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All Journal Journal of Hospital Administration and Management Indonesian Journal of Global Health Research
Hermanto Wijaya
STIKES Adi Husada Surabaya
Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Public Health Social Sciences

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HUBUNGAN MUTU PELAYANAN KESEHATAN RUMAH SAKIT DENGAN TINGKAT KEPUASAN PASIEN RAWAT INAP DI RS ADI HUSADA KAPASARI Hermanto Wijaya; Irawati Marga; Ariawan Wangsa; Afif Kurniawan
Journal of Hospital Administration and Management Vol 2 No 1 (2021): Jurnal Administrasi Rumah Sakit dan Manajemen
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (565.302 KB) | DOI: 10.54973/jham.v2i1.102

Abstract

Public demand for adequate health services is increasing. This is due to changes in disease patterns, demographic structures, developments in science and technology, and the community's economy. Patients will feel satisfied if their expectations for health services are met. To increase patient satisfaction with health services, the quality of service must also be improved. The quality of health services is the compatibility between the health services provided and the patient's needs or compliance with the provisions of service standards. This study used a cross sectional design on a sample of 20 patients who were treated in the D2 inpatient room at Adi Husada Kapasari Hospital on 13 October – 13 December 2019. As many as 55% of respondents stated that the quality of health services provided by nurses was quite good, 40% of patients stated very satisfied with the quality of service. The chi-square result shows a sig value of 0.027 (P<0.05). This means that there is a relationship between health services and the level of patient satisfaction. The quality of service and the level of patient satisfaction in hospitals are two things that are very closely related. Increasing public demands force hospitals to continue to innovate and improve the quality of their services to patients.​
Self-Regulation and Self-Care Model on Diabetic Foot Ulcer Prevention Behaviors Fitriatul Jannah; Iswati Iswati; Hermanto Wijaya
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.483

Abstract

Diabetic foot ulcer (DFU) remains a major complication of type 2 diabetes mellitus (T2DM), with high recurrence and amputation rates worldwide. Effective prevention relies on self-care behaviors, which are strongly influenced by patients’ self-regulation capacity. However, many patients struggle with maintaining consistent self-care due to low levels of self-regulation. This study aimed to develop and examine a self-regulation model based on self-care theory in relation to DFU prevention behaviors among patients with T2DM. An explanatory cross-sectional design was employed with 125 purposively selected T2DM patients in Surabaya, Indonesia. Data were collected on demographic characteristics, social support, illness representation, emotional responses, symptom interpretation, coping, self-care agency (knowledge, skills, and motivation), and DFU prevention behaviors. Structural equation modeling was used to test the hypothesized relationships. The instrument used was a questionnaire, and SEM-PLS analysis was conducted. The next stage involved a Focus Group Discussion (FGD) and expert consultation for the development of the final module. Social support (T= 3,579, p = 0.000) and illness representation (T = 7,059, p = 0.000) had significant positive effects on self-care agency, while negative emotional responses reduced self-care capacity (T = 4,788, p = 0.000). Self-care agency positively influenced DFU prevention behaviors (T = 7,696, p = 0.000). Coping strategies also had a significant effect on prevention behaviors (T = 2,093, p = 0.000). Demographic factors showed no direct effect on self-care agency. The self-regulation model based on self-care theory demonstrates that psychosocial factors, particularly social support, illness representation, emotional regulation, and coping strategies, play a more crucial role than demographic characteristics in shaping DFU preventive behaviors. This study concludes that preventive behavior for diabetic foot ulcers among patients with type 2 diabetes mellitus is mainly influenced by psychosocial and behavioral factors, particularly self-care agency, illness representation, emotional responses, and social support.
Co-Authors Afif Kurniawan Ariawan Wangsa Fitriatul Jannah Irawati Marga Iswati Iswati