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Hospitals are a comprehensive part of social and media organizations whose function is to provide complete health services to the community, both curative and rehabilitative, hospital services reach family and environmental services. The aim of the research is to analyze the influence of health service quality on patient satisfaction in the inpatient room of Melati Perbaungan Hospital. Analytical survey research design with a cross sectional design. The total population of patients treated from June 2023 to August 2023 in the Inpatient Room at Melati Perbaungan Hospital is 167 people. The number of samples was 62 people. The results of the chi square test research show that there is an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort, which have a p-value <α 0.05, meaning that technical competence, human relations, effectiveness, efficiency, continuity, safety, human relations and comfort influence patient satisfaction in the Melati Perbaungan Hospital inpatient room. The results of the multiple logistic regression test are the most dominant comfort variable with an odds ratio (OR) of 18.455, meaning that it influences patient satisfaction 18 times. The conclusion is that the comfort variable is the dominant variable that has the most influence on patient satisfaction in the Melati Perbaungan Hospital inpatient room. It is recommended for hospitals to adopt policies to increase patient comfort in treatment rooms in order to produce optimal satisfaction for patients.

Surgical wound infection is a serious problem in patient care in hospitals. This infection can cause increased morbidity, mortality, increased length of stay as well as costs and patient demands. This can be closely related to the quality and services of hospitals, which will also affect the credibility of health services. Nurses are the people who have the most contact with patients, therefore nurses' behavior is very influential in implementing procedures to prevent surgical wound infections. This study aims to determine the relationship between knowledge and length of work with nurses' behavior in efforts to prevent surgical wound infections at Gatot Soebroto Hospital in 2023. This research method is a quantitative study with a cross-sectional design approach. Using a total sampling technique of 60 people. Data collection was carried out by assessment using knowledge questionnaire instruments and intra-operative behavior checklists. Data were analyzed univariately and bivariately using the Spearman rho test correlation technique. The research results showed that 21 nurses (35%) had less knowledge. Nurses who have worked for less than 6 years are 37%, nurses who have worked for more than 10 years are 40%. Nurses with bad behavior had a higher number of 53.3%. The results of the Spearman rho test showed that (1) there was a relationship between nurses' knowledge of the behavior of preventing surgical wound infections with a p value = 0.000, meaning p > 0.05 (r = 0.616), (2) there was a relationship between the length of service of nurses and the behavior of preventing wound infections. operation with a p value = 0.006 means p > 0.05 (r = 0.349). The conclusion is that there is a significant relationship between knowledge and behavior of nurses and there is a significant relationship between length of service and behavior of nurses in efforts to prevent surgical wound infections. The research suggestion is for hospital management to increase nurses' knowledge in the form of training, workshops and regular supervision,

Feelings of anxiety in pre-Section Caesarea mothers can cause unstable conditions that will disrupt the operation process itself, so appropriate ways are needed to overcome anxiety in mothers, one of which is lavender aromatherapy. This study aims to determine the effect of lavender aromatherapy on maternal anxiety levels before Caesarean section surgery. This type of research is pre-experimental with a one group pretest-posttest design. Respondents in this study were mothers pre-operatively with Sectio Caesarea in the Azra Hospital inpatient room, totaling 30 respondents using a non-probability sampling technique using consecutive sampling. Pre-test and post-test data were collected by filling in the Self Anxiety Rating-Scale (SAS) questionnaire. Research analysis was carried out in stages, namely univariate analysis and bivariate analysis using the Paired Sample T-Test. The results of the research showed that the average anxiety level of respondents before being given lavender aromatherapy was 55.7 and the average anxiety level of respondents after being given lavender aromatherapy was 37.6 and there was an effect of giving lavender aromatherapy on the anxiety level of mothers before Caesarean section surgery p value 0.001 (CI; 95% ). The conclusion of the research is that giving lavender aromatherapy can be a non-pharmacological therapy option to reduce anxiety levels in pre-caesarean section surgery patients..

Quality is one of the important elements in every health service. Therefore, in providing health services for the community, health service providers must always maintain the quality of services provided. The purpose to be achieved in this study is to analyze the factors that affect the quality of health services on patient satisfaction of the General Polyclinic at Bethesda Gunungsitoli General Hospital. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study was all patients who came for outpatient treatment at the General Polyclinic at Bethesda General Hospital Gunungsitoli approximately 2235 visits to take smpel using the Accidental sampling method.While the sample amounted to 100 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. Based on the results of  the chi-square  test, it is known that the incidence of hypotension affects  Tangible, Responsiveness, Reliability, Assurance and Empahaty  p = 0.000, meaning that there is Tangible, Responsiveness, Reliability, Assurance and Empahaty to patient satisfaction. From the results of multivariate analysis, it is known that the most influential variable in this study is the Responsiveness variable with an OR value of 15,104. The conclusion in this study is that responsiveness is the dominant factor affecting patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli. To be able to improve the quality of services that must be improved, especially security and comfort guarantees for patients such as: completing patient administration, responding quickly to patient complaints, providing drugs quickly and precisely, providing information and quick response in handling patients to be improved to create a patient satisfaction that becomes patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli.    

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

It can be said that patient satisfaction is an abstract thing and the results vary greatly because basically it really depends on each individual's perception. Patient satisfaction can be said to be fulfilled if the services provided are in accordance with their expectations. The aim of the research is to analyze the Quality of Emergency Room Services on Patient Satisfaction at RUMKIT TK II Iskandar Muda Banda Aceh. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all 2,058 emergency room patients. The number of samples to be studied is 95 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that there is an influence of 5 variables, namely reliability, responsiveness, assurance, empathy and physical evidence, which have a p-value <α 0.05, meaning that reliability, responsiveness, assurance, empathy and physical evidence influence patient satisfaction in the RUMKIT TK ER. II Iskandar Muda Banda Aceh and the multivariate test shows that the 5 variables of reliability, responsiveness, assurance, empathy and physical evidence influence the results of the multiple logistic regression test showing that the responsiveness variable is the most dominant with an odds ratio (OR) of 15,104, meaning 15 times influencing patient satisfaction. The conclusion was that the dominant responsiveness variable had the most influence on patient satisfaction at the RUMKIT TK II Iskandar Muda Banda Aceh emergency room. It is recommended for hospitals to adopt policies to increase patient responsiveness in the ER in order to produce optimal patient satisfaction.      

Pain is a very common problem in pregnancy, especially in the third trimester of pregnancy. The phenomenon of back pain during pregnancy is one of the most frequently reported complaints among pregnant women, varying from 50% to 70%, based on previous studies in various countries. This study aimed to treat low back pain in the third trimester, in pregnant women, by complementary midwifery care standards. The method used is descriptive, namely describing or describing complementary midwifery care for pregnant women with low back pain problems, with a case study approach. The process of collecting data using direct interviews with patients and families, home visits, performing physical examinations, observing, and making discussions using related journals or books. The results after 3 visits of complementary midwifery care in patients with low back pain (waist) in third-trimester pregnant women resolved the problem and the intervention was stopped. Problems that occur in patients can be resolved and the intervention is stopped.

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.  

Introduction: High blood pressure (hypertension) is an increase in blood pressure in the arteries. Health problems in elderly people are often related to decreased organ function which causes degenerative diseases, including hypertension. This condition needs to be watched out for because it often does not show any special symptoms, so many people are not aware of it and still feel healthy to carry out daily activities. Therefore, hypertension is often referred to as a silent killer.Method: The research method applied in this study is a quantitative approach using a pre-experimental design with a one-group pre-post test design model.Research Results: The average blood pressure before doing elderly exercise (pretest) was 151.94/93.66 mmHg, while after doing elderly exercise (post-test) it was 137.90/87 mmHg. There is a significant effect of elderly exercise on blood pressure in middle-aged hypertensive patients at UPTD Cibeber Health Center.Conclusion: Based on the results obtained, it can be concluded that providing elderly exercise has a significant influence on the blood pressure of middle-aged hypertensive patients at the Cibeber Health Center UPTD

Electronic Based on several studies, the number of caesarean sections continues to increase and with widespread news regarding the use of the ERACS method in the caesarean section process, which is believed to optimize the mother's health and comfort both before, during and after undergoing caesarean surgery, so that mobility and the birth recovery process can be improved. fast. Early mobilization is one of a series of methods and according to theory there are several things that influence the implementation of early mobilization after surgery, one of which is the impact of support from family members. This study aims to determine the relationship between family support and the ability to mobilize early in post-SC surgery patients with the ERACS method at Azra Hospital Bogor in 2023. This type of research is observational with a cross sectional design. The research sample was 45 post-caesarean section mothers at Azra Bogor Hospital. The research results showed that the majority of 35 respondents (77.8%) had good family support, there were 37 respondents (82.2%) who had early mobilization abilities, of which 10 respondents (22.25%) had poor family support There were 8 people (17.7%) who still assisted with early mobilization. With the Chi Square analysis test, the p-value = 0.001 was obtained, so there is a significant relationship between family support and early mobilization for post-SC mothers using the ERACS method at Azra Bogor Hospital in 2023. Conclusion, the better family support, the more the patient tends to mobilize, and conversely, if the family support is not good, the ability to early mobilize tend to improve

Doctors in carrying out their profession have medical risks that must be accounted for where sanctions can be civil, criminal or administrative. This research aims to determine the differences in civil responsibilities of a doctor in terms of his profession as a beroep (person who carries out work) and a bedrijf (person who runs a company). The method used is normative juridical by connecting civil liability with the profession of a doctor as a doctor and doctor. Research’s result shows that there is a difference in civil liability between doctors as beroep and doctors as bedrijf. As a beroep, the fulfillment of responsibilities to third parties (patients) is carried out by the employer at the place of work, whereas as a bedrijf, the fulfillment of responsibilities is first seen in the form of the business entity that is established. The maatschaf form of business entity used in a doctor's practice will give rise to personal responsibility, while the firm form of business entity used in a doctor's practice will give rise to joint or joint liability.

This study aims to determine whether first aid for stage 1 hypertension in the working area of the Krueng Barona Jaya District Health Center is still relatively low, so it is necessary to increase family knowledge by conducting health education about first aid for stage 1 hypertension. Objectives: To identify the effect of health education on the level of family knowledge about first aid for patients with stage 1 hypertension. Methods: The research design used the Quasi Experiment method with a pre-test and post-test non equivalent control group approach using a questionnaire measuring instrument with purposive sampling technique. The number of samples taken was 36 families with stage hypertension. Results: The results obtained that after being given health education about first aid for stage 1 hypertension, family knowledge is good. Analysis: the results obtained by the majority after being given health education family knowledge is good. A total of 32 respondents (89%) who have good knowledge, 4 respondents (11%) have sufficient knowledge and no respondents have poor knowledge. Using the Paired Sample t-test test shows a significant number between pretest and posttest scores with a significance value (2 failed) p = 0.000 <0.005 so that H0 is rejected and Ha is accepted. Discussion: Health education has a very important role in determining human quality, with health education humans gain knowledge and information. The higher a person's level of knowledge, the higher the quality of life.  

Stress in patients with gastritis recurrence is a physiological problem felt by early adults when they experience relapses of gastritis. Management of stress in patients with gastritis recurrence in early adulthood can be overcome with complementary therapy, namely breathing meditation therapy. Breathing meditation therapy itself is an activity that aims to achieve mental calm by focusing your breathing so you can relax your mind and body. This study aims to determine the effect of providing breathing meditation therapy on the stress levels of patients with gastritis recurrence in early adulthood in the Rw 001 Ragamukti Tajurhalang Bogor environment. In this research, the method used is pre-experimental quantitative research with a one group pretest – posttest design. The sample consisted of 15 early adults suffering from recurrent gastritis in the Rw 001 Tajurhalang Bogor area who were selected using a purposive sampling technique using a questionnaire with a Likert measuring scale. This research uses the Wilcoxon Signed Rank test with a significant value of α=(<0.05). The test results from this research were that most respondents experienced a decrease in stress levels as evidenced by the presence of a percentage in the mild stress range of 9 people (60.0%), while respondents who experienced moderate levels of stress were 6 people (40.0%) with an average value of The average (mean) stress level after receiving breathing meditation therapy was 8.47. Indicating that the ρ value = <.001, where the ρ value was less than 0.05, so the null hypothesis (H0) was rejected, so the alternative hypothesis was accepted (Ha).

Abdominal pain is the main symptom of acute abdomen which occurs suddenly and is non-specific. Pain management includes providing analgesic therapy and non-pharmacological therapy in the form of cognitive behavioral interventions such as relaxation techniques, slow deep breathing, music therapy and aroma therapy, imagery and biofeedback. The aim of the research was to determine the effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients. This type of quasi-experimental quantitative research uses a one-group pretest-posttest design. The population in this study were 42 patients with complaints of abdominal pain who were treated. Sampling used a total sampling technique so that a sample of 42 respondents was obtained. The data collection instrument uses the Numeric Ratting Scale. The data analysis technique used in this research is Paired t-Test. The results of the study showed that there was an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients with a p value of 0.001 (<0.005). The average value of the pain scale before the intervention was on a scale of 6-8 with a standard deviation of 0.650, while the average value of the pain scale after the intervention was on a scale of 2-6 with a standard deviation of 0.504. The conclusion of the research is that there is an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain.

Diabetes Mellitus is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia. DM can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. Foot exercise is a type of foot exercise performed by diabetics which can increase peripheral perfusion and thus prevent worsening of diabetic neuropathy. Foot exercise can also reduce the risk and progression of peripheral neuropathy because it can improve blood flow to the periphery, increase muscle strength and improve motor function. Objective: to determine the effect of foot exercise on motor neuropathy in type 2 DM patients. Method: The design in this study used a quasi-experimental approach using a one group pretest posttest design. The sample for this research was 18 respondents. Data analysis used the paired sample t-test. Results: based on the results of statistical tests using the Paired Samples t Test, the resulting P value is 0.000 < 0.05, where it can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients. Conclusion: It can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients in the working area of Benteng Sukabumi City Health Center.

Introduction: Diabetes Mellitus (DM) is a metabolic disorder in which the human body does not produce or use insulin properly, a hormone needed to convert sugar, starch and other foods into energy. The aim of this study was to determine the relationship between knowledge and dietary compliance in type 2 diabetes mellitus patients in the Sukaresmi Community Health Center area, Tamansari District, Bogor. The method in this research uses correlation analysis research with a cross sectional approach. A sample of 80 respondents was taken using purposive sampling technique. The instrument in this study was a questionnaire with 15 questions about level of knowledge and 15 questions about dietary compliance. Data were processed and analyzed using the Rank Spearman test. The results of univariate data analysis, namely the highest frequency of knowledge level of the majority was (75%) with a low level of knowledge and the frequency of Diet Compliance was found to be the highest majority of (75%) with low compliance and the results of the bivariate analysis Spearman Rank test results obtained p value = 0.00 so Ho is rejected with a Spearman correlation coefficient (r) of 0.01 which shows that the correlation coefficient is sufficient and has a positive value. The conclusion is that there is a close relationship between the level of knowledge and dietary compliance in Type 2 Diabetes Mellitus patients at the Sukaresmi Tamansari Community Health Center. The lower the level of knowledge, the lower the diet compliance.

Nursing care is a process or series of activities in nursing practice that is provided directly to clients/patients in various health service settings. In implementing nursing care based on self-transcendence theory, nurses play the role of facilitators to help individuals experience growth and development through the self-transcendence process. Self-transcendence theory was developed by Pamela G. Reed and emphasizes the spiritual and transpersonal aspects of treatment. Reed explained that nurses act as facilitators to explore positive things and build bio-psycho-social spiritual well-being. Self Transcendence Theory aims to understand a person's movement in transcending self-limitations and achieving higher well-being. This theory focuses on five concepts, namely vulnerability, self-transcendence, well-being, moderating-mediating factors, and point of intervention. This self-transcendence offers the best for living in peace and prosperity. Apart from that, this theory is also used in the context of counseling services to help individuals utilize inner resources that empower patient capacities. Thus, the aim of the Self Transcendence theory is to understand and encourage individuals to achieve higher well-being through holistic self-understanding and development.  

Spinal anesthesia is the choice for Transurethral Resection of Prostate (TURP) procedures. TURP is a surgical procedure performed for patients with prostatic hyperplasia. When a TURP procedure is performed, excessive fluid absorption will occur because during the procedure the injured area causes the vein to open and irrigation fluid will be absorbed. The position of the surgical procedure in the lithotomy position makes the situation worse. Spinal anesthesia helps peripheral blood collection and reduces circulatory overload, early detection of TURP syndrome and bladder perforation. In this case, the procedure was carried out on a 67 year old man with a diagnosis of benign prostate hyperplasia (BPH) with a TURP surgical procedure. The patient was composmentis, ASA III. The patient underwent spinal anesthesia with a sub arachnoid block using Bupivacaine. During TURP procedures, TURP syndrome can occur which is influenced by the use of fluid as irrigation to widen the operator's field of view. Saline fluid should be used, but because it is expensive, H2O is often used as irrigation fluid. A complication of the TURP procedure is TURP syndrome

Nephrolithiasis is the formation of hard material resembling stones originating from minerals and salts in the kidneys. Risk factors for kidney stones are frequent holding in urine, obesity, lack of drinking, urinary tract infections, and heredity. The prevalence of kidney stones in Indonesia is 6 per 1000 population or 1,499,400 people suffer from kidney stones. Various medical procedures can be performed to treat kidney stone cases, one of which is surgery. Post-operative kidney stone patients generally complain of pain and experience physical immobility problems related to the presence of surgical wounds. Nurses play a role in providing nursing care by carrying out pain management and carrying out early mobilization to train the muscle system and nervous system after surgery. The aim of writing this scientific paper is to be able to apply the theory and concept of applying early mobilization to reduce pain intensity in patients with Kidney Stones Post Surgery Extended Left Pyelolithotomy and Replace DJ Stent in Anggrek C Room, Tangerang General Hospital. The writing method used is a case study with a nursing care approach. Based on the results of the study and data analysis, 3 nursing diagnoses were found, namely: pain, physical immobility disorders, and risk of infection. After intervention and evaluation for 3 x 24 hours, data was obtained that the problem of pain and physical immobility disorders was partially resolved, this was indicated by a decrease in pain intensity and increased movement of the patient's extremities, while the problem of risk of infection had not been resolved so the intervention was continued. Nurses are expected to be able to carry out comprehensive assessments, make appropriate diagnoses, plan interventions, carry out evaluations and follow-up

Health problems that are of global concern are infectious diseases, one of which is tuberculosis (TB). Indonesia is one of the eight countries that contributes the most TB cases worldwide, and is ranked third after India and China (WHO, 2021). Non-compliance with taking medication is the main factor causing TB treatment failure, which reaches 50% (Aisyan, 2018). An innovation that can be done to overcome non-compliance with taking medication is the WhatsApp chatbot telenursing program. The aim of this research is to determine whether there is an effect of WhatsApp chatbot telenursing on medication adherence (OAT) in tuberculosis sufferers at Benteng Sukabumi City Health Center. This research method is experimental research with a pre-experimental one group pre-test post-test research design. The population in this study were all TB-SO and TB-RO patients who were undergoing treatment at Benteng Health Center with a total population of 51 patients. Sampling used a total sample technique according to inclusion and exclusion criteria so that the required sample was 45 respondents. The results of the study showed that there was an increase in medication compliance behavior from before the intervention, 9 respondents were compliant, after the intervention there were 44 respondents who were compliant in taking medication, and the Wilcoxon test results obtained a p-value of 0.000 < 0.05 so that H1 was accepted and existed. The influence of the WhatsApp chatbot telenursing program on compliance with anti-tuberculosis medication (OAT) in tuberculosis sufferers at Benteng Sukabumi City Health Center