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Patient-perceived indicators as a basis for satisfaction assessment of healthcare Yohanes Kambaru Windi; Baiq Dewi Harnani; Asnani Asnani
International Journal of Public Health Science (IJPHS) Vol 11, No 2: June 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i2.21375

Since satisfaction is a subjective matter, assessing satisfaction should begin from the individual perception of satisfaction. This study aimed to map the satisfaction indicators perceived by the patients as a foundation to develop instruments to assess health care satisfaction. The study adopted sequential exploratory design of mixed method approach. Thirty patients participated in the interviews and 300 patients for the survey. The thematic analysis identifies 159 items of satisfaction. The items were condensed into 34 indicators and distributed into the five components of the service quality (SERVQUAL) model. A survey containing the 34 indicators were developed to measure their validity and reliability. The Product moment test of validity shows the value of correlation table (rn-2; α=r298; 0.05)=0.095. The values correlation tables are >0.095, meaning the validity is achieved. The Cronbach alpha test shows that the values of all indicators are >0.6, reflecting the reliability of the satisfaction indicators. The study concluded there is variation of satisfaction indicators of health care compared to the established instruments and the identified indicators are valid and reliable.

Ecological Social Development Model of Health Behavior of Conduct Achievement MDGs 5 Hilmi Yumni; Fendy Suhariadi; Oedojo Sudirham; Baiq Dewi Harnani R; Hasyim As’ari; Noer Saudah
International Journal of Public Health Science (IJPHS) Vol 5, No 4: December 2016
Publisher : Intelektual Pustaka Media Utama

Behavior of pregnant women who support the achievement of MDG 5 has not been fully achieved, one antenatal visit, shows there are still pregnant women who do not perform pregnancy tests regularly. The research aims to develop a model with Social Ecological Approach Model of Health Behavior in order to achieve the Millennium Development Goals by objective 5 with indicator of antenatal visits as well as aid delivery plan both place of birth and birth attendant. Observational study design, analytic, cross-sectional sample of 100 pregnant women who visit antenatal care at the health center Krembangan South Surabaya, simple random sampling, instruments using questionnaires, data analysis descriptive and inferential, using structural equation modeling (Structural Equation Modelling). The development of the social model of ecological models of health behavior to the behavior of the achievement of MDG 5 by the dominant factor is the construction of models intrapersonal factors include knowledge, attitude and self-efficacy, interpersonal factors include the support of family and community factors include health result support model testing goodness of fit note that the resulting model is an appropriate model used in the interpretation of the model because it has a model fit the criteria of empirical data generated by the study. The model can be used to strategize interventions in antenatal care is increasing knowledge, forming attitudes and self-efficacy through various activities such as prenatal classes or groups in pregnancy exercise as well as the involvement of family and health volunteers in assisting pregnant women to childbed.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 2 No. 1 (2021): July
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.945 KB)

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

Empowerment of Mother's Groups to Improve Adolescent Reproductive Health in Kampung Nelayan Health Center Siti Nurkholifah; Nikmatul Fadilah; Minarti Minarti; Intim Cahyono; Yohanes Kambaru Windi; Heru Sulistijono; Bambang Heriyanto; Asnani Asnani; Tumini Tumini; Dyah Wijayanti; Hasyim As'ari; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata Dinarwiyata; Eko Rustamaji; Ferry Kumala
Community Empowerment in Health Vol. 1 No. 1 (2023): June 2023
Publisher : Pusat Unggulan Ipteks Poltekkes Kemenkes Surabaya

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

Now, adolescent reproductive health problems are increasing, which may be caused by a lack ofknowledge, self-confidence, religiosity and family support. So we need community service activities thataim to empower women's groups in improving adolescent reproductive health in the work area of theKampung Nelayan Health Center, Gresik Regency. Adolescents' commitment to maintaining reproductivehealth requires support from the family. Mothers are the closest people to their children, so mother'ssupport is an important component in improving adolescent reproductive health. This activity wasattended by 40 mothers of adolescents. The first stage was increasing knowledge, then mentoring andthe next was empowerment. The module on reproductive health as a media for health education wasfirst socialized to the mother group. The results of the activity showed that there was an increase in theknowledge and role of mothers in improving adolescent reproductive health.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 4 No. 1 (2022): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

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

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

PRODUKSI ASI PADA IBU NIFAS YANG MELAKUKAN PERAWATAN PAYUDARA DI WILAYAH PESAPEN SURABAYA Baiq Dewi Harnani R; Yohanes K Windi; Runtiyani Runtiyani
JURNAL KEPERAWATAN Vol. 15 No. 2 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i2.74

ABSTRAK Perawatan payudara yang baik sangat mempengaruhi kelancaran produksi ASI. Tujuan penelitian ini adalah perawatan payudara dan produksi ASI di antara ibu nifas di wilayah Pesapen Surabaya. Desain penelitian yang digunakan adalah deskriptif. Populasi Ibu Nifas adalah 15 responden. Variabel pada penelitian ini yaitu produksi ASI pada Ibu Nifas dan seberapa sering Ibu Nifas melakukan perawatan payudara. Instrumen pengumpulan data menggunakan formulir kuesioner Hasil penelitian ini didapati bahwa ibu dengan produksi ASI lancar sebanyak 12 Ibu Nifas (80%) sedangkan produksi ASI tidak lancar sebanyak (20%). Dalam seberapa sering Ibu Nifas yang melakukan perawatan payudara dengan baik sebanyak 9 Ibu Nifas (60%) dan 6 Ibu Nifas yang melakukan perawatan payudara cukup (40%). Oleh karena itu diharapkan kepada tenaga kesehatan untuk lebih banyak memberikan informasi tentang pentingnya perawatan payudara dan tetap meningkatkan dan mempertahankan tentang cara perawatan payudara untuk meningkatkan produksi ASI. . Kata Kunci : Produksi ASI, Ibu Nifas, Perawatan Payudara ABSTRACT Adequate breast care improves the breast milk production. The study aims to identify the breast care activity and the breast milk production among post partum mothers at Pesapen Surabaya. The study is descriptive. The study population includes 15 post partum mothers and all of them are appointed as the study participants. Breast care activity and breast milk production are the variables of the study. The data were collected using questionnaires. The study shows that 12 (80%) post partum mothers have adequate breast milk production, and respectively 3 (20%) have inadequate production of milk. Also, 9 (60%) mothers perform adequate breastcare while 6 (40%) have moderate breastcare activity. The study recommends that health staff need to provide health education and promotion about the importance of breastcare to boost the breastmilk production. Keywords: Breast milk production, post partum, breastcare

PENGETAHUAN TENTANG GASTRITIS PADA PRAJURIT DI BALAI PENGOBATAN SATLINLAMIL SURABAYA Baiq Dewi Harnani Harnani; Dyah Wijayanti Wijayanti; Joko Punomo Punomo
JURNAL KEPERAWATAN Vol. 15 No. 3 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i3.81

ABSTRAK Gastritis banyak terjadi dikalangan masyarakat, demikian juga di lingkungan prajurit. Peneliti melakukan survey dalam 1 minggu ada 1-2 prajurit yang bekunjung ke Balai Pengobatan Satlinlamil Surabaya dengan keluhan gangguan pencernaan seperti nyeri ulu hati, mual, perut kembung, dan rasa tidak enak diperut. Gastritis dapat menggangu kesiapan prajurit dalam melaksanakan tugas, dan prajurit di Balai Pengobatan Satlinlamil Surabaya memiliki tugas yang berat sehingga mereka harus senantiasa menjaga kesehatannya. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan prajurit tentang gastritis di Balai Pengobatan Satlinlamil Surabaya. Desain penelitian ini adalah penelitian Deskriptif yaitu suatu penelitian untuk mendeskriptifkan atau menggambarkan fenomena yang terjadi pada populasi tertentu. Populasi penelitian ini adalah prajurit di Balai Pengobatan Satlinlamil Surabaya, dengan cara Total sampling sebanyak 25 responden. Hasil penelitian ini menunjukan bahwa tingkat pengetahuan prajurit tentang penyakit Gastritis di Balai Pengobatan Satlinlamil Surabaya dikategorikan baik dengan jumlah16 responden (64%), namun masih ada beberapa prajurit dengan tingkat pengetahuan tentang gastritis cukup dan bahkan kurang. Program penyuluhan rutin dan edukasi yang baik tentang kesehatan kepada prajurit serta pemasangan poster, pamflet ditempat yang tepat adalah suatu usaha untuk meningkatkan tingkat pengetahuan prajurit. Kata kunci : Gastritis, Tingkat pengetahuan, Prajurit. ABSTRACT Gastritis occurs mostly among the people, as well as in the army environment. Researchers conducted a survey in one week there were 1-2 soldiers who visited the Surabaya Satlinlamil Medical Center with complaints of digestive disorders such as heartburn, nausea, flatulence, and stomach discomfort. Gastritis can interfere with the readiness of soldiers to carry out their duties, and soldiers at the Surabaya Satlinlamil Medical Center have a tough task so they must always maintain their health. The purpose of this study was to determine the level of knowledge of soldiers about gastritis in the Surabaya Satlinlamil Medical Center. The design of this research is descriptive research which is a study to describe or describe phenomena that occur in certain populations. The population of this study were soldiers at the Surabaya Satlinlamil Medical Center, with a total sampling of 25 respondents. The results of this study indicate that the level of knowledge of soldiers about gastritis at the Surabaya Satlinlamil Medical Center is categorized as good with 16 respondents (64%), but there are still some soldiers with sufficient and even less knowledge about gastritis. Routine outreach programs and good education about health to soldiers and the installation of posters, pamphlets in the right place is an effort to increase the level of knowledge of soldiers. Keywords : Gastritis, Level of knowledge, Soldier.

Model of Guidance: Effective Communication with the Elderly for Empowering Elderly Caregivers in Nursing Homes in Indonesia Minarti Minarti; Siti Nur Kholifah; Heru Sulistijono; Hilmi Yumni; Y.K Windi; Asnani Asnani; Intim Cahyono; Hasyim As’ari; Bambang Heriyanto; Nikmatul Fadilah; Dyah Wijayanti; Suriana Suriana; Baiq Dewi Harnani; Dinarwiyata Dinarwiyata; Eko Rustamaji W; Ferry Kumala
Frontiers in Community Service and Empowerment Vol. 1 No. 2 (2022): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v1i2.11

Activities related to increasing the caregiver's ability to care for the elderly who experience daily problems related to psychological approaches and the like have never been carried out. Caregiver communication does not support effective communication and is still social communication. Supported by the results of research conducted at the Nursing Home for the Elderly, it showed that there was a difference between pre and post-test in the group that received guidance or counseling treatment on the happiness of the elderly with a significant value. The purpose of this training is to empower elderly caregivers at Nursing Home at St. Yosef, Surabaya, and identify the effectiveness of the guidance model (Guidance) by caregivers. The number of participants is 50 people. The method used is cadre training through discussions, demonstrations, competence training and competence assessment. The result of training for caregivers is an increase in knowledge based on pre-test and post-test scores. There was an increase in skills seen in four skills, namely communication in the elderly, active movement, passive movement, mobilization, and daily activity training. The advantage of this cadre training is that it can effectively improve communication with the elderly people who are cared for in the orphanage. The implication of this activity is to increase the knowledge and skills of caregivers in providing care for the elderly through effective communication with the elderly in nursing homes as an effort to improve the health of the elderly.

PEMBERDAYAAN IBU USIA DINI DAN KADER KESEHATAN UNTUK MENCAPAI PERAN IBU DALAM MERAWAT BAYI DI KOTA SURABAYA Hasyim Asari; Hilmi Yumni; Baiq Dewi Harnani
Health Community Engagement Vol. 5 No. 2 (2023): Mei-Agustus
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/hce.v4i1.24

Perkawinan usia dini dapat berdampak kesehatan tidak normal bagi ibu hamil. Penyebabnya karena fungsi reproduksi belum matur, kurangnya kematangan psikologis, emosional dan social serta belum siap menjalani peran sebagai ibu. Tujuan pengabdian masyarakat adalah pemberdayaan ibu usia didi dan kader kesehatan untuk mencapai peran ibu dalam merawat bayi. Kurangnya kemampuan ibu hamil usia dini menerapkan pencapaian peran ibu memerlukan dukungan dari keluarga terutama suami dan kader kesehatan. Pengabdian masyarakat ini diikuti oleh 40 kader kesehatan dan 15 ibu hamil anak pertama usia dini. Kegiatan tahap pertama adalah peningkatan pengetahuan, kemudian proses pendampingan dan tahap berikutnya pemberdayaan. Modul tentang tanda kehamilan, gangguan kehamilan dan cara mengatasinya, perawatan bayi sebagai media pendidikan di sosialisasikan terlebih dahulu kepada kelompok ibu dan kader kesehatan. Hasil pengabdian masyarakat ini terdapat peningkatan pengetahuan dan kemampaun peran ibu dan kader kesehatan dalam merawat bayi. Dukungan dan pemantauan pelaksanaan perawatan bayi secara intensif dari keluarga dan kader kesehatan dapat meningkatan kesehatan bayi dan pada akhirnya dapat meningkatkan kualitas generasi penerus bangsa.

Misperception of the benefits and working mechanism of the National Health Protection in the District of Sumba Timur, Indonesia Asnani; Windi, Yohanes Kambaru; Harnani, Baiq Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.838

The National Health Insurance (NHI) of Indonesia covers the health care of nearly the whole population of Indonesia. However, misunderstandings of the benefits and the healthcare access mechanism are still evident. The study aims to identify misperceptions regarding the benefits and working mechanisms of the NHI in Waingapu, Sumba Timur District, Indonesia. A qualitative inquiry identifies the misperception about NHI's benefits and working mechanism. Thirty residents were recruited using the consecutive procedure to participate in the study. The data collections are semi-structured interviews, casual conversations, and inductively analyzed. The qualitative analysis identifies that people perceive that the administrative procedure of health care under NHI is complicated, has unlimited drugs and health care coverage, and the premium contribution is claimable. People perceive the management of NHI to treat them as debtors when they delay paying their contributions. People feel they are being treated unfairly because NHI does not provide all health services, but they ask for a guarantee if NHI does not cover health services. It is concluded that the people are underinformed about NHI's benefits and working mechanism. The management of NHI and associated stakeholders should implement ongoing educational programs and promotional efforts to increase awareness and understanding of the NHI system.

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