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Mitra Raflesia (Journal of Health Science)
Published by Sekolah Tinggi Ilmu Kesehatan Bhakti Husada Bengkulu
ISSN : 19792433     EISSN : 27470334     DOI : DOI: http://dx.doi.org/10.51712/mitraraflesia.v11i
Core Subject : Health,
Health Professions Public Health
MITRA RAFLESSIA Journal of Health Science is an international, open access, peer reviewed and evidence-based scientific journal published by STIKES BAKTI HUSADA BENGKULU. The Journals mission is to promote excellence in nursing and a range of disciplines and specialties of allied health professions. It welcomes submissions from international academic and health professionals community. The Journal publishes evidence-based articles with solid and sound methodology, clinical application, description of best clinical practices, and discussion of relevant professional issues or perspectives. Articles can be submitted in the form of research articles, reviews, case reports, and letters to the editor or commentaries. The Journals priorities are papers in the fields of nursing, physical therapy, medical laboratory science, environmental health, and medical imaging and radiologic technologies. Relevant articles from other disciplines of allied health professions may be considered for publication. This journal is indexed or abstracted by Google Scholar
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
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ANALISIS PENGARUH EARPLUG TERHADAP PENINGKATAN KUALITAS TIDUR PADA PASIEN DENGAN HEART MONITOR DI RUANG ICCU RSUD DR. M. YUNUS KOTA BENGKULU Buston, Erni; Efrizon Hariadi
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/e50ny212

Abstract

ABSTRAK Latar Belakang: Pasien yang dirawat di ruang Intensive Coronary Care Unit (ICCU) sering mengalami gangguan tidur akibat kebisingan dari alat medis dan aktivitas staf. Kualitas tidur yang buruk dapat memperlambat proses penyembuhan, meningkatkan risiko komplikasi, dan berdampak negatif pada kondisi psikologis pasien. Salah satu intervensi nonfarmakologis yang dapat digunakan untuk mengurangi kebisingan adalah earplug sebagai pelindung pendengaran sederhana dan efektif. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan earplug terhadap peningkatan kualitas tidur pasien dengan heart monitor di ruang ICCU RSUD Dr. M. Yunus Kota Bengkulu. Metode: Jenis penelitian ini adalah kuantitatif dengan desain quasi-experimental dan pendekatan pretest-posttest. Jumlah sampel sebanyak 92 pasien yang dipilih menggunakan teknik purposive sampling sesuai kriteria inklusi dan eksklusi. Analisis data dilakukan menggunakan uji paired t-test. Hasil: Hasil penelitian menunjukkan terdapat perbedaan signifikan antara skor kualitas tidur sebelum dan sesudah penggunaan earplug, dengan nilai signifikansi p = 0.000. Hal ini menunjukkan bahwa penggunaan earplug berpengaruh positif terhadap peningkatan kualitas tidur pasien di ruang ICCU. Kesimpulan: Penggunaan earplug merupakan intervensi nonfarmakologis yang efektif, dapat diterapkan oleh perawat untuk menciptakan lingkungan yang lebih kondusif bagi istirahat pasien. Disarankan agar earplug menjadi bagian dari intervensi rutin dalam praktik keperawatan di ruang ICCU. Kata kunci: Earplug, ICCU, Kualitas Tidur, Heart Monitor   ABSTRACT Background: Patients admitted to the Intensive Coronary Care Unit (ICCU) often experience sleep disturbances due to noise from medical equipment and staff activities. Poor sleep quality can delay the healing process, increase the risk of complications, and negatively impact the patient's psychological condition. One non-pharmacological intervention that can be used to reduce noise is the use of earplugs, which are a simple and effective hearing protection tool. Objective: This study aimed to determine the effect of earplug use on improving the sleep quality of patients with heart monitors in the ICCU of RSUD Dr. M. Yunus Kota Bengkulu. Methods: This was a quantitative study using a quasi-experimental design with a pretest-posttest approach. A total of 92 patients were selected using purposive sampling based on inclusion and exclusion criteria. Data were analyzed using the paired t-test. Results: The results showed a significant difference in sleep quality scores before and after the use of earplugs, with a significance value of p = 0.000. This indicates that the use of earplugs has a positive effect on improving the sleep quality of patients in the ICCU. Conclusion: The use of earplugs is an effective non-pharmacological intervention that can be implemented by nurses to create a more conducive environment for patient rest. It is recommended that earplugs become part of routine nursing interventions in the ICCU. Keywords: Earplug, ICCU, Sleep Quality, Heart Monitor
DETERMINAN FAKTOR KARAKTERISTIK DAN PENDIDIKAN TERHADAP BALITA STUNTING DI PUSKESMAS MASMAMBANG KABUPATEN SELUMA Rozi, Veby Fransisca; Fadillah Sari; Hetty Fuspita
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/d46b1c66

Abstract

ABSTRAK   Latar Belakang: Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan. Kondisi stunting bisa membuat anak berisiko lebih tinggi menderita penyakit tidak menular saat dewasa. Prevalensi stunting di Provinsi Bengkulu pada tahun 2022 adalah 12,9%, dan pada tahun 2023 turun menjadi 6,7%. Tujuan penelitian adalah untuk mengetahui Determinan Faktor Karakteristik dan Pendidikan Terhadap Balita Stunting Di Puskesmas Masmambang Kabupaten Seluma. Metode:Metode penelitian dengan desain cross sectional. Populasi penelitian ini adalah seluruh balita usia 0-59 bulan di Puskesmas Masmambang Kabupaten Seluma berjumlah 664 balita yang ditimbang. Pengambilan sampel menggunakan rumus Slovin yaitu berjumlah 87 balita. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square. Hasil: Hasil penelitian yaitu ada hubungan antara usia balita dengan kejadian stunting dengan nilai p value = 0,007, tidak ada ada hubungan jeniskelamin dengan kejadan stunting dengan nilai p value = 0,386 dan ada hubungan pendidikan ibu dengan kejadian stunting dengan p value = 0,002. Kesimpulan: Disarankan kepada pihak petugas kesehatan agar meningkatkan kuantitas dan kualitas promosi kesehatan tentang pencegahan stunting pada ibu hamil dan ibu balita, baik melalui media cetak maupun media elektronik pada saat Posyandu. Kata kunci: Usia Balita, Jenis Kelamin, Pendidikan Ibu, Stunting   ABSTRACT   Background: Stunting is a condition of growth failure in toddlers due to chronic malnutrition, especially in the First 1,000 Days of Life. Stunting conditions can put children at higher risk of suffering from non-communicable diseases as adults. The prevalence of stunting in Bengkulu Province in 2022 was 12.9%, and in 2023 it decreased to 6.7%. The purpose of the study was to determine the Determinants of Characteristic Factors and Education on Stunting Toddlers at the Masmambang Health Center, Seluma Regency. Method: The research method used a cross-sectional design. The population of this study was all toddlers aged 0-59 months at the Masmambang Health Center, Seluma Regency, totaling 664 toddlers who were weighed. Sampling using the Slovin formula, totaling 87 toddlers. Data were analyzed univariately and bivariately using the chi-square test. Results: The results of the study are that there is a relationship between toddler age and stunting incidence with a p value = 0.007, there is no relationship between gender and stunting incidence with a p value = 0.386 and there is a relationship between maternal education and stunting incidence with a p value = 0.002. Conclusion: It is recommended that health workers increase the quantity and quality of health promotion about preventing stunting in pregnant women and mothers of toddlers, both through print media and electronic media during Posyandu. Keywords: Toddler Age, Gender, Maternal Education, Stunting
KORELASI ANTARA STATUS IMUNITAS DENGAN KEJADIAN INSOMNIA PADA LANSIA DI PANTI JOMPO TRESNA WERDHA KOTA BENGKULU Dewi, Devi Cynthia; Nunu Harison; Feny Marlena
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/7z30yq93

Abstract

ABSTRAK Pendahuluan: Sistem kekebalan pada tubuh berperan dalam perbaikan DNA manusia, pencegahan infeksi yang dikarenakan oleh virus, bakteri maupun jamur serta mikroorganisme lainnya, dan sistem imun juga dapat menghasilkan antibodi (immunoglobulin). Apabila kebutuhan tidur pada lansia tidak tercukupi akan berdampak negatif terhadap kesehatannya seperti lansia akan lebih emosional dan penurunan dari fungsi kekebalan tubuh. Lansia dengan kualitas tidur yang buruk menyebabkan terganggunya aktivitas keesokan harinya, sulit mengendalikan emosionalnya dan akan kurang semangat dalam menjalankan aktivitas sehari-harinya. Lansia yang mengalami insomnia dapat meningkatkan risiko-risiko kesehatannya, fungsi sistem imun akan rusak. Tujuan : Penelitian ini dilakukan untuk mengetahui korelasi status Imunitas dengan kejadian Insomnia di Panti Jompo Tresna Werdha Kota Bengkulu. Metode Penelitian : Penelitian dilakukan dengan rancang bangun cross sectional. Subyek penelitian diambil dari populasi dengan cara simple random sampling. Sampel penelitian berjumlah 74 lansia dengan teknik pengambilan sampel purposive sampling. Data penelitian diambil dengan cara wawancara menggunakan kuisioner KSPBJ-IRS dan ISQ. Hasil penelitian dianalisis dengan aplikasi statistik. Skala data berupa nominal dan dilakukan analisis meggunakan uji Chi Square. Hasil : Hasil penelitian menunjukan bahwa lansia dengan status imunitas yang kurang baik 73,5% mengalami insomnia dan 26,5% yang tidak mengalami insomnia. Lansia dengan dengan status imun baik 31,5% tidak insomnia dan 68,5% mengalami insomnia. Hasil uji menggunakan uji analisis Chi Square untuk mengetahui korelasi status imunitas dengan kejadian insomnia didapatkan nilai 0,01 (p<0,05). Berdasarkan hasil penelitian menunjukkan adanya hubungan yang bermakna antara status imunitas dengan kejadian insomnia pada lansia di Panti Jompo Tresna Werdha Kota Bengkulu. Kesimpulan : Dari penelitian ini menunjukkan bahwa terdapat korelasi yang bermakna antara status imunitas dengan kejadian Insomnia pada lansia di Panti Jompo Tresna Werdha Kota Bengkulu. Saran : Penelitian selanjutnya dapat dikembangkan variabelnya, contohnya hubungan insomnia dengan sel penanda imun tubuh dan kadar sitokin inflamasi. Kata Kunci: Status Imunitas, Kejadian Insomnia, Lanjut Usia   ABSTRACT Introduction: The immune system in the body plays a role in repairing human DNA, preventing infections caused by viruses, bacteria or fungi and other microorganisms, and the immune system can also produce antibodies (immunoglobulins). If the need for sleep in the elderly is not met, it will have a negative impact on their health, such as the elderly will be more emotional and a decrease in immune function. Elderly people with poor sleep quality cause disruption of activities the next day, difficulty controlling their emotions and will be less enthusiastic in carrying out their daily activities. Elderly people who experience insomnia can increase their health risks, the function of the immune system will be damaged. Purpose: This study was conducted to determine the correlation between Immunity status and the incidence of Insomnia at the Tresna Wherdha Nursing Home in Bengkulu City. Research Method: The study was conducted with a cross-sectional design. The research subjects were taken from the population by simple random sampling. The research sample was 74 elderly people with a purposive sampling technique. Research data were taken by interview using the KSPBJ-IRS and ISQ questionnaires. The results of the study were analyzed using statistical applications. The data scale is nominal and the analysis was carried out using the Chi Square test. Results: The results of the study showed that 73.5% of elderly people with poor immune status experienced insomnia and 26.5% did not experience insomnia. 31.5% of elderly people with good immune status did not experience insomnia and 68.5% experienced insomnia. The results of the test using the Chi Square analysis test to determine the relationship between insomnia and immune status obtained a value of 0.01 (p <0.05). Based on the results of the study, it showed a significant relationship between insomnia and immune status in the elderly at the Tresna Wherdha Nursing Home, Bengkulu City. Conclusion: This study shows that there is a significant correlation between immune status and the incidence of insomnia in the elderly at the Tresna Wherdha Nursing Home, Bengkulu City. Suggestion: Further research can develop variables, for example the relationship between insomnia and immune marker cells and inflammatory cytokine levels Keywords: Immune Status, Insomnia Incidence, Elderly
PENGARUH TOTAL QUALITY SERVICE TERHADAP KEPUASAN PASIEN RAWAT INAP DI RUMAH SAKIT LAGITA KABUPATEN BENGKULU UTARA Normala Tarigan; Hartian Pansori; Yunita Theresiana; Susilawati; Daisy Novira
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/v867vd70

Abstract

ABSTRAK Tujuan Penelitian ini bertujuan untuk menganalisis pengaruh Total Quality Service (TQS) yang terdiri dari tujuh dimensi: infrastruktur, kualitas personil, proses perawatan klinis, prosedur administrasi, indikator keselamatan, keseluruhan pengalaman medis yang diterima, dan tanggung jawab sosial terhadap kepuasan pasien di RSUD Lagita, Bengkulu Utara. Metode Desain penelitian adalah kuantitatif asosiatif dengan pendekatan cross-sectional. Sampel sebanyak 97 pasien rawat inap dipilih secara purposive. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan regresi linear berganda. Hasil Hasil menunjukkan bahwa semua variabel TQS berpengaruh signifikan terhadap kepuasan pasien secara simultan (R² = 90,3%). Secara parsial, kualitas personil, prosedur administrasi, indikator keselamatan, dan pengalaman medis paling dominan dalam memengaruhi kepuasan pasien.. Kesimpulan Rumah sakit disarankan meningkatkan kualitas pelayanan melalui pelatihan SDM, penyederhanaan prosedur, peningkatan keselamatan pasien, dan pendekatan berbasis pengalaman pasien.   Kata kunci: Total Quality Service, Kepuasan Pasien, RSUD, Kualitas Pelayanan, Bengkulu   Abstract This study aims to analyze the effect of Total Quality Service (TQS), consisting of seven dimensions—namely infrastructure, personnel quality, clinical care processes, administrative procedures, safety indicators, overall medical experience, and social responsibility—on inpatient satisfaction at RSUD Lagita, North Bengkulu Regency. The research employed a quantitative associative method with a cross-sectional approach. A total of 97 inpatients were selected using purposive sampling. Data were collected using structured questionnaires and analyzed through multiple linear regression. The results showed that all TQS dimensions simultaneously had a significant effect on patient satisfaction (R² = 90.3%). Partially, the most influential dimensions were personnel quality, administrative procedures, safety indicators, and overall medical experience. The findings suggest that hospital management should enhance service quality through human resource training, simplification of administrative processes, improvement of patient safety systems, and patient experience-based approaches. This study offers practical implications for improving hospital service quality, particularly in regional public hospitals with limited resources. Keywords: Total Quality Service, Patient Satisfaction, Public Hospital, Health Service Quality, Bengkulu
FAKTOR YANG MEMPENGARUHI KEPUASAN PASIEN  DI KLINIK ASRI DENTAL CARE KOTA PALEMBANG TAHUN 2025 Achmad Faisal Rizal; Eti Sumarni; Henni Febriawati; Zulaikha Agustinawati; Tresna Fatmawati
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/j485az61

Abstract

ABSTRAK Kepuasan pasien merupakan indikator penting dalam mengevaluasi kualitas pelayanan di fasilitas kesehatan, termasuk klinik gigi swasta. Tujuan Penelitian ini bertujuan untuk mengetahui pengaruh status pasien dan cara mendaftar terhadap kepuasan pasien di Klinik Asri Dental Care Kota Palembang tahun 2025. Metode Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Sampel penelitian berjumlah 81 responden yang dipilih secara purposive. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji Chi-Square. Hasil univariat menunjukkan bahwa mayoritas responden adalah pasien baru (66,7%), menggunakan cara pendaftaran online (51,9%), dan merasa cukup puas terhadap pelayanan (53,1%). Hasil analisis bivariat menunjukkan bahwa terdapat hubungan signifikan antara status pasien dengan kepuasan (p = 0,000), namun tidak terdapat hubungan signifikan antara cara mendaftar dengan kepuasan (p = 0,142). Kesimpulan Penelitian ini menyimpulkan bahwa status pasien berpengaruh terhadap tingkat kepuasan, sedangkan cara mendaftar tidak menunjukkan pengaruh yang signifikan.   Kata kunci: Cara mendaftar kepuasan pasien, pelayanan kesehatan, status pasien   ABSTRACT   Patient satisfaction is an important indicator in evaluating the quality of services in healthcare facilities, including private dental clinics. Objective: This study aimed to determine the effect of patient status and registration method on patient satisfaction at Asri Dental Care Clinic in Palembang in 2025. Method: This research employed a quantitative approach with a cross-sectional design. The sample consisted of 81 respondents selected using purposive sampling. Data were collected using a questionnaire and analyzed using the Chi-Square test. Results: The univariate analysis showed that the majority of respondents were new patients (66.7%), used online registration (51.9%), and were moderately satisfied with the services (53.1%). The bivariate analysis indicated a significant relationship between patient status and satisfaction (p = 0.000), but no significant relationship between registration method and satisfaction (p = 0.142). Conclusion: This study concludes that patient status influences the level of satisfaction, whereas the registration method does not show a significant effect. Keywords: Registration method, patient satisfaction, health services, patient status
PENGARUH KOMUNIKASI INTERPERSONAL DENGAN KEDISIPLINAN PEGAWAI DI PUSKESMAS SAWAH LEBAR KOTA BENGKULU Nurlinndawati; Puspita Tari
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/z9m26y18

Abstract

ABSTRAK Latar belakang: Tingginya tingkat persaingan membuat perusahaan lebih berinovasi dengan memberikan perhatian  untuk meningkatkan kinejra karyawan. Kinerja karyawan dapat dilihat dari kedisplinan pegawai, Kedisiplinan pegawai/ Karyarwan adalah tingkahlaku ataupun sikap yang menandakan maknaatau arti kesetiaan dan ketaatan individu atau sekelompok orang pada peraturan yang telah dibuat. Menanamkan nilai-nilai komunikasi interpersonal samahalnya menanamkan kedisplinan. Tujuan penelitian ini diketahui Pengaruh komunikasi interpersonal dengan kedisiplinan pegawai di Puskemas Sawah Lebar Kota Bengkulu. Metode : Penelitian ini  menggunakan metode survey analitik dengan pendekatan cross sectional. Teknik yang dipakai dalam pengambilan sampel pada penelitian ini yaitu total sampling dengan seluruh jumlah sampel yaitu sebanyak 44 pegawai. Hasil : Berdasarkan hasil analisis Chi-square diperoleh nilai p 0,000 ? 0,05, dengan menggunakan analisis uji univariat dan bivariat sehingga dapat diartikan ada pengaruh komunikasi interpersonal terhadap kedisiplinan pegawai/karyawan di Puskesmas sawah Lebar Kota Bengkulu. Kesimpulan: Penelitian ini menyimpulkan bahwa terdapat 20 pegawai/karywan (45.5%) memiliki komunikasi interpersonal yang tidak efektif, dan 19 pegawai /karyawan (43,2%) yang tidak disiplin. Saran penelitian ini yaitu Bagi pegawai/Karyawan Puskesmas Sawah Lebar Kota Bengkulu, diharapkan agar dapat lebih menerapkan komunikasi interpersonal yang efektif, sehingga tingkat kedisiplinan di Puskesmas dapat terlaksana lebih baik.  Kata kunci: Komunikasi Interpersonal, Kedisiplinan ABSTRACK Background: The high level of competition makes companies more innovative by paying attention to improving employee performance. Employee performance can be seen from employee discipline, Employee discipline is behavior or attitude that indicates the meaning or meaning of loyalty and obedience of individuals or groups of people to the regulations that have been made. Instilling interpersonal communication values is the same as instilling discipline. The purpose of this study is to determine the influence of interpersonal communication on employee discipline at the Sawah Lebar Health Center, Bengkulu City. Method: This study uses an analytical survey method with a cross-sectional approach. The technique used in sampling in this study is total sampling with a total sample of 44 employees. Results: Based on the analysis of the Chi-square results, a p-value of 0.000 ? 0.05 was obtained, using univariate and bivariate test analysis so that it can be interpreted that there is an influence of interpersonal communication on employee discipline at the Sawah Lebar Health Center, Bengkulu City. Conclusion: This study concluded that there were 20 employees (45.5%) who had ineffective interpersonal communication, and 19 employees (43.2%) who were undisciplined. The suggestion of this study is that for employees of the Sawah Lebar Health Center in Bengkulu City, it is hoped that they can apply more effective interpersonal communication, so that the level of discipline in the Health Center can be implemented better. Keywords: Interpersonal Communication, Discipline

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