Indonesian Health Issue
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The Influence of E-Service Quality on Patient Satisfaction and Loyalty in Hospitals: A Systematic Literature Review Using the PRISMA Framework in 2020-2025
Full text linkBackground: The advancement of digital technology in the healthcare sector has driven hospitals to improve the quality of electronic services (e-service quality) in meeting patients’ expectations for convenience, speed, and service effectiveness. Objective: This study aims to analyze the influence of e-service quality on patient satisfaction and loyalty in hospitals. Methods: This research employed a Systematic Literature Review guided by the PRISMA framework and conducted in October 2025. Articles were collected from the ScienceDirect, PubMed, ProQuest, and Google Scholar databases, yielding a total of 14,273 articles, which were screened and filtered into eight relevant studies that met the inclusion criteria. Results: E-service quality has a significant effect on patient satisfaction through four factors: integrated digital services, emotional and trust dimensions, technical quality and user experience, and ease of use. Furthermore, patient loyalty is formed through two mechanisms improvement of electronic service quality and technological integration that encourages revisit intention. Conclusion: E-service quality plays an important role in enhancing patient satisfaction and loyalty in hospitals
Determinan Faktor Risiko Terjadinya Kanker Serviks
Full text linkBackground : The cervix is influenced by various factors, including age, socio-economic status, age at first sexual intercourse, multiple sexual partners, uncircumcised sexual partners, parity, lack of maintaining genital hygiene, smoking, obesity, history of venereal disease, and family history of sufferers. Cervical cancer, chronic trauma to the cervix, use of sanitary napkins and pantyliners, diethylstilbestrol (DES), and use of oral contraceptives. Objective: To determine the determinants of risk factors for cervical cancer in the NTB Provincial Regional Hospital in 2023. Method: This type of research is observational analytic with a case-control research design. The sample was 156 people, consisting of 78 cervical cancer groups and 78 control groups. Data analysis used the Chi-Square test and logistic regression. Results: The results of the characteristics of the largest number there is a significant relationship between age of menarche (ρ value = 0.022), number of parities (ρ value = 0.000), use of hormonal contraception (ρ value = 0.000) nutritional status (ρ value = 0.000), number of marriages (ρ value = 0.000) and age at marriage (ρ value = 0.000) with the incidence of cervical cancer. Meanwhile, there was no significant relationship between smoking history (p value 0.586) and family history (p value 0.325) on the incidence of cervical cancer. And from statistical analysis using logistic regression, it was found that age at marriage is the dominant factor causing cervical cancer with an odd ratio value / Exp B = 3,773, meaning that people who have been married < 20 years have a 3,773 times greater risk of developing cervical cancer than people who have been married > 20 years. Conclusion: The results of statistical analysis show that age at menarche, number of parities, use of hormonal contraception, nutritional status, number of marriages, age at marriage play an essential role in increasing the risk of developing cervical cancer, while smoking habits and family history of cancer are not risk factors for cervical cancer, and Age at marriage is the dominant factor causing cervical cancer in NTB Provincial Regional Hospital in 2023. Suggestion: There is a need to develop community-based intervention models to increase awareness and compliance with screening.
Hubungan Self Efficacy dengan Tingkat Kecemasan Ibu Hamil Primigravida Trimester III
Full text linkBackground: At the end of pregnancy, expectant mothers experience many changes, both physical and psychological. One of the various psychological aspects that often arises is worry about the upcoming birth. This factor is influenced by the level of self-efficacy, namely. Individual confidence in their abilities when facing difficulties Objective: The aim of this research is to find out whether there is a relationship between self-efficacy and anxiety levels in primigravida pregnant women in the third trimester who seek treatment at the Umbulsari Community Health Center. Method: The research method used a cross-sectional correlational design involving 28 participants where participants were taken purposively. The General Self-Efficacy Scale (GSES) was used in data collection in terms of assessing the level of self-efficacy as well as a questionnaire to measure the anxiety of primigravida pregnant women in the third trimester. Analysis using the Spearman Rank test showed a significant p-value of 0.000, indicating a strong relationship between the level of self-efficacy and the level of anxiety in this population. Results: The research results showed that the majority of participants had a moderate level of self-efficacy (53.6%) and a high level of worry (46.4%).Conclusion: pregnant women with high levels of self-efficacy tend to experience lower levels of worry. These findings highlight the importance of feeling confident about the birth process, which can help reduce levels of worry during this transformative period
Hubungan Kepatuhan Kunjungan Antenatal Care (ANC) dengan Kemampuan Personal Hygiene Masa Nifas Pada Ibu Postpartum
Full text linkBackground: Antenatal care (ANC) is essential in helping mothers maintain personal hygiene during the postpartum period. Non-compliance with ANC visits may reduce understanding of hygiene and increase infection risk. Objective: This study aimed to explore the association between compliance with ANC visits and postpartum mothers' personal hygiene practices. Method: A quantitative study with a cross-sectional correlational design was employed. on 70 postpartum mothers who delivered vaginally, selected via total sampling. Data were collected using a questionnaire and analysed with the Chi-Square test at α = 0.05 Results: A significant association was found between ANC compliance and personal hygiene (p < 0.001). An OR of 40.25 showed that compliant mothers were 40 times more likely to practise good hygiene. Conclusion: Compliance with ANC visits improves postpartum mothers' hygiene
Pengaruh Pemberian Video Dukasi Sadari Terhadap Tingkat Pengetahuan Siswi Dalam Melakukan Praktik Sadari
Full text linkOne type of cancer that most often affects women and is the cause of death worldwide is breast cancer. According to data from GLOBOCAN (2020) new cases of cancer in Indonesia reached 68,858 cases (16.6%) ofatotalof 396,914 newcasesin Indonesia. Lackof knowledge isoneof the factors for women to do early detection of breast cancer. Efforts to increase knowledge of adolescent girls are one of them through SADARI counseling. Breast self-examination (SADARI) aims to determine the presence or absence of lumps in a woman's breast. The purpose of this study was to determine the effect of providing educational video SADARI through video media on the level of knowledge of adolescent girls at SMAN 1 Pengasih Kulon Progo.
This study used a pre-experiment method and used a one group pretest- postest approach. The population was 131 female students with 63young women in class XI used as samples selected using stratified random sampling technique. Data obtained through the distribution of questionnaires to respondents were then processed using the Wilcoxon test. This study has the results of the majority there is an increase in knowledge before being given intervention through SADARI video media with a majority of 29 respondents (46.03%) and after being given intervention as many as 37 respondents (58.73%). The results of the Wilcoxon test obtained a significant value of 0.000(p <0.05) which means Ho is rejected and Ha is accepted, meaning that there is an effect of providing health education using SADARI video media on the level of knowledge of adolescent girls at SMAN 1 Pengasih Kulon Progo. Suggestion: It is expected that the school is able to collaborate with the nearest health service to provide counselingon breastself-examination (SADARI) to all female students at SMA N 1 Pengasih Kulon Progo.  
Pengetahuan Kader Tentang Faktor Risiko Preeklampsia
Full text linkBackground Preeclampsia is the leading cause of maternal death in Indonesia at 37.1%. Preeclampsia is prevalent in 50 health center work areas in Karawang Regency. The number of preeclampsia cases is 17.52% of 8285 high-risk pregnant women. Failure to identify and manage cases based on risk factors also contributes to maternal death due to preeclampsia. The objective of this study is to enhance cadres' understanding of preeclampsia by enhancing their capacity to identify risk factors for preeclampsia at the Kertamukti Health Center. Aim: This study aims to explore the knowledge of cadres about the risk factors for preeclampsia. Method: This study uses a qualitative approach by conducting FGD (Focus Group Discussion). There were two discussion groups, each consisting of 12 cadres. Purposive Sampling Technique. The informants are Posyandu cadres and have been categorized in the FGD group. The analysis uses an analysis theme by creating keywords and matrices. Result: Cadres do not know other names for preeclampsia and are still unfamiliar with the term. Cadres only know the term high blood pressure. so they do not understand the risk factors for preeclampsia. Conclusion: The study focuses on two major themes: the knowledge of preeclampsia and the collaboration between midwives and cadres. The term preeclampsia is still widely unknown and not understood by cadres
Digitalisasi Edukasi Kesehatan: Pengaruh E-Book Aksi SADARI bagi Kader
Full text linkBackground: Breast cancer is the most prevalent cancer among women globally, with 2,296,840 cases and 666,103 deaths. In Indonesia, breast cancer ranks first, with 66,271 new cases and 22,598 deaths in 2022. Health cadres play a key role in prevention and health education in the community. E-books offer an accessible and effective solution to enhance health cadres’ knowledge, providing easy access to educational content anytime and anywhere, supporting promotive and preventive health efforts. Objective: To assess the impact of e-book Aksi SADARI educational media on health cadres' knowledge regarding early breast cancer detection at Babakan Health Center. Method: This study employed a pre-experimental design with a One Group Pretest-Posttest design. A sample of 70 health cadres was selected from a population of 203. Data were analyzed using the Wilcoxon signed-rank test. Results: This study found that most respondents were over 35 years old (60%), had a high school education (77.1%), were housewives (87.1%), and had served as health cadres for over 5 years (54.3%). Prior to the intervention, 68.6% had low knowledge levels. After receiving education through an e-book, 85.7% demonstrated good knowledge. The Wilcoxon signed-rank test showed a significant improvement in knowledge (p = 0.000; p < 0.05). Conclusion: E-book Aksi SADARI educational media effectively improved health cadres' knowledge on early breast cancer detection at Babakan Health Center in 2025
Pengaruh MEDVIK (Media Edukasi Serviks) Terhadap Pengetahuan Wanita Usia Subur Tentang Deteksi Dini Kanker Serviks Dengan Metode IVA
Full text linkBackground: Cancer is one of the non-communicable diseases that has become a public health problem worldwide including in Indonesia. Based on GLOBOCAN 2018 data in the world there are 18.1 million new cases of cancer. In Indonesia, cervical cancer cases are very high. The number of new cases of cancer found in 2020 was 396,914 cases, as many as 9.2% (36,633) were cases of cervical cancer Preventive and promotive actions can be taken to improve health status through promotion and health education on early detection of cervical cancer using media, one of which is MEDVIK (Cervical Education Media). Purpose: To determine the effect of health counseling with MEDVIK on increasing the knowledge of women of childbearing age in efforts to early detect cervical cancer with the Iva method. Methods: This research is a quantitative research with Quasi Experiment method with pretest-posttest design. Sampling with purposive sampling technique as many as 108 respondents. Data analysis using the Mann Whitney test. Results: The mean knowledge value before intervention was 40.46, after intervention 82.69. The mean knowledge value before treatment in the control group was 36.30 and after treatment 63.06. The Mann Whitney analysis test with a P-Value of 0.000 < 0.05 shows a significant difference in the two groups. Conclusion: The use of MEDVIK has an effect compared to leaflets in increasing the knowledge of women of childbearing age about early detection of cervical cancer using the IVA method
Pengaruh Prenatal Yoga terhadap Depresi, Kecemasan dan Stres pada Ibu Hamil
Full text linkBackground: Pregnancy is often accompanied by physical and psychological changes that can increase the risk of depression, anxiety, and stress, which negatively impact the health of the mother and fetus. Prenatal yoga is considered a safe and effective non-pharmacological intervention to help reduce depression, anxiety, and stress in pregnant women. Purpose This study aims to analyze the effect of prenatal yoga on depression, anxiety, and stress in pregnant women. Methods: This study used a quasi-experimental pretest–posttest control group design. The sample consisted of 60 pregnant women who were divided evenly into the intervention group (n=30) and the control group (n=30) with a purposive sampling technique. Data were collected using the DASS-21 questionnaire. Data analysis was performed using a paired t-test to see changes within the group and an independent t-test to compare differences between groups with a significance level of 95%. Results The results showed a significant decrease in depression, anxiety, and stress scores after prenatal yoga intervention in the intervention group. The control group did not show significant changes in the three variables. Intergroup analysis showed a significant difference (p < 0.001). Conclusion: Prenatal yoga has been shown to be effective in reducing depression, anxiety, and stress in pregnant women, and can therefore be recommended as a safe, non-pharmacological intervention in antenatal care. This program is recommended for integration into healthcare facilities as a promotive and preventive measure to improve the mental health of pregnant women and support optimal fetal development
Penerapan Senam Chair Exercise dan Senam Kaki pada Pasien Diabetes Melitus Tipe 2
Full text linkBackground: Instability of blood sugar levels (Hyperglycemia) is a condition where there is an increase in blood sugar levels, which can be acute or chronic, due to hereditary factors, obesity, overeating, lack of exercise, and changes in lifestyle. Purpose: Applying Nursing Care to Type 2 Diabetes Mellitus Patients - With Blood Sugar Instability Problems Through the Implementation of Chair Exercises and Foot Exercises. Methods: This research uses a descriptive method with a case study design. The case study subjects were two patients with problems with unstable blood glucose levels. The focus of the case study is nursing care through providing chair exercises and leg exercises, which are carried out for 30 minutes for 3 days. Data collection through interviews, observation and physical examination. Results: In Mrs. N, before being given the chair exercise intervention, the blood sugar level was 328 mg/dl, and for Mrs. S, before being given the leg exercise intervention, the blood sugar level was 199 mg/dl. After implementation for 3 days, Mrs. N's blood sugar level was 244 mg/dl, and Mrs. S's was 181 mg/dl. Conclusion: Chair exercises and leg exercises effectively overcome the problem of unstable blood glucose levels in patients with type 2 diabetes mellitus. Conclusion: Chair exercise and leg exercises effectively overcome the problem of unstable blood glucose levels in patients with type 2 diabetes mellitus. Chair and leg exercises can be used as non-pharmacological therapy to overcome the problem of unstable blood glucose levels