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ANALISIS PERSEPSI KEPUASAN PELANGGAN DALAM UPAYA PENGEMBANGAN MUTU PELAYANAN RAWAT INAP DI RS PKU MUHAMMADIYAH GOMBONG Fakhriani, Rizka; Rimiyati, Hasnah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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

Background: PKU Muhammadiyah Gombong Hospital is Muhammadiyah Business Cahrity in health which is located in Gombong and is facing competition from other healthcare providers. There are some ways to win the competition, by providing value and satisfaction to customers with quality services. Therefore, PKU Muhammadiyah gombong Hospital must improve the quality to maintain patient satisfaction.Objectives: Analyzing the gap betqeen expectation and customer perception of quality at inpatient care in PKU Muhammadiyah Gombong Hospital.Methods: The research is a quantitative research with cross sesctional design. The study was conducted on December 1st to 20th November 2010 in PKU Muhammadiyah Gombong Hospital. The sample obtained was 100 people. The sampling design is a random sampling with proportional strata. The data analysis with different test average in pairs (t-test).Results: The results showed that there are significant gaps between the average expectation and perception (p<0,05). The highest gap score on each dimension contained in the procedure item thoroughly explained the to the patient (the dimension of communication with the gap = - 0,43), hospital wards cleanliness (the dimensions of physical evidence with the gap = - 0,68), nurses never feel busy yo respond to the needs of patients (dimensions of nurseâs attentive with gap = - 0,52), patients feel comfortable while they are in the PKU Muhammadiyah Gombong Hospital (dimension of security with gap = - 0,56), admission (entrance) coped quickly and efficiently by administrative staff (dimension of administrative staff responsiveness with gap = - 0,5), provided sufficient security staff at the hospital (dimension of security with gap = -0,24), and the on time doctors when the ward supervision (dimension of responsiveness doctor with gap = - 0,39).Conclusion: Quality of service in the RS PKU Muhammadiyah Gombong still does not meet customer expectations.Â Keywords: customer satisfaction, service quality

Abses Septum Nasi Fakhriani, Rizka; Amiruddin, Tolkha
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 16, No 2: July 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v16i2.4453

Abses septum nasi merupakan kasus yang jarang dijumpai. Trauma nasal diketahui sebagai penyebab dari abses septum nasi. Penanganan dini dari penyakit ini sangat penting karena dapat menimbulkan komplikasi yang serius. Pada makalah ini, kami akan melaporkan kasus anak dengan abses septum nasi dengan kecurigaan traumatik. Pasien laki-laki, berusia 9 tahun, datang dengan keluhan hidung tersumbat yang dirasakan sejak 5 hari sebelum masuk rumah sakit (SMRS). Keluhan disertai nyeri hidung, keluar sekret dan demam. Pada pemeriksaan fisik, didapatkan kedua kavum nasi sempit, terdapat pembengkakan septum nasi bilateral dengan permukaan licin, berwarna kemerahan serta terdapat nyeri tekan dan fluktuasi yang konsisten dengan abses septum nasi. Tatalaksana yang dilakukan adalah insisi drainase dan pemberian antibiotik. Pasien kontrol tujuh hari setelahnya dan pemeriksaannya dalam batas normal. Diagnosis dini dan tatalaksana yang tepat sangat penting pada penyakit ini untuk mencegah terjadinya penyebaran infeksi dan komplikasi berat yang dapat menimbulkan gejala sisa.Nasal septal abscess is uncommon. Nasal trauma is known to be a causative factor for development of nasal septal abscess. Early intervention is important as it can cause serious complications. In this case, we will present a child with nasal septal abscess with suspicion on trauma. A 9-year-old male was presented with nasal obstruction since 5 days before presentation. The patient also complained nasal pain, secretions, and fever. On physical examination, there were bilateral nasal cavity fullness and nasal septum swelling, consistent with a nasal septal abscess. Drainage incision and antibiotic administration were done seven days after interventions, the clinical findings were within normal limit. Early diagnosis and management is important to prevent the spread of infection and severe complications which may cause some sequelae.

Abses Septum Nasi Fakhriani, Rizka; Amiruddin, Tolkha
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 16, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v16i2.4453

Abses septum nasi merupakan kasus yang jarang dijumpai. Trauma nasal diketahui sebagai penyebab dari abses septum nasi. Penanganan dini dari penyakit ini sangat penting karena dapat menimbulkan komplikasi yang serius. Pada makalah ini, kami akan melaporkan kasus anak dengan abses septum nasi dengan kecurigaan traumatik. Pasien laki-laki, berusia 9 tahun, datang dengan keluhan hidung tersumbat yang dirasakan sejak 5 hari sebelum masuk rumah sakit (SMRS). Keluhan disertai nyeri hidung, keluar sekret dan demam. Pada pemeriksaan fisik, didapatkan kedua kavum nasi sempit, terdapat pembengkakan septum nasi bilateral dengan permukaan licin, berwarna kemerahan serta terdapat nyeri tekan dan fluktuasi yang konsisten dengan abses septum nasi. Tatalaksana yang dilakukan adalah insisi drainase dan pemberian antibiotik. Pasien kontrol tujuh hari setelahnya dan pemeriksaannya dalam batas normal. Diagnosis dini dan tatalaksana yang tepat sangat penting pada penyakit ini untuk mencegah terjadinya penyebaran infeksi dan komplikasi berat yang dapat menimbulkan gejala sisa.Nasal septal abscess is uncommon. Nasal trauma is known to be a causative factor for development of nasal septal abscess. Early intervention is important as it can cause serious complications. In this case, we will present a child with nasal septal abscess with suspicion on trauma. A 9-year-old male was presented with nasal obstruction since 5 days before presentation. The patient also complained nasal pain, secretions, and fever. On physical examination, there were bilateral nasal cavity fullness and nasal septum swelling, consistent with a nasal septal abscess. Drainage incision and antibiotic administration were done seven days after interventions, the clinical findings were within normal limit. Early diagnosis and management is important to prevent the spread of infection and severe complications which may cause some sequelae.

Anosmia and covid-19 in Yogyakarta, Indonesia: a case series Rizka Fakhriani; Asti Widuri
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 5, No 2 (2021)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v5i2.7502

ABSTRACTCovid-19 (coronavirus disease 2019) had spread to the whole world. This kind of virus attacks the human respiratory system, and it caused death. In other words, there were many symptoms of Covid-19, which attacks the respiratory system. One of the symptoms was anosmia or smell disorder. This research might provide information about the anosmia in Covid-19 patients. This study aimed to investigate and present a series about anosmia and Covid-19 in Yogyakarta on June 2020. Three cases from three patients of RT-PCR-confirmed SARS-CoV-2-infected patients diagnosed with smell disorder were presented, starting from the symptom until the patients were getting treatments. This research also explained anosmia as one of the symptoms of Covid-19. Anosmia or losing olfactory function or smell disorder which could distract people’s healthy. Then, in this situation, it could be one of the symptoms of Covid-19. Keywords : anosmia, smell disorder, covid-19Corresponding Author : rizkafakhriani@gmail.com

ANALISIS PERSEPSI KEPUASAN PELANGGAN DALAM UPAYA PENGEMBANGAN MUTU PELAYANAN RAWAT INAP DI RS PKU MUHAMMADIYAH GOMBONG Rizka Fakhriani; Hasnah Rimiyati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v5i1.824

Background: PKU Muhammadiyah Gombong Hospital is Muhammadiyah Business Cahrity in health which is located in Gombong and is facing competition from other healthcare providers. There are some ways to win the competition, by providing value and satisfaction to customers with quality services. Therefore, PKU Muhammadiyah gombong Hospital must improve the quality to maintain patient satisfaction.Objectives: Analyzing the gap betqeen expectation and customer perception of quality at inpatient care in PKU Muhammadiyah Gombong Hospital.Methods: The research is a quantitative research with cross sesctional design. The study was conducted on December 1st to 20th November 2010 in PKU Muhammadiyah Gombong Hospital. The sample obtained was 100 people. The sampling design is a random sampling with proportional strata. The data analysis with different test average in pairs (t-test).Results: The results showed that there are significant gaps between the average expectation and perception (p0,05). The highest gap score on each dimension contained in the procedure item thoroughly explained the to the patient (the dimension of communication with the gap = - 0,43), hospital wards cleanliness (the dimensions of physical evidence with the gap = - 0,68), nurses never feel busy yo respond to the needs of patients (dimensions of nurse’s attentive with gap = - 0,52), patients feel comfortable while they are in the PKU Muhammadiyah Gombong Hospital (dimension of security with gap = - 0,56), admission (entrance) coped quickly and efficiently by administrative staff (dimension of administrative staff responsiveness with gap = - 0,5), provided sufficient security staff at the hospital (dimension of security with gap = -0,24), and the on time doctors when the ward supervision (dimension of responsiveness doctor with gap = - 0,39).Conclusion: Quality of service in the RS PKU Muhammadiyah Gombong still does not meet customer expectations. Keywords: customer satisfaction, service quality

Validity and Reliability of The Indonesian Modification of Score for Allergic Rhinitis Asti Widuri; Rizka Fakhriani
Berkala Kedokteran Vol 17, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Allergic rhinitis (AR) is a nasal inflammation caused by IgE-mediated reacions after inhaled the allergens. It’s characterized as symptoms of sneezing, airflow obstruction, nasal pruritus, and often clear nasal discharge. The prevalence of AR is about 5-40% in the general population and still rising. Multiple non-instrumental tests for AR were reported though few were validated. Score for Allergic Rhinitis (SFAR) is a valid instrument to screening AR. The purpose of this study was to perform adaptation and cultural translation and validation of the SFAR questionnaire for the Indonesian language. This was a cross sectional study to assess the validity and reliability of the Indonesian modification of Score for Allergic Rhinitis. The study conduct in 59 subjects. The Indonesian modification of SFAR instrument is valid and reliable as an instrument for screening AR with r values ranging from 0.345 to 0.730. Internal consistency shows that Cronbach's alpha is 0.803. The validation and reliability test of Indonesian modification of Score for Allergic Rhinitis was performed and valid and reliable as an instrument for assessing allergic rhinitis. Keywords: Allergic Rhinitis, Score for Allergic Rhinitis, Validity, Indonesian Version.

Amyand’s Hernia: A Rare Case Report Fadli Robby Amsriza; Rizka Fakhriani
Berkala Kedokteran Vol 17, No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis. It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative. Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.

PENINGKATAN PENGETAHUAN CUCI HIDUNG PADA TENAGA KESEHATAN Rizka Fakhriani; Fadli Robby Amsriza
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2021: 1. Peningkatan Kapasitas Kelembagaan Publik
Publisher : Universitas Muhammadiyah Yogyakarta

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) atau yang saat ini dikenal dengan nama coronavirus disease 2019 (COVID-19) merupakan isu penting dalam dunia kesehatan pada tahun ini. COVID-19 saat ini menjadi pandemik global termasuk di Indonesia. Hidung dan mulut merupakan tempat masuk virus COVID-19 karena infeksi ini terutama ditularkan melalui inhalasi atau kontak dengan droplet. Mukosa hidung merupakan area yang rentan bagi virus Corona untuk berkoloni karena pembuluh darah yang melimpah, kelenjar musinous dan kelenjar serosa yang menciptakan lingkungan yang lembab. Ekspresi Angiotensin Converting Enzyme-2 (ACE2) ditemukan dilapisan basal epitel skuamosa nonkeratinizing pada mukosa hidung, menunjukkan bahwa coronavirus dapat menginfeksi sel mukosa hidung jika lapisan basal terpapar karena kerusakan barrier mukosa. Kerusakan epitel respiratori, karena infeksi coronavirus dapat terjadi meskipun tanpa gejala klinis, oleh karena itu, penting untuk melindungi saluran napas atas dan mukosa. Cuci hidung direkomendasikan sebagai pencegahan tambahan non-farmakologis untuk membersihakn antigen, mediator inflamasi, mikroorganisme seperti bakteri dan virus. Pengabdian masyarakat ini bertujuan untuk diseminasi informasi dan peningkatan pengetahuan tenaga kesehatan tentang pentingnya menjaga kesehatan hidung dengan cuci hidung di Puskesmas Ngemplak 1, Sleman, DIY. Kegiatan dilaksanakan secara tatap muka langsung sesuai protokol kesehatan pencegahan COVID-19. Kegiatan dimulai dengan pre test kemudian sesi pemaparan materi dan sesi praktik cuci hidung. Kegiatan diakhiri dengan post test untuk mengukur keberhasilan kegiatan dan tingkat pengetahuan peserta. Kegiatan diikuti oleh 23 tenaga kesehatan Puskesmas Ngemplak 1 yang mengikuti kegiatan secara penuh dari awal sampai dengan kegiatan selesai. Terdapat peningkatan nilai post test di bandingkan dengan nilai pre test (100%). Kesimpulan: terdapat peningkatan pengetahuan tenaga kesehatan tentang pentingnya menjaga kesehatan hidung dengan cuci hidung.

Gambaran Uji Cukit Kulit Pada Mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Yogyakarta dengan Gejala Rhinitis Alergi Rizka Fakhriani; Tri Wahyuliati; Asti Widuri
Medica Arteriana (Med-Art) Vol 2, No 2 (2020): Desember 2020
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/medart.2.2.2020.115-120

Latar Belakang: Rhinitis alergi (RA) adalah penyakit saluran napas atas yang disebabkan oleh reaksi inflamasi yang diperantarai IgE setelah adanya pajanan alergen. Uji cukit kulit merupakan tes standar yang digunakan dalam menegakkan diagnosis RA. Uji cukit kulit memberikan informasi keberadaan IgE spesifik terhadap protein dan peptide antigen atau yang dikenal dengan alergen.Tujuan: Mengetahui gambaran hasil pemeriksaan uji cukit kulit pada mahasiswa fakultas kedokteran Universitas Muhammadiyah Yogyakarta dengan gejala rhinitis alergi.Metode penelitian: Deskriptif melalui metode potong lintang.Hasil: Sebanyak 28 orang dengan gejala rhinitis alergi telah menjalani pemeriksaan uji cukit kulit. dengan jenis kelamin perempuan sebanyak 21 orang, laki-laki sebanyak 7 orang. Jenis alergen terbanyak yang didapatkan adalah tungau debu rumah dan kacang tanah sebanyak 14 orang (50%). Persentase alergen lain pada hasil uji cukit kulit pada penelitian ini adalah bulu anjing didapatkan pada 13 orang (46,43%), putih telur 13 orang (46,43%), udang 12 orang (42,86%), daging sapi 12 orang (42,86%), kuning telur 12 orang (42,86%), kedelai 12 orang (42,86%), coklat 12 orang (42,86%), kopi 12 orang (42,86%), nanas 12 orang (42,86%), kepiting 11 orang (39,29%), cumi 11 orang (39,29%), ikan air tawar 11 orang (39,29%), teh 11 orang (39,29%), kerang 10 orang (35,71%), tongkol 10 orang (35,71%), daging ayam 9 orang (32,14%), serta susu 8 orang (28,57%).Kata kunci: rhinitis alergi, alergen, uji cukit kulit

Laporan Kasus : Metode Kombinasi Modifikasi Ligasi Rubber Band dan Injeksi Sklerotik pada Hemoroid Derajat 1 dengan Menggunakan Paran Injection Ligation for Ambeien Pack (PILA Pack) Fadli Robby Amsriza; Rizka Fakhriani
Medica Arteriana (Med-Art) Vol 3, No 1 (2021): Juni 2021
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/medart.3.1.2021.1-8

ABSTRAK Pendahuluan: Hemoroid merupakan penyakit pada regio anorektal yang umum terjadi dan dapat menyerang segala usia. Hemoroid terjadi akibat adanya pelebaran pembuluh darah pada bagian terbawah rektum dan anus. Hemoroid mempunyai gejala adanya perdarahan serta penonjolan pada anus. Diagnosis dan tatalaksana hemoroid yang tepat sangat penting untuk mengurangi morbiditas dan meningkatkan kualitas hidup pasien. Laporan kasus ini bertujuan untuk menyajikan kasus tatalaksana hemoroid derajat 1.Laporan kasus: Pasien laki-laki, berusia 35 tahun, datang ke poliklinik bedah dengan keluhan perdarahan dari anussejak 4 bulan yang lalu yang memberat 3 minggu terakhir. Perdarahan dari anus menetes berwarna merah segar terutama setelah buang air besar yang keras. Keluhan tidak disertai nyeri. Pada pemeriksaan fisik rectal toucher didapatkan tonus muskulospincter ani dalam batas normal, mukosa licin, ampula tidak kolaps, tidak teraba massa. Pada pemeriksaan anuskopi didapatkan lesi mukosa berwarna kebiruan pada arah jam 2. Berdasarkan anamnesis, pemeriksaan fisik, dan anuskopi, pasien didiagnosis dengan hemoroid interna derajat 1. Tatalaksana yang dilakukan adalah metode kombinasi modifikasi ligasi rubber band dan injeksi sklerotik dengan menggunakan Paran Injection Ligation for Ambeien Pack (PILA Pack). Pasien kontrol tujuh hari setelahnya dan pemeriksaan regio anorektal dalam batas normal.Kesimpulan: Diagnosis dan pemilihan terapi yang tepat sangat penting dalam penangan pasien hemoroid. Metode kombinasi ligasi rubber band dan injeksi sklerotik dapat menjadi salah satu pilihan terapi yang cukup efektif dalam tatalaksana hemoroid.

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