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Kecerdasan spiritual perawat sangat penting dalam memenuhi kebutuhan spiritual pasien, hal ini menjadi salah satu indicator kualitas pelayanan di sebuah Rumah Sakit. Penelitian ini bertujuan untuk mengetahui hubungan kecerdasan spiritual perawat dengan pemenuhan kebutuhan spiritual pasien. Penelitian ini menggunakan pendekatan Cross sectional. Dengan teknik pengambilan sampel Total Sampling. Jumlah sampel sebanyak 35 orang. Hasil penelitian ini menunjukkan bahwa kecerdasan spiritual perawat berada pada kategori tinggi yaitu sebesar 68,6% dan pemenuhan kebutuhan spiritual pasien yaitu sebesar 68,6% dengan tingkat signifikan p=0,000 (p<0.05) sehingga dapat disimpulkan ada hubungan yang signifikan antara kecerdasan spiritual perawat dengan pemenuhan kebutuhan spiritual pasien di rawat inap Rumah Sakit Umum Daerah Dr. Hasri Ainun Habibie. Penelitian ini diharapkan dapat meningkatkan kecerdasan spiritual perawat dalam memberikan pelayanan asuhan spiritual pada pasien dan memenuhi kebutuhan spiritual pasien.

Heart failure has an impact not only on one's physical condition but also on the psychological impact of anxiety. Patients with heart disease who experience psychosocial problems, especially anxiety, will have a slower recovery process and more severe physical symptoms they experience. Thus, an intervention is needed to provide back massage to overcome anxiety. The purpose of this study was to describe the application of back massage towards anxiety scores in heart failure patients.This study belongs to descriptive research using the case study approach method. The sample in this study were 2 subjects who suffered classification II and III heart failure according to NYHA who experienced low to moderate anxiety. Both subjects were given back massage therapy. Hamilton Anxiety Rating Scale (HARS) was used as the instrument to measure the level of anxiety. The results showed that there was a significant decrease in the two subjects who initially fell into the anxiety category into the category of low anxiety after being given back massage therapy for 15 minutes at 24-hour intervals for 3 days. In conclusion, back massage is recommended to be applied in the hospital as a nursing intervention to overcome anxiety in heart failure patients.

This research was motivated by the results of the BPJS assessment of the Guguk Panjang Health Center where the impression value of the Guguk Panjang Health Center was 66.25%. The research method used is a quantitative approach. Data collection technique used is the distribution of questionnaires. Data analysis uses Outer Loading and Inner Loading Analysis, while data processing is assisted by using SemPLS software. Based on the research results, the authors conclude that the quality of basic health services is related to patient satisfaction. There is a relationship between the dimensions of service quality simultaneously. From the results of the study, it was found that the variable dimension of service quality that has the greatest effect on patient satisfaction is the Assurance (Skills) dimension with an Original Sample value of 0.222, the second is environmental comfort with hypothetical results (p value 0.017), while the smaller dimension is Empathy. (p.Value 0.50%). Whereas for the dimension of Staff Reliability there is no relationship with Patient Satisfaction with a hypothesis value of 0.449 > 0.05 as well as the Responsiveness and provision of information dimension has no relationship with patient satisfaction with a value of 0.535 > 0.04. Thus patient satisfaction with services at the Bukittinggi City Health Center is prioritized for an increase in the dimensions of Reliability and Responsiveness of Officers.

Background: Etiology of  pruritus uremic has not yet been found specifically, but there are risk factors of the pruritus such as dry skin, reduced pruritogenic transpidermal elimination, hyperparathyroid, high calcium, magnesium and phosphate levels. Pruritus is a common and sad symptom that affects patients with chronic kidney disease. Purpose:  to describe the skin moisture level in patients with Chronic Kidney Failure who undergo Hemodialysis in the Hospital of Buleleng. Method: This research is a quantitative research using descriptive method design. The population of this study was CRF patients who underwent regular HD at Buleleng Hospital. Sampling using simple random sampling technique with a total of 52 respondents. Respondents studied were CRF patients who underwent regular HD twice a week with a description of characteristics including age, sex, education, occupation and length of HD. Result: showed that the majority of respondents (38.4%) were in the category of 30-45 years old with a greater number of male respondents (69.2%). Most of the respondents' education levels were in secondary education (42.3%) and respondents did not work as many as 10 respondents (19.2%). Furthermore, the length of HD is mostly for 0-5 years, which is as much as 75%. the skin moisture level of CRF patients undergoing Hemodialysis in Buleleng General Hospital found that all respondents obtained dry skin (100%). Patients who undergo HD for approximately 5 years have experienced dry skin. Conclusion: Chronic kidney failure can cause changes in the sweat glands and oil glands which cause the skin to lose its natural ability to moisturize itself. This condition can also be caused by metabolic changes in CRF, which are interrelated with the fluid volume of patients undergoing dialysis.

Pressure  ulcer is local injury of skin of subtexture it, generally at bump of bone, the effect of pressure or pressure combination with friction or seraping. To preventing the risk of pressure ulcer at total bedrest patient need to treatmen of skin by Nigella Sativa Oil. The purpose of this case study is to be analyze of application by prevention of pressure ulcer pressure sores method at total bedrest patient. The type of this research is descriptive with method of the case study. The subject of this research use two patient who is sustain of total bedrest more than 3 eith enteria for assesment result by Norton 14 scale less than 14 which it is categorized risk of everage pressure ulcer. The result of this research can be conclude at subject I from 10 Norton scale to 13 scale, at subject II from 13 Norton scale to 16 scale. So, at the time from it review with high severe of injury to use the Design from every the category that obtains the result 0 which it means not happens pressure ulcer injury by both of subject. The nurse must be applies by Nigella Sativa Oil therapy at total bedrest patient to can prevent of pressure ulcer risk.

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.

Depression is one form of psychiatric disorders in nature of feeling (affective or disorder) is characterized by melancholy, lethargy, feeling of no use, and despair. A nursing action that needs to be administered to patients with depression disorder with the provision of music therapy. Music therapy is a therapy that can improve the effects of analgesics, comfort effects that can reduce depression. Musik used with dangdut music fast rhythm. The purpose of this case study illustrates the changes in depression levels before and after the dangdut music therapy performed rapidly in the space Gatot Kaca RSJD Dr. Amino Gondhohutomo. This type of research is descriptive by using case study approach method. Subyek in this case study were two patients with mild to moderate depression, 18 to 20 years og age, and like dangdut music. Analysis was done descriptively and measured using an HRS-D scale assessment. The result of analysis after the music therapy dangdut fast rhythm for 4 times on subjects I and subjects II, showed that the occurrence of decreased depression rate with subjects I score 13 (mild depression) to 6 (normal) and subjects II 16 (moderate depression) to 12 (mild depression). Recommendations for nurse may continue nursing actions to lower dep levels.

Schizophrenia is a disorder in a person with a state of being unable to think logically so that he cannot control his behavior and emotions. One of the positive symptoms of schizophrenia is hallucinations. Hallucinations occupied the highest number in 2018 as many as 5,339 people in RSJD Dr. Amino Gondhoutomo, Central Java Province. Hallucinations are the inability to distinguish between internal and external stimuli. One of the therapies for hallucinations is occupational therapy. Occupational therapy is an activity to correct abnormalities, maintain and improve the client's health status. The purpose of this case study is to describe the symptoms of hallucinations before and after being given occupational therapy for leisure activities. This type of research is descriptive with a case study approach. This study used 2 people with auditory hallucinations as subjects who were willing to be respondents. The results showed a decrease in the score of hallucinatory symptoms before and after being given occupational therapy for leisure activities to Mr. T from 13 to 4 and Br. R from 16 to 8. It can be concluded that the provision of occupational therapy for leisure activities has an effect on reducing hallucinatory symptoms experienced by schizophrenic patients with auditory hallucinations.

This study aims to determine the relationship between Permata Skin Care facilities on patient satisfaction at Purwa Husada General Hospital. The analytical tool used is with tools SPSS 18.0 for windows. The research method used in collecting data is, multiple regression, coefficient of determination, t test, and test F. From the calculation of multiple regression obtained regression equation Y =14,194 + 0,170 XI + 0,173X2. Hypothesis testing resulted tcount of facial care (X1) is smaller than ttable value (1,028 <1,703) so hypothesis stating that there is positive and significant influence between facial care variable with patient satisfaction rejected, value of beauty product count (X2) more small from the ttable (1,257 <1,703) so the hypothesis that there is a positive and significant influence between beauty product variables with patient satisfaction in rejection. Testing Anova yield F number counted 1,792 by using confidence level 95% (ɑ = 0,05) obtained Ftabel 3,35. So Fhitung smaller than Ftabel (1,792 <3,35), hence can beinterpreted that facial care and beauty product variables simultaneously have no effect to patient satisfaction.

This study aims to determine the Influence of Price, Service and Location on Decision of Patient Redeeming Prescription Doctor (Case Study At K - 24 Purworejo Pharmacy). Samples in this study are patients who redeem aprescription in pharmacy K-24 Purworejo more than 2x as many as 50 people . This research uses data analysis methods, multiple regression, coefficient of determination, t test and ftest. After doing research about the influence of price, service and location to decision of patient in redeeming prescription doctor (study of pharmacy K -24 Purworejo) hence obtained result as follows: There is partially positive influence and significant antaraharga to decision of patient redeem prescription doctor at pharmacy K-24 Purworejo with t count = 5,978 and p = 0,000 <0,05. There isinfluence secaraparsial and significant of service to decision of patient redeem prescription doctor at pharmacy K-24 Purworejo with t count = 7,939 and p = 0,000 <0,05. partially and significantly influence the location of the decision of the patient to redeem the prescription at the pharmacy K-24 Purworejo with tarithmetic = 1.552 and p = 0.127> 0.05.Ada there is a positive and significant influence simultaneously between price, service, and location to the decision the patient redeemed the prescription at K-24 Purworejo Pharmacy. Based on F value count = 44,982 and p = 0,000 <0,05. And the value of F table, then F arithmetic>F table (44,983> 2,807) or probability 0.000 <0,05 which means hypothesis four (H4) which states simul taneously there is a positive and significant influence influence price, service and location to the patient decision redeemed recipes accepted and HO rejected.

Hemodialysis is an action used in kidney failure patients to remove and clean up metabolic waste substances and other toxic substances. So you have to undergo hemodialysispatients undergoing hemodialysis must be limited to administration of fluids. The consequences of fluid restriction can lead to complaints of thirst and xerostomia. Giving xylitol gum can stimulate saliva to overcome xerostomia. The purpose of this case study is to describe the application of xylitol gum to reduce xerostomia in patients. The method used in this study is Quasy Experiment. The instrument used was SXI-D (Summated Xersotomia Inventory-Dutch Version). Subjects of 2 people over the age of 30 years. The intervention was done in the form of chewing 2 grains of xylitol gum 3 times a day after a large meal and brushing his teeth for 2 consecutive weeks. The results of case studies on subject 1 showed a decrease in xerostomia before being given the first hemodialysis measurement intervention, namely 23 severe xerostomia, on the last day of intervention, 7 mild xerostomia. In subject 2 there was a decrease in xerostomia before the first. gum administration is recommended as a nursing intervention in the management of patients with hemodialysis measurement intervention was given, 23 severe xerostomia, on the last day of intervention, 10 mild xerostomia. The application of xylitol xerostomia.

Manajemen rumah sakit perlu melakukan monitoring dan pengukuran secara terus-menerus terhadap kinerja layanan pasien untuk memastikan ketercapaian tujuan yang telah ditetapkan. Proses monitoring kinerja memerlukan data dan informasi yang didapatkan dari umpan balik pasien terhadap layanan dokter dan perawat. Hasil monitoring kinerja selanjutnya akan disampaikan kepada pihak-pihak yang berkepentingan, secara efisien dan efektif. Performance Dashboard merupakan alat untuk menyajikan informasi secara sekilas . Dashboard menginformasikan Key Performance Indicators (KPI) dengan menggunakan media penyajian yang efektif. KPI yang digunakan dalam pembangunan Dasboard adalah kuesioner tingkat kepuasan layanan pasien terhadap dokter dan perawat. Penelitian ini lebih menitikberatkan bagaimana rancangan dashboard ini bisa memberikan kemudahan informasi terhadap manajemen rumah sakit untuk memonitor dan mengevaluasi capaian kinerja layanan pasien.

Puskesmas-Puskesmas di Kabupaten Demak, bahwa Puskesmas-Puskesmas ini tiap harinya melayani puluhan pasien yang datang. Saat ini sistem pengolahan data pasien tiap bagian masih dikerjakan dengan cara sistem manual atau belum memanfaatkan sistem informasi Puskesmas. Dengan masih digunakannya sistem manual dan beberapa puskesmas sudah menggunakan Simpuskesmas, maka muncul berbagai permasalahan dalam pengolahan data pasiennya. Masalah-masalah ini diantaranya adalah tingginya tingkat kesalahan dalam pengolahan data pasien (data pendaftaran, data pemeriksaan, data rujukan, dan data laboratorium) dan lambatnya proses pelayanan pasien misalnya pendataan dan pencarian data pasien. Masalah lain lagi yaitu puskesmas-puskesmas yang sudah menggunakan Simpuskesmas tdak mempunyai kseragaman system, karena tiap Puskesmas melakukan swadaya sendiri-sendiri untuk pengadaan SIMPUS. Penggunaan Simpuskesmas dengan teknologi komputer untuk pengolahan data pasien  sangat diperlukan, karena dapat memberikan beberapa keuntungan dan kemudahan dalam pelayanan pasien antara lain: mempercepat pelayanan, informasi yang lebih akurat, pencarian data lebih cepat, pembuatan laporan yang lebih cepat serta keseragaman Sistem Informasi Manajemen Puskesmas di wilayah Kabupaten Demak.. Dengan adanya program Simpuskesmas berbasis cloud computing kinerja Puskesmas dapat ditingkatkan, sehingga kualitas dan mutu pelayanan menjadi meningkat.   Kata Kunci : Keseragaman Sistem, Simpuskesmas, Cloud Computing

Hospital is one of type effort for service that is now stays in very tightening emulation climate. Struggle to create recuring business with customeroccupies central point in the effort hospital to exeed at long-range emulation. Service quality and cutomer value becomes thing which necessary for hospital. This research analysis factors influence customer satisfaction to create hospital service reference enthusiasm in Hospital PKU Muhamadiyah Gubug Kabupaten Grobogan.Research problem is existence of gap or debate at antecedent research would consequence and from customer satisfaction. Other problems is thehappening of downdraft of number of outpatients continually at last four months and existence of improvement of number sighs from patient. Respondent in this research 120 patients with sampling method applies acidental sampling. This research applies analysis Structural Equation Modeling (SEM) what implemented through program AMOS as a means of assists its the analysis.Result of research proves that service quality, cutomer value and excellence of product has positive influence and signifikan to customersatisfaction. Hereinafter, customer satisfaction of influence positive and signifikan to hospital service reference enthusiasm. Excelsior service quality and cutomer value has customer satisfaction of excelsior and causes home service reference enthusiasm which excelsior.