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Pengaruh Kepercayaan dan Mutu Pelayanan terhadap Kepatuhan Imunisasi Dasar Lengkap di Sekanak Raya Geda Lilova Maja Nanda; Nelli Roza; Huzaima Huzaima
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 1 (2025): April : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i1.4889

Abstract

Background: In 2021, there were 38 deaths for every 1000 live births in the world's under-five population. Predisposing factors, enabling resources, need, and health service usage are the three primary elements that make up Andersen's theory and have an impact on health care utilisation. Goal: To ascertain how patient trust and service quality relate to Sekanak Raya Village's whole basic immunisation program. Method: This study is quantitative in nature and uses a cross-sectional, analytical observational methodology. The mothers who had children in Sekanak Raya Village made up the study's population. Tools for gathering data include questionnaires and observation sheets. In data analysis, the chi-square test was employed. Result: The findings indicate that 15 out of 100 underdog moms believe in complete basic immunisation status, whereas 18 out of 100 underdog mothers believe that the quality of service is good with complete basic immunisation status. For patient confidence, the chi square statistical test yielded a p-value of 0.022 < 0.05, whereas for service quality, the p-value was 0.004 < 0.05. In Sekanak Raya Village, UPTD Working Area, Puskesmas, Rear Padang, Batam City, total basic immunisation quality and patient trust are significantly correlated in 2024.
Asuhan Keperawatan Lansia Hipertensi dengan Insomnia Melalui Relaksasi Otot Progresif di RSUD Embung Fatimah Batam Irma Mahlisa; Nelli Roza
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2912

Abstract

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.