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All Journal Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
Ginting, Isaharpika Br
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Hubungan Tingkat Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kesehatan di Klinik Pratama Elvi Diana Kelurahan Kuala Bekala Medan Johor Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hasibuan, Jesicca
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.346

Abstract

 Service quality is one of the key factors that determine patient satisfaction in healthcare services. This study aims to analyze the relationship between service quality and patient satisfaction at a Community Health Center (Puskesmas) using the five SERVQUAL dimensions: tangible, reliability, responsiveness, assurance, and empathy. This research employed a quantitative design with a cross-sectional approach. A total of 54 respondents were selected using a purposive sampling technique. Data were analyzed using the Chi- Square test.The results showed that service quality had a significant relationship with patient satisfaction across all SERVQUAL dimensions, namely tangible (p = 0.006), reliability (p = 0.015), responsiveness (p = 0.015), assurance (p = 0.006), and empathy (p = 0.004). The majority of respondents assessed the overall service quality as good (61.1%), yet dissatisfaction remained in several aspects, particularly in physical facilities, timeliness, responsiveness, and healthcare workers’ personal attention. This study concludes that service quality has a significant association with patient satisfaction, although gaps were found between patients’ perceptions of service quality and their satisfaction in some dimensions. It is recommended that the health center improve facilities and infrastructure, strengthen staff responsiveness and empathy, and optimize communication skills and professionalism among healthcare workers to enhance overall patient satisfaction.  
Analisis Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan di Wilayah Kerja Puskesmas Silalahi Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gultom, Calvin
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.337

Abstract

One indicator for assessing how community health centers are utilized as healthcare facilities is the number of visits by the community to those centers. A low number of visits indicates that the community is underutilizing healthcare services. Over the past three years, from 2018 to 2020, the utilization of the Silalahi Community Health Center has seen a decline in the number of visits, from 45.8% in 2018, to 38.5% in 2019, and to 33.2% in 2020. This is attributed to the community’s misperception of illness. The objective of this study is to identify the factors associated with the utilization of health services at the Silalahi Community Health Center. This is a descriptive study using a cross-sectional design with a quantitative approach. The sample consisted of 95 respondents; cluster random sampling was used, and a questionnaire served as the data collection instrument. Data were analyzed using the Chi-Square test. The results indicate a significant association between Accessibility (p=0.001), Health Insurance Coverage (p=0.000), and Perception of Illness (p=0.000) with the utilization of health services. Age (p=0.083), Education (p=0.122), Occupation (p=0.093), and Availability of Health Personnel (p=0.368) showed no association with the utilization of health services. Recommendations are provided to the Health Office and Silalahi Community Health Center to further enhance health promotion efforts to improve public knowledge regarding the functions of the Community Health Center and perceptions of illness.
Pengaruh Senam Prolanis terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Raya Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gea, Yosni Handayani
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.360

Abstract

The World Health Organization American Heart Association in 2015 stated that currently hypertension sufferers in the world have reached around 970 million sufferers, around 330 million are in developed countries and 640 in developing countries. The purpose of this study is to determine the effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers at the Singosari Pematangsiantar Health Center. This study uses a quantitative method. The design of this study uses the Quasi Experiment method with the research design "One group pretest posttest design". The sample in this study was the elderly as many as 47 respondents. Data analysis was carried out using univariate analysis and bivariate analysis using Wilcoxon. Results: The results of the study were analyzed using a t-dependent test showing that there was an effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers with a P-value of 3,000. This study is expected to maximize the implementation of the PROLANIS program so that the objectives of this activity can be achieved optimally. Conclusion: Implementation of elderly gymnastics can reduce blood pressure in hypertension patients. It can be used as a benchmark for compiling nursing interventions on the influence of PROLANIS gymnastics on reducing blood pressure in hypertension patients at Permatangsiantar Health Center in improving the quality of health services. 
Co-Authors Arianti, Imelda Putri Arianti, Melda Putri Damanik, Rodearni Fujastawan, I Ngurah Gede Verar Gea, Yosni Handayani Gultom, Calvin Hasibuan, Jesicca Hendri Hendri Herawati, Noni Irwansyah, Ilham Muliati Muliati, Muliati Napitu, Marolop Parlindungan Nasution, Dian Permata Purba, Yeni Trisna Ritonga, Rizky Randa Saragih, Febrina Sani Sinaga, Fransius P. Tarigan, Bunga Shinta Pratiwi