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Background: Schizophrenia is a serious chronic mental disorder that can affect thinking, perception, feelings, and behavior. Patients with undifferentiated schizophrenia are at risk of experiencing the nursing problem of risk of violent behavior (RPK) due to their inability to control emotions and anger. Based on data from the medical records of RSJD dr. Amino Gondohutomo, Central Java Province, from August to October 2025, the risk of violent behavior was the highest nursing diagnosis in the Gatotkaca Ward, reaching 56.5%–77% of all inpatients. Objective: To perform nursing care on Tn. K with the main problem of risk of violent behavior due to undifferentiated schizophrenia at RSJD dr. Amino Gondohutomo, Central Java Province. Methods: This study used a descriptive method with a nursing process approach. Data collection was carried out through interviews, observation, documentation studies, and literature review. Nursing care was provided from November 18 to 22, 2025. Results: Assessment findings on Tn. K (19 years old) with undifferentiated schizophrenia and a history of physical abuse, parental rejection, and family violence revealed four nursing problems: risk of violent behavior (core problem), sensory perceptual disorder: auditory and visual hallucinations, self-concept disorder: low self-esteem, and self-care deficit. Implementation was carried out through nursing strategies (SP) 1 to 4 for risk of violent behavior (physical, medication, verbal, and spiritual control), SP 1 and SP 3 for self-care deficit, and SP 1 to SP 2 for sensory perceptual disorder: hallucinations. All implementation stages were optimally achieved. Conclusion: Nursing evaluation showed that the client was able to achieve cognitive, affective, and psychomotor goals in all implemented SPs. Collaboration with ward nurses was carried out to continue SP 3 and SP 4 for hallucinations and the entire low self-esteem intervention due to time constraints.

Antimicrobial resistance is a persistent threat to hospital care, particularly when empirical therapy relies on broad-spectrum antibiotics without continuous evaluation of local use and susceptibility patterns. This literature review aimed to synthesize evidence from four Indonesian hospital-based studies regarding antibiotic utilization, rationality assessment, and bacterial resistance profiles. A structured narrative review was conducted using four selected articles provided by the author. Data were extracted for study design, setting, population, antibiotic evaluation method, dominant antibiotic classes, rationality indicators, resistance profile, and stewardship implications. The four studies were descriptive and hospital-based, using retrospective records, concurrent observation, ATC/DDD with DU 90%, qualitative rationality criteria, and antibiogram data. The synthesis showed a consistent concentration of antibiotic use in broad-spectrum groups, especially third-generation cephalosporins, penicillins, quinolones, and macrolides. In a Bandung public hospital, total antibiotic consumption reached 95,719.01 DDD, with penicillins, cephalosporins, quinolones, macrolides, and sulfonamides included in the DU 90% segment. In intensive care, ceftriaxone was the most frequently used antibiotic and most rationality indicators were appropriate, although clinically significant drug interactions were still identified. In pediatric acute respiratory infection inpatients, cefotaxime and ceftriaxone dominated empirical therapy. Resistance mapping in Denpasar highlighted relevant Gram-positive and Gram-negative pathogens and recommended antibiotics according to susceptibility levels. Overall, the reviewed evidence supports an integrated antimicrobial stewardship model combining ATC/DDD-DU 90% surveillance, qualitative rationality evaluation, antibiogram-based empirical guidance, and periodic feedback to prescribers.

Patient satisfaction is one of the key indicators in assessing the quality of nursing care in hospitals. High-quality nursing care can enhance patient trust, comfort, and satisfaction during their treatment. This study aims to determine the relationship between the quality of nursing care and the satisfaction of inpatients at Bahteramas General Hospital in Kendari City. This is an analytical quantitative study using a cross-sectional approach. The sample consisted of 39 inpatients. Data were collected using a questionnaire and analyzed using univariate and bivariate analyses with the chi-square test. The results indicate a significant relationship between all dimensions of nursing service quality and inpatient satisfaction. The tangible dimension was associated with patient satisfaction (p = 0.003), reliability (p = 0.000), responsiveness (p = 0.000), assurance (p = 0.012), and empathy (p = 0.000). In general, patients who rated the quality of nursing care as “poor” tended to be more likely to fall into the “dissatisfied” category, while patients who rated the quality of care as “adequate” tended to be more likely to fall into the “satisfied” category. This study concludes that the quality of nursing care is significantly associated with inpatient satisfaction at Bahteramas General Hospital in Kendari City. . Therefore, hospitals need to improve the quality of nursing care, particularly in terms of physical evidence, reliability, responsiveness, assurance, and empathy, in order to enhance patient satisfaction.

Clean water availability is an essential component of hospital hygiene and sanitation operations, including hand hygiene, environmental cleaning, linen management, food sanitation, and infection prevention. RSUD Sumbersari Bantul Metro Selatan still relies on one bore well and has limited water storage without a permanent backup source. This study aimed to analyze the adequacy of clean water quantity and quality in supporting hygiene and sanitation operations at RSUD Sumbersari Bantul Metro Selatan in 2026. This study used a descriptive analytic design. Data were collected through observation, interviews, water discharge and consumption measurement, document review, and laboratory examination of clean water samples. The analysis compared water availability, water demand, unit-based distribution needs, and water quality with the standards of Ministry of Health Regulation Number 2 of 2023. The results showed that during January-March 2026, the hospital served 154 inpatients and 1,028 outpatients and had 151 staff members. The total clean water requirement was 715.44 m3/90 days, while the available water was only 414.00 m3/90 days, fulfilling 57.87% of the required amount. The average daily need was 7.95 m3/day, compared with the availability of 4.60 m3/day. High-risk service units, particularly inpatient care, emergency services, intensive care, CSSD, isolation, maternity care, laundry, and nutrition services, require priority water distribution. Laboratory testing found Escherichia coli and total coliform at 19 CFU/100 ml each, exceeding the required standard of 0 CFU/100 ml. In conclusion, the quantity and microbiological quality of clean water at RSUD Sumbersari Bantul have not adequately supported optimal hygiene and sanitation operations.

Nursing services are a fundamental part of the hospital service system because nurses interact frequently with patients, particularly in inpatient rooms. The quality of nursing services significantly impacts patient satisfaction. This study aims to determine the relationship between the quality of nursing services and patient satisfaction in the inpatient rooms of UMMI Hospital Bogor. This study used a correlational analytical research design with a cross-sectional approach. The population in the study were 1,944 inpatients at UMMI Hospital Bogor. The sample calculation used the Slovin formula with a simple random sampling technique and obtained 332 respondents. The research instrument for the quality of nursing services was based on the five dimensions of SERVQUAL (tangible, reliability, responsiveness, assurance, and empathy) and a patient satisfaction questionnaire. Data analysis was performed univariately and bivariately using the Chi-Square Test statistic. The results showed that the majority of respondents rated the quality of nursing services as good, namely 214 people (64.5%), while respondents who rated the quality of nursing services as poor were 118 people (35.5%). Patient satisfaction results revealed that of the 332 respondents, the majority (230 people or 69.3%) expressed satisfaction, while 102 (30.7%) expressed dissatisfaction. The statistical test results showed a p-value of 0.000 (p < 0.05). The conclusion of this study is that there is a significant relationship between the quality of nursing services and patient satisfaction in inpatient wards. Therefore, continuous improvement in the quality of nursing services is necessary to enhance patient satisfaction and the quality of hospital services.

Bacterial infections are diseases that can be transmitted by bacteria from sufferers to others, either directly or indirectly. Cases of bacterial infections are more common among children. The use of antibiotics is needed to treat life-threatening conditions caused by bacteria by killing bacteria or making it difficult for bacteria to grow and reproduce. Antibiotics are a type of drug given to prevent bacterial infections, or are drugs given to high-risk patients. This research method is a descriptive study by collecting medical record data to find out the description of bacterial infections and the use of antibiotics in pediatric inpatients at RSU Cut Meutia Aceh Utara in 2022. This research technique used purposive sampling with a sample size of 183 samples. The results of this study showed that 183 children suffered from bacterial infections and received injection antibiotic therapy, the majority were boys, namely 106 children (57%), the age group with the most number of sufferers, namely aged 0‒5 years, totaling 76 children (41%), the percentage of bacterial infections most commonly found in pediatric inpatient wards at RSU Cut Meutia Aceh Utara in 2022, namely typhoid fever as much as 33%, the class of antibiotics most commonly used at RSU Cut Meutia is cephalosporins (93%).

Aggressive behavior is one of the manifestations commonly found in individuals with mental disorders, and this can potentially cause harm both to themselves and to their surroundings. To address this condition, one non-pharmacological approach that can be implemented is the use of Mozart classical music therapy. This study aims to evaluate the impact of Mozart classical music therapy on patients who have the potential to exhibit violent behavior at Aceh Mental Hospital. The research activities were conducted from July 2 to 5, 2025. The research design adopted in this study is pre-experimental using the One group pretest-posttest Design method. The study subjects consisted of 15 inpatients who had been identified as being at risk for violent behavior, with sample selection carried out through purposive sampling. The findings of the study showed that the average score of signs and symptoms before the intervention was 5.73, with a score range of 3 to 8. After the intervention in the form of Mozart classical music therapy, the average score of signs and symptoms decreased significantly to 1.60, with a range between 1 and 2. Statistical analysis using the Wilcoxon Signed Rank test showed a Z value of -3.437 with a significance level of P = 0.000 (P < 0.05). Based on these results, it can be concluded that Mozart classical music therapy has a significant effect in reducing the risk of violent behavior in patients. Therefore, Mozart classical music therapy is recommended as an effective supportive intervention and can be routinely integrated into psychiatric care rooms.

The dimensions of healthcare service quality are a concept for measuring service quality. This study aims to determine the effect of the dimensions of healthcare service quality on the satisfaction of inpatients at Cut Nyak Dhien General Hospital in Langsa City. This study uses a quantitative design of the Survey Analytic type with a cross-sectional approach. The population consisted of 121 inpatients with a sample size of 55 respondents using purposive sampling technique. Analysis used multiple logistic regression test (α=0.05). The research results show that there is an influence between Responsiveness p<0.042 with an EXP (B) value of 11.361, Assurance p<0.008 with an EXP (B) value of 20.163, Empathy p<0.018 with an EXP (B) value of 13.547, Reliability p<0.033 with an EXP (B) value of 6.896 on inpatient patient satisfaction (p<0.05), while the Tangible variable shows no influence with p<0.088 and an EXP (B) value of 4.967. Among these variables, the one that significantly affects inpatient patient satisfaction is the Assurance variable with p<0.008 and an EXP (B) value of 20.163. It is recommended to continuously improve the quality of service comprehensively in every dimension of service quality, strengthen the competence and professionalism of healthcare personnel, enhance the speed and accuracy of service, and build good communication to improve the quality of inpatient services and maintain patient trust in the hospital.  

Diabetes mellitus is one of the health problems whose incidence is increasing and is often complained about by people around the world. Globally, Indonesia ranks fifth in the number of diabetes mellitus cases with 19.5 million people. Dietary patterns, including energy intake, carbohydrates, protein, fat, and nutritional status, play a role in the incidence of diabetes mellitus. The purpose of this study was to determine the relationship between dietary patterns and nutritional status with the incidence of diabetes mellitus at the Bahteramas Regional General Hospital in Southeast Sulawesi Province. The study design used a cross-sectional method with purposive sampling. The study respondents were inpatients aged ≥ 20 years. Data analysis used the chi-square test. The study was conducted in April-May 2025. The results of the analysis showed that there was a significant relationship between dietary patterns (p=0.008) and the incidence of diabetes mellitus. However, no significant relationship was found between nutritional status (p=0.421) and the incidence of diabetes mellitus. Thus, it is important to pay attention to nutrient consumption patterns and nutritional status in the prevention and management of diabetes mellitus.

Nutrition services are an essential component in hospital healthcare systems, directly supporting patient recovery through timely and clinically appropriate nutrition. This study aimed to analyze the timeliness of meal distribution, diet appropriateness, diet types, patient satisfaction, and factors supporting efficient nutrition service at Hospital X. A descriptive quantitative observational design was employed, involving 35 inpatients, observing meal delivery, menu accuracy, and staff performance. Results showed that the majority of diet-receiving patients were male (60%), aged 20–45 years (34.3%), with most staying 2 days (60%). Meal distribution was timely: 94.3% for breakfast, 97.1% for lunch, and 100% for afternoon snacks and dinner. The most common diets were TKTP (High Calorie High Protein, 22.9%) and DMRG (Low Salt Diet, 17.1%), and all patients received diets according to medical indications (100%). Patient satisfaction regarding meal timeliness, diet appropriateness, taste, food temperature, and staff performance was mostly satisfied to very satisfied, with minor dissatisfaction (5.7%) only during breakfast due to distribution delays. Despite limited personnel, service efficiency was achieved through clear task division, effective communication, work discipline, supporting systems, and active supervision. In conclusion, nutrition services at Hospital X are effective, efficient, timely, diet-appropriate, support patient recovery, and comply with hospital service standards. The alternative hypothesis (H1) is accepted, and the null hypothesis (H0) is rejected

This study aimed to examine the relationship between nurses’ caring behavior and the satisfaction of inpatients at Banjarmasin Islamic Hospital. Caring is the core of nursing practice, encompassing a holistic concern for patients, while patient satisfaction is an important indicator of healthcare quality. This study employed a quantitative research design. The population consisted of all inpatients at Banjarmasin Islamic Hospital, resulting in a total of 100 respondents. The instruments used were a caring behavior questionnaire based on Jean Watson’s theory and a patient satisfaction questionnaire. Data were analyzed using the Spearman Rank test with a significance level of 0.01. The results showed that most nurses were perceived as having good caring behavior, and the majority of patients reported being satisfied with the services provided. Statistical testing revealed a significant relationship between nurses’ caring behavior and inpatient satisfaction (p-value = 0.01; r = 0.504), with the strength of the relationship categorized as moderate. The study concludes that the better the nurses’ caring behavior, the higher the level of patient satisfaction. It is recommended that the hospital continue to enhance nurses’ caring competence through training, supervision, and regular evaluation, so that the quality of nursing services and patient satisfaction can be continuously improved.

The incidence of violent behavior among mental health patients globally reaches 9%. One of the independent interventions carried out by nurses is the application of implementation strategies for patients with violent behavior tendencies, whose risk level is greater than that of other patients. This study aims to analyze the effect of implementation strategies on the risk of violent behavior in patients with mental disorders at the Aceh Mental Hospital. The implementation strategy consists of four main techniques: building trust, training in controlling violent behavior through medication, training in social/verbal risk control, and training in spiritual control. The study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 2,166 inpatients at risk of violent behavior were identified over a one-year period, and 10 respondents were selected as samples using purposive sampling based on inclusion criteria. The research instrument was the BPAQ questionnaire, with aggression assessment ranging from low to very high. The results showed that the pretest average for signs and symptoms was 38.40, while the posttest score decreased to 11.60 after the implementation strategy intervention. Data analysis was performed using univariate and bivariate methods, with a paired t-test yielding a p-value of 0.000 (less than 0.05). This study concluded that the implementation strategy had a significant impact in reducing the risk of violent behavior in patients. It is recommended that patients' understanding of the implementation strategy therapy be continuously improved as an effort to control violent behavior.

Diabetes Mellitus (DM) is a chronic metabolic disorder that is rapidly increasing globally and is associated with a high risk of peripheral arterial complications. The Ankle Brachial Index (ABI) is a simple and reliable tool for screening peripheral arterial disease, while foot exercise represents a practical, low-cost, and non-pharmacological intervention to improve peripheral perfusion. This study aimed to evaluate the effectiveness of foot exercise in improving ABI values among hospitalized patients with DM. A pre-experimental one-group pretest-posttest design was implemented with 26 purposively selected inpatients with DM. Participants performed standardized foot exercises once daily for 15 minutes over two consecutive days. ABI values were measured using a sphygmomanometer and vascular Doppler before and after the intervention, and data were analyzed using a paired t-test. The mean ABI significantly increased from 0.707 (SD = 0.031) to 0.884 (SD = 0.027) (p < 0.001), indicating a clinically meaningful improvement from moderate impairment to near-normal circulation. These results demonstrate that foot exercise is effective in improving ABI values among hospitalized DM patients. The study highlights foot exercise as a safe, simple, and non-pharmacological nursing intervention that can be recommended in inpatient care settings to improve peripheral perfusion and prevent further complications related to peripheral arterial disease. This intervention offers a promising approach to managing peripheral arterial complications in diabetic patients

Completeness, suitability, and accuracy in filling medical record documents are essential for effective management of patient files, as well as for improving the overall quality of healthcare services. Medical records serve as a critical tool for documenting patient histories, treatments, and decisions made during their healthcare journey, thus impacting the quality of care provided. Incomplete or inaccurate documentation can lead to delays in treatment, miscommunication among healthcare providers, and legal issues related to patient care. Studies have shown that comprehensive medical records are linked to improved patient outcomes and enhanced operational efficiency in healthcare settings (Smith et al., 2019; Johnson & Patel, 2021). This study aimed to assess the completeness of patient medical record documents in the Medical Resume and Informed Consent forms for inpatients with surgical cases at Tgk. Chik Ditiro Sigli General Hospital. Using a descriptive quantitative approach, the research analyzed a random sample of 293 medical documents. The findings revealed that the completeness of medical record documentation was 69% for the Medical Resume sheet and 83% for the Informed Consent sheet. The study concluded that certain sections were either incomplete or omitted, primarily due to the assumption that certain fields were not applicable to the particular patient’s case. This highlights the need for further training and awareness for healthcare staff regarding the importance of complete medical documentation. The hospital should implement stricter guidelines for filling out medical records and ensure that healthcare workers fully understand the significance of accurate and complete documentation. Future research could explore strategies for improving the consistency of medical record documentation and evaluate the impact of training programs on filling medical records (Williams et al., 2020).

Benign prostatic hyperplasia (BPH), benign prostatic enlargement (BPE), and lowerurinary tract symptoms (LUTS) are among the most prevalent urological conditions affecting agingmen. Over 30% of men above the age of 60 experience moderate to severe LUTS, often requiringmedical intervention. While the pathophysiology of BPH/BPE remains partially unclear, theandrogen receptor pathway—particularly the role of dihydrotestosterone—is well established. Agentssuch as finasteride and dutasteride target this pathway by inhibiting 5α-reductase. More recently,metabolic dysfunction and chronic prostatic inflammation have also been recognized as contributingfactors to the progression of BPE and LUTS. A deeper understanding of these mechanisms is criticalfor developing more effective therapeutic strategies. This study aimed to evaluate the effectiveness ofdual therapy with tamsulosin and solifenacin in improving urinary symptoms and bladder function inpatients diagnosed with BPH. A total of 120 patients with bothersome urinary symptoms wereenrolled. Data was collected using a structured medical questionnaire, and the follow-up periodranged from 3 to 6 months. The findings demonstrated a significant improvement in symptomseverity, with the mean score decreasing from 10.09 to 3.44 post-treatment. Additionally, the pre-void urine volume increased from 181.62 ml to 260.81 ml, indicating enhanced bladder capacity.However, no statistically significant change was observed in post-void residual urine volume. Theseresults support the incorporation of tamsulosin-solifenacin dual therapy into clinical protocols formanaging LUTS in BPH patients, particularly for those with storage-related symptoms.

This study aims to measure the model of achieving customer satisfaction through service quality and influenced by customer trust. Data collected from 100 inpatients of Amarilis 2 room of RSUD Tugurejo Semarang. processed using Structural Equation Model-Partial Least Square (SEM-PLS) modeling technique. The results showed that service quality positively and significantly affects customer trust of inpatients of Amarilis 2 room of RSUD Tugurejo Semarang. Customer trust and service quality variables have a significant positive effect on customer satisfaction of inpatients of Amarilis 2 room at Tugurejo Semarang Hospital.  This research contributes to the management of Amarilis 2 room of Tugurejo Hospital Semarang by providing appropriate strategies to understand customer satisfaction of inpatients of Amarilis 2 room of Tugurejo Hospital Semarang. This strategy is then expected to boost the increase of customer satisfaction of inpatients of Amarilis 2 room of RSUD Tugurejo Semarang. The novelty of this study lies in the fact that it is the first to empirically use the service quality model through excellent service by integrating customer trust to analyze customer satisfaction of inpatients of Amarilis 2 room of RSUD Tugurejo Semarang.

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Patient loyalty is an attitude that drives behavior to return to using the services of a hospital, incorporating emotional aspects, particularly making regular and repeated visits with high consistency. This study aims to obtain empirical evidence of the relationship between brand image, patient experience, and trust on the loyalty of inpatients using private insurance at MRCCC Siloam Semanggi Hospital. The background of this research is the trend of decreasing patient numbers in 2023 among those with private payment and non-JKN insurance. Additionally, secondary data from patient feedback forms revealed some patients were dissatisfied with services not meeting their expectations and showed a tendency to switch hospitals. Based on the data, there is a noticeable decline in the number of patients in the inpatient unit, reflecting an issue with patient loyalty towards MRCCC Siloam Hospital. The research design used is a quantitative study with a cross-sectional design, involving 75 inpatients as the subjects of this study. Data collection was carried out by distributing questionnaires to inpatients randomly, with informed consent. The analysis tool used is Structural Equation Modeling (SEM). The results of the study based on the analysis test show a significant influence of brand image, patient experience, and trust on patient loyalty. However, the influence of brand image and patient experience on patient loyalty, when mediated by trust, is not significant. It is recommended that the hospital improve patient loyalty by enhancing the quality of services through various internal evaluations of the existing system to meet patient expectations and build stronger relationships.

Quality is not easy to define but easy to feel, its form is the service of unfriendly officers, queues of visitors at the counter, long waiting times for service. This will be complained of as a service that is not in accordance with expectations, services that are of less quality so that patients feel less satisfied after getting the services provided. The formulation of the problem in this study is how is the relationship between the quality of nursing services and satisfaction of inpatients at the hospital. Mitra Sejati Medan in 2024? This research uses quantitative research using analytic survey and cross sectional approach. The population in this study were all hemodialysis outpatients, the sample of this study used accidental sampling as many as 64 people. The results of this study using the chi square statistical test, the results obtained are Responsiveness (pvalue = 0.021), Reliability (pvalue = 0.018), Assurance (pvalue = 0.030), Empathy (pvalue = 0.025), direct evidence (pvalue = 0.004), which shows that there is a relationship between The significant variables are responsiveness, reliability, assurance, empathy and direct evidence with satisfaction of inpatients at Mitra Sejati Medan hospital, and by using logistic regression test, the most dominant variable is responsiveness. This can be seen from the EXP(B) value of 4.766 times, which means that direct evidence has a relationship of 4.7 times with inpatients at Mitra Sejati Medan hospital. With suggestions to create a conducive atmosphere to improve the quality of professional health services so that patient satisfaction can be maintained as expected.

Patient satisfaction is one of the benchmarks for assessing a hospital's success in providing services. Quality targets in nutrition services based on hospital Minimum Service Standards include three indicators, namely timeliness of food distribution, food waste and the absence of errors in diet administration. The aim of this research is to determine the relationship between minimum nutritional service standards and the level of satisfaction of inpatients at the Muhammadiyah Islamic Hospital Sumberrejo, Bojonegoro Regency. This type of research is cross-sectional. The sample in this study was patients in classes 2 and 3 of the Shafa and Marwah inpatient rooms, totaling 135 patients. The data measured are the level of patient satisfaction, timeliness of food distribution, accuracy of diet and food waste. Bivariate analysis used the Spearman's Rank test. The results of data analysis showed that food distribution timeliness was 92.5%, diet accuracy was 98%, food waste was 15.1%, while patient satisfaction levels were very satisfied (52%), satisfied (44%), dissatisfied (2%) and very dissatisfied (1%). The results of the study showed that the timeliness of distribution of breakfast (p=0.864>0.05), afternoon (p=0.853>0.05), evening (p=0.864>0.05) and the level of satisfaction, while the accuracy of the diet and the level of satisfaction patients (p=0.112>0.05), for food waste and level of patient satisfaction (p=0.311>0.05). From this research it can be concluded that statistically there is no significant relationship between minimum service standards (timeliness of food distribution, accuracy of diet and food waste) and the level of patient satisfaction. Suggestions that can be given in this research are that hospital efforts are needed to maintain the quality of food services by paying more attention to the accuracy of diet for patients.