was carried out with univariate analysis, bivariate with chi square and multivariate tests. The results showed that the variables of knowledge, motivation, monitoring and attitude <0.05. Based on the results of the chi-square test with the influencing factors are knowledge, motivation, monitoring, and attitudes and multivariate analysis, it is found that the monitoring variable has the most influence on the readiness to implement the Clinical Performance Management Development System (SPMKK) at Haji Hospital Medan 2022. The conclusion in this study is that there is an influence of knowledge, motivation, monitoring and attitudes on the readiness to implement the Clinical Performance Management Development System (SPMKK) and the most influential variable is monitoring. Keywords     :Nurse's clinical performance, Readiness of Application of Clinical                     Performance Management Development System  (SPMKK)
Faktor-faktor yang Berhubungan dengan Tingkat Kecemasan Orang Tua pada Hospitalisasi Anak Usia Prasekolah di Ruang Rawat Inap RSUD Kab. Aceh Singkil Tahun 2021 Sri Wahyu Ningsih; Asriwati Asriwati; Ivansri Marsaulina; Thomson P Nadapdap; Sarma Lumban Raja
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2830

Abstract

Hospitalisasi adalah suatu proses yang mengharuskan anak untuk tinggal di rumah sakit untuk menjalani terapi dan perawatan, baik untuk alasan berencana dirawat di rumah sakit. Hospitalisasi akan menciptakan serangkaian kejadian traumatis dan kecemasan dalam ketidakpastian orang tua. Kecemasan adalah perasaan khawatir atau tidaknyaman yang seakan-akan terjadi sesuatu yang dirasakan sebagai ancaman, dan merupakan pengalaman sehari-hari yang dialami individu. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan tingkat kecemasan orang tua pada hospitalisasi anak usia prasekolah di RSUD Aceh Singkil. Jenis penelitian ini yaitu penelitian kuantitatif dekriptif analitik. Desain penelitian menggunakan cross sectional. Populasi dalam penelitian 135 dan sampel sebanyak 57 orang. Analisa data dengan analisa univariat, analisa bivariat menggunakan chi square dan analisa multivariat menggunakan uji regresi beganda binary. Hasil penelitian menunjukkan bahwa usia memiliki nilai sig-p 0,001< 0,05, pendidikan sig-p 0,597>0,05, pengetahuan sig-p 0,040<0,05, finansial/materi sig-p 0,065>0,05, pengalaman sig-p 0,556>0,05, peran keluarga sig-p 0,001< 0,05, perilaku caring perawat sig-p 0,000< 0,05, yang artinya selain variabel pengalaman, pendidikan, dan finansial/materi semua variabel memiliki hubungan terhadap kecemasan.Variabel yang paling berpengaruh terhadap kecemasan oang tua adalah perilaku caring perawat  p value sebesar 0,000< 0,05. Kesimpulan dalam penelitian ini ada hubungan usia, pengetahuan, peran keluarga dan perilaku caring perawat, sedangkan pengalaman, pendidikan, dan finansial/materi tidak memiliki hubungan terhadap kecemasan. Diharapkan dapat bermanfaat bagi rumah sakit sebagai bahan pertimbangan perawat dalam melakukan ntervensi keperawatan dan sebagai perawat di ruang anak mampu meningkatkan hubungan yang baik terhadap keluarga dan perawat harus memberikan segala informasi tentang kondisi penyakit anak dari mulai masuk ke RS sampai pulang kembali kerumah.Kata Kunci    : Kecemasan, Hospitalisasi anak prasekolahHospitalization is a process that requires the child to stay in the hospital to undergo therapy and treatment, both for reasons of planning to be hospitalized. Hospitalization will create a series of traumatic events and anxiety in parental uncertainty. Anxiety is a feeling of worry or discomfort as if something happened that is perceived as a threat, and is a daily experience experienced by individuals. This study aims to determine the factors associated with the level of anxiety of parents in the hospitalization of preschool children at the Aceh Singkil Hospital. The type of this research is descriptive analytical quantitative research. The research design used cross sectional. The population in the study was 135 and the sample was 57 people. Data analysis using univariate analysis, bivariate analysis using chi square and multivariate analysis using multiple binary regression test. The results showed that age had a sig-p value of 0.001 < 0.05, education sig-p 0.597> 0.05, knowledge sig-p 0.040 <0.05, financial/material sig-p 0.065> 0.05, sig-p experience -p 0.556>0.05, family role sig-p 0.001 <0.05, nurse caring behavior sig-p 0.000 <0.05, which means that apart from experience, education, and financial/material variables, all variables have a relationship with anxiety. The most influential variable on parents' anxiety is the caring behavior of nurses, p value of 0.000 < 0.05. The conclusion in this study is that there is a relationship between age, knowledge, family roles and caring behavior of nurses, while experience, education, and finances/materials have no relationship to anxiety. It is hoped that it will be useful for hospitals as a consideration for nurses in carrying out nursing interventions and as nurses in the children's room are able to improve good relations with families and nurses must provide all information about the condition of children's illnesses from entering the hospital to returning home.Keywords : Anxiety, Hospitalization of preschool children
Faktor Yang Memengaruhi Kepatuhan Minum Obat Pada Pasien Hipertensi Di Puskesmas Paringgonan Kecamatan Ulu Barumun Kabupaten Padang Lawas Yulika Fitriani; Ismail Efendy; Asriwati Asriwati
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 1 (2024): MARET : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i1.66

Abstract

Data from the World Health Organization (WHO) in 2020 states that developing economies have 40% of people with hypertension while developed countries only 35%, the African region holds the highest position of people with hypertension, which is 40% and Southeast Asia 36%. The purpose of the study was to analyze factors that influence adherence to taking medication in hypertensive patients at the Paringgonan Health Center, Ulu Barumun District, Padang Lawas Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all 95 hypertensive patients, all of whom were sampled using the total population technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression.The results of logistic regression research show that there is an effect of education p = 0.000, knowledge p = 0.000, distance of residence p = 0.000, emotional support p = 0.006 and duration of taking medication p = 0.000. While the dominant factor influencing adherence to taking medication in hypertensive patients is knowledge p = 0.000 with Exp(B) = 68.614.The conclusion of this study is that there is an influence of education, knowledge, distance of residence, emotional support and duration of taking medication. The dominant factor, namely knowledge, influences compliance with taking medication in hypertensive patients at the Paringgonan Health Center, Ulu Barumun District, Padang Lawas Regency. It is recommended that the Puskesmas be taken into consideration and input in improving the implementation of counseling and improving the performance of health workers in carrying out policies and intervening in adherence to taking hypertension medication in collaboration with health workers from Puskesmas Paringgonan and PMO so that the objectives of the program are implemented and are expected to reduce the number of cases of hypertension.