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Jhon Ronaldo Naa; Marsal Arung Lamba; Lazarus Ramandei; Tommi Tommi

Konstruksi: Publikasi Ilmu Teknik, Perencanaan Tata Ruang dan Teknik Sipil 2024 Asosiasi Riset Ilmu Teknik Indonesia

Law of the Republic of Indonesia Number 26 of 2007 concerning Spatial Planning indicates that the preparation of spatial planning plans must cover land space, sea space and air space, including space inside the earth, arranged in stages and ultimately the spatial planning plan is determined with their respective regional regulations. The method used in the research is the survey method. The type of research used is quantitative and descriptive qualitative research. Meanwhile, the quantitative approach results from the public's perception that the results of existing research show a variety of public attitudes and views towards government policies, ranging from full support to dissatisfaction. Based on the spatial plan on the Jayapura City Cultivation Area Plan Map for 2023-2033, there are 7 (seven) namely Convertible Forest Land, Protected Area, Livestock Land Area, Fishery Area, Limited Production Forest Area and Food Crop Area, from the results of a survey conducted by author at the research location there have been changes in the Convertible Forest land area as a result of development activities and the reduction in land area in the Cultivation Area which initially had an area of ​​523,847 Ha, has been reduced to 523,790 or 0.01%, where housing has a larger area, namely 13,665 Ha. And land changes have also occurred in the Limited Production Forest Area, which initially had an area of ​​430,048 Ha, has undergone changes and been reduced to 121,027 Ha or 14%, this is because there is agricultural land with an area of ​​19,409 Ha in the Limited Production Forest Land area experiencing changes. which is quite big.

Okniel Zebua; Asokhiwa Zega; Ratna Dewi Zebua; Destriman Laoli; Januari Dawolo +1 more

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2024 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Crisis aquatic biodiversity is a critical environmental issue, triggered by human activities such as overfishing, pollution, and climate change, which have serious impacts on the stability of ecosystems and the climate change, which has serious impacts on the stability of ecosystems and the livelihoods of coastal communities. livelihoods of coastal communities. This research aims to examine community-based solutions in restoring degraded aquatic ecosystems, with a focus on the integration of sustainable aquaculture technologies and aquaponic systems. The methodology used was a comprehensive literature analysis of scientific articles, journals and relevant publications. The research findings show that sustainable fisheries management, habitat restoration, environmental education and awareness, implementation of environmentally education and environmental awareness, the application of environmentally friendly technologies, and the development of supportive policies are the main strategies for sustainable fisheries management. development of supportive policies are key strategies in improve conservation effectiveness. The implications of this research show that a community-based approach is not only effective for the conservation of aquatic biodiversity, but also provides practical guidance for policymakers and non-governmental organizations in designing and implementing community-based policy makers and non-governmental organizations in designing and implementing more holistic and effective ecosystem restoration programs that are more holistic and sustainable.                                                              

Betzy Victor Telaumbanua; Destriman Laoli; Ratna Dewi Zebua; Okniel Zebua; Januari Dawolo +1 more

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2024 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

The pace of global environmental change and the intensification of human activities have put significant pressure on marine ecosystems, threatening the sustainability of many species that are important both for ecosystems and the economies of coastal communities. In this context, this study aims to evaluate the application of genetic technologies in the conservation of endangered marine species, focusing on environmental DNA (eDNA) monitoring, CRISPR genetic engineering techniques and population genetic analysis. The method used was a literature review that examined current academic sources related to genetic technologies and their implementation in conservation. Findings show that eDNA is a highly effective tool in species and habitat monitoring, and has been successful in specific cases such as Napoleon fish and green turtles in Raja Ampat. In contrast, CRISPR techniques offer the potential to improve the genetic resilience of species, despite significant regulatory and ethical challenges. The implications of this study emphasize the need for strong policy support and international collaboration to address these challenges and optimize the use of genetic technologies in more effective conservation strategies in the future.      

Marselia Dwiyanti Cahyaningtyas; Sri Puguh Kristiyawati; Novi Heri Yono

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Armi Mawaddah; Afiatika Ahsani

International Journal of Health and Social Behavior 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Decubitus wounds are wounds caused by prolonged pressure on a prominent surface area of ​​the bone. Nurses play an important role in preventing the incidence of decubitus, especially by carrying out an early assessment of the risk of decubitus, namely by using the Braden Scale. Objective: to determine the risk of decubitus injuries using the Braden Scale. Method: This type of research is quantitative research with a descriptive research design. The sample in this study was 20 people using a non-probability accidental sampling. Inclusion criteria for this research were patients treated in hospital. Islam Malahayati Medan for more than 2 days of treatment, young elderly, middle elderly and old elderly patients. Data analysis in this study used SPSS 25 for Windows for descriptive statistics. Results: There were 7 people (35%) in the no risk category, 6 people (30%) in the mild risk category, 2 people (10%) in the moderate risk category and 4 people (20%) in the high risk category and 1 person (5%) severe risk category. Suggestion: Hospitals need to include the Braden Scale assessment format in the inpatient assessment format to detect the risk of decubitus injuries and carry out assessments on patients every day while the patient is hospitalized.

Isbaniyah Syafitri P.; Susmiarti Susmiarti

Realisasi : Ilmu Pendidikan, Seni Rupa dan Desain 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

This study aims to describe the application of the Cooperative Learning Model Can Improve the Learning Outcomes of Class X Students of DKV SMK Teknologi Plus Padang. This type of research is classroom action research. This research was carried out in 2 cycles with the stages of planning, implementation, observation, and reflection. Data were collected through observation, literature studies, tests and documentation. The data was analyzed using a percentage formula.  The results of the study show that the Cooperative Learning learning model with teachers as a direct example can improve learning activities and student dance learning outcomes. The average percentage of student learning activities in the first cycle was 58.5% with the criteria of Not Good. After making improvements in the second cycle, the average student learning activity became 86% with good criteria. Students who were previously less enthusiastic and only silent when moving become active, students who are shy in making movements become confident, students who disturb other students and just play become serious or focused in doing the assigned tasks, students who help each other when experiencing difficulties when practicing with a group. The use of the Cooperative Learning learning model in dance learning in class X DKV also has an impact on the average student learning outcome score. The average score of completeness of student learning outcomes in cycle I was 37.5%. Because it has not reached the KKTP, which is 75, it was carried out again in the second cycle and managed to reach a score of 87.5%.    

Rima Ahmad Mulyani; Laila Fitriah

Misterius: Publikasi Ilmu Seni dan Desain Komunikasi Visual 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

This study ains to determine the factors that influence the existence of Reog art of the Krido Budoyo Group in Bangun Jaya Village, North Tambusai District, Rokan Hulu Regency, Riau Province. The theory used in this research is the Dagun Save M. theory (in Gracia Destari Mujianto and Eko Raharjo 2019:129) with indicators of Work Activity, Having Facts, and Efforts to Maintain Its Existence. The method used in this study is descriptive analysis using qualitative data, with data collection techniques, namely observation, interview and documentation techniques. The subjects in this study were 10 people. The results of the findings of this study were (i) in terms of the indicators of the work activities of Reog Krido Budoyo ini Bangun Jaya Village received invitations to events, and still widely known by the people of Rokan Hulu Regency, (ii) in terms of indicators of having facts, Reog Krido Budoyo in Bangun Jaya Village has a rhythm pattern in the Reog dance music used, group organizational stucture, customes used, and performances by the Reog Group Krido Budoyo, (iii) viewed from the business aspect in Bangun Jaya Village, the training studio is open to the public so that the existence of Reog Krido Budoyo continues of develop and survive.

Moh. Syahrul Munir; Dewi Puspa Arisandi; Desi Rejeki; Nur Halimah

Botani : Publikasi Ilmu Tanaman dan Agribisnis 2024 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Oil palm (Elaeis guineensis Jacq.) is one of the world's important commodities as a producer of vegetable oil needed by various industries. Leaf area index is one of the indicators of plant growth seen from the size of the leaf surface area that carries out the photosynthesis process. This study aims to determine the interaction of NPK Phonska fertilizer dose treatment and its application method on the Leaf Area Index of oil palm seedlings at the pre-nursery stage. The study was designed using factorial RAK consisting of 2 factors, namely the dose of NPK Phonska fertilizer (K) and its application method (A), and 3 replications. The K factor consists of 5 levels, namely K0 = 0 g/seedling; K1 = 0.5 g/seedling, K2 = 1 g/seedling, K3 = 1.5 g/seedling, and K4 = 2 g/seedling. Factor A consists of 3 levels, namely A1 = watering, A2 = spreading, and A3 = bag. The observation results were analyzed using analysis of variance and further DMRT test at 5% level if significantly different. The results of the study showed that the dose of NPK Phonska fertilizer 1 g/seedling (K2) gave the highest results on the Leaf Area Index, which was 2.90. The interaction treatment of NPK Phonska fertilizer dose 1 g/seedling and the pocket application method (K2A3) gave the highest results on the parameters of seedling height (12.99 cm) and tuber diameter (1.31 cm). The Leaf Area Index weakened positively on the growth of oil palm seedlings as seen from the height of the seedlings, tuber diameter, and leaf sheath length.

Permana, Syalwa Gilang; Wahyudi, Usman

Inspirasi Dunia: Jurnal Riset Pendidikan dan Bahasa 2024 Universitas Maritim AMNI Semarang

Based on the results of direct observations in the field with PS PLUTO Luragung Tonggoh players, Kuningan Regency, obtained about the level of basic soccer skills of PS PLUTO players. Most of the players are lacking in performing basic skills of passing, controlling and shooting the ball. The purpose of this study was to determine the level of basic skills of passing, control and shooting soccer at PS PLUTO Luragung Tonggoh Kuningan Regency. This study uses a quantitative descriptive method which aims to provide an overview of the level of basic soccer skills of PS PLUTO Luragung Tonggoh players in Kuningan Regency. This study uses a population of 30 players using census or total sampling as sampling. The results of this study that the level of basic soccer skills of passing and control has an average obtained by players of 20 with a percentage of 47% included in the moderate category. While the level of basic shooting skills has an average obtained by players of 15 with a percentage of 23% including in the moderate category. The conclusion of this study is that the level of basic soccer skills of passing and ball control and the level of basic shooting skills of PS PLUTO Luragung Tonggoh players in Kuningan Regency are included in the moderate category.

Ade Reza Dwi Friskia; Rinda Intan Sari; Sri Hartini Mardi Asih

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

A relaxation technique known as slow deep therapy is a non-pharmaceutical method for treating high blood pressure. The same matter goes for rose aromatherapy. The research attempts to relieve pregnant women’s hypertension using rose aromatherapy. This quasi-experimental research used a cross-sectional approach with one group pretest-posttest design. The respondents were 35 individuals taken with a total sampling technique. The results showed that 31 respondents (88.6%) were aged between 20 and 35 years, 20 of them were multigravida (57.1%), and 33 respondents had no concomitant disease (94.3%). Before the implementation of combined slow-deep breathing and rose aromatherapy, the mean score of pre-systolic blood pressure was 138.66 mmHg while the mean of pre-diastolic pressure was 86.69 mmHg. After the intervention, the pre-systolic blood pressure mean was 130.80 mmHg while the pre-diastolic blood pressure was 85.06 mmHg. The Wilcoxon statistic test obtained a p-value of 0.000 lower than 0.05, This means that there is an effect of Slow Deep Breathing therapy combined with Rose Aromatherapy on the blood pressure of pregnant women with hypertension at the Semarang City Health Center. It is hoped that the results of this research can be used as another alternative to reducing blood pressure in pregnant women with hypertension.      

Sufia Rahma; Herlina Sari

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Head injury is mechanical trauma to the head, either directly or indirectly, which causes neurological function disorders, which are temporary or permanent physical, cognitive and psychosocial function disorders. The incidence of head injuries in Indonesia in 2018 from 34 provinces in Indonesia reached 11.9% of cases in the last year, mostly due to motorbike traffic accidents. The clinical condition and level of consciousness after a head injury are assessed using the Glasgow Coma Scale (GCS), which can classify head injuries into mild head injuries, moderate head injuries and severe head injuries. The prognosis for head injury patients will be better if management is carried out appropriately and quickly.

Meylinda Anadella Dewi; Rinda Intan Sari; Vivi Sovianti

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Pregnancy is a physiological process and can be pathologically risky if there are changes in blood pressure and DJJ. Therefore, to maintain stable blood pressure or DJJ, prenatal yoga is needed. The purpose of this study was to determine the effect of prenatal yoga on blood pressure and DJJ. This research method is a quasi-experimental design using a one group pretest posttest design. Sampling of 50 respondents, using an observation sheet. The results of the study showed that the majority were aged 20-35 years as many as 43 respondents (86.0%), the majority of multigravida parity as many as 42 respondents (84.0%). Analysis of the average blood pressure pre-test 91.430 and post-test 84.810. In DJJ, the average pre-test was 144.48 and post-test 135.54, before being given prenatal yoga intervention showed MAP in the pre-hypertension category and DJJ in the normal category, then after being given intervention showed MAP and DJJ in the normal category. The conclusion of the statistical test using the paired sample t test obtained a MAP P-Value of 0.000 or P-Value ? 0.05 and for DJJ P-Value 0.000 or P-Value ? 0.05, namely Ha is accepted and Ho is rejected, which means that there is an effect of prenatal yoga on Blood Pressure and DJJ. Suggestions for further researchers to be able to add variables by involving her husband.

Dewi Putri Handayani; Ida Nur Imamah; Yani Indrastuti

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

A fracture is an interrupted occurrence of bone continuity determined by the type and extent of the injury. One of his treatments is Open Reduction and Internal Fixation (ORIF). A common problem in post-operative patients is pain, so it requires non-pharmacological implementation of one of which is compressed ice gel pack. To find out the results of ice gel pack compression therapy in post-operative patients. The application was performed with a descriptive method of case study to 2 respondents with a diagnosis of fracture and performed the operation Open Reduction and Internal Fixation (ORIF) performed 6 hours after the operation for 1x within 10-15 minutes. Based on the results of the application already performed there was a decrease in the intensity of pain in postoperative patients. ice gel pack compression therapy can be used as one of the non-pharmacological techniques or independent intervention in post-operative patients in particular on the action Open Reduction and Internal Fixation (ORIF)

Destiana Arabel; Rita Riyanti Kusumadewi

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Adolescence is a dynamic developmental phase in a person's life. One of the biological signs of youth is the start of menstruation by teenagers. Many young women experience menstrual problems, one of which is dysmenorrhoea. Dysmenorrhea is caused by increased production of endometrial alpha prostaglandin, resulting in dysrhythmic uterine contractions and increased uterine muscle tone which results in uterine ischemia. Dysmenorrhea treatment can be done using pharmacological and non-pharmacological methods. Pharmacologically, menstrual pain can be treated with medication. Meanwhile, non-pharmacologically, menstrual pain can be treated with dysmenorrhoea exercises Objective: This study aims to determine the effect of dysmenorrhea exercise on dysmenorrhea in young women at junior high school 23 Bandar Lampung.  Method: Pre-experiment with one group pretest – posttest design, technique simple random sampling, sample of 26 teenagers, questionnaire instrument Numeric Rating Scale and Wilcoxon test. Research result: Before carrying out the Dysmenorrhea exercise, all respondents experienced pain which was quite disruptive to their activities during Dysmenorrhea, whereas after implementing the Dysmenorrhea exercise, the majority of respondents experienced a decrease in the level of pain. Test results Wilcoxon shows the Asymp value. Sig. (2-tailed) value <0.05, which means there is an influence of Dysmenorrhea Exercise on reducing Dysmenorrhea pain in young women. Conclusion: There is an effect of dysmenorrhea gymnastics on dysmenorrhea in adolescent girls.    

Richa Nanda Fitria; Wahyu Sugianto; Amalia Cemara Nur’aidha

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Diabetes Mellitus (DM) is a metabolic disorder characterized by high blood sugar levels due to insulin deficiency. Factors causing Diabetes Mellitus (DM) are lifestyle which includes diet, lack of exercise, monitoring blood sugar, and medication. Most people do not realize that they have DM and only find out when they experience severe symptoms. To avoid this, the k-Nearest Neighbor (KNN) method can be used to predict the possibility of developing diabetes. The aim of this research is to classify diabetes mellitus using the K-Nearest Neighbor (KNN) method and make people more aware of the risk of disease through healthy lifestyle changes. Data received from the Dharma Husada Clinic is categorized based on researchers' needs, including age, BMI, insulin, skin thickness, glucose, diabetes, genetics, and insulin. This research was carried out in three main steps: dataset input, preprocessing, and evaluation. The first stage is data analysis which begins by entering a dataset to train and test the model, where each data element has certain characteristics (attributes) and classes. Preprocessing steps include training data generation and data cleaning, which includes sanitization, lowercase, normalization, stopwords, stemming, and tokenizing. The final step is evaluating. Evaluation includes building an evaluation model and measuring the level of accuracy, building a predictive model, and saving the model. This research shows that the K-Nearest Neighbor (KNN) method can be used to classify diabetes mellitus (DM), but especially in a small dataset consisting of 245 dates and 8 attributes it is not accurate for patients aged 30 years. . A k value that is too small can cause overfitting, and a k value that is too large can cause underfitting. However, if the amount of data is small, the choice of k can have a large impact.    

Anisya Oktavia Saputri; Kamidah Kamidah

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: The impact of anemia in adolescents can be in the form of decreased immunity, concentration, learning achievement fitness & activity, if not properly addressed, when pregnant continues to become pregnant women with anemia, at risk of giving birth to premature babies or LBW and giving birth to the next generation of stunting which is not only short but has low intelligence (IQ), psychological disorders and is at risk of diabetes, hypertension, and other chronic diseases in the future. Prevention of anemia can be started from increasing adolescent hemoglobin levels using red guava juice which in 100 grams contains 228.3 grams of vitamin C which can help iron absorption up to 30%. Objective: to determine the effect of giving Red Guava Juice on increasing hemoglobin levels in adolescent girls. Method: using Quasi Experiment with the research design used is two group pre test- post test design. Giving Red Guava Juice with a dose of 100 grams taken 1x a day for 7 days and giving health care to the control group. The number of 30 respondents was divided into 2 groups and the data were analyzed using the Independent Sample T Test statistical test. Results: the test results showed p=0.00 <0.05 which means Ha is accepted. Conclusion: There is an effect of giving Red Guava Juice on increasing Hemoglobin levels in adolescent girls at SMA Negeri 1 Seputih Agung Lampung Tengah.

Indra Budi Jaya; Ivan Tanoto; Muhammad Ainun Luthfi; Afifah Nur Hamidah; Amalia Mar’ah Sholihah +8 more

Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia 2024 FKIP, Universitas Palangka Raya

Technological innovation in the modern judicial system has become a primary focus of the Supreme Court of the Republic of Indonesia in addressing global challenges. The Supreme Court of the Republic of Indonesia has introduced the latest innovations in judicial technology to enhance the efficiency, accessibility, and fairness of judicial procedures, known as electronic courtroom or e-judiciary. The purpose of this research is to analyze the implementation of the latest innovations related to judicial technology (electronic judiciary) in the Supreme Court of the Republic of Indonesia in order to address global challenges to the judicial system. The researcher examines the technology used in the electronic courtroom, its benefits, the challenges it poses, and its impact on the effectiveness and transparency of the judicial system. Through an in-depth review of the implementation of e-courtrooms in the Supreme Court of the Republic of Indonesia, we present findings on the success of this innovation in addressing the global challenges faced by the judicial system.

Zahrah Nur Aulia Dewi; Kismiyati El Karimah; Teddy K. Wirakusumah

SABER : Jurnal Teknik Informatika, Sains dan Ilmu Komunikasi 2024 STIKes Ibnu Sina Ajibarang

Madformakeup, a local cosmetic brand, collaborated with the movie Mean Girls in September 2023, launched a campaign through the hashtag #MakeFetchHappen on Instagram. This study aims to assess the impact of the frequency, attention, and duration of exposure to this campaign's Instagram content on purchasing decisions, mediated by the cognitive responses of followers of @madformakeup.co. Utilizing quantitative methods and path analysis, the study surveyed 79 respondents who commented on a giveaway post related to the collaboration on October 1, 2023. Data were collected through questionnaires and literature reviews. Findings reveal that the frequency, attention, and duration of exposure to the campaign content significantly affect purchasing decisions. Among these factors, the product/message thoughts cognitive response of followers—how they process and think about the product and message—shows the strongest influence on their purchasing choices.

Tafdilla Rahmawati; Muhlizardy Muhlizardy

Jurnal Mahasiswa Ilmu Kesehatan 2024 STIKes Ibnu Sina Ajibarang

Employee performance is one of the important things needed by the company, especially hospitals in achieving both short-term and long-term goals. Therefore, improving the performance of hospital employees is one of the most important things to maintain the quality of health services provided to patients. The purpose of this study was to analyze the relationship between the implementation of E-Absenteeism and employee performance at RSUD dr. Soehadi Prijonegoro Sragen. This research method is a type of quantitative research with a descriptive research design that aims to determine the picture of the relationship between the implementation of E-Absenteeism and employee performance at RSUD dr. Soehadi Prijonegoro Sragen. The population of this study were all non-medical employees working at RSUD dr. Soehadi Prijonegoro Sragen with a total of 76 employees. The sample of this study was total sampling that met the inclusion criteria. The data collection technique used the Likert scale. Data analysis used the product moment correlation technique with the Alpha Cronbach test technique. The data collection technique used the Spearman Rank test of 0.002 (P <0.05) with a coefficient value of 0.351. That there is a significant relationship between the implementation of E-Absenteeism and employee performance at RSUD dr. Soehadi Prijonegoro, Sragen.

Primanda Budi Utami; Muhlizardy Muhlizardy

Jurnal Mahasiswa Ilmu Kesehatan 2024 STIKes Ibnu Sina Ajibarang

Background; In Indonesia, the referral system is organized in a tiered form, which functions as part of the system and relates to each other. Satisfaction is a very important indicator in measuring health services in hospitals. The problem that often occurs in a tiered referral system that affects patient satisfaction is that patients do not understand the tiered referral system. The objectives of the research; Analyzing the level of understanding of the tiered referral system on BPJS patient satisfaction at RSUD Ir. Soekarno Sukoharjo Regency. Methods; This type of research is quantitative with descriptive research design. Result; The level of understanding of the tiered referral system with BPJS patient satisfaction obtained that 4 respondents had a low level of understanding felt less and quite satisfied. A total of 41 respondents had a moderate level of understanding although there were still respondents who felt less satisfied and satisfied, but most respondents who had a moderate level of understanding felt quite satisfied. A total of 10 respondents had a high level of understanding and were satisfied. Summary; There is a significant relationship between the level of understanding of the tiered referral system and BPJS patient satisfaction at Rumah Sakit Umum Daerah Ir. Soekarno Sukoharjo Regency.