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STRATEGI PENINGKATAN LOYALITAS PELANGGAN RAWAT INAP DI PUSKESMAS BALOWERTI KOTA KEDIRI Widyowati, Agustin; Lastari, Heni; Kartika, Hesti R.
Jurnal Kreativitas dan Inovasi (Jurnal Kreanova) Vol 5 No 2 (2025): Mei
Publisher : Sekolah Tinggi Ilmu Ekonomi Indonesia (STIESIA) Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24034/kreanova.v5i2.6785

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Loyalitas pasien memiliki pengaruh besar terhadap kehidupan fasilitas kesehatan, sehingga perlu mempertahankan dan meningkatan kualitas layanan dan kepuasan pasien. Salah satu faktor penyebab rendahnya kualitas pelayanan yaitu kurangnya pegawai yang menyebabkan peningkatan beban kerja. Kegiatan pengabdian masyarakat bertujuan pemilihan strategi peningkatan loyalitas pasien di Puskesmas Balowerti Kota Kediri. Kegiatan dilakukan di Puskesmas Balowerti Kota Kediri pada Juni-Juli 2024. Kegiatan diawali dengan koordinasi dengan tim puskesmas untuk mencari data primer dan data sekunder serta dianalisis menggunakan metode diagram Fishbone, USG (Urgency, Seriousness, Growth) dan TOWS (Threats, Opportunities, Strength, Weakness). Hasil kegiatan didapatkan faktor utama yang memengaruhi loyalitas pasien yaitu kurangnya tenaga kesehatan di Puskesmas Balowerti Kota Kediri sesuai dengan perhitungan hasil analisis jabatan dan analisis beban kerja masih terdapat kekurangan tenaga sebanyak 19 orang. Strategi yang digunakan yaitu memodifikasi jadwal jaga Rawat Inap, memberikan pelatihan pelayanan prima serta meningkatkan kerjasama dengan institusi pendidikan kesehatan untuk melakukan praktek lapangan. Peningkatan loyalitas pasien dapat dilakukan dengan peningkatan kualitas pelayanan dengan pemenuhan sumber daya manusia.
Pembinaan Remaja Melalui Kegiatan Program Pelayanan Kesehatan Reproduksi Peduli Remaja Widyowati, Agustin; Gusmadewi, Gusmadewi
Jurnal Pengabdian Masyarakat Bhinneka Vol. 3 No. 4 (2025): Bulan Juli
Publisher : Bhinneka Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58266/jpmb.v3i4.120

Abstract

Remaja merupakan kelompok usia yang berada dalam masa transisi dari anak-anak menuju dewasa, di mana mereka mengalami berbagai perubahan fisik, psikologis, dan sosial. Pada fase ini, remaja menghadapi berbagai tantangan, termasuk permasalahan kesehatan yang dapat mempengaruhi perkembangan mereka di masa depan. Berdasarkan data Kementerian Kesehatan Indonesia, banyak remaja yang mengalami masalah kesehatan seperti anemia, gizi tidak seimbang, kesehatan mental, perilaku berisiko, serta akses terbatas terhadap layanan kesehatan yang ramah remaja. Program Pelayanan Kesehatan Peduli Remaja (PKPR) telah   dikembangkan sebagai upaya untuk meningkatkan akses remaja terhadap layanan kesehatan yang bersifat inklusif, edukatif, dan responsif terhadap kebutuhan mereka. Namun, dalam implementasinya, masih terdapat berbagai kendala seperti kurangnya sosialisasi program, rendahnya kesadaran remaja terhadap pentingnya kesehatan, serta keterbatasan fasilitas dan tenaga kesehatan yang memahami kebutuhan remaja. Oleh karena itu, kegiatan Pengabdian Masyarakat ini bertujuan untuk meningkatkan kesadaran dan akses remaja terhadap layanan kesehatan yang ramah dan sesuai dengan kebutuhan mereka. Hasil dari Diskusi dengan Dinas Kesehatan Propinsi Sumatera Barat, Dinas Kesehtan Kota Pariaman dan Kepala Puskesmas Air Santok serta Pemegang Program PKPR  dapat disimpulkan bahwa permasalahan dalam Program PKPR adalah masalah SDM (Tenaga Kesehatan dan Konselor Sebaya) dan Pendaaan untuk Kegiatan PKPR tersebut.  Melalui pendekatan berbasis komunitas, peran sekolah, serta pemanfaatan teknologi, diharapkan remaja dapat lebih mudah mendapatkan informasi, konsultasi, dan layanan kesehatan yang mereka butuhkan
INTEGRATED EDUCATION AND ASSISTANCE TO OPTIMIZE THE QUALITY OF LIFE OF THE ELDERLY WITH HYPERTENSION Vidhiastutik, Yusiana; Widyowati, Agustin; Elina, Agusta Dian
Journal of Indonesian Public Health Service Vol. 2 No. 1 (2025): Volume 2, Issue 1, May 2025
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/jiphs.v2i1.54

Abstract

Hypertension is one of the most common health issues experienced by the elderly worldwide, including in Indonesia. In Kepuhkembeng Village, Peterongan District, Jombang Regency, hypertension is a serious concern as it can significantly reduce the quality of life of the elderly and increase the risk of cardiovascular complications such as stroke and heart failure. This integrated education and mentoring program aims to improve the knowledge and quality of life of elderly individuals with hypertension through health education interventions, increased medication adherence, and adoption of a healthy lifestyle. The program involved 48 elderly participants and included structured health education, support through elderly health services (Posyandu Lansia), and the engagement of families and health cadres to monitor the elderly's blood pressure continuously. Through pre-test and post-test methods, evaluations showed a significant increase in the elderly’s knowledge of hypertension and its management. The average knowledge score improved from 5.6 to 8.3, and mean blood pressure readings decreased from 154/92 mmHg to 140/86 mmHg after the intervention. These results underscore the importance of integrated education and mentoring programs in managing hypertension and highlight the role of family and community in enhancing the quality of life of elderly individuals.
IMPLEMENTATION OF CERDIK BEHAVIOR FOR BLOOD PRESSURE CONTROL AT PETERONGAN HEALTH CENTER Rahmawati, Eli; Widyowati, Agustin; Elina, Agusta Dian
Journal of Indonesian Public Health Service Vol. 2 No. 1 (2025): Volume 2, Issue 1, May 2025
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/jiphs.v2i1.57

Abstract

Hypertension is a condition where blood pressure is high. The majority of cases suffering from hypertension are the elderly, so behavior is needed to control blood pressure, one of which is CERDIK behavior. CERDIK behavior consists of several lifestyles to improve and control health. So, this research aims to find out how CERDIK is implemented in efforts to control blood pressure at the Peterongan Community Health Center. This community service was conducted in the village of Kandangan Kepuhkembeng, Jombang Regency, with a sample size of 70 respondents. This research was conducted using interview techniques and observation, with the inclusion criteria of respondents with high blood pressure above 140 mmHg for systolic and diastolic pressure above 100 mmHg. This research was carried out by providing counseling and questionnaires about CERDIK Behavior, then, after that, a posttest was carried out with the results that the majority of respondents showed improvement, with 19 participants achieving good outcomes. It is hoped that the suggestions will increase public knowledge about the importance of implementing CERDIK behavior as a form of controlling blood pressure in hypertensive patients.
EFFECTIVENESS OF DIETARY APPROACHES TO STOP HYPERTENSION (DASH) ON BLOOD PRESSURE AND BLOOD GLUCOSE LEVELS AMONG PEOPLE WITH HYPERTENSION AND DIABETES MELLITUS Vidhiastutik, Yusiana; Indasah; Widyowati, Agustin
Nurse and Holistic Care Vol. 5 No. 1 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i1.7171

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Introduction: Hypertension and diabetes mellitus are degenerative diseases that increase due to risk factors such as obesity, aging, poor diet, and unhealthy lifestyle. Objective: The research was to assess the effectiveness of the DASH diet in reducing blood pressure and blood glucose levels in hypertensive and diabetic patients. Methods: A single-factor quasi-experimental study with a randomized pretest-posttest comparison group design was conducted on 36 respondents selected through simple random sampling from 305 Posbindu residents in Setonorejo Village. Data collection involved observation sheets, sphygmomanometers, glucose test kits, and the DASH diet SOP. The Wilcoxon Signed-Rank Test and the Kruskal-Wallis Test were used for data analysis. Results: The DASH diet significantly reduced systolic blood pressure (p = 0.006) and blood glucose levels (p = 0.008). However, only the 2600-calorie DASH diet significantly impacted diastolic blood pressure (p = 0.025), while 1600 and 2000-calorie diets did not (p = 0.083; p = 0.059). The Kruskal-Wallis test showed no significant differences between diet groups for systolic blood pressure (p = 0.319), diastolic blood pressure (p = 0.618), and blood glucose levels (p = 0.128). Conclusions: The DASH diet effectively lowers systolic blood pressure and blood glucose levels, suggesting its potential as a non-pharmacological strategy for managing hypertension and diabetes mellitus.
Analysis of Factors Causing the Incident of Phlebitis in Efforts to Increase Patient Safety at Nahdlatul Ulama Permata Hospital Lumajang Hafizh Auliyan Sodali; Sentot Imam Suprapto; Agustin Widyowati
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 1 (2025): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i1.1145

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Phlebitis is an inflammatory of the vein walls caused by medical procedures in hospitals. The purposes of this research is to explore the factors causing the incidence of phlebitis at Nahdlatul Ulama Permata Lumajang hospital. This research uses a qualitative design with a descriptive approach. Data collection was carried out through in-depth interviews, observation and documentation with 30 respondens of emergency room and inpatient nurses. Data analysis was carried out descriptively using triangulation and analysis methods. The results of the analysis revealed that the factors causing the high incidence of phlebitis were lack of adaptation and master of the tools, lack of controlling and discipline of nurses in implementing their understanding. So it is hoped that agencies can carry out training and evaluate the type of infusion abocath that will be used, and improve the quality of supervision.
The Influence Of Perceived Stigma On Anxiety Of People Living With Hiv/Aids (Plwha) In Groups Support Peers Regency Jombang: A Cross-Sectional Study Widyowati, Agustin; Takariningsi
Journal for Quality in Public Health Vol. 8 No. 2 (2025): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.527

Abstract

The problem the health of PLWHA is very complex, not only limited to health physique but also on the aspect psychological, social and spiritual which can influence prognosis. Disorders psychological problems felt by PLWHA, namely anxiety and worry can influenced by perceived stigma. The purpose of the study analyzing perceived stigma towards PLWHA anxiety in Groups Support Peers Regency Jombang. Research This is studies analytic with cross-sectional approach. Population that is all people with HIV AIDS in the Group Support Peers Regency Jombang as many as 666 PLHIV and the number sample​ as many as 250 respondents use formula Slovin. The sampling technique uses a purposive sampling technique that meets the requirements criteria inclusion. The independent variable is perceived stigma and the dependent variable is anxiety of PLWHA. Data collection with questionnaire HIV/AIDS Stigma Instrument-PLWA for measuring perceived stigma and ZSAS for measure variable PLWHA anxiety. Analysis using the Spearman rho test. The results of the study almost all PLWHA experience high perceived stigma as many as 243 respondents (97.2%) and most of them Most PLWHA experience anxiety currently as many as 243 respondents (97.2%). The results of the statistical test obtained a p-value of 0.001 < 0.005 and r = 0.181, which means there is influence between perceived stigma towards PLWHA anxiety in Groups Support Peers Regency Jombang. The high perceived stigma increases anxiety of PLWHA that can impact on his health prognosis so that need effort change perception public for reducing stigma through promotion health.
Overview of Health Beliefs of PLWHA Based on the Health Belief Model in Jombang Regency Soelistijaningsih, Noer; Takariningsih; Widyowati, Agustin
Journal for Quality in Public Health Vol. 8 No. 2 (2025): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.536

Abstract

HIV/AIDS cases in Indonesia seen in the Asian Epidemic Modeling and Spectrum applications are estimated to be around 543,100 PLWHA spread across Indonesia. Many influences that affect the survival of PLWHA can be seen from the perception of vulnerability, perception of severity, perception of benefits and perception of cues seen in the Health Belief Model theory. The purpose of this study was to determine the health beliefs of PLWHA with the Health Belief Model theory approach. This study used a cross-sectional approach study conducted in Jombang Regency with a population of PLWHA who had access to ARVs and in the scope of the Peer Support Group (KDS JCC Plus) of 666 people. With a sample of 250 obtained. The sampling technique used systematic random sampling. The variables in this study consisted of Independent variables (X1) namely Perception of Vulnerability, X2 namely Perception of Severity, X3 namely Perception of Benefits of action, X4 namely Perception of Barriers, X5 namely perception of Cues to act. With the dependent variable (Y) namely the behavior of PLWHA. It can be concluded that all perceptions have a high average value on question items with contexts related to sexual relations and the use of contraceptives. On average, PLWHA have high confidence in continuing life positively.
Effectiveness of Community Based Interactive Approach Method on Community Perception in Utilizing Gotu Kola Rahmawati, Fitria; Suhita, Byba Melda; Widyowati, Agustin
International Journal of Science and Society Vol 7 No 4 (2025): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v7i4.1533

Abstract

Gotu kola is a medicinal plant that is readily accessible, yet it remains underutilized. This research aims to analyze the effectiveness of the Community Based Interactive Approach method on community perception in utilizing gotu kola in Mojorejo Village, Batu City. The research design used a quasi-experimental control group pretest-posttest design. The sampling technique was purposive, with 20 respondents in the treatment group and 20 in the control group. Perception before and after the intervention was measured using a questionnaire. Validity and reliability tests were conducted on the research instruments before use. The research results show that before implementing the method, 80% of respondents' perceptions were categorized as high. After implementing the Community Based Interactive Approach method, all respondents' perceptions increased to the high category. Statistical results using the Wilcoxon test showed an effect of Community Based Interactive Approach on perception in the treatment group (p < 0.001). The Community Based Interactive Approach method effectively improves the community's perceptions in utilizing gotu kola.
PENGARUH PENERAPAN LAUGHTER YOGA TERHADAP TINGKAT STRES IBU RUMAH TANGGA DI DUSUN TAWANG SARI KECAMATAN SEMEN KEDIRI Agustin Widyowati; Dewi Novita Sari
JURNAL SABHANGA Vol. 2 No. 1 (2020): JURNAL SABHANGA
Publisher : LPPM STIKes SATRIA BHAKTI NGANJUK

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.971 KB) | DOI: 10.53835/jssbn.v2i1.21

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Introduction : A mother’s busyness can have an impact on physical and psychological disorders if not addressed properly. In psychological disorders can cause stress. One of the stress management skills was laughter yoga. The purpose of the research was to knew the effect of yoga laughter application on housewife stress level in tawang sari sub-district semen Kediri. Method : The research used by pre-experimental design (one group pre-post test). The research population was all housewives in Tawang Sari Hamlet, Semen Subdistrict, Kediri. Sample was taken using purposive sampling techniques as much 38 respondent. The independent variable was yoga laughter application and the dependent variable was housewife stress level. Data collection using questionnaire sheets and analyzed by wilcoxon test. Result : The results showed that almost half of the housewives before being given the application of laughter yoga experienced moderate stress (34.2%) while after being given the application of laughter yoga experienced mild stress levels as many as 16 respondents (42.1%). Sig p value (0,000) less than 0,05, H1 was accepted, meaning there was the effect of the application of laughter yoga on the stress level of housewives. Conclusion : The conclusion of this research was application of laughter yoga can have one solution for housewives stress management they experienced.
Co-Authors Agusta Dian Ellina Amarin Yudhana Aminatus Sadiyah, Siti Andy Oky Setiawan Apir Ardi Bastian Ardilla Sari, Novianti Ariansyah MS Aris Sudiyanto Aris Sudiyanto Aris Sudiyanto Aspiansyah, Aspiansyah Atik Setiawan Wahyuningsih Aurellia Aurelly, Mayranda Banunaek, Deblora F Bastian, Ardi Bhisma Murti Byba Melda Suhita Desy Puspita Ayu, Serlyna DEWI NOVITA SARI Ekasari, Fahma Yulinda Eko Purwanto Eli Rahmawati, Eli Elina, Agusta Dian Endra Widiyanto Erik Prastyanto Ernawati, Kristin Esdayani Emba Pudang Eurike Mawi Ferdina, Cucun Setya Fitria Rahmawati Gusmadewi, Gusmadewi Hafizh Auliyan Sodali Hapsari, Ika Ratna Herlinda Sri Puryani Hidayati, Ariza Melinda Indasah Indasah Indasah , Indasah Isabelita Madeira Soares Joko Prasetyo Kartika, Hesti R. Katmini Kusnadi Lastari, Heni Layla, Siti Farida Noor Lidia Gomes Linda Kristian Ningtiyas Lino, Marianus Mantouw, Frely Melinda Hidayati, Ariza Mustikawati, Dian Ni Luh Putu Ayu Wardhani Niken Giri Wardani Ningsih, Putu Oka Prasetia Ningtiyas, Linda Kristian Noer Soelistijaningsih Novita Ana Anggraini Novita Anna Nurdina Nurdina Nuridayanti, Anik Nurullita Widyazizah Nurwijayanti Oktafianus Radja Tuka Panca Radono Predito Prihantoro Prihantoro, Predito Prima Dewi Kusumawati Ratna Wardani Ria Anka Sari Rofik Damayanti Sahat Tua Naibaho, Beres Saragih, Hartaulina Sentot Imam Suprapto Setyo Budi Susanto Shofiyatuzainab Sriadnyani, Ni Wayan Sugiarto, Idwan Tunggal Sulaiman Sulaiman Suminah Suminah Suminah Suminah Suprapto, Sentot Imam Takariningsi Takariningsih Takariningsih, Takariningsih Talakua, Paulus Tedjowati, Tedjowati Triana Nur Umami, Syaiful Vidyanti Evabrina Simarmata Wahyu Purnomo Jati Wening Palupi Dewi Yayuk Utami Yenny Puspitasari Yuliawati, Riza Yuly Peristiowati Yusiana Vidhiastutik Yuwono, Trisno