Universitas Prima Indonesia: Open Journal Systems
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The Impact of Service Quality on Hemodialysis Patient Satisfaction: A Literature Review
No full textHemodialysis Unit is performed on patients with End-Stage Renal Failure (ESRD) and a background of various pre-existing health problems. Hemodialysis management requires the skills of competent nurses and is supported by hospital management, particularly good service management, to improve patient satisfaction. The study utilizes secondary data by analyzing journals obtained from 2020 to 2025. This study uses the Preferred Reporting Items for literature review and Meta-Analyzes (PRISMA) approach. The article search process was conducted electronically. Data were obtained from the Scopus database and Google Scholar, Pubmed, DOAJ and GARUDA, the literature review used the keywords service quality, patient satisfaction, and hemodialysis. The results obtained in this study obtained 21 articles, 6 articles were not selected because they were not full-text reviews (3 from Scopus, and 3 from Google Scholar). There were 8 articles that were not analyzed because of qualitative research, and a total of 33 duplicate articles were excluded. Finally, 7 articles were selected for review. From the results of the literature review, it was found that good service quality in the hemodialysis room will increase high satisfaction for patients undergoing hemodialysis. From the results of the study, there are several factors that support improved health services such as service, facilities, atmosphere, and short waiting times have a positive effect on patient satisfaction. Good quality healthcare services in the hemodialysis room increase patient satisfaction. Many factors contribute to service quality, including cleanliness, waiting times, facilities, and the hemodialysis treatment environment
Antidiabetic potential of andaliman: Histopathological and glycemic improvements in diabetic rats
No full textBackground: Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia and pancreatic dysfunction, particularly involving the Islets of Langerhans. Andaliman (Zanthoxylum acanthopodium) is a plant rich in flavonoids and antioxidants, which are believed to have antidiabetic effects. This study aimed to evaluate the effectiveness of the ethanol extract of Andaliman fruit on pancreatic histopathology in alloxan-induced diabetic rats.
Methods: This study employed a true experimental design with a pre-test and post-test control group structure. Twenty-four male Wistar rats were randomly assigned to six groups: a normal control, a positive control (metformin 9 mg/kg), a diabetic control (alloxan 90 mg/kg), and three treatment groups induced with alloxan followed by administration of Andaliman extract at doses of 150, 250, and 350 mg/kg body weight, respectively. Treatments were administered for 14 days, after which blood glucose analysis (pre- and post-treatment) and pancreatic histopathological assessments were performed.
Results: Statistical analysis revealed a significant reduction in blood glucose levels following treatment (p = 0.001). Histopathological examination showed that Andaliman extract ameliorated alloxan-induced damage to the Islets of Langerhans. The 350 mg/kg body weight dose resulted in the most pronounced tissue regeneration compared to the other treatment groups.
Conclusion: The ethanol extract of Andaliman fruit effectively improves pancreatic histopathology and lowers blood glucose levels in diabetic rats
Relationship of parental occupation, income, and education with children's oral health: A study of sixth-grade students at SD 060847 Sekip, Medan
No full textBackground: Oral health in elementary school–aged children is an important component of general health that affects quality of life and the growth and developmental process. Poor oral hygiene in children remains common and is influenced by various factors, including parental socioeconomic conditions. This study aimed to determine the relationship between parental socioeconomic factors, including occupation, income, and education level, and the oral health of sixth-grade students at SD Negeri 060847.
Methods: This analytic survey used a cross-sectional design. The study population comprised all students at SD Negeri 060847, and the sample consisted of 43 sixth-grade students selected using a total sampling technique. Data on parental socioeconomic status were obtained through questionnaires, and children’s oral health status was assessed using the Oral Hygiene Index Simplified (OHI-S) through direct examination. Data were analyzed using univariate and bivariate methods with the chi-square test. Most children had a moderate OHI-S status.
Results: There was a significant relationship between parental occupation and children’s OHI-S status, with children whose parents had higher-level occupations tending to have better oral hygiene. Parental income also showed a significant relationship with OHI-S status, with higher income associated with better oral hygiene. In addition, parental education level was significantly associated with children’s oral health.
Conclusion: In conclusion, parental socioeconomic factors are significantly associated with the oral health of sixth-grade students at SD Negeri 060847
Edukasi dan Manajemen Resiko dalam Pertolongan Pertama Luka Bakar pada Anak
No full textLuka bakar pada anak merupakan masalah kesehatan yang serius dan sering terjadi di lingkungan rumah tangga, namun pengetahuan masyarakat terutama ibu dan pengasuh masih terbatas mengenai penanganan pertamanya. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pemahaman tentang manajemen risiko dan langkah awal penanganan luka bakar pada anak. Kegiatan dilaksanakan di RSUD Drs. H. Amri Tambunan melalui metode ceramah, diskusi, dan pembagian buku panduan. Hasil dari kegiatan ini menunjukkan peningkatan pemahaman peserta terhadap bahaya luka bakar dan kemampuan memberikan pertolongan pertama yang tepat. Edukasi ini juga memperkuat kesadaran terhadap potensi risiko di rumah dan pentingnya tindakan preventif. Program dinilai efektif dan mendapatkan respons positif dari peserta. Disarankan agar kegiatan serupa dilaksanakan secara rutin dan berkesinambungan dengan dukungan dari instansi kesehatan serta pemanfaatan media digital untuk memperluas jangkauan edukasi kepada masyarakat
Effectiveness of Health Promotion Media (Posters) on Reducing Blood Sugar Levels in Diabetes Mellitus Patients
No full textDiabetes Mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Health promotion plays a pivotal role in enhancing patient knowledge and self-management behaviors. Among various educational tools, posters are considered effective media due to their ability to convey complex health messages visually and concisely. This study aimed to evaluate the effectiveness of poster-based health promotion interventions in reducing blood glucose levels among patients with Diabetes Mellitus at the Bandar Khalifah Public Health Center. This research employed a quantitative method utilizing a quasi-experimental design with a one-group pretest-posttest approach. A sample of 52 respondents was selected using a random sampling technique. Data were analyzed using the Paired Sample t-test to determine the statistical significance of the intervention. The statistical analysis revealed a significant difference in blood glucose levels before and after the intervention, with a p-value of 0.006 (p < 0.05). These findings indicate that the implementation of visual health education significantly contributed to the reduction of blood glucose levels among the respondents. It is concluded that poster-based media is an effective tool for supporting glycemic control in patients with Diabetes Mellitus. Therefore, it is recommended that healthcare providers utilize and develop diverse visual health promotion media regularly to sustain public awareness and foster long-term healthy behaviors
Application of Moist Wound Healing with Hydrogel on Diabetic Wounds at Asri Wound Care Center Medan
No full textDiabetic foot ulcer is a common and serious complication of diabetes mellitus that requires effective wound management to accelerate healing and prevent further complications. Objective: This study aimed to evaluate the effectiveness of moist wound healing using hydrogel in improving wound healing outcomes among patients with diabetic foot ulcers at Asri Wound Care Center Medan. Methods: This study employed a case study design with purposive sampling. A total of five patients with diabetic foot ulcers stage 4 were included, consisting of three patients in the treatment group and two patients in the control group. Wound healing outcomes were assessed using the Bates-Jensen Wound Assessment Tool (BWAT) over seven wound care sessions. Results: The treatment group demonstrated a more significant improvement in wound healing compared to the control group. BWAT scores in the treatment group decreased from 43 to 24 (R1), 40 to 20 (R2), and 39 to 20 (R3), indicating marked reductions in necrotic tissue, slough, biofilm, and exudate, along with improved wound base and granulation tissue formation. In contrast, the control group showed smaller reductions in BWAT scores, from 40 to 34 (R4) and 41 to 33 (R5), reflecting a slower healing process with residual necrotic tissue and exudate. Conclusion: Moist wound healing using hydrogel was more effective than conventional wound care in accelerating the healing of diabetic foot ulcers, as evidenced by greater BWAT score reductions and improved wound characteristics. These findings support the use of hydrogel as an effective dressing in diabetic wound management
The Relationship Between Family Support and Anxiety Levels in Preoperative Patients with Reponible Hernia
No full textPatients undergoing surgery often experience anxiety due to concerns about surgical outcomes, pain, and potential complications. Family support plays a vital role in helping patients cope with anxiety before surgery. This study aimed to determine the relationship between family support and anxiety levels among preoperative hernia reponibel patients in Nyi Ageng Serang Room 1 at RSUD Sekarwangi. A quantitative cross-sectional design was employed. The sample consisted of 32 preoperative patients with reducible hernia, representing the total population treated in the study setting during the data collection period. Patients selected using a total sampling technique. The research instruments used were the Multidimensional Scale of Perceived Social Support (MSPSS) to assess family support and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels. Data were analyzed using the Chi-Square test with a significance level of p < 0.05. The results revealed a significant relationship between family support and patients’ anxiety levels (p = 0.000). Patients who received strong family support predominantly experienced mild anxiety (87.5%), while those with low family support tended to experience moderate to severe anxiety. These findings indicate that greater family support is associated with lower anxiety levels among preoperative patients. This study contributes evidence that family support is a significant determinant of preoperative anxiety among patients with reducible hernia in a regional hospital setting. The findings enrich nursing science by highlighting the importance of family-centered care as a contextual psychological support strategy in preoperative management, particularly in non-tertiary hospitals
Smoking and Occupational Risks Among Traditional Divers in Lake Sentani
No full textSmoking among workers, especially traditional divers, is a factor that can contribute to health problems. This study aims to determine the perceptions and occupational risks of traditional divers regarding the activity of diving while smoking. This study is a qualitative study of traditional diver fishermen around Lake Sentani, Jayapura Regency. The research instrument was an interview guide to obtain data related to diver characteristics, smoking habits, work methods, and dive duration, as well as tools to record the interview process (tape recorder). Furthermore, the data were analyzed using Colaizzi analysis. Based on the results of the study, four main themes have been identified that describe the perception of traditional divers regarding smoking activities, namely diving as a form of assimilation of livelihood traditions to meet family food needs, consumption of hand-rolled cigarettes while diving as a function to obtain warmth and bodily pleasure, lack of knowledge and understanding of the dangers of consuming hand-rolled cigarettes while diving, and safety while diving.
Kata kunci: Merokok, Penyelam, Risiko Kerja
Analysis of Psychological and Organizational Factors in the Implementation of Electronic Medical Records by Medical Records Staff at Welas Asih Regional Hospital
No full textThis study aims to analyze the psychological and organizational factors that influence the implementation of Electronic Medical Records (EMR) by medical records staff at Welas Asih Regional Hospital. This research method uses a descriptive qualitative method in the Medical Records installation of Welas Asih Regional Hospital. A sample of 33 people was taken using a purposive sampling technique, namely officers who actively use the EMR system. Data were collected using questionnaires, observation, and documentation. Although the implementation of EMR aims to improve efficiency and quality of service, challenges that arise are changes in work culture and psychological factors such as initial anxiety. From the organizational side, the main challenges are the need for additional training and constraints on infrastructure/system smoothness. Quantitative results show that psychological factors in the form of internal motivation are at a very strong level (average score of 4.87), in line with the high awareness of officers regarding the benefits of EMR (average score of 4.67). However, aspects of initial anxiety were still identified (average score of 2.90). Organizationally, there was a strong indication of the need for additional training (average 4.41) and the persistence of technical operational barriers (average 3.31), indicating the need to optimize facility support. Optimizing RME adoption requires a holistic strategy, including the provision of psychological support programs to mitigate anxiety, as well as targeted organizational investments in improving the quality of practical training and maintaining a smoother and more stable system infrastructure
Optimization Of Data Interoperability Between Simrs And The JKN Mobile Application As An Effort To Digital Transform Health Services At Welas Asih Regional Hospital
No full textDigital transformation in Indonesia's healthcare sector is increasingly developing through the implementation of information system integration that supports accelerated service delivery, particularly in healthcare facilities with high visitor loads. This study analyzes the dynamics of interoperability between the Hospital Management Information System (SIMRS) and the JKN Mobile application in the patient registration process at Welas Asih Regional Hospital, a hospital with approximately 2,000 daily visits, of which approximately 1,500 use JKN Mobile. This study used a qualitative approach with a case study design, through in-depth interviews and direct observation of the registration process. The results indicate that the SIMRS–JKN Mobile integration is effective when the system is functioning normally, characterized by a fast barcode check-in process, automatic queue number synchronization without re-input, and consistent receipt number locking across all service stages up to claims. However, several obstacles still arise, particularly BPJS server disruptions, internet network instability, GPS reading issues, and limited patient digital literacy. Staff overcome these obstacles through adaptive strategies such as GPS calibration, switching to the hospital's Wi-Fi network, arrival time validation, and the use of the SIMRS approval feature. This study demonstrates that successful interoperability is determined not only by technological readiness but also by organizational readiness, staff operational competence, and patient capability in using digital applications. These findings provide a novel scientific contribution by providing comprehensive field evidence on the implementation of interoperability in high-volume healthcare facilities and providing recommendations for technical improvements and service governance for hospitals and policymakers