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Pengaruh Kualitas Layanan Pendekatan Healthqual Terhadap Niat Kunjungan Ulang Pasien Melalui Kepuasan Pasien Sebagai Variabel Mediasi di BLUD Labkesda Kota Samarinda Eko Prasetya Budi; Ratno Adrianto; Ike Anggraeni; Ida Ayu Indira Dwika Lestari; Iriyani Iriyani; Rahmat Bakhtiar
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60090

Abstract

Pelayanan laboratorium kesehatan yang berkualitas menjadi faktor penting dalam meningkatkan kepuasan pasien dan mempertahankan keberlanjutan penggunaan layanan, khususnya pada institusi pemerintah yang menerapkan sistem Badan Layanan Umum Daerah (BLUD). Penelitian ini bertujuan untuk menganalisis pengaruh kualitas pelayanan berdasarkan metode HEALTHQUAL terhadap niat kunjungan ulang melalui kepuasan pasien pada BLUD Laboratorium Kesehatan Daerah Kota Samarinda. Penelitian menggunakan desain observasional kuantitatif dengan pendekatan cross-sectional. Sampel penelitian terdiri dari 372 pasien mandiri yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner berbasis skala Likert yang mengukur kualitas pelayanan, kepuasan pasien, dan niat kunjungan ulang. Analisis data dilakukan menggunakan Structural Equation Modeling Partial Least Square (SEM-PLS). Hasil penelitian menunjukkan bahwa kualitas pelayanan berpengaruh positif terhadap kepuasan pasien dengan nilai koefisien 0,796 dan kepuasan pasien berpengaruh positif terhadap niat kunjungan ulang dengan nilai koefisien 0,740. Kepuasan pasien juga terbukti memediasi hubungan kualitas pelayanan terhadap niat kunjungan ulang dengan nilai koefisien 0,589. Hasil ini menunjukkan bahwa pengalaman pelayanan yang baik akan meningkatkan kepuasan pasien sehingga mendorong keinginan menggunakan kembali layanan. Penelitian ini menyimpulkan bahwa peningkatan kualitas pelayanan berdasarkan dimensi HEALTHQUAL merupakan strategi penting untuk meningkatkan kepuasan dan mempertahankan kunjungan pasien pada layanan laboratorium kesehatan
Validasi Media Video Edukasi Sebagai Upaya Promosi Kesehatan Pencegahan Tuberkulosis Pada Remaja di Kabupaten Kutai Timur Andi Nursafa; Nur Rohmah; Ike Anggraeni Gunawan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60419

Abstract

Tuberkulosis (TB) masih menjadi masalah kesehatan global yang signifikan, dan kelompok remaja rentan terhadap penularan akibat literasi kesehatan serta kesadaran pencegahan yang masih rendah. Penelitian pengembangan (Research and Development) ini bertujuan untuk menghasilkan media video edukasi pencegahan TB pada remaja di Kabupaten Kutai Timur yang valid dan layak digunakan sebagai sarana promosi kesehatan. Pengembangan media mengadaptasi model ADDIE yang dibatasi hingga tahap pengembangan dan validasi. Uji validitas dilakukan oleh pakar menggunakan koefisien Aiken’s V untuk aspek materi dan media. Instrumen penilaian pengguna juga diuji cobakan kepada siswa menggunakan analisis statistik deskriptif dan korelasi Pearson Product Moment melalui software IBM SPSS. Hasil validasi ahli materi menunjukkan nilai rata-rata Aiken’s V sebesar 0,933 (Sangat Valid), dan validasi ahli media memperoleh nilai rata-rata 0,879 (Sangat Valid), dengan akumulasi indeks kelayakan keseluruhan mencapai 0,905 (Sangat Valid). Pada uji instrumen penilaian siswa, sebanyak 11 dari 12 item pernyataan dinyatakan valid dengan nilai korelasi Pearson antara 0,400–0,830 dan signifikansi < 0,05, sementara 1 item tidak valid (item 11, r = 0,234). Media video edukasi pencegahan TB ini terbukti memiliki validitas yang sangat tinggi dan layak diimplementasikan secara luas sebagai sarana promosi kesehatan yang efektif bagi kelompok remaja.
ANALYSIS OF FACTORS IMPLEMENTATION CERDIK BEHAVIOR IN HYPERTENSION PATIENTS OF PRODUCTIVE AGE AT AIR PUTIH HEALTH CENTER Nahara Isnani; Annisa Nurrachmawati; Ike Anggraeni; Nur Rohmah; Agus Hardito; Ratna Wati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.123

Abstract

Hypertension is a serious health issue worldwide that can lead to stroke, myocardial infarction, heart failure, dementia, kidney failure, and vision problems, and it poses a significant issue especially for the productive age, as it can reduce work productivity. The CERDIK behavior (Check health regularly, Eliminate cigarette smoke, Regular physical activity/exercise, Healthy and balanced diet, Enough rest, and Manage stress) is one of the ways that can be done to prevent and control hypertension. This study aims to analyze the factors influencing the application of CERDIK behavior among productive age hypertensive patients at Air Putih Community Health Center. This research is an observational study with a cross-sectional approach. The research was conducted from April to June 2024 at the Air Putih Public Health Center in Samarinda City. The sample consisted of 130 people who regularly underwent hypertension checks, selected through simple random sampling. Data was collected using a questionnaire and analyzed using multiple logistic regression testing. The results of the multiple logistic regression analysis indicate that the most significant factors related to CERDIK behavior are self-efficacy (p= 0.000) and self-regulation (p= 0.017). Self-efficacy is a key concept in social cognitive theory. Self-efficacy affects how a person thinks, feels, motivates themselves, and acts. The self-regulation of individuals with hypertension is shaped by beliefs that enhance their ability to implement CERDIK behavior. Hipertensi merupakan masalah kesehatan yang cukup berbahaya diseluruh dunia yang dapat mengakibatkan stroke, infark miokard, gagal jantung, demensia, gagal ginjal, dan gangguan penglihatan dan menjadi permasalahan besar khususnya bagi usia produktif, karena dapat menurunkan produktivitas kerja. Perilaku CERDIK (Cek kesehatan secara berkala, Enyahkan asap rokok, Rajin aktivitas fisik/olahraga, Diet sehat dan seimbang, Istirahat cukup dan Kelola stres) merupakan salah satu cara yang dapat dilakukan untuk mencegah dan mengontrol hipertensi. Penelitian ini bertujuan untuk menganalisis faktor-faktor penerapan perilaku CERDIK pada Penderita Hipertensi Usia Produktif di Puskesmas Air Putih. Penelitian ini adalah penelitian observasional dengan pendekatan cross-sectional. Penelitian dilakukan pada bulan April-Juni 2024 di Puskesmas Air Putih Kota Samarinda. Sampel berjumlah 130 orang yang rutin melakukan pemeriksaan hipertensi yang diambil secara acak sederhana. Pengumpulan data menggunakan kuesioner dan data dianalisis menggunakan uji regresi logistik berganda. Hasil uji analisis regresi logistik berganda menunjukkan faktor yang paling signifikan berhubungan dengan perilaku CERDIK adalah efikasi diri (p= 0,000) dan regulasi diri (p= 0,017). Efikasi diri merupakan gagasan kunci dari teori sosial kognitif (social cognitive theory). Efikasi diri mempengaruhi bagaimana seseorang berpikir, merasa, memotivasi diri sendiri dan bertindak. Regulasi diri penderita hipertensi dibentuk oleh keyakinan yang akan meningkatkan kemampuan untuk menerapkan perilaku CERDIK.
Knowledge, Attitude, and Risk Perception Associated with Malaria Control Among Workers in Indonesia's New Capital City Raden Mohammad Pradendi Nikita Sangaji; Yunianto Setiawan; Ike Anggraeni Gunawan
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.524

Abstract

Malaria remains a public health concern in Indonesia, particularly in Indonesia's New Capital City (IKN) development area, where environmental changes and worker mobility may increase transmission risk. This study aimed to examine the association between knowledge, attitude, risk perception, and malaria control among workers in the IKN area. A cross-sectional study was conducted among 167 workers in the IKN development area, East Kalimantan, Indonesia. Data were collected using validated self-administered questionnaires. Chi-square tests were used to examine bivariate associations, and multiple binary logistic regression was performed to identify the strongest factor associated with malaria control behavior. Most respondents had moderate knowledge (46.7%), positive attitudes (57.5%), good risk perception (55.1%), and good malaria control behavior (54.5%). Knowledge (p=0.001), attitude (p=0.001), and risk perception (p=0.001) were significantly associated with malaria control. Multivariate analysis showed that risk perception was the strongest determinant (OR=8.559; 95% CI=3.184-23.004), followed by knowledge (OR=6.309; 95% CI=2.145-18.552) and attitude (OR=4.558; 95% CI=1.732-11.994). Knowledge, attitude, and risk perception were significantly associated with malaria control among IKN workers, with risk perception emerging as the dominant factor. These findings contribute evidence for strengthening workplace-based malaria prevention through contextual health education, routine risk communication, early screening, and environmental control in rapidly developing occupational settings.
EDUKASI REGULASI SAMPAH SEBAGAI UPAYA PERILAKU HIDUP SEHAT DI WILAYAH RING 1 IBU KOTA NUSANTARA Nurul Afiah; Ike Anggraeni G; Jumi Auliya; Alfina Rahma Adila; Risma Fitriana; Elma Hafizatun Nisa
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.26621

Abstract

Abstrak: Desa Bukit Raya yang terletak di ring 1 Ibu Kota Negara (IKN) menghadapi tantangan kesehatan masyarakat akibat peningkatan populasi dan perubahan lingkungan yang signifikan. Banyaknya pendatang baru ditambah praktik pengelolaan sampah yang tidak tepat, seperti pembakaran sampah, telah menyebabkan masalah kesehatan seperti infeksi saluran pernapasan akut (ISPA) dan diare. Kegiatan pengabdian ini bertujuan untuk mengawal perubahan praktik buruk pengelolaan sampah di Desa Bukit Raya. Adapapun program pendampingan yang dilakukan adalah Program BERSIH (Bersama Edukasi Regulasi Sampah untuk Hidup Sehat) melalui intervensi pembuatan video edukasi dan sosialisasi peraturan sampah dengan metode ceramah interaktif, dengan sasaran seluruh masyarakat Desa Bukit Raya sebanyak 121 Kepala Keluarga. Hasil evaluasi menunjukkan peningkatan pengetahuan sebesar 46% mengenai tata tertib pembuangan sampah yang dievaluasi dari program Sosialisasi melalui metode pre-post test, selain itu, seluruh responden (57 orang) yang vote melalui akun instagram resmi desa Bukit Raya menyatakan video edukasi yang dibuat bermanfaat untuk mereka.Program BERSIH berhasil meningkatkan kesadaran akan pentingnya kualitas lingkungan dan kesehatan masyarakat di Desa Bukit Raya.Abstract: Bukit Raya Village, which is located in Ring 1 of the National Capital City (IKN), is facing public health challenges due to increasing population and significant environmental changes. The large number of new arrivals plus inappropriate waste management practices, such as burning waste, have caused health problems such as acute respiratory infections and diarrhea. This activity aimed to oversee changes in bad waste management practices in Bukit Raya. The assistance program carried out is BERSIH (Together with Waste Regulation Education for Healthy Living) which is implemented through interventions such as making educational videos and socializing waste regulations with interactive lecture methods, The evaluation results showed an increase in knowledge of 46% regarding waste disposal regulations which was evaluated using the pre-post test method, apart from that, There were 57 responses stating the benefits of educational videos through the official Bukit Raya Village Instagram vote. The BERSIH program has succeeded in improving awareness of the importance of environmental quality and public health in Bukit Raya Village. 
Food Insecurity And Nutritional Status Among Women in Palm-Plantation Area of Kutai Kertanegara East Kalimantan Annisa Nurrachmawati; Ike Anggraeni; Riza Hayati Ifroh; Reny Noviasty
Jurnal Ilmu Kesehatan Masyarakat Vol. 10 No. 3 (2019): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2019.10.3.207-215

Abstract

Inability of individuals and household in providing adequate, nutritious and safe food will continue in conditions of food insecurity, which have an impact on malnutrition. Women play an important role in maintaining household food security while they are also vulnerable to food insecurity. This study aim to examine correlation between food insecurity and women nutritional status. This was a cross sectional study, with sample consist of 128 women in reproductive age who lived in palm plantation area in Kutai Kertanegara. The sampling technique was purposive. Food insecurity was assessed by the Radimer/ Cornell Hunger and Food Insecurity Instrument Questionnaire. The nutritional status of women measured by Body Mass Index and upper arm circumference. Bivariate Analysis was performed by Chi Square test. Household food insecurity was reported in 27.3% women, individual food insecurity was found in 29.7% women, and 8.6% child hunger. Bivariate analysis showed there is no significant correlation between food insecurity with nutritional status based on BMI or upper arm circumference. It should be made a comprehensive public health nutrition program to address food insecurity in remote area. Future studies would need more adequate study design and larger sample size to examine women nutritional status and food insecurity. Keywords : Food insecurity, nutritional status, palm-plantation
Health Literacy and Social Determinants of Health Among Residents of Coal Mining Surrounding in East Kalimantan Annisa Nurrachmawati; Ike Anggraeni; Lies Permana
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Health literacy is a critical aspect of community well-being, particularly in regions affected by coal mining. The communities surrounding coal mining operations often face unique health challenges due to environmental exposures and socioeconomic factors. This emphasizes its importance of enhancing health literacy to mitigate these effects. The problem is low Health Literacy is common in developing countries. Therefore increasing health literacy is needed to support the achievement of targets related to SDGs regarding health, and other SDGs targets. Objective : This study explores the economic conditions, social determinants and health literacy Research Methods/ Implementation Methods : It was a cross-sectional study. Located in 10 villages distributed in Kutai Kertanegara district and Samarinda city. The sample was 450 people. The data collection used the HLSSF-12 questionnaire. Data analysis using Mann Whitney test Results : The results showed there was a difference in the mean Literacy score between men and women (Asymp. Sig = 0.00). There was a significant difference of mean literacy scores between middle, high and low education levels ( Asymp. Sig = 0.00) There was a significant difference of literacy scores among low and moderate family income. It was concluded that for different social determinants groups there are differences in health literacy. Conclusion/Lesson Learned : There is still a gap in health literacy, It is recommended that health literacy education begin at the family level, especially in families with low levels of education and income.
Relationship between Household Members with WTP for JKN in Balikpapan Titania Ardhiputri; Ike Anggraeni; Ratih W Wisnuwardani
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Universal Health Coverage (UHC) in Indonesia. In 2022, East Kalimantan was designated as the new capital, Nusantara, under Law No.3. Various regions in East Kalimantan show diverse participation rates in the PBPU (Non-Wage Recipient Benefit) program: Jakarta (18.5%), East Kalimantan (28.2%), PPU (14.2%), Paser (19.6%), and Kutai Kartanegara (39.9%), with Balikpapan—known as the gateway to the future capital—at 24.6%. Objective : to examine the relationship between household size and willingness to pay (WTP) for BPJS Kesehatan in Balikpapan. Research Methods/ Implementation Methods : Cross-Sectional study Results : A significant association was found between household size and willingness to pay for BPJS Kesehatan, with a p-value=0.0001. Conclusion/Lesson Learned : A negative association was found between the number of household members and willingness to pay for BPJS Kesehatan among participants in Balikpapan, highlighting potential barriers to health coverage in larger households.
OVERVIEW OF CARIES STATUS IN STUNTED TODDLERS AGED 6-23 MONTHS Retno Hani Adriani; Annisa Nurrachmawati; Ike Anggraeni Gunawan
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : : Stunting in Indonesia is a major public health problem caused by several factors, one of the most common factors is malnutrition conditions. Recent studies have stated that poor and unbalanced nutrition has a positive relationship with the severity of dental caries, Apart from that, there is a reciprocal relationship between caries and stunting Objective : This study aims to describe caries status in stunted toddlers Research Methods/ Implementation Methods : Observational study with a case control approach. The population includes 3 sub-districts in Palaran District. The number of samples in this study was 90 cases: 180 controls with a total of 270 respondents, mothers of toddlers. Variables are caries index of toddlers. The instrument used was examined using def-t indexs to measure the dental caries by toddlers patient direct inspection. Data analyze in univariat. Results : The results showed that the caries index of toddlers was found to be predominantly low, with a higher prevalence (20%) observed in stunted toddlers compared to non-stunted toddlers (14.4%) Conclusion/Lesson Learned : The difference found in stunted toddlers and non-stunted toddlers was the difference in Caries indexs. For this reason, interventions that integrate oral health with improved nutritional intake are needed, especially for stunted toddlers.
Waste Management Education Enhances Healthy Living Behavior Reza Wahyu Ramadhani; Dilla Camara Indriani; Jumi Auliya; Alfina Rahma Adila; Risma Fitriana; Elma Hafizatun Nisa; Fatimatul Muftadiin; Nur Asma; Nurul Afiah; Ike Anggraeni G
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Bukit Raya Village, located near Indonesia's new capital city (IKN), faces public health challenges due to rapid population growth and environmental changes. Inappropriate waste management practices, such as waste burning, have led to health problems like acute respiratory infections (ARI) and diarrhea. This necessitates community empowerment to improve waste management and promote healthy living behaviors. Objective : This study aimed to improve community knowledge, awareness, and behavior regarding proper waste management in Bukit Raya Village to address public health issues. Research Methods/ Implementation Methods : An intervention program called BERSIH (Together with Waste Regulation Education for Healthy Living) was implemented. This program included the creation of educational videos and the socialization of waste regulations using interactive lecture methods. Results : The evaluation results showed a 46% increase in knowledge regarding waste disposal regulations after the outreach program. Additionally, all respondents (57 people) who voted through the official Instagram account of Bukit Raya Village stated that the educational video was beneficial to them. Conclusion/Lesson Learned : The BERSIH program successfully increased awareness of the importance of environmental quality and public health in Bukit Raya Village. Community engagement through educational videos and interactive lectures can effectively improve knowledge and promote proper waste management practices.
Co-Authors Adiyatsa, Reza Jales Mahesa Adrianto, Ratno Agus Hardito Akbarini, Oon Fatonah Akhmad Azmiardi Akhmad Dzikri Alfina Rahma Adila Alfina Rahma Adila Andi Anwar, Andi Andi Baso, Ismail Andi Nursafa Andi Nursafa Andriana Ratna Ningrum Annisa Nurrachmawati Annisa Nurrachmawati Annisa Nurrachmawati Annisa Nurrachmawati Annnisa Nurrachmawati Ardhiputri, Titania Ari Utari Ari Utari Ariyanti, Rea Asari, Sendila Ernesy Auliya, Jumi Ayu Anggreny Layang Donga Ayulia Dwi Sandi, Dita Camara Indriani, Dilla Deby Indah Saputri Dewi Endah Ramadhani Dewi Endah Ramadhani Diah Rahayu Dilla Camara Indriani Eko Prasetya Budi Eko Prasetya Budi Elma Hafizatun Nisa Elma Hafizatun Nisa Endah Wahyutri Endah Wahyutri Erwina, Brigita Win Fatimatul Muftadiin Fitriana, Risma Hafizatun Nisa, Elma Hani Adriani, Retno Hasan, Hismawati Hasmawati Hasmawati Hasmawati Hasmawati Heri Gunawan Hilda Marfu'ah Rozkiah Ida Ayu Indira Dwika Lestari Ika Wulan Sari Irfansyah Baharuddin Pakki Iriyani Iriyani Iriyani Kamaruddin, Iriyani Ismail AB, Ismail Ismail Andi Baso Izma, Hayatun Jasmawati Jasmawati Jasmawati, Jasmawati Jumi Auliya Jumi Auliya Kiswanto Kiswanto Kristiandi, Kiki La Debi Atthoba Lies Permana Made Darawati Mardiany Masithah Masithah Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maya marinda Mifthahul Jannah Muftadiin, Fatimatul Muhammad Arifin Muhammad Arifin Muhidin, Muh. Azmi Nahara Isnani Nur Asma Nur Asma Nur Rohmah Nur Rohmah Nur Rohmah Nur Rohmah Nursafa, Andi Nurul Afiah Nurul Afiah Nurul Afiah Oktaviani, Raeza Noorinda Pasambuna, Muksin Pramono, Dwi Agung Raden Mohammad Pradendi Nikita Sangaji Rahma Adila, Alfina Rahmat Bakhtiar Rahmat Barkati Rahmi Susanti Rahmi Susanti Rahmi Susanti Ramadhani, Alfina Suci Ratih W Wisnuwardani Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Ratna Wati Ratna Wati Reny Noviasty Retno Hani Adriani Reza Jales Mahesa Adiyatsa Reza Nur Fahmi Reza Wahyu Ramadhani Rika Yunita Sari Risma Fitriana Risma Fitriana Riza Hayati Ifroh Ronny Isnuwardana S Siswanto Sendila Ernesy Asari Sendila Ernesy Asari Setiawan, Muhammad Irwan Silaban, Vandy Siti Nurjannah Siti Raihanah Sitorus, Rame Swandari Paramita Tetty Herta Doloksaribu Tiara Putri Tien Fatimatuzzahra Titania Ardhiputri Triani Putri, Irda W Wisnuwardani, Ratih Wahyu Ramadhani, Reza Widiya Rolantika Widyasasi, Dyah Winardi Winardi Yunianto Setiawan, Yunianto Yunianto, Andi Eka Yuniar, Dewi