JURNAL KESEHATAN TERAPAN

Analysis of Health Service Quality with BPJS Class III Patient Satisfaction in Inpatient Installations at Regional General Hospitals

Neni Triana, Maya Apriani, M Ari Darmansyah — Wed, 30 Jul 2025 00:00:00 +0000

Satisfaction starts from the acceptance of patients from the first time they arrive, until the patient leaves the hospital. To achieve patient satisfaction, of course, by making efforts to provide quality health services in health institutions. The purpose of this study was to determine the relationship between physical evidence (tangible), responsiveness, reliability, assurance, and empathy with BPJS III patient satisfaction at the Inpatient Installation of Palembang Regional Hospital. The design of this study was an analytical survey with a cross-sectional study approach. The population is all BPJS III participant patients undergoing treatment at the Inpatient Installation of the RSUD totaling 485 people and samples were taken from September 2023 to February 2024 with a sample size of 83 respondents. The statistical analysis used was univariate, bivariate, and multivariate analysis to see the relationship between the quality of health services and the satisfaction of BPJS Class III patients at the Inpatient Installation of the RSUD. From the entire analysis process that has been carried out, it can be concluded that of the five independent variables, all variables are stated to have a simultaneous relationship with the satisfaction of BPJS Class III patients at the Inpatient Installation of the RSUD.

Analisis Deteksi Tumbuh Kembang Balita Di Posyandu Lavenda

Susilawati Susilawati, Dewi Junita — Wed, 30 Jul 2025 00:00:00 +0000

Growth is an increase in the size and number of cells and intercellular tissue, meaning an increase in the physical size and structure of the body in part or in whole, so that it can be measured in units of length and weight. Development is an increase in the structure and function of the body that is more complex in gross motor skills, fine motor skills, speech and language, and socialization and independence. The purpose of the study was to analyze deviations in the growth and development of toddlers at the Lavenda Posyandu in Jambi City. This research method uses a descriptive approach with direct observation and data collection through interviews with parents conducted in January 2025. The population in this study were all toddlers aged 1 to 5 years at the Lavenda Posyandu in Jambi City. The sample in this study was 48 toddlers aged 1 to 5 years. Data collection was carried out through the Pre-Screening Development Questionnaire (KPSP). The results of the toddler growth detection study showed normal nutritional status for 43 children (93.75%), thin for 4 children (8.33%) and obese for 1 person (2.08%). Meanwhile, the results of the toddler development detection showed that the results of the child's development were in accordance with their development. Growth and development detection analysis is very important to maximize the optimization of children's growth and development from an early age. Early detection as a form of early intervention in children provides a beneficial effect to prevent deviations in growth and development as early as possible.

Analisis Faktor Usia Pendidikan dan Paritas yang Mempengaruhi Kepatuhan Kunjungan Antenatal Care (ANC) Pada Ibu Hamil

Intan Sari, Serlly Destiana, Anggun Agustin — Wed, 30 Jul 2025 00:00:00 +0000

potential for unexpected complications. Therefore, optimal monitoring is of utmost importance. The aim of this study is to conduct an in-depth analysis of the factors associated with Antenatal Care (ANC) visits in PALI Regency, with a focus on the working area of Babat Public Health Center (Puskesmas Babat). This study employed an analytical survey design with a cross-sectional approach. The research was conducted at Babat Public Health Center in PALI Regency in February 2025. The population in this study consisted of all postpartum mothers who had their pregnancies checked at Babat Public Health Center in PALI Regency in 2024, totaling 270 individuals. The sampling technique used in this study was total sampling. Thus, the sample included all pregnant women who had antenatal check-ups in 2024 at Babat Public Health Center, totaling 270 individuals. The data used were secondary data obtained from medical records, using a checklist sheet as the research instrument. The dependent variable in this study was antenatal care (ANC) visits by pregnant women, while the independent variables included maternal age, education level, and parity. The Chi-Square statistical test was performed using computerized processing with a significance level of α = 0.05. The conclusion of this study is that there is a significant relationship between maternal age and ANC visits, with a P-value of 0.001, which is less than α = 0.05. Likewise, there is a significant relationship between the mother's level of education and ANC visits, with a P-value of 0.001 < 0.05. There is also a significant relationship between parity and ANC visits, as the P-value of 0.003 is still less than α = 0.05.

Analisis Tingkat Kepuasan Masyarakat Terhadap Pelayanan Kesehatan di Poliklinik Rumah Sakit Umum Daerah Kota Kayuagung

Eliya Eliya, Fitri Noviadi, Ira Kusumawaty — Wed, 30 Jul 2025 00:00:00 +0000

Patient satisfaction is one of the important indicators that must be considered in health services. The definition of patient satisfaction according to Kotler is a person's feeling of pleasure or disappointment that arises after comparing their perception or impression of the performance or results of a product and their expectations. The standard of patient satisfaction in health services is set nationally by the Indonesian Ministry. The purpose of this study was to determine the relationship between tangible evidence, responsiveness, reliability, assurance, and empathy and several factors that influence community satisfaction at the Kayuagung City Regional General Hospital Polyclinic. The design of this study is an analytical survey with a cross-sectional study approach. The population is all outpatients at the Kayuagung City Regional Hospital Polyclinic which is calculated based on the number of patients in 2025 of 24,709 with a sample size of 100 respondents. The statistical analysis used is univariate, bivariate, and multivariate analysis to see the relationship between factors that affect health services, age, gender, education, employment status, economic status, payment method, polyclinic visited, patient status, disease suffered and distance / access with the dependent variable of the level of community satisfaction at the Outpatient Polyclinic of Kayuagung City Hospital. From the entire analysis process that has been carried out, it can be concluded that of the ten independent variables, there are variables that are related and there are variables that are not related simultaneously to the level of community satisfaction at the Outpatient Polyclinic of Kayuagung City Hospital.

Hubungan Umur dan Frekuensi Hubungan Seksual pada Menopause di Desa Purbayasa Kecamatan Padamara Kabupaten Purbalingga

Siti Isnaeni, Retno Kumalasari — Wed, 30 Jul 2025 00:00:00 +0000

Biological changes experienced by women during menopause can affect various aspects of life, including sexual activity. One of the key factors to examine is the relationship between age and sexual frequency in menopausal women. This study aims to investigate the correlation between age and the frequency of sexual activity among menopausal women in Purbayasa Village, Padamara Subdistrict, Purbalingga Regency. This research employed a correlational analytic design with a cross-sectional approach involving 118 female respondents aged 40–64 years who met the inclusion criteria. The sampling technique used was purposive sampling, and data analysis was conducted using the chi-square test. The results showed that most women in the menopausal age group remained sexually active, with a frequency of ≥2 times per week (57.8%). In contrast, only 23.1% of postmenopausal women reported similar activity levels. The statistical test revealed a significant relationship between age and sexual frequency (p = 0.000; CC = 0.442), indicating a moderate association. The study concludes that as age increases, the frequency of sexual activity in menopausal women tends to decrease. This decline is influenced not only by hormonal changes but also by psychological, physical, and partner-related factors. Therefore, attention to the sexual health of menopausal women should be an integral part of comprehensive health services to support their overall quality of life.

Efektivitas Strategi Promosi Kesehatan Rumah Sakit di Berbagai Wilayah : Systematic Literature Review

Restu Prihandini Widiar, Alfan Najmi — Wed, 30 Jul 2025 00:00:00 +0000

Hospital health promotion is an integral part of the healthcare system that plays a vital role in improving the quality of life of patients and the broader community. In various countries, hospitals not only serve as places for patient care but also act as health promotion centers responsible for disease prevention and enhancing public well-being through a variety of interventions and health education programs. This study aims to explore the effectiveness of health promotion strategies implemented in hospitals, focusing on patient empowerment, medical staff empowerment, the use of alternative therapies, and health communication. The method used is a systematic literature review of 15 relevant articles. The findings indicate that empowering patients and medical personnel can improve the quality of care and patient satisfaction. Patient empowerment that involves them in care decision- making enhances their experience, while medical staff empowerment through training improves their effectiveness in carrying out health promotion. The use of alternative therapies has been shown to provide additional benefits in enhancing patient well-being. The study also found that effective communication between medical staff and patients plays a crucial role in improving patient understanding, treatment adherence, and their involvement in care decision-making. The conclusion of this study is that approaches based on patient and medical staff empowerment, along with effective communication, are effective strategies for enhancing the quality of health promotion in hospitals. The implications of this research include the development of hospital policies that support better empowerment and communication between patients and medical staff.

Pengaruh Pijat Endorphin Terhadap Kecemasan dalam Menghadapi Persalinan Pada Ibu Hamil Primigravida Trimester III

sartika sartika, Noorlinda Noorlinda — Wed, 30 Jul 2025 00:00:00 +0000

High levels of anxiety during pregnancy, especially approaching childbirth, can negatively impact both maternal and fetal health. One non-pharmacological intervention that has shown potential in reducing anxiety is endorphin massage—a light-touch therapy that stimulates the release of endorphins, which act as natural pain relievers and promote a sense of comfort. This study aimed to analyze the effect of endorphin massage on anxiety levels among third-trimester primigravida mothers facing labor. A quantitative approach with a pre-experimental one-group pretest-posttest design was employed. The study involved 20 third-trimester primigravida participants. The intervention consisted of four sessions of endorphin massage, and anxiety levels were assessed using a modified version of the Hamilton Rating Scale for Anxiety (HRS-A). The results indicated a significant decrease in anxiety, with the mean score dropping from 3.5 before the intervention to 1.55 after. The Wilcoxon test showed a p-value of 0.000 (< 0.05), confirming a statistically significant effect of endorphin massage on reducing anxiety. These findings suggest that endorphin massage is an effective non-pharmacological method to lower anxiety levels and enhance maternal psychological preparedness and comfort prior to childbirth.

Faktor-Faktor Yang Berhubungan dengan Kepatuhan Ibu Hamil dalam Mengkonsumsi Tablet Fe

Ella Suryana, Eka Rahmawati — Wed, 30 Jul 2025 00:00:00 +0000

One of the government's efforts to prevent anemia in pregnant women is through a program providing iron tablets. This study aims to determine the relationship between knowledge, attitudes and family support simultaneously with pregnant women's compliance with consuming Fe tablets at the Palembang Campus Health Center. Analytical survey research method with a cross-sectional approach. The population in this study were all second and third trimester pregnant women in the Palembang campus health center work area in January-April 2024, namely 120 pregnant women. Samples were taken using accidental sampling technique with a total sample of 34 respondents, data analysis used univariate and bivariate analysis with the chi square statistical test. Univariate results showed that of the 34 respondents who complied with consuming Fe tablets, 22 respondents (64.3%) and 12 respondents who did not comply with consuming Fe tablets (35.5%). The results of bivariate analysis using the chi square test show that there is a relationship between knowledge (p value = 0.025), attitude (p value = 0.015) and family support (p value= 0.042) with the compliance of pregnant women with consuming Fe tablets at the Palembang Campus Health Center in 2024. It is hoped that The results of this research can be an illustration for the community health center to further increase the compliance of pregnant women with consuming Fe tablets by providing information to pregnant women about the benefits of Fe tablets.

Faktor - Faktor yang Berhubungan dengan Kualitas Rumah Sehat

Medy Purwanto, Zanariah Zanariah, Nurasbon Nurasbon — Wed, 30 Jul 2025 00:00:00 +0000

A proper dwelling should ideally provide comfort, safety, and health support for its occupants to facilitate daily activities and improve overall well-being. A healthy living environment is a crucial factor in enhancing public health quality. The concept of a healthy house encompasses both technical and social aspects in managing risks, including the building's location, structural conditions, functionality,

Decent housing should ideally provide a sense of comfort, safety, and support the health of its occupants in order to facilitate daily activities and improve overall well-being. A healthy living environment is a crucial component in efforts to enhance public health status. The concept of a healthy house encompasses both technical and social aspects in managing various risks, including the location of the building, physical structure, function, maintenance, and the surrounding environmental conditions.In addition, elements such as access to clean water, facilities for cooking, washing, food storage, as well as systems for waste and sewage disposal are also important indicators in assessing the feasibility of a healthy house. The objective of this study is to assess the quality of healthy housing in the area. The method used is an analytical survey with a cross-sectional approach. This study was conducted in July 2024 in Sukaraja Village, Suak Tapeh Sub-district, Banyuasin Regency. The study population included all heads of households, with 48 respondents randomly selected. Data were collected using a checklist.Univariate analysis showed that 45.8% of houses were categorized as healthy, with the following breakdown: ceilings meeting the criteria at 37.5%, permanent walls 37.5%, floors 39.6%, openable windows 56.2%, ventilation 45.8%, kitchen smoke disposal facilities 41.7%, and natural lighting 39.6%. There was a significant relationship between these elements and the feasibility of a healthy house.Therefore, health workers are expected to actively provide education and real examples regarding healthy housing standards. The community also needs to understand the criteria for a healthy home before starting construction in order to create a living environment that supports the health of all family members

Penerapan Latihan Batuk efektif Pada Pasien Anak Asma Bronkial dengan Bersihan Jalan Nafas Tidak Efektif di RS X Provinsi Sumatera Selatan

Wahyu Sakinah, Fitri Afdhal, Ria Wulandari, Muhammad Romadhon — Wed, 30 Jul 2025 00:00:00 +0000

Bronchial asthma is a chronic inflammation of the respiratory tract that affects the trachea and bronchi and is very common. Exposure to various stimuli can lead to airway hyperresponsiveness, causing symptoms such as shortness of breath (wheezing), chest tightness, and coughing. This inflammation is closely associated with those responses.The objective of this study was to implement nursing care for patients with respiratory system disorders, specifically bronchial asthma with the main nursing diagnosis of ineffective airway clearance. The population in this study consisted of all inpatients in the internal medicine ward of Hospital X, South Sumatra Province, who were diagnosed with bronchial asthma during the research period. From this population, two patientswho met the inclusion criteria (diagnosed with bronchial asthma and experiencing ineffective airway clearance) were selected as the samples.This research used a descriptive method with a case study approach. The main intervention applied was effective coughing exercises along with pharmacological therapy using bronchodilators. Data collection techniques included interviews, observations, physical examinations, and documentation studies.The results showed that both patients initially complained of productive cough and shortness of breath. After three days of intervention using effective coughing exercises, bronchodilator administration, and the implementation of SLKI (Indonesian Nursing Outcome Standards) and SIKI (Indonesian Nursing Intervention Standards), the problems were resolved. The main nursing diagnosis of ineffective airway clearance was successfully addressed.