Publication Search

Elderly people tend to experience chronic diseases because there is a decrease in the function of organs in the body. An increase in life expectancy will correspond to an increase in the number of sufferers of chronic diseases, because every elderly person has one or more chronic diseases. It is important for seniors to understand the emergency conditions they may experience, because fluctuations in an elderly person's condition can occur in a short time. This Community Service aims to increase the elderly's understanding of emergency conditions in chronic diseases. The method used is providing health education through counseling and conducting pre-tests and post-tests to determine the understanding of the elderly. After the test was carried out, it was found that there was an increase in the value of participants' knowledge regarding the emergency conditions of chronic diseases after being given counseling with a frequency during the pretest, namely 5 people, the sufficient category was 7 and the highest was the insufficient category, namely 8 people, but after the counseling was carried out for 30 minutes, it was possible to increase knowledge. There were 16 participants who had good knowledge and only 4 people who had sufficient knowledge. With increased knowledge, it is hoped that patients will be able to provide first aid and find the right place for further assistance if a chronic disease patient experiences an emergency at home.

The information system is one of the strategic means in patient care-oriented management. So far, Regional Hospital RAA Soewondo Pati has never conducted an evaluation related to the management information system (HMIS), so it is not known that the existing system is effective and efficient to answer patient needs. The purpose of this study was to determine the effect of the hospital management information system with the structural equation modeling method approach. This research is a case study research with data collection method using a questionnaire. The data that has been collected is then analyzed using SEM analysis. The results of his research stated that the quality of the system had a significant positive effect on the use of information systems. There is a significant effect of system quality on user satisfaction. There is a significant positive effect between the quality of information on the intensity of the use of information. In this study, the intensity of the use of information systems does not play a role in increasing user satisfaction in using information systems. User satisfaction has a significant positive effect on net benefits.

The Mranggen III Health Center is one of the government agencies in the technical implementing unit of the Demak District health office. Patient registration services and administrative payments at the Mranggen III Health Center are still conventional, causing long queues. In addition, the process of processing data to become information cannot be accessed directly by the leadership because there are no computerized and multi-user or client-server applications. Based on these problems, a Puskesmas administration information system design was made that could suit the needs. Making an information system using the programming language Microsoft Visual Basic 6.0 and SQL Server 2000 as a multiuser-based database. With the design of the development of an administrative information system for the Mranggen III Health Center, it is hoped that it will be able to handle the problems that exist in the Mranggen III Health Center, namely being able to speed up service to patients and by using a multiuser-based information system. Leaders and several staff can access it simultaneously and quickly.

Patient-focused services or commonly called Patient Centered Care (PCC) have become the main focus in providing health care today. The PCC concept was first introduced by Picker in 1988 through the Picker Institute Europe in England. Regional General Hospital (RSUD) Dr. M Haulussy Ambon is a hospital that has been accredited and is required to be able to implement PCC in its services. Purpose this study was to determine the ability of nurses to apply PCC at RSUD dr. M. Haulussy Ambon. The research design used is descriptive quantitative using observational. The population in this study were nurses at RSUD Dr. M Haulussy Ambon as many as 302 nurses. The number of samples is 113 respondents. data collection techniques using a questionnaire. Results: Most of the nurses' ability to apply PCC showed good results but there were still a number of PCC dimensions that had sufficient results. The PCC dimensions that get good results are respecting patient choices and assessments, physical comfort, information and education, service coordination, and involving family and friends. It can be concluded that most nurses are capable of implementing PCC.

The Covid-19 pandemic and the hospital class transition caused a decrease in the number of outpatient visitors at the Pandan Arang Hospital, Boyolali, except for the Gastroentero Hepatology (GEH) clinic. This study aims to determine the service quality by management to create patient satisfaction and loyalty, especially at the GEH clinic. In this study, the factors of service quality, customer experience, and customer perceived value that link trust and customer satisfaction to customers loyalty to find out motivate consumers or patients in the selection of hospitals. The methodology in this research is a mixed-method approach to Sequential Exploratory design, starting with interviews with the management and consultant doctors of GEH, followed by distributing questionnaires to GEH clinic patients with a total of 307 respondents at different and sequential times. The results of the study are Pandan Arang Hospital prepared infrastructure and competent human resources according to type B hospital qualifications. During the pandemic era, Pandan Arang Hospital provided outpatient services according to the recommendations of WHO and the Ministry of Health with a separate service flow between Covid-19 and Non-Covid-19 patients. The results of quantitative research found a positive and significant relationship between service quality, customer experience, customer perceived value on trust; a positive and significant relationship between service quality, customer perceived value, and trust in customer satisfaction; the positive and significant relationship between customer satisfaction and customer loyalty.

In 2016 - 2018 the number of visits to 6 poles including general surgery poly, echocardiography, eye poly, internal medicine, ENT poly, poly urology fluctuated from 11.23% to -5.23%. Fluctuations in the number of visits can be caused by several factors, one of which is consumer behavior in health service selection decisions. This study aims to determine the effect of the marketing mix on service selection decisions.This research is an analytic survey research with cross sectional approach. The population in this study were patients in 6 outpatient clinics at Jemursari Islamic Hospital in Surabaya. The number of samples is taken by quota sampling within one month.The results showed that the marketing mix at 6 Polis RSI Jemursari Surabaya with a good category of 77.5% resulted in high service selection decisions. The results of the ordinal regression test show a significance value of 0,000 which means that there is an influence of the marketing mix on the decision of choosing the Jemursari Hospital. Of the seven marketing mix elements that have the lowest influence on service selection decisions are the 47.1% price mix element, while the most influential marketing mix element is the human resource mix element with a percentage of 68.6%.The conclusion in this study is the positive influence of the marketing mix on the decision to choose outpatient services at the Jemursari Hospital in 2019.

Hospitals as providers of health services for the wider community are required to provide health services with good quality health services. The quality of hospital services can be achieved one of them with SBAR communication, so that the information conveyed can be informative and well received which will improve the handover process so that patient safety can be realized. The purpose of this study was to determine the relationship between effective SBAR communication and the quality of handover implementation in the Inpatient Room of JIH Solo Hospital. The sampling technique used is total sampling. The number of respondents was 90 respondents divided into 72 nurses and 18 midwives who were given observation sheets using the SBAR communication method and observation sheets for the quality of handover implementation. Variable correlation assessment using the chi-square test. The results of the analysis of the relationship between variables are significant with a sig value of 0.000 (p=0.05). Then, the value of the correlation coefficient between variables is very strong, namely 0.979. The use of effective SBAR communication resulted in the majority of respondents namely 79 people or 85.7% being categorized as qualified. In its implementation, the majority of respondents with a total of 87 people (196.7%) were categorized as qualified.

Starting from the development of medical technology that is increasingly sophisticated and rapidly growing,researchers conduct medical research, namely about patient infusion handling services. In handling patient infusion, currently it is still manual which is carried out by nurses / medical personnel. Infusion handling services for patients still have shortcomings, namely the process of monitoring and replacing infusion fluids which are often late. If the problem is not treated quickly, it can lead to problems, namely the presence of air embolism in the blood vessels (the entry of foreign objects into the blood vessels, for example air). From that problem, the researchers made a new innovation in medical technology in handling infusions automatically and based on IoT. In this study, the smart online infusion device that has been made has good features and is very effective in handling infusions. This device has 3 main functions, namely: it can monitor the remaining infusion, it can change the infusion fluid automatically and it can indicate a blocked patient's infusion. This device already has a method for processing data with fuzzy logic. Media monitoring has been supported by a website that can be controlled remotely and in real time. Tests have been carried out and the effectiveness of the system is found to have an error rate of 0.2% - 0.7% and has an accuracy of 98%. Thus this tool can be used in terms of handling patient infusion automatically.

This community service aims to improve patient knowledge after spinal anesthesia through structured counseling activities. Spinal anesthesia often causes anxiety and is dangerous for patients, especially related to side effects and the recovery process. Lack of understanding can lead to non-compliance with medical injuries, which has the potential to prolong the recovery period and increase risk complications. Therefore, counseling is carried out by providing direct education to patients and families using educational media such as leaflets and interactive discussions. This approach not only helps improve patient understanding of spinal anesthesia procedures but also plays a role in reducing anxiety and increasing compliance with postoperative care. The results of the activity showed a significant increase in the level of patient knowledge, which has an impact on a better recovery experience. Thus, this counseling program contributes to improving the quality of health services and patient satisfaction at PKU Muhammadiyah Surakarta Hospital, as well as being a model of educational intervention that can be applied in various other health facilities.

The implementation of management system in health services is common as an attempt to improve the quality. In Indonesia, the most commonly used health  insurance is the service issued by Badan Penyelenggara Jaminan Social or BPJS  (Social Security Administration) that collaborates with many hospitals such as Datu Pancaitana Regional Public Hospital in Bone Regency. This research uses qualitative approach with a case study as the research design. The research data are obtained through in-depth interviews with The Head of Medical Records Department, some staffs of the administrative service as well as patients of BPJS users in the Emergency Unit. In addition to that, this research collects its research data through field observations and a review of related previous studies. The findings reveal that the hospital management applies the following strategies in the division of administrative services: (1) planning through trainings and workshops provided for the human resources as well as the formulation of RUK and RPK; (2) organising through trainings involving a number of institutions within Datu Pancaitana Regional Public Hospital in Bone Regency; (3) actuating through an execution of administrative services for BPJS users; (4) controlling through supervision facilitated by the hospital management; (5) evaluating that addresses the process of human resources quality promotion through databased information trainings. In conclusion, the findings of this research are hoped to provide insights that can be useful for the hospital management specifically the emergency unit to improve their performance in providing services for BPJS users. They can start by assessing the development and training, program execution and evaluation aspects as well as by improving the facilities and infrastructure.

Background : Breast cancer is the second most common cancer in the world and is the most common cancer in women with an estimated 1.67 million new cancer cases diagnosed in 2012 (25% of all cancers). According to data from the World Health Organization (WHO), the incidence of cancer increased from 12.7 million cases in 2011 to 14.1 million cases in 2017, while the number of deaths increased from 7.6 million people in 2011 to 8.2 million in 2017. 2017 (WHO, 2018).The main problem with breast cancer is irregularity and it is rare to do a breast self-examination (BSE) correctly. The implementation of BSE activities for all women starts from the childbearing age, because 85% of breast abnormalities are actually discovered by the patient for the first time if there is no mass screening. Purpose : The purpose of this community service is to increase public knowledge, especially women of childbearing age about the importance of early detection of breast cancer through Breast Self-Examination (BSE). Method : The target of community service is 28 women of childbearing age in Kembang Mumpo Village, South Bengkulu Regency. This service begins with health socialization about the importance of doing Breast Self-Examination (BSE) using leaflets and booklets as well as direct presentation of the material, then continued with the practice of how to do BSE correctly. Result : The result of community service was an increase in knowledge by 69% from before socialization to after socialization was given. The final result after the practice of doing BSE. Conclusion: The conclusion is there is an increase in the knowledge and motivation of target women of childbearing age (WUS) to perform Breast Self-Examination (BSE). Where the target of WUS has begun to understand how important BSE behavior is as an early detection effort to prevent breast cancer, namely by continuing to live a healthy lifestyle and have a high awareness of doing BSE examinations

The State of Indonesia in providing protection for patients who receive medical services, doctors and dentists in carrying out medical practices are required to provide medical services according to professional standards and standard operating procedures in accordance with Indonesian law no. 29 of 2004 article 51 letter a,.Informed consent is one of the requirements that must be met before doctors perform medical procedures on their patients.  However, even though there is Indonesian Law No. 29 of 2004, there are still doctors who commit negligence by providing services that are not in accordance with procedures by not asking for approval for medical actions that lead to malpractice claims from their patients.. The research conducted is classified as normative juridical research, using primary legal materials and secondary materials from laws and regulations, court decisions, legal theory, and existing journals as a basis.. The doctor's error by taking actions that are not in accordance with the procedure in the form of without asking for informed consent is an administrative violation so it is categorized as administrative malpractice. Indonesian Supreme Court Decision No. 233 K/PID.SUS/2021 which imposes a prison sentence in an administrative malpractice case on a legal basis that has been declared non-binding by the Indonesian Constitutional Court is an act of carelessness. However, the guilty verdict for the defendant was already correct, because the defendant did not give informed consent before carrying out a risky procedure for his patient

Hypotension in the elderly is a common condition and requires special attention in health management. This community service program aims to improve patient understanding of hypotension management through education and practical training. The methods used include socialization, interactive counseling, and evaluation of patient understanding before and after education. The results showed an increase in patient understanding from 55% before education to 85% after education. In addition, there was a decrease in complaints of dizziness from 80% to 40% after the intervention. These findings indicate that health education plays an important role in increasing patient awareness and readiness in managing hypotension. This program is recommended to be implemented widely to improve the quality of life of elderly patients.

Hypotension in the elderly is a common condition and requires special attention in health management. This community service program aims to improve patient understanding of hypotension management through education and practical training. The methods used include socialization, interactive counseling, and evaluation of patient understanding before and after education. The results showed an increase in patient understanding from 55% before education to 85% after education. In addition, there was a decrease in complaints of dizziness from 80% to 40% after the intervention. These findings indicate that health education plays an important role in increasing patient awareness and readiness in managing hypotension. This program is recommended to be implemented widely to improve the quality of life of elderly patients.

The hospital is a health service institution that provides comprehensive health services that have a high risk of patient safety, patient companions, visitors, and human resources. The purpose of this study was to determine the relationship between correct patient identification and patient satisfaction in the uptd emergency department at the Menbo-nembo Bitung Hospital. Methods The design of this study used a descriptive analytic design with a cross sectional approach. The population is 998 respondents, the sample in this study is 99 respondents using a questionnaire measuring instrument. Then the data collected was analyzed using the Chi-Square test. With a significant value (a) 0.05. The results of the Chi-Square test showed that there were 0 cells that had an expected count value of less than 5, then the reading of the results was continued on the Fischer exact test with a p value = .000 where if the value was smaller than the value = 0.05. The conclusion in this study is that there is a relationship between correct patient identification and patient satisfaction in the uptd emergency department at the Menbo-nembo Bitung Hospital.  

Patient safety is a basic thing in the quality of health and nursing services. During the handover process, a nurse must be as effective as possible, as clearly as possible, as short as possible and as comprehensively as possible regarding nurses' independent and collaborative actions. The purpose of this study was to determine the relationship between the role and function of the head of the room with the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. This research method uses descriptive analytic with a cross sectional approach where the independent and dependent variables are studied simultaneously. The sample of respondents as many as 32 people using random sampling. Data collection using a questionnaire sheet. Analyzed with Chi Square ? 0.05 statistical test. The results of the study obtained p value = 0.036, where p value = 0.000, which is smaller than = 0.05, meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between the role and the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. p value = 0.000 where p value = 0.000 which is smaller than = 0.05 meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between function and handover quality at Tk.II Robert Wolter Mongisidi Hospital Manado The conclusion of this study is that there is a relationship between the role and function of the head of the room with the quality of handover at the Tk.II Robert Wolter Mongisidi Hospital, Manado. Suggestions from the results of this study can be used as input for hospital considerations that are used to improve health services and design nursing service policies in terms of patient handover by conducting ongoing education or training so that the level of knowledge and nursing actions becomes better.

Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.

Background: Health services have the main objective of improving health and preventing disease with the community as the main target. WHO (World Health Organization) encourages all countries to develop health insurance for all their population (Universal Health Coverage).Purpose: This Community Service aims to increase knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of ??clinic Armina Regency. . Methods: This activity was carried out by distributing leaflets, conducting counseling and evaluating activities, the implementation of this activity was carried out in the work area of ??the clinicRegency on September 23 to September 25 with a total of 40 patients.   Results: In the implementation of the activities that we carried out, there was an increase in patient knowledge after counseling about the dimensions of BPJS service quality with patient satisfaction in the clinic Armina Regency, where the average before counseling was 45 percent, increasing to 80 percent after counseling. In addition, the patient also seemed enthusiastic during the counseling session, this can be seen from the patient's response in the question and answer session Conclusion: From the results of this service activity, there was an increase in patient knowledge about the dimensions of BPJS service quality with patient satisfaction in the work area of  clinic Armina.

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.