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The use of Kolcaba's theory of comfort is easy to apply in the perioperative field and is useful for addressing a variety of patient comfort needs. Fulfillment of holistic comfort through indicators of relief (freedom), ease (calmness), transcendence (happiness). This literature review was carried out by collecting articles and textbooks from databases such as Proquest, Scient Direct, Google Search, Google Scholar. The search was carried out using the keywords "Comfort", "Katherin Kolcaba", "Nurse" and "Perioperative". The selected article focuses on Katharine Kolcaba's practice theory of Comfort in Perioperative Care. The results of the study show that the theory of comfort is very helpful in providing nursing care for perioperative patients, through feeling comfortable facilitating the emergence of synergistic, multidimensional, organismal responses that can influence the healing process. So that the theory of comfort is highly recommended in providing nursing interventions for perioperative patients. Nursing interventions in the four holistic contexts lead to various ways to help patients find relief, serenity or transcendence. Using comfort theory can assist nurses in assessing and identifying patient needs and in providing nursing interventions.

The health industry in the Depo City area experiences continuous development from year to year, this causes competition to maintain and increase patient trust to become increasingly difficult. Setya Bakti Mother and Child Hospital as one of the industries engaged in health services feels the impact of competition in the health service industry. Retaining patients is the main thing that must be done. to increase patient satisfaction can be pursued in various ways including by improving the quality of service. A service is said to be satisfied by the patient if the service provided is in accordance with expectations and does not cause dissatisfaction. In this study aims to determine how much influence the quality of service on patient satisfaction. This type of research is quantitative with a cross-sectional design. The technique used in this study is probability sampling with an accidental sampling approach with a total of 93 respondents. It is known that simple linear regression analysis in this study is obtained. Based on the results of the research, the simple linear regression equation is obtained as follows Y = 3.854 + 0.092 X calculated t value of 2.119. at Degree of Freedom (df) = n-2, df = 93-2 = 91, then a t table of 1,984 is found. Then it can be seen that t count > t table (2.119> 1.984). So it can be concluded that Service Quality (X) can have a positive effect on patient satisfaction (Y).

This study aims to analyze the effect of service quality and facilities on patient satisfaction at Kasih Bunda Medika Clinic. The research approach used in this study is quantitative statistics by collecting primary data through questionnaires. The sample of this study were 50 patients who were treated at the Kasih Bunda Medika Clinic using an accidental sampling technique. Data analysis used descriptive statistical techniques. SPSS Statistics 25 software was used to test data statistics, multiple regression analysis, and hypothesis testing. The results showed that partially, service quality had a positive and not statistically significant effect on patient satisfaction, while service facilities showed a positive and statistically significant effect on patient satisfaction. patient. Simultaneously, it shows that the quality of services and facilities has a positive and significant effect on patient satisfaction.

  Hypertension drugs can reduce the symptoms of hypertension, but there are still many elderly people with hypertension who do not comply with taking drugs, this can be influenced by various factors including family support. The purpose of the study was to determine family support in improving patient adherence to taking hypertension drugs in the West Limboto Health Center Working Area. Descriptive quantitative research design. The total population of hypertensive patients who participated in the prolanis in August 2022 was 77 people. The sample totaled 77 people with total sampling technique. The instrument used is a family support questionnaire. Test statistics using analyze descriptive statistics. The results obtained by the family support of the emotional aspect of the majority were good at 76.6%, the majority award aspect was good at 74%, the information aspect was majority good at 77.9% and the instrumental aspect was majority good at 75.3%. It is concluded that family support in the elderly with hypertension is mostly good in emotional, informational, rewarding and instrumental aspects

People with mental disorders often experience a greater stigma than the surrounding community, stigma will further worsen the condition of mental patients, for example, sufferers find it difficult to interact socially with society and even cause suicide. The purpose of this study was to determine the stigma of the community towards people with mental disorders in the West Limboto Health Center Work Area. The research design used qualitative with a phenomenological study approach, the research participants were people in the West Limboto Puskesmas Working Area with 6 people who met the sample criteria and 1 health worker as the person in charge of the psychiatric section at the Puskesmas. The findings obtained there is a stigma of society in the form of stereotypes of the causes of mental disorders (stress, disappointment and desires that are not achieved) and people with mental disorders are considered dangerous, a form of stigma labeling, namely people with mental disorders are nicknamed lunatics to distinguish them from people around them and as someone who is dangerous, while the stigma form of discrimination, namely people with mental disorders are avoided, run, expelled and allow shackling actions. It can be concluded that community stigma in the form of streotypes, labels and discrimination still shows a bad stigma against people with mental disorders.  

Background: Pre-operative anxiety is the fear of pain after surgery, physical changes, facing surgical equipment and staff, death during anesthesia, failure of surgery or complications during surgery. Anxiety in patients who will undergo surgery can be overcome with non-framacological therapy, namely SEFT therapy which has a positive impact on reducing preoperative patient anxiety. Purpose: This case study aims to determine whether implementing SEFT therapy can reduce anxiety in preoperative patients Method : The method is a case study focusing on one patient. First, a numerical rating scale was utilised to measure the intensity of anxiety of the patients using the STAI (State-Traite Anxiety Inventory), then using SEFT therapy over of 3 stages, namely set-up, tune-in, and tapping between 10-15 minutes 1 time per day for 2 days, then re-evaluate using STAI to measure anxiety levels after the intervention  Results: The results show that using the SEFT therapeutic intervention, the preoperative patient's anxiety level decreased from moderate anxiety to mild anxiety Suggestion: Nurses could provide education to patients and their families in order to be able to reduce anxiety in the pre-operative phase so that patients can become more relaxed and comfortable.

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.    

Medical records are an important part of reporting and recording as well as assisting the implementation of service delivery to patients, one of which is a summary form for discharge patients, which includes all services that have been provided to patients. It was found that there were still medical records that were not 100% complete according to service quality standards at the Tarakan Hospital, Jakarta. Researchers analyzed the medical records of inpatients for COVID-19 cases, especially the summary form for discharge patients. This study uses a descriptive method with a quantitative analysis approach. The purpose of this study was to determine standard operating procedures and calculate the percentage of completeness of inpatient medical records on the summary form of inpatient discharge patients in the case of covid-19 in March 2022, and to find out the obstacles in filling out the summary form of inpatient discharge in cases of covid-19 . Based on the results of a study of 152 medical records of hospitalized patients with COVID-19 cases, the average completeness rate was 92% complete and 8% incomplete. The need to resocialize standard operating procedures for filling out medical records and the need for hospital director decisions regarding the discipline of filling out medical records should be able to be carried out properly and on time .    

This study discusses the rights and obligations of patients and families in the services that have been provided.  The results showed that the granting process was in accordance with the Constitution no.  36 of 2014 concerning Health Workers and the Regulation of the Minister of Health of the Republic of Indonesia Number 4 of 2018 concerning Hospital Obligations and Patient Obligations and other related regulations.  There are several things that need to be improved, such as maximizing providing services to patients who have obligations that must be fulfilled, in order to achieve healing and as a balance of the rights they get, in essence the balance of rights and obligations is an achievement of a fairness of action, in terms of  relationship between two parties (medical personnel and patients).

The patients with chronic kidney failure, if they do not limit their intake of fluids, food and an appropriate daily diet, it will cause malnutrition and accumulation of fluid in parts of the body, including the face, hands and feet. Fluid buildup can also occur in the abdominal area or what is usually called ascites. Ascites is an important problem and often occurs in patients undergoing hemodialysis. Ascites will cause stomach enlargement and excess weight gain. The aim of this study was to determine the effect of patient diet compliance on the development of ascites in kidney failure patients in the hemodialysis unit at Tk Hospital. II dr. Soedjono Magelang. This type of research is descriptive analytic using a cross-sectional method. The sampling technique used the Purposive Sampling method with a sample size of 46 respondents. Statistical analysis uses the chi-square test. The results of this study showed p=0.002, which means there is an influence between diet compliance and the incidence of ascites in the Hospital Hemodialysis Unit. Kindergarten II dr. Soedjono Magelang. The more patient compliance with a nutritional diet will have a better impact on the development of ascites.

Introduction: Health Care Associated Infections (HAIs) often occur in hospitals. Infections classified as HAIs are surgical site infections. Compliance with wound care according to SPO, application of SSI budles and SC patient factors, namely: age, blood sugar levels and albumin levels contribute to the incidence of surgical site infections. This study aims to explain the relationship between SPO adherence to wound care, application of bundles surgical site infection, and patient factors with the incidence of SSI in sectio caesarea patients. Methods: This study uses a literature review. Search strategy on ProQuest, Google Scholar, PubMed. The journal reviewed is research on the relationship between SPO compliance with wound care, application of bundles surgical site infection, and patient factors with the incidence of SSI in cesarean section patients published in 2016-2023. Journals that did not meet the inclusion criteria were excluded, so that 5 journals were reviewed. Results: there is a relationship between adherence to SPO wound care, application of bundles surgical site infection, age, blood sugar levels, and albumin levels of SC patients to the incidence of SSI. Discussion: Research recommends that nurses adhere to SPO and implement SSI bundles strictly in a compliant manner, as well as monitoring patient factors, such as: age, blood sugar levels, patient albumin levels are very important in preventing infection in the operating area.    

Hospital service quality can be seen from the professional appearance of hospital personnel, efficiency and effectiveness of services and patient satisfaction. Communication was very important for nurses in interacting with clines. Clines satisfaction is a level of patient feeling that arises as a result of health services performance obtained after patient compares it with expectation. clines satisfaction was determined by the overall service provided in patient or family complaints. The study was to determine the relationship between nurse communication and postoperative clines satisfaction at Medan Hospital.The research design used analytical survey method with a Cross-Sectional approach. The population in this study were postoperative patients totaling 477 respondents. The sampling used is purposive sampling, namely taking for a purpose by determining certain characteristics that are considered representative of the population, sampling is the slovin technique, totaling 83 respondents.The results of the analysis using the Chi-Square test showed that the significant probability value (Asymp.Sign) of nurse communication was 0.002 < sig value .05, this proves that there was a relationship between nurse communication and clines satisfaction at Medan Hospital.The conclusion was that statistically a relationship between nurse communication with postoperative clines at Medan Hospital. It is recommended for nurses to maintain communication therapeutic nurse to obtain quality health services for postoperative patients.                                                 

The patient's lack of understanding regarding informed consent in doctors' medical actions is motivated by several factors. Informed consent is a process as well as the result of an effective communication between the patient and the doctor/dentist and not just the signing of the consent form. The relationship between doctors, hospitals and patients or what is known as the therapeutic transaction is generally the origin of conflict. Conflict can occur when the parties do not carry out their roles as expected by the other party. This requires learning or educating patients regarding informed consent through the information media platform provided at the hospital. This journal discusses the reasons why many patients do not understand the contents of informed consent.

Leprosy infectious disease can cause peripheral nerve disorders and skin disorders. The problem in question is not only from a medical point of view but extends to the social, namely leprosy sufferers can be ostracized or shunned by society. So important is the role of the family in providing support for leprosy sufferers to achieve recovery through adherence to taking medication. The purpose of writing this literature review is to determine the relationship between family support and medication adherence in leprosy patients. The research design used a literature review conducted on a data base including Google Schoolar, PubMed, and Spinger. Article analysis found 16,776 but only 10 articles that met the inclusion criteria. The results of journal analysis showed that for each of the 10 articles, it was found that in 7 articles there was a relationship between family support and adherence to taking medication in leprosy patients. In addition, the other 4 articles said that the family plays an important role in providing support, encouragement, and motivation for family members who have leprosy to adhere to treatment. One of the factors that can increase treatment adherence in patients with chronic diseases is good family support.

Pregnancy is a physiological process that occurs due to the process of growth and development of a fetus. During the development of pregnancy there will be physical and mental changes. One of the physical changes that occur during pregnancy is pregnant women experience complaints of back pain, especially in III trimester. Efforts to reduce back pain in third trimester pregnant women are using prenatal yoga. This case study purpose to determine the effect of applying prenatal yoga on back pain in III trimester pregnant women. The method in this study is a case study on clients of III trimester pregnant women. Patients were measured with OPQRSUV and used NRS instrument to determine pain scale before and after prenatal yoga intervention. The intervention was carried out for 3 days with 15-30 minutes every session. The results of this case study showed that prenatal yoga intervention in pregnant women can reduce the level of back pain from scale 4 to scale 2 within 3 days intervention. The implication of this case study is prenatal yoga which consists of 6 effective movements to help reduce the scale of pain in III trimester pregnant women because it can relax the body of pregnant women.

Hospital nurses, especially IGD and ICU, are required to be able to work quickly and precisely in dealing with emergency patients with different emergency levels, so they are very vulnerable to work stress. One way to cope with the work stress of IGD and ICU nurses is to listen to murottal which is one type of religious therapy. The purpose of this study was to find out the effect of murottal therapy on reducing nurse stress levels. The study used the quasi-experimen method of intervention groups and control groups. The population of this study is IGD and ICU nurses at Natuna Regency Hospital. Total sampling sample of 24 nurses who fit the Inclusion criteria. The measuring instrument used is the DASS 42 Stress quisioner. The results showed that t counted 4,662 > t table 2,064 so that it could be concluded that murottal therapy had an effect on reducing the stress level of nurses at Natuna Regency Hospital.  The researchers hope that a spiritual approach can be applied in hospitals. To better find out the greater effect of murottal therapy on reducing nurse stress levels, it is hoped that future studies can use larger and more comprehensive samples in all rooms in the hospital.  

In the body is needed a balanced amount of stomach acid, excessive stomach acid causes erosion of the gastric mucosa causing pain in the epigastric area and causing gastritis. The elderly with gastritis are a vulnerable population and changes in the lifestyle of the elderly discomfort due to gastritis which often recurs due to peptic ulcers. The purpose of this study was to be able to provide and apply nursing care in the elderly with gastritis. Descriptive quantitative research method, a sample of 3 people who met the sample criteria, the instrument used is a nursing care sheet, the data analysis technique used was descriptive statistical analysis. The findings of the study were obtained from the assessment of complaints felt between client 1, client 2 and client 3 at the time of the assessment had similarities where there were complaints of pain in the heartburn, pain felt like being stabbed, pain was lost, pain caused by poor diet. Nursing diagnoses include acute pain, knowledge deficit, nausea and anxiety. Nursing action planning and nursing implementation are carried out based on observation, therapeutic, education and co-widening. Nursing evaluation found that the nursing problems experienced by 12 patients were resolved.    

Symptoms of stemi can cause patients to feel more anxious, this anxiety can be overcome pharmacologically and nonpharmacologically. However, pharmacological therapy can cause various side effects. Therefore, nonpharmacological therapies can be recommended including progressive relaxation techniques. The purpose of this study was to determine the application of progressive muscle relaxation therapy to anxiety using the HARS scale in stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. Pre-experimental research method with one group pre post test design, a sample of 4 people who met the sample criteria, the instrument used HARS (Hamilton Anxiety Rating Scale) and the data analysis used was univariate analysis. The study findings are that progressive relaxation techniques carried out by researchers for 3 days can reduce the HARS score of the first patient from a score of 11 to 4, the second patient from a score of 12 to 6, the third patient from a score of 13 to 7 and the fourth patient from a score of 12 to 6, so that progressive muscle relaxation therapy can be applied in reducing anxiety of stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. The implication of this study is that the nursing profession is expected to improve the provision of nursing interventions in carrying out the nursing care process comprehensively, namely from bio to psychosocial patients so that it can help patients overcome psychosocial problems in this case the anxiety experienced by patients.    

Data from the Gorontalo Provincial Health Office, show that the target data for the Gorontalo province in 2019 total elderly people reached 125,762, consisting of 22,384 total elderly people in the city of Gorontalo and 40,340 in the district of Gorontalo. And in 2020 the target for the Gorontalo province total elderly to reach 134,958 consisting of 23,678 total elderly living in the city of Gorontalo and 45,312 total elderly in Gorontalo district. Method: The type of research used in this research is an experimental design (one group pre-test post-test design). The object of this research is the elderly who have low self-esteem at Griya Lansia Jannati, Gorontalo City. Subjects in this case study were clients with low self-esteem as many as 3 respondents. Results: Low self-esteem before social group activity therapy was carried out on client 1, namely unable to control emotions and on clients 2 and 3, namely the lack of social interaction after social group activity therapy was carried out on client 1, they were able to control the emotions of clients 2 and 3, they were able to interact social. Conclusion: there is an effect of giving group activity therapy to patients with low self-

  Medical services are the object of forgiveness for treatment and care. So efforts to improve people's living standards in the health sector, is a comprehensive necessity including improving public health physically and non-physically. In this case, the patient is someone who receives medical treatment. The patient's right as a recipient of medical services is to obtain information on medical services to find out the results of the examination/diagnosis that has been carried out by the medical team and the right to know what action the patient must receive.