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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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The relationship between service quality and effective communication with patient satisfaction in the outpatient installation of Tangerang City Hospital Damayanty, O.U. Taty; Thaha, Abdul Razak
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1940

Abstract

Patient satisfaction is a key indicator of the standard of a health facility. Hospitals must be able to provide quality services supported by medical personnel who have competence in the form of effective communication skills. Analyze the relationship between service quality and effective communication with patient satisfaction at the Outpatient Installation of Tangerang City General Hospital. Quantitative method with descriptive research design and cross sectional approach. The sample used was 337 patients, the sampling technique in this study used non probability sampling with a purposive sampling approach. Bivariate data analysis in this study used chi square, while multivariate analysis with multiple logistic regression tests. The results showed that 54.0% of the service quality was good, 49.6% of communication was effective and 58.8% were satisfied with the service at the Tangerang City Hospital Outpatient Installation. All dimensions in the quality of service have a poor presentation of almost 50%. Likewise, the dimension of effective communication has a 50% less effective presentation. The quality of service and effective communication are simultaneously related to patient satisfaction. The most dominant variable related to patient satisfaction in the Outpatient Installation of Tangerang City Hospital was effective communication with an ap value of 0.003 and an OR value of 2.120 (95% CI 1.295-3.470). Service quality and effective communication are associated with patient satisfaction at the Outpatient Installation of Tangerang City General Hospital. Improve responsiveness in the form of response to patient complaints, certainty of service time clearly informed to patients, assurance of reliable medical personnel and empathy to patients, and improve the quality of communication effectively.
Case report of asymptomatic situs inversus totalis with dextrocardia in primigravida: Is cesarean section necessary? Arifia, Erina; Putra, Gagah Buana; Wahyuni, Alfaina; Rahmiati, Nurmaita
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1944

Abstract

Introduction: Situs inversus, a congenital anomaly, is defined by the transportation of thoracic and abdominal organs. A variety during pregnancy this condition has often a challenge for obstetricians, gynecologists, and midwives as there is concern about cardiovascular dysfunction, leading to recommendations for cesarean section. Case Report: A 28-year-old primigravida at 40 gestational weeks. She was admitted arrival at the emergency room. Dextrocardia was already present, as was sinus inversus totalis and antenatal assessment relevealed no abnormalities. Patient underwent a spontanous vaginal delivery of a healthy male infant with normal birth weight. Discussion: Situs inversus totalis with dextrocardia does not compromise organ function or the typical physiological changes of pregnancy including cardiovascular system. Therefore, routine cesarean section is not indicated for these patients unless other obstetric factor necessitate it, as this condition does not independently contribute to increased maternal or fetal complications. Conclusion: Delivery of a pregnancy, dextrocardia, and situs inversus totalis via vaginal delivery is feasible without any significant cardiovascular risks. Cesarean section was not necessary unless other obstetric indications.
Research trends and clinical evidence: A comparison of surgical vs. conservative approaches for chronic pelvic pain syndrome – a systematic review and bibliometric analysis Saputra, I Gede Agus Rio; Pramana, Anak Agung Ngurah Gede Anggra; Marta, Kadek Fajar
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1945

Abstract

Chronic Pelvic Pain Syndrome (CPPS) is a complex medical condition that affects patients' physical, emotional, and social quality of life. Its management involves two main approaches: surgical and conservative. However, there are significant differences in the effectiveness, risks, and long-term impacts of each approach. This study aims to evaluate the effectiveness of surgical and conservative approaches in managing CPPS through a systematic review and bibliometric analysis, focusing on pain reduction, improvement in quality of life, and risk of complications. This research employs the Systematic Literature Review (SLR) method, following the PRISMA guidelines to search, screen, and evaluate relevant literature from databases such as PubMed, Scopus, and the Cochrane Library. The quality of the relevant studies is assessed using standardized appraisal tools. Quantitative data are analyzed through bibliometric analysis to identify differences in effectiveness between surgical and conservative approaches. The results indicate that the surgical approach is more effective in reducing severe and refractory pain compared to conservative therapy, but it is associated with a higher risk of complications. Conversely, the conservative approach provides benefits for mild to moderate symptoms with minimal risk and lower cost. In the context of Indonesia, the conservative approach is more suitable to be implemented as the first-line treatment for CPPS, with surgical options considered for cases that do not respond to initial therapy.
Analysis of the dimensions of health service quality towards the satisfaction of outpatient BPJS patients at the Plus Perbaungan Health Center, Serdang Bedagai Regency Silfani, Dellya; Nurhayati, Nurhayati; Eliska, Eliska
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1947

Abstract

The problems of BPJS health services that are often complained about until now are the rejection of BPJS patients and long service times, unfriendly doctor and nurse services, and drug administration services that are still long when compared to non-BPJS patients. The purpose of this study was to analyze the dimensions of health service quality on the satisfaction of BPJS outpatients at the Perbaungan Plus Health Center in Serdang Bedagai Regency. This study is a quantitative study using a cross-sectional study design. This study was conducted from January to March 2025. A total of 95 BPJS outpatients at the Perbaungan Plus Health Center were selected as respondents through accidental sampling techniques using the slovin formula. Data were collected through questionnaires and analyzed using Chi Square. The results of the chi square statistical test showed that there was a relationship between responsiveness and patient satisfaction p-value 0.01, empathy with patient satisfaction p-value 0.04. Then, the variables reliability, assurance and tangible were not related to patient satisfaction in BPJS outpatients at the Perbaungan Plus Health Center. The dimensions of health service quality that most dominantly influence the intention of repeat visits of BPJS outpatients at the Perbaungan Plus Health Center are the responsiveness dimension and the empathy dimension with a p-value <0.05.
Efectiveness of kenitu leaf extract (chyrysophyllum cainito l.) on bone density and histopathology osteoblast-osteoklast in female mice Pare, Nurdiana Tandi; Widodo, Gunawan Pamudji; Iswandi, Iswandi
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1950

Abstract

Osteoporosis is a systemic bone disease characterized by a decrease in bone density and deterioration of bone microarchitecture so that bones become brittle and break easily. Osteoporosis due to long-term use of glucocorticoids causes osteoporosis. There is a lot of clinical evidence about the role of phytoestrogens in the treatment of osteoporosis. Kenitu (Chrysophyllum cainito) contains isoflavone phytoestrogen compounds. The aim of this research was to determine the anti-osteoporosis effect of ethanol extract of kenitu leaves (Chrysophyllum cainito L.), by looking at the increase in bone density as well as the number of osteoblast cells and the number of osteoclast cells in the femur trabecular bone of female mice induced by dexamethasone. In this study, 49 female mice were grouped into 7 groups, namely normal control, negative control, positive control with cabone naturindo, and groups treated using 70% ethanol extract of kenitu leaves with varying doses of 100 mg/kg BW, 200 mg/kg BW, 400 mg/kg BW and 800 mg/kg BW. An increase in femur trabecular bone density, the number of osteoblast cells and the number of osteoclast cells were observed using the Histomorphometry method. The results showed that the ethanol extract of kenitu leaves has anti-osteoporosis activity. The ethanol extract of kenitu leaves has a dose of 400 mg/kg BW which is the optimal dose as anti-osteoporosis which is indicated by an increase in bone density, an increase in the number of osteoblast cells and a decrease in the number of osteoclast cells.
Analysis of workforce needs in the medical records unit at Esthomihi Hospital Medan using the queuing theory approach Ginting, Sopianita Healthy; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1951

Abstract

Medical records are important records that contain all information related to services that have been provided to patients. The less than optimal process of implementing medical records can be due to a lack of human resources, training, or supporting facilities and infrastructure. This study aims to analyze the need for workers in the medical records department of the hospital with a theoretical approach (queueing theory) at Esthomihi Hospital Medan. This type of research is quantitative with an analytical observational approach. The research design used is cross sectional. This study was conducted at Esthomihi Hospital in December-January 2025. In this study were all health workers related to the implementation of medical records consisting of doctors, nurses, medical records officers and pharmacists at Esthomihi Hospital Medan as many as 252 people. The sample in this study were all doctors, nurses, medical records officers and pharmacists related to patient medical records at Esthomihi Hospital Medan as many as 252 people. Data analysis was carried out univariately, bivariate and multivariate. The results of the study indicate that there is an influence of the level of patient arrivals, the level of patient service, the number of patient servers, and the system capacity. The most influential variable on the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan is the variable number of patient servers with ap value of 0.000, OR = 125.571 (95% CI = 25.114-627.866) meaning that respondents who stated that the number of patient servers was lacking a 125.571 times less chance compared to respondents who stated that the number of patient servers was good n It is expected to be able to improve, expand, develop, experience and knowledge directly regarding the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan.
Analysis of completeness factors for filling inpatient discharge summaries H. Hanafie regional hospital Muara Bungo Jambi 2024 Astrianda, Veita; Sukmaningsih, Wahyu Ratri
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1953

Abstract

Although the discharge summary is essential for ensuring continuity of patient care, supporting clinical decision-making, and enabling administrative processes such as BPJS insurance claims, RSUD H. Hanafie Muara Bungo continues to face challenges in achieving complete and standardized medical documentation. This study analyzes the factors influencing the completeness of inpatient medical resumes at RSUD H. Hanafie using the 5M framework: Man, Method, Machine, Material, and Money. A qualitative descriptive approach was employed, with data collected through document review, observation, and interviews with Responsible Doctors (DPJP) and the Head of the Medical Records Installation. A total of 100 medical resumes were selected using simple random sampling, based on the Slovin formula with a 10% margin of error. Data were analyzed through data reduction, presentation, conclusion drawing, and validation using triangulation. Results showed that the patient identification component achieved 100% completeness, while important reporting, authentication, and recording reached 98%, 95%, and 77%, respectively. Key influencing factors included limited routine training and discipline (Man), absence of SOPs and weak monitoring (Method), suboptimal form design (Material), insufficient devices and system disruptions (Machine), and budget constraints (Money). To address these issues, a comprehensive strategy involving health worker collaboration, system support, and strong management commitment is essential to ensure that the clinical, legal, and administrative functions of medical resumes are fulfilled.
Ethnopharmacological study on traditional medicinal plants of the anak dalam tribe in Bukit Dua Belas, Jambi Province as a treatment for diarrhea and antibacterial test Yolandari, Febby Ola; Djamil, Ratna; Chaidir, Chaidir
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1954

Abstract

The Anak Dalam Tribe or Orang Rimba is one of the tribes that live on the island of Sumatra, precisely located in Jambi Province. The Anak Dalam Tribe utilizes plants as a necessity in their lives, one of the benefits of plants used by the Anak Dalam Tribe community as a cure for a disease. This study aims to examine the potential of plants as a cure for diarrhea in the Anak Dalam Tribe, Bukit Dua Belas. This type of research is descriptive research with qualitative methods and snowball sampling techniques through open-ended interviews with 5 informants as Temenggung or tribal chiefs, and 1 informant who is a shaman using interview guidelines. Based on the results of the interview, 14 types of single plants and 4 types of plants in the form of potions were obtained which were used as diarrhea medicine. The plant organs that are utilized include roots, leaves, sap, mushrooms, tubers. The processing method is boiled, squeezed, burned, grated. While its use is by eating, drinking and, sticking to the part of the body that is sick. In the treatment process in the Anak Dalam Tribe, Bukit Dua Belas still uses spiritual methods by relying on the help of Dewo or supernatural powers. In the bacterial inhibition test, the average clear zone results were wider than the others in the test with 96% ethanol extract with Escherichia coli bacteria, the widest clear zone was found in the Lelisau plant at 14.1 mm, in Staphylococcus aureus bacteria, the widest clear zone was in the Mempalas plant at 10.7 mm so that it was included in the strong category. Testing the diameter of the inhibition power using water extract tested with Escherichia coli bacteria, the widest clear zone was found in the Lelisau leaves at 12.35 mm, in Staphylococcus aureus bacteria, the widest clear zone was in the Water Apple plant at 10.6 mm so that it was included in the strong category.
Examine how cultural beliefs and practices influence adolescents' knowledge of HIV/AIDS and their willingness to seek testing and treatment Purwanto, Edi; Ardianzyah, Muhamad Viki Nur
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1963

Abstract

HIV/AIDS remains a major health challenge among adolescents. Cultural beliefs and religious practices are believed to influence adolescents’ knowledge and their willingness to undergo testing and treatment. This study aims to examine the influence of cultural and religious beliefs on adolescents’ knowledge of HIV/AIDS and their willingness to seek testing and treatment. A cross-sectional quantitative approach was used involving 30 adolescents with structured questionnaires. Data were analyzed using chi-square tests and binary logistic regression in SPSS. The results showed no significant association between HIV knowledge and willingness to test (p=0.753). However, negative attitudes toward PLWHA significantly reduced the willingness to undergo testing (p=0.045), and religious influence showed a near-significant tendency toward affecting testing behavior (p≈0.064). It is concluded that attitudes toward PLWHA and religious values exert a greater influence than knowledge alone. Therefore, culturally and religiously sensitive interventions are needed to improve HIV testing awareness among adolescents.
Analysis of determinants of work accidents in fabrication workers in the steel structure workshop area at PT X in 2024 Sukriyadi, Sukriyadi; Ariyanto, Januar; Srisantyorini, Triana; Putri, Aragar
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1967

Abstract

Accidents are unexpected, undesirable events and can cause material and life losses. Accident prevention must be carried out based on the control hierarchy and the root causes of the accident. Purpose: The aim of this research is to know the determinants of work accidents among fabrication workers in the steel structure workshop area at PT X in 2024. The research method uses a cross sectional design. The sample was 58 respondents from a population of 112 workers at PT Data were collected using a questionnaire. The data was tested using the chi square test. The research results showed that of 58 respondents, 26 (44.8%) had experienced work accidents. Variables are age (P=0.126), education level (P=1.000), length of service (P= 0.126), length of work (p=0.029; OR 11.143), OHS knowledge (P=0.290), use of PPE (P=0.003; OR=5.971). There is a significant relationship between length of work and use of PPE and the incidence of work accidents among fabrication workers in the steel structure workshop area. The conclusion is that there is a relationship between compliance with the use of PPE and length of work with work accidents, while the factors age, education, length of service, OHS knowledge have no relationship with the incidence of work accidents. Suggestions are to regulate employee working hours so that there is no overtime in work progress and to increase compliance with the use of PPE for fabrication workers in the steel structure workshop area of ​​PT.

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