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Relationship Between Patient Satisfaction and Pharmaceutical Services at Scholoo Keyen Regional Hospital 2024 Battiling, Ferida; Uly, Nilawati; Muttaqien Al-Maidin, Achmad R.; Zamli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 8 (2024): August 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i8.5850

Introduction: The quality of hospital pharmaceutical services must be maintained because it greatly influences patient satisfaction. Pharmaceutical service is a direct and responsible service to patients related to pharmaceutical preparations with the aim of achieving definite results to improve the patient's quality of life. Patients will receive satisfaction from the quality of service provided by the hospital. Objective: The aim is to ascertain the correlation between the level of outpatient satisfaction and the quality of pharmaceutical services at the outpatient depot pharmacy installation at Scholoo Keyen Regional Hospital, South Sorong Regency, in 2024. Method: We conducted quantitative descriptive analytical research using a given questionnaire, and then we conducted interviews to supplement the qualitative data, deepening the field's findings and producing a comprehensive understanding of the studied phenomenon. Result: The satisfaction variable yielded the following results: 1 person (4%) expressed dissatisfaction, 91 expressed satisfaction (37%), and 154 expressed extreme satisfaction (62.6%). According to the reliability dimension, service quality was not important in category 0 (0%), important in category 11 (4.5%), and very important in category 235 (95.5%). Responsiveness: not important 0 (0%), important 9 people (3.7%), and very important 237 (96.3%). Assurance: not important 0 (0%), important 7 (2.8%), and very important 239 (97.2%). Empathy is not important at 0 (0%), important at 8 (3.3%), and very important at 238 (96.7%). Empathy is classified as tangible, not important at 0%, important at 20 (8.1%), and very important at 226 (91.9%). The Kruskall-Wallis test found that patients were satisfied with the services they received on all five dimensions: reliability (0.014), responsiveness (0.000), assurance (0.008), empathy (0.003), and tangible (0.009). Conclusion: According to the Kruskal-Wallis test, the p-value for satisfaction with employee performance was 0.000. p-valued 0,000 < 0,05 until Ho rejected If accepted, we can assert a relationship between employee satisfaction and performance in the RSUD Scholoo Keyen district of Sorong South.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

Factors Affecting the Implementation of Traditional Health Services at the Health Center In South Sorong Regency in 2024 Sumbung, Agustina; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1513

Background: The Indonesian government is committed to strengthening traditional health services by integrating them into the National Health System to enhance accessibility and cultural relevance. Objective: This study aimed to identify key factors influencing the implementation of traditional health services at health centers (Puskesmas) in South Sorong Regency in 2024. Methods: A quantitative research design was used to analyze the influence of human resources, disposition, bureaucratic structure, community support, and communication on service implementation. Data analysis included validity and reliability tests, Kruskal-Wallis test, T-tests, F-tests, and multiple linear regression. Results: All five factors significantly influenced the implementation of traditional health services, both partially and simultaneously (p = 0.000 < 0.05). The model showed high reliability (Cronbach’s Alpha = 0.821) and a coefficient of determination (R²) of 0.999, indicating that these variables explained 99.9% of the variation in implementation. Conclusion: Human resources, disposition, bureaucratic structure, community support, and communication significantly affect the implementation of traditional health services at health centers. Enhancing these factors is essential for improving the effectiveness and sustainability of traditional health programs in the region.

Analysis of Drug Management in the Pharmaceutical Installation of the South Sorong District Health Office Endiyonarsi, Endiyonarsi; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1515

Background: The management of pharmaceutical supplies involves a series of coordinated activities related to the planning, procurement, storage, distribution, and disposal of drugs, aimed at ensuring the availability and appropriate use of medications. Objectives: This study aims to describe the implementation pattern of pharmaceutical supply management, focusing on the processes of planning, procurement, and storage at the Pharmacy Installation of the South Sorong Regency Health Office. Methods: A qualitative research design was used, employing in-depth interviews with key informants to gather detailed insights into the procedures and practices involved in pharmaceutical supply management. Results: The planning process is carried out based on the National Formulary and the National Essential Drug List. Drug procurement is conducted annually through E-Purchasing using the Electronic Catalog, following existing national procurement guidelines. The storage system adheres to regulatory standards but is not yet optimized, as drug arrangement is not done alphabetically, which can hinder the efficiency of drug retrieval by personnel. Conclusions:The Pharmacy Installation of the South Sorong Regency Health Office has implemented drug planning, procurement, and storage systems in alignment with national guidelines. However, improvements in drug arrangement and storage optimization are needed to enhance operational efficiency.

Analysis of Determinants of Puskesmas Drug Availability in South Sorong District Year 2024 Tonglo, Ruhama Utami; Uly, Nilawati; Iskandar, Ishaq; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1516

Background: Drug availability at Puskesmas (Community Health Centers) is essential for delivering quality public health services. Multiple factors such as the roles of doctors, pharmaceutical personnel, patients, and drug distributors are thought to influence this availability. Objectives: This study aimed to analyze the determinants affecting drug availability at Puskesmas in South Sorong Regency in 2024. Methods: A quantitative approach was used, with data analyzed through statistical tests including the T-test, F-test, and coefficient of determination to assess both partial and simultaneous effects of the independent variables. Results: The analysis revealed that there were no significant partial or simultaneous effects of the roles of doctors, pharmaceutical personnel, patients, and drug distributors on drug availability (p > 0.05). The coefficient of determination (R²) was 0.153, indicating that only 15.3% of the variation in drug availability could be explained by these factors. Conclusions: The study concludes that the roles of doctors, pharmaceutical personnel, patients, and drug distributors have no significant influence on drug availability at Puskesmas in South Sorong Regency. The low coefficient of determination suggests that other unexamined factors may play a more dominant role in determining drug availability in these health facilities.

Evaluation of Logistics Management for Basic Immunization Vaccines at the Pharmaceutical Installation, South Sorong District Health Office, Southwest Papua Pasaribu, Handara Graha; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1518

Background: Pharmaceutical services are direct and responsible healthcare services aimed at ensuring optimal therapeutic outcomes and improving patients’ quality of life. Pharmaceutical personnel play a crucial role not only in vaccine production but also in the management of vaccine logistics, including storage, distribution, and administration. Vaccination is estimated to prevent two to three million deaths annually from vaccine-preventable diseases such as diphtheria, tetanus, pertussis, and measles across all age groups. Objective: This study aims to evaluate the management of vaccine logistics at the Pharmaceutical Installation of the South Sorong District Health Office in Southwest Papua, Indonesia. Methods: This research employed a qualitative approach using in-depth interviews with key informants and applied inductive thematic analysis to interpret the data. Results: The findings reveal that although vaccine management practices have been implemented adequately, several challenges remain. These include limited internet connectivity, poor road infrastructure, and logistical delays, all of which hinder the efficiency and effectiveness of vaccine distribution. Conclusion: Strengthening infrastructure and improving digital systems are essential to enhancing the effectiveness of vaccine logistics management. Strategic efforts are needed to overcome these operational barriers to ensure consistent and equitable vaccine availability in remote regions

Evaluation of the Leprosy Program Implementation at Teminabuan Health Center, South Sorong District, Using the CIPP Evaluation Model Onim, Florence; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1527

Background: Leprosy is a chronic infectious disease that poses significant challenges and impacts family well-being. In 2023, 75 cases were recorded and treated in South Sorong. Objective: This study aimed to evaluate the implementation of the leprosy program at Teminabuan Health Center using the CIPP (Context, Input, Process, Product) evaluation model. Methods: A descriptive qualitative approach was applied, using observation and in-depth interviews with three key informants. Data validation was conducted through triangulation. Results: Context evaluation showed collaboration between health workers and community cadres in raising awareness and promoting early examination. Input evaluation revealed program management by a designated officer with support from several units but highlighted issues such as limited staff, lack of integrated data systems, and insufficient drug supply. Process evaluation indicated that outreach was done through leaflets and discussions, field screening, and referrals, though stigma and behavior change remained challenges. Product evaluation found that activities included contact tracing, medication monitoring, and referrals, but training for health workers was inadequate. Conclusion: While context and process aspects were satisfactory, input and product components need improvement, particularly in human resources, logistics, and system integration to enhance program effectiveness

Pelatihan Diabetes Educator Bagi Programmer Prolanis Se-Kota Palopo Uly, Nilawati; Fadli; Heriyanti, Hera
Mega Buana Journal of Innovation and Community Service Vol. 1 No. 1 (2022): Juli Tahun 2022
Publisher : LPPM Universitas Mega Buana Palopo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59183/cj163677

Upaya mengurangi peningkatan penderita penyakit kronis dan meminimalisir pembiayaan kesehatan untuk penyakit kronis, salah satu upaya BPJS kesehatan bekerjasama dengann FKTP merancang suatu program yaitu PROLANIS dengan target pemenuhan rasio PROLANIS yang rutin mengikuti kegiataan PROLANIS dengan indikator 75 % kehadiran. Tujuan program ini untuk mendorong peserta penderita penyakit kronis diantaranya Diabetes Melitus tipe 2 agar mencapai kualitas hidup yang optimal dengan indikator 75% peserta terdaftar yang berkunjung ke FKTP memiliki hasil baik pada pemeriksaan spesifik terhadap penyakit DM tipe 2. Untuk mencapai tujuan tersebut, maka ada beberapa kegiatan dalam PROLANIS yang meliputi konsultasi, edukasi, home visite, dan pemantauan status kesehatan. Sebagai bentuk pelayanan promotif dan preventif maka harus dilakukan oleh seorang educator yang kompeten. Metodepembelajaran yang digunakan adalah classical dan practicum.

Pengaruh Prenatal Yoga terhadap Persiapan dan Hasil Persalinan: Suatu Tinjauan Literatur Yenni; Nilawati Uly; Andi Alim
Bunda Edu-Midwifery Journal (BEMJ) Vol. 8 No. 2 (2025): September 2025
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v8i2.443

Latar Belakang: Kehamilan dan persalinan merupakan fase penting yang melibatkan perubahan fisiologis dan psikologis signifikan pada ibu. Ketegangan emosional seperti kecemasan, stres, dan nyeri dapat memengaruhi jalannya persalinan serta meningkatkan risiko komplikasi obstetri. Salah satu intervensi non-farmakologis yang banyak dikaji untuk mengurangi risiko tersebut adalah prenatal yoga, yang menggabungkan latihan fisik, pernapasan, relaksasi, dan meditasi. Tujuan: Penelitian ini bertujuan untuk meninjau secara sistematis pengaruh prenatal yoga terhadap persiapan persalinan (kesiapan psikologis, efikasi diri, dan kecemasan) serta hasil persalinan (durasi kala persalinan, nyeri, outcome neonatal, dan adaptasi fisiologis). Metode: Studi ini menggunakan desain tinjauan literatur sistematis dengan menganalisis 38 artikel ilmiah dari database PubMed, ScienceDirect, Scopus, Cochrane Library, Google Scholar, dan Portal Garuda. Kriteria inklusi mencakup studi yang mengevaluasi intervensi prenatal yoga dengan hasil berupa indikator fisik dan psikologis selama kehamilan dan persalinan. Analisis dilakukan secara naratif dan deskriptif. Hasil: Hasil tinjauan menunjukkan bahwa prenatal yoga efektif menurunkan intensitas nyeri persalinan, mempercepat proses persalinan (terutama kala I dan II), serta mengurangi kecemasan dan depresi ibu hamil. Selain itu, yoga juga meningkatkan kesiapan psikologis dan efikasi diri, memperbaiki outcome persalinan seperti berkurangnya ruptur perineum dan tindakan seksio sesarea, serta meningkatkan kondisi neonatal seperti berat badan lahir dan umur gestasi. Di sisi lain, yoga berkontribusi pada regulasi fisiologis tubuh melalui peningkatan variabilitas denyut jantung, aktivasi sistem saraf parasimpatis, dan penurunan kadar kortisol. Kesimpulan: Prenatal yoga merupakan intervensi komplementer yang aman dan efektif untuk meningkatkan kesiapan ibu menghadapi persalinan dan memperbaiki hasil kehamilan. Diperlukan integrasi yoga dalam layanan antenatal serta penelitian lanjutan dengan desain eksperimental untuk memperkuat bukti ilmiah ini.

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