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All Journal Indonesian Journal of Medicine Narra J Malahayati International Journal of Nursing and Health Science
Stepvia, Stepvia
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Profile of Cognitive Impairement in Patients with Brain Tumors in Dr. Moewardi Hospital, Surakarta Hapsari, Maria Yosita Ayu; Ilyas, Muhana Fawwazy; Ristinawati, Ira; Stepvia, Stepvia; Novika, Revi Gama Hatta
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.798 KB)

Abstract

Background: Brain tumor is a disease that is difficult to treat and causes high morbidity and morta¬lity. One of the clinical manifestations of brain tumors is cognitive impairment which is the most common neurological problem. The aim of this study is to determine the profile of cognitive impairment in patients with brain tumors.Subjects and Method: The design of this study was a retrospective cross-sectional using secondary data from the Neurology Polyclinic of RSUD Dr. Moewardi in January 2021-March 2022. The subject was diagnosed with a brain tumor based on anamnesis, physical examination, and neuroimaging. Cognitive impairment was inferred through the MoCA-Ina test. The analysis used was univariate descriptive analysis, independent T test, Mann-Whitney test, and Pearson correlation test.Results: There were 29 subjects with a mean MoCA-Ina score (17.97). Primary brain tumors (79.3%), more than metastatic tumors. The majority of patients were diagnosed with meningioma (55.2%). This study showed that there were differences in abstraction scores (p=0.015) and total MoCA-Ina scores (p=0.042) between patients with tumors located in the temporal lobe and non- temporal lobe; differences in abstraction scores (p=0.034) and orientation scores (p=0.042) between patients with supratentorial and infratentorial tumors; and differences in memory scores (p=0.028) between patients with and without radiation history. In addition, this study also found an association between the number of lobes affected by brain tumors with attention score (p=0.027; r=-0.409), abstraction score (p=0.004; r=-0.524), orientation score (p=0.021; r=-0.426), and the total score of MoCA-Ina (p=0.018, r=-0.435).Conclusion: There is an association between brain tumors and cognitive impairment which is concluded through the MoCA-Ina test. The clinical manifestations of cognitive impairment in the patient are in accordance with the neuroanatomical function of the brain affected by the lesion.Keywords: Cognitive, Tumor, MoCA-InaCorrespondence: Maria Yosita Ayu Hapsari. Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret/ Moewardi Hospital, Indonesia. Email: ayositahapsari@gmail.com. Phone: 0813 3155 5412.Indonesian Journal of Medicine (2022), 07(02): 242-250https://doi.org/10.26911/theijmed.2022.07.02.12
How leadership style, motivation, and workload impact the performance of healthcare workers in Indonesia Stepvia, Stepvia; Imtiyaaz, Siti Luluiyah; Nurfadhila, Sherly; Essyta, Innge
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.665

Abstract

Background: Healthcare professionals, including doctors, specialists, and dentists, play a critical role in providing high-quality services to patients. Various factors affect the competencies and performance of these medical personnel, notably leadership style, motivation, and workload. Purpose: To investigate how leadership style, work motivation, and workload influence the performance of healthcare workers in Indonesia in 2024.  Method: A quantitative-analytic approach, employing cross-sectional data from a sample of 98 respondents. Results: Leadership style (r=0.59; p < 0.01) and work motivation (r=0.61; p < 0.01) had a significant positive impact on individual performance. Workload (r=0.63; p > 0.05) did not significantly affect performance levels within the scope of this study. Conclusion: Leadership style and work motivation play an important role in enhancing the performance of healthcare workers.
Patient experience, satisfaction, and adherence: Mediating roles of communication and outcome quality among geriatrics Stepvia, Stepvia; Silimalar, Juan AG.; Jayanagara, Oscar
Narra J Vol. 6 No. 1 (2026): January 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3015

Abstract

Treatment adherence among geriatric population remains a challenge due to multimorbidity, polypharmacy, and communication barriers. Although patient experience and satisfaction are major predictors of treatment adherence, the mediating pathways involving communication and perceived outcome quality, patients' perceptions of the effectiveness of treatment, including symptom relief, functional improvement, and overall quality of life, have not been explored, particularly in healthcare systems of developing countries. This study aimed to examine the effects of patient experience and satisfaction on treatment adherence, with service communication and perceived outcome quality serving as mediating variables. A cross-sectional study was conducted at the Geriatric Outpatient Clinic of RSUPN Dr. Cipto Mangunkusumo Hospital between June and September 2025. A total of 221 geriatric patients aged ≥60 years completed validated questionnaires on five constructs using six-point Likert scales. Data were analyzed using Partial Least Squares Structural Equation Modeling, with model validity and reliability confirmed through average variance extracted, composite reliability, and variance inflation factor indicators. Patient experience (β=0.260, p<0.001) and satisfaction (β=0.158, p<0.001) significantly improved adherence. Service communication (β=0.352, p<0.001) and outcome quality (β=0.249, p<0.001) partially mediated these effects, explaining 74% of adherence variance (R²=0.740). Communication showed stronger mediation, underscoring the importance of empathy, clarity, responsiveness, and shared decision-making in fostering adherence. Enhancing patient experience and satisfaction through effective communication, collaborative care, and perceived positive outcomes may strengthen adherence and optimize service quality in geriatrics, particularly in resource-limited health systems.
Co-Authors Essyta, Innge Hapsari, Maria Yosita Ayu Ilyas, Muhana Fawwazy Imtiyaaz, Siti Luluiyah Jayanagara, Oscar Novika, Revi Gama Hatta Ristinawati, Ira Sherly Nurfadhila Silimalar, Juan AG.