Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)

Analysis of Inpatient Care Service Quality in Hospitals Based on National Standards: A Literature Review

2024-11-25T06:41:44+00:00

Background: Service quality is the effort to fulfill customer needs and desires
while ensuring accurate delivery to meet customer expectations. Healthcare
professionals must consider various factors that influence service quality,
particularly in inpatient care settings. Objective: This study aims to assess the
quality of inpatient services in hospitals based on national standards outlined in
the Indonesian Ministry of Health Regulation (Kepmenkes) No. 129 of 2008
concerning minimum service standards for hospitals. Results: This research
adopts a Literature Review approach using the PICOST method for problem
analysis and article selection. The study follows the PRISMA (Preferred Reporting
Items for Systematic Reviews and Meta-Analyses) method, ensuring a systematic
review process. A total of 11,674 journal articles published between 2020 and
2023 were retrieved from Google Scholar, PubMed, and ScienceDirect, and five
articles meeting the inclusion criteria were selected. The analysis highlights key
factors influencing hospital service quality, including responsiveness, assurance,
reliability, empathy, and tangible aspects. Conclusion: The implementation of
minimum service standards and a focus on five dimensions of patient satisfaction
responsiveness, assurance, reliability, empathy, and tangible aspects serve as
effective strategies to enhance patient satisfaction and loyalty in hospital inpatient
services.

Nursing Care of Spontaneous Ventilation Disorder in Mr. D With Post-Thoracostomy Decortication on the Indication of Right Hydropneumothorax in the Intensive Care Unit (ICU) Room of RSUD Prof. Dr. Margono Soekarjo Purwokerto

2024-11-25T06:44:33+00:00

Hydropneumothorax is a medical emergency, a condition in which the presence of air and fluid in the pleural cavity results in the collapse of lung tissue. The prevalence of hydropneumothorax has not been recorded, but ranges from 2.4-17.8 per 100,000 population each year. This case study aims to describe the nursing care of spontaneous ventilation disorders in Mr. D with post-thoracostomy decorticization of indications of hydropneumothorax dextra in the Intensive Care Unit (ICU) Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital. The research method is a descriptive case study. Data collection techniques, including: interviews, physical examinations, observations, documentation studies. Patients with a nursing diagnosis of spontaneous ventilation disorders are given a semi-fowler position. It was concluded that the case of hydropneumothorax dextra, post thoracostomy was a problem with airway obstruction. This leads to weakening of the respiratory muscles and impaired spontaneous ventilation. The action given, namely the provision of a semi-fowler position, effectively helps reduce shortness of breath, increases respiratory rate. After nursing care was carried out, spontaneous ventilation disorders in Mr. D with post-thoracostomy decortication of indications of hydropneumothorax dextra in the Intensive Care Unit (ICU) Room of Prof. Dr. Margono Soekarjo Hospital Purwokerto have not been resolved.

Analysis of Dietary Patterns on the Incidence of Hypertension Among the Elderly

2024-11-25T09:54:51+00:00

Hipertensi adalah kondisi tekanan darah yang tetap tinggi dengan tekanan sistolik mencapai 140 mmHg atau lebih dan tekanan diastolik lebih dari 90 mmHg. Biasanya, tekanan darah normal berkisar sekitar 120/80 mmHg. Penyakit ini sebenarnya bisa dicegah jika faktor risikonya dikendalikan melalui gaya hidup sehat, termasuk pola makan yang baik. Penelitian ini menggunakan pendekatan kuantitatif dan melibatkan 35 responden yang dipilih dengan teknik purposive sampling. Data dikumpulkan langsung oleh peneliti melalui wawancara dan survei. Hasil penelitian menunjukkan bahwa 57,1% responden menderita hipertensi, 64,2% memiliki pola makan yang buruk, dan 45,7% memiliki pola makan yang cukup baik. Analisis statistik dengan metode chi-square menunjukkan ada hubungan antara pola makan dan kejadian hipertensi (X2 hitung 6,2 > X2 tabel 3,841). Kesimpulannya, terdapat hubungan antara pola makan dan kejadian hipertensi di sekitar Lingkungan Jalan Lapangan Golf, Desa Tuntungan, Kec. Pancur Batu, Kab. Deli Serdang, Sumatera Utara.

The Effect of Android-Based Applications on First Aid Cardiopulmonary Resuscitation Skills: A Literature Review

2024-11-25T06:47:16+00:00

Background: Coronary Heart Disease (CHD) is a leading cause of sudden cardiac arrest, with many cases occurring outside hospitals, known as Out-of-Hospital Cardiac Arrest (OHCA). Prompt and effective Cardiopulmonary Resuscitation (CPR) is essential to increase survival. Objective: This study aims to assess the role of Android-based mobile applications in enhancing CPR skills as part of first aid response. Methods: A literature review was conducted using nine peer-reviewed articles published between 2021 and 2024. Articles were sourced from PubMed and Google Scholar using keywords such as health education, basic life support, cardiac resuscitation, smartphone, and Android. Inclusion criteria included full-text English articles focusing on Android-based applications in CPR training or performance. The selection process followed PRISMA guidelines. Results: All nine articles met the criteria, with findings showing that Android-based CPR applications are effective tools for improving users’ CPR skills, especially in OHCA situations. These applications offer valid features that support both learning and practical implementation. Conclusion: Android-based applications significantly enhance first aid capabilities in cardiac and pulmonary resuscitation and serve as valuable tools for public health education and emergency readiness.

Analysis of Risk Factors for Obesity Incidence at Johar Baru Community Health Center, Central Jakarta

2024-11-25T06:48:12+00:00

Background: Obesity is a major contributor to degenerative diseases and continues to show high prevalence. Identifying key risk factors is essential for targeted intervention. Objective: This study aimed to analyze the dominant risk factors for obesity at the Johar Baru Community Health Center, Central Jakarta. Methods: An observational analytic study with a cross-sectional design was conducted using secondary data. From a population of 102,647 individuals, 72,680 were included through total sampling. Data were analyzed using Chi-square tests and multiple logistic regression (enter method) with a significance level of 0.05. Results: Bivariate analysis showed that gender, lack of physical activity, high sugar and fat consumption, and low fruit and vegetable intake were significantly associated with obesity (p </ 0.05). Multivariate analysis identified gender as the strongest risk factor (OR = 12.912; p = 0.000). Conclusion: Gender, physical inactivity, excessive sugar and fat intake, and inadequate fruit and vegetable consumption were significantly linked to obesity. Gender emerged as the most dominant factor. These findings support the development of targeted interventions focusing on promoting balanced diets, regular physical activity, and awareness of dietary fat types to address obesity at the community level.

The Effect of Massage on Weight Gain in Infants in the Working Area of Puskesmas Kandis

2025-06-02T10:11:05+00:00

Background: Infant weight is a critical indicator of nutritional status and growth. Factors influencing infant weight include breastfeeding frequency and duration. Massage has been identified as a potential intervention to improve infant weight gain. Objective: This study aimed to examine the effect of infant massage on weight gain among infants aged 0 to 12 months in the working area of Puskesmas Kandis. Methods: A quasi-experimental design with a pretest-posttest approach was employed. The population consisted of 33 infants, with 30 infants meeting the inclusion criteria. Primary data were collected through direct observation, while secondary data were obtained from Puskesmas health records. Data were analyzed using the Wilcoxon test in SPSS. Results: The findings showed a significant increase in infant weight after the massage intervention, with a mean weight gain of 0.2977%. Statistical analysis revealed a p-value of 0.000, indicating a significant difference in weight before and after the intervention. A strong correlation was observed between massage and weight gain, with a correlation coefficient of 0.993. Conclusion: Infant massage has a significant positive effect on weight gain. Further research is recommended to explore other factors influencing infant weight gain

Evaluation Analysis of the Implementation of the Puskesmas Management Cycle in the Health Office of the South Sorong District in 2024

2024-11-25T06:48:53+00:00

Background: Management of puskesmas is critical to providing quality health services through effective planning, organising, implementing, and controlling. Improving the quality of health services builds patient trust. The Healthy Indonesia Programme aims to improve services at first level health facilities, including puskesmas, but many still do not meet quality standards. This study evaluates the management cycle of puskesmas at the South Sorong District health office.Objectives: This study aims to analyse the evaluation of the implementation of the puskesmas management cycle at the South Sorong District Health Office. Methods: A qualitative approach was used with informants from four puskesmas: Teminabuan, Konda, Kokoda, and Kais Darat, representing 16 puskesmas in the region.Results: Some puskesmas follow the planning stages involving mini-workshops and Introspection Survey data, but not consistently. There were challenges maintaining the monthly mini-workshop schedule and using the monthly work programme plan results. Monitoring processes were not always optimal, with most responsibility falling on the head of the puskesmas and administrative staff, while the role of the programme focal point was not fully maximised.Conclusion: puskesmas should improve the consistency, quality, and effectiveness of management through increased managerial competence, efficient budget management, and optimisation of planning, implementation, and monitoring processes.

Analysis of the Quality of Health Services Based on the Implementation of Accreditation on Patient Satisfaction at Puskesmas Teminabuan, South Sorong Regency

2024-11-25T06:49:53+00:00

Background: Quality health services are a basic need and expectation for all individuals seeking care. Health facilities are expected to meet patient expectations through service delivery. Objective: This study aimed to evaluate health service quality based on accreditation implementation across five dimensions responsiveness, assurance, tangibility, empathy, and reliability and their effect on patient satisfaction. Methods: A quantitative study with a cross-sectional design was conducted at the Teminabuan Health Center, South Sorong Regency. A total of 92 patients participated, and data were collected using a structured questionnaire assessing satisfaction across the five service quality dimensions. Results: Partial analysis showed that assurance and tangibility significantly influenced patient satisfaction (p < 0.05), while responsiveness, empathy, and reliability did not (p > 0.05). The F-test indicated a significant simultaneous effect of all five dimensions on satisfaction (p = 0.000 < 0.05). Conclusion: The five dimensions of service quality collectively impact patient satisfaction at Teminabuan Health Center. However, assurance and tangibility were the only dimensions with a significant partial effect. These findings highlight the need to strengthen specific service aspects to enhance overall patient satisfaction.

Factors Affecting the Implementation of Traditional Health Services at the Health Center In South Sorong Regency in 2024

2024-11-25T06:52:21+00:00

Background: The Indonesian government is committed to strengthening traditional health services by integrating them into the National Health System to enhance accessibility and cultural relevance. Objective: This study aimed to identify key factors influencing the implementation of traditional health services at health centers (Puskesmas) in South Sorong Regency in 2024. Methods: A quantitative research design was used to analyze the influence of human resources, disposition, bureaucratic structure, community support, and communication on service implementation. Data analysis included validity and reliability tests, Kruskal-Wallis test, T-tests, F-tests, and multiple linear regression. Results: All five factors significantly influenced the implementation of traditional health services, both partially and simultaneously (p = 0.000 < 0.05). The model showed high reliability (Cronbach’s Alpha = 0.821) and a coefficient of determination (R²) of 0.999, indicating that these variables explained 99.9% of the variation in implementation. Conclusion: Human resources, disposition, bureaucratic structure, community support, and communication significantly affect the implementation of traditional health services at health centers. Enhancing these factors is essential for improving the effectiveness and sustainability of traditional health programs in the region.

Analysis of Drug Management in the Pharmaceutical Installation of the South Sorong District Health Office

2024-11-25T06:52:58+00:00

Background: The management of pharmaceutical supplies involves a series of coordinated activities related to the planning, procurement, storage, distribution, and disposal of drugs, aimed at ensuring the availability and appropriate use of medications. Objectives: This study aims to describe the implementation pattern of pharmaceutical supply management, focusing on the processes of planning, procurement, and storage at the Pharmacy Installation of the South Sorong Regency Health Office. Methods: A qualitative research design was used, employing in-depth interviews with key informants to gather detailed insights into the procedures and practices involved in pharmaceutical supply management. Results: The planning process is carried out based on the National Formulary and the National Essential Drug List. Drug procurement is conducted annually through E-Purchasing using the Electronic Catalog, following existing national procurement guidelines. The storage system adheres to regulatory standards but is not yet optimized, as drug arrangement is not done alphabetically, which can hinder the efficiency of drug retrieval by personnel. Conclusions:
The Pharmacy Installation of the South Sorong Regency Health Office has implemented drug planning, procurement, and storage systems in alignment with national guidelines. However, improvements in drug arrangement and storage optimization are needed to enhance operational efficiency.

Analysis of Determinants of Puskesmas Drug Availability in South Sorong District Year 2024

2024-11-25T09:18:29+00:00

Background: Drug availability at Puskesmas (Community Health Centers) is essential for delivering quality public health services. Multiple factors such as the roles of doctors, pharmaceutical personnel, patients, and drug distributors are thought to influence this availability. Objectives: This study aimed to analyze the determinants affecting drug availability at Puskesmas in South Sorong Regency in 2024. Methods: A quantitative approach was used, with data analyzed through statistical tests including the T-test, F-test, and coefficient of determination to assess both partial and simultaneous effects of the independent variables. Results: The analysis revealed that there were no significant partial or simultaneous effects of the roles of doctors, pharmaceutical personnel, patients, and drug distributors on drug availability (p > 0.05). The coefficient of determination (R²) was 0.153, indicating that only 15.3% of the variation in drug availability could be explained by these factors. Conclusions: The study concludes that the roles of doctors, pharmaceutical personnel, patients, and drug distributors have no significant influence on drug availability at Puskesmas in South Sorong Regency. The low coefficient of determination suggests that other unexamined factors may play a more dominant role in determining drug availability in these health facilities.

Evaluation of Logistics Management for Basic Immunization Vaccines at the Pharmaceutical Installation, South Sorong District Health Office, Southwest Papua

2024-11-25T09:19:21+00:00

Background: Pharmaceutical services are direct and responsible healthcare services aimed at ensuring optimal therapeutic outcomes and improving patients’ quality of life. Pharmaceutical personnel play a crucial role not only in vaccine production but also in the management of vaccine logistics, including storage, distribution, and administration. Vaccination is estimated to prevent two to three million deaths annually from vaccine-preventable diseases such as diphtheria, tetanus, pertussis, and measles across all age groups. Objective: This study aims to evaluate the management of vaccine logistics at the Pharmaceutical Installation of the South Sorong District Health Office in Southwest Papua, Indonesia. Methods: This research employed a qualitative approach using in-depth interviews with key informants and applied inductive thematic analysis to interpret the data. Results: The findings reveal that although vaccine management practices have been implemented adequately, several challenges remain. These include limited internet connectivity, poor road infrastructure, and logistical delays, all of which hinder the efficiency and effectiveness of vaccine distribution. Conclusion: Strengthening infrastructure and improving digital systems are essential to enhancing the effectiveness of vaccine logistics management. Strategic efforts are needed to overcome these operational barriers to ensure consistent and equitable vaccine availability in remote regions

Evaluation of the Leprosy Program Implementation at Teminabuan Health Center, South Sorong District, Using the CIPP Evaluation Model

2024-11-25T09:20:09+00:00

Background: Leprosy is a chronic infectious disease that poses significant challenges and impacts family well-being. In 2023, 75 cases were recorded and treated in South Sorong. Objective: This study aimed to evaluate the implementation of the leprosy program at Teminabuan Health Center using the CIPP (Context, Input, Process, Product) evaluation model. Methods: A descriptive qualitative approach was applied, using observation and in-depth interviews with three key informants. Data validation was conducted through triangulation. Results: Context evaluation showed collaboration between health workers and community cadres in raising awareness and promoting early examination. Input evaluation revealed program management by a designated officer with support from several units but highlighted issues such as limited staff, lack of integrated data systems, and insufficient drug supply. Process evaluation indicated that outreach was done through leaflets and discussions, field screening, and referrals, though stigma and behavior change remained challenges. Product evaluation found that activities included contact tracing, medication monitoring, and referrals, but training for health workers was inadequate. Conclusion: While context and process aspects were satisfactory, input and product components need improvement, particularly in human resources, logistics, and system integration to enhance program effectiveness

The DMF-T Index and Its Association with Preeclampsia in Pregnant Women at the Wonoayu Health Center

2024-08-09T03:05:16+00:00

Background: Preeclampsia is a pregnancy-specific condition marked by hypertension and proteinuria after 20 weeks of gestation, posing risks to both mother and fetus. Poor oral health, indicated by a high DMF-T (Decayed, Missing, and Filled Teeth) index, may contribute to adverse pregnancy outcomes. Objective: To analyze the relationship between the DMF-T index and preeclampsia incidence in pregnant women. Methods: A cross-sectional study was conducted on 81 pregnant women selected through simple random sampling from a population of 417 who received antenatal care at Wonoayu Health Center in 2023. Data from dental and maternity records were analyzed using chi-square tests (a < 0.05). Results: Among respondents, 4 preeclampsia cases were found in the good DMF-T category and 13 in the poor DMF-T category. Statistical analysis showed a significant relationship between DMF-T index and preeclampsia (p = 0.000). Conclusion: Poor dental health, as reflected by a high DMF-T index, is significantly associated with preeclampsia in pregnant women. Strengthening oral health care and further research on its role in pregnancy outcomes are recommended.

The Alignment Between Nursing Students' Field Practices and the Needs of the 2030 HIV/AIDS-Free Era

2024-11-25T09:54:32+00:00

Background: The involvement of nursing students in field practice needs to be questioned in the era approaching HIV/AIDS-free 20230. Objective: This research aims to determine the correlation between student practices and the field needs of the 2030 HIV/AIDS free program. Methods: This research used quantitative methods with a correlational design. The population was students from the Jayapura Ministry of Health Polytechnic in Wamena, Papua Mountains province. The sample was 180 nursing students. The dependent variable was the needs of the field in an HIV/AIDS-free era. The independent variable was Student field practice. The research instrument was a questionnaire distributed online using Google Forms. The data was processed using univariate, bivariate, and analyzed using Pearson'n Product Moment with the help of SPSS version 25. Results: The analysis of Pearson's Product Moment show a p-value of 0.000, which means p-value <0.05, which means H0 is rejected. There is an influence between Student field practice and the field needs of the HIV/AIDS 2030-free Era. The Pearson correlation coefficient (r) value is positive 0.830. Conclusion: The study recommended that the association between student field practice and the field needs of the HIV/AIDS 2030-free era is in the 'low/weak' category

Analysis of the Determinants Influencing Treatment Adherence Among Hypertension Patients in South Sorong Regency

2024-11-25T09:55:13+00:00

Background: Hypertension is a major risk factor for cardiovascular diseases, driven by lifestyle modernization and its high prevalence. Addressing treatment adherence is crucial for effective management. Objective: This study aimed to analyze the determinants influencing treatment adherence among hypertension patients in South Sorong Regency, with a specific focus on family support. Methods: A quantitative research approach was conducted in South Sorong Regency from May to June 2024. Data were collected through structured questionnaires and analyzed to assess the influence of various factors on treatment adherence. Results: The findings revealed that family support significantly influenced treatment adherence in hypertension patients. In contrast, knowledge, perception, service delivery quality, and patient satisfaction did not show a significant effect on adherence. Conclusion: Family support plays a critical role in enhancing treatment adherence among hypertension patients in South Sorong Regency. To improve adherence, it is recommended to implement family education through counseling at community health centers (puskesmas) and social media, conduct behavior change campaigns, provide family counseling, train health workers to improve service delivery, and strengthen monitoring and evaluation mechanisms for treatment adherence.

Knowledge of HIV/AIDS Among Adolescents in Indonesia: A Systematic Review

2025-06-02T04:19:26+00:00

Background: HIV/AIDS remains a significant public health issue globally, with adolescents being one of the most at-risk groups due to various risky behaviors. Limited access to comprehensive information contributes to the continued transmission of HIV within this age group. Objectives: This study aims to describe the level of knowledge about HIV/AIDS among adolescents in Indonesia. Methods: A systematic review was conducted by examining articles published between 2010 and 2024 that align with the study objectives. Ten relevant studies were identified and analyzed. Results: Among the studies reviewed, four reported that adolescent knowledge of HIV/AIDS was categorized as "good." Three studies indicated a "moderate" level of knowledge, and another three revealed a "poor" level. Conclusions: These findings highlight the ongoing need to enhance comprehensive HIV/AIDS education among Indonesian adolescents. Strategies should include school-based education programs, community outreach utilizing various accessible media, and integration of reproductive health education into the school curriculum.

A Retrospective Comparative Study of Clinicopathological Features in High-Grade and Low-Grade Serous Ovarian Carcinoma

2024-11-25T09:21:07+00:00

Backgroud: Ovarian carcinoma is the third most common malignancy in Indonesian women after breast and cervical cancer. Serous ovarian carcinoma is the most frequent subtype, divided into low-grade and high-grade types, each with distinct genetic and biological characteristics. Objective:
This study aims to compare the clinicopathological features of high-grade and low-grade serous ovarian carcinoma. Methods: A retrospective cross-sectional study was conducted using 77 paraffin-embedded samples of serous ovarian carcinoma. Clinical and pathological data including age, body mass index (BMI), age at menarche, and parity were collected and analyzed using the chi-square test. Results: Patients aged >50 years accounted for most cases, with 64.3% presenting high-grade serous carcinoma (HGSC). Overweight/obesity was observed in 40.3% of cases. Early menarche (<13 years) was reported in 78%, and 42.7% were multiparous. No significant differences were found in clinical variables between HGSC and low-grade serous carcinoma (LGSC). Histopathologically, HGSC showed more pronounced cytologic atypia, necrosis, and metastasis. Conclusion: High-grade serous carcinoma demonstrates greater aggressiveness compared to its low-grade counterpart. Histopathological assessment plays a critical role in diagnosis, treatment decisions, and prognosis evaluation.

The Role of Tumor Budding as a Prognostic Factor in Colorectal Adenocarcinoma

2024-11-25T09:22:03+00:00

Background: Colorectal cancer is one of the most prevalent malignancies worldwide. Tumor budding has emerged as a potential prognostic indicator in colorectal adenocarcinoma. Objective: This study aimed to analyze the relationship between tumor budding and histopathological grade, lymphovascular invasion, and lymph node metastasis in colorectal adenocarcinoma, and to assess the potential of tumor budding as a prognostic factor. Methods: A cross-sectional study was conducted using 93 colorectal adenocarcinoma samples. The association between tumor budding and histopathological grade, lymphovascular invasion, and lymph node metastasis was evaluated using the Chi-square and Mann-Whitney tests. Results: Among the 93 samples, a significant difference in tumor budding scores was found between cases with and without lymphovascular invasion (p = 0.003). However, no significant association was observed between tumor budding scores and histopathological grade (p = 0.685) or lymph node metastasis (p = 0.092). Additionally, a significant correlation was found between lymphovascular invasion and lymph node metastasis (p < 0.001). Conclusion: Tumor budding may serve as an important prognostic factor in colorectal adenocarcinoma, particularly in its association with lymphovascular invasion

Characteristics of ER, PR, HER2 and Ki67 Expression in Invasive Breast Cancer Patients at RSUP Dr. Wahidin Sudirohusodo, Makassar 2021-2023

2024-11-25T09:52:52+00:00

Background: Invasive breast carcinoma is the most common type of breast cancer among women globally, with high mortality. In Indonesia, it ranks first based on Globocan 2020 data. Objective: To determine the expression of prognostic and predictive markers—Estrogen Receptor (ER), Progesterone Receptor (PR), HER2, and Ki67—in breast cancer cases at RSUP Wahidin Sudirohusodo. Methods: A descriptive study was conducted on 71 samples from 2021–2023. Data on age, histopathologic grade, and marker expression (HER2, ER, PR, Ki67) were analyzed. Samples were stained and examined microscopically. Chi-square tests were performed using SPSS version 27. Results: Among the 71 samples, 47.89% were from patients aged < 50 years and 52.11% from those >/ 50. Grade 2 was most common (59.15%). HER2 expression was negative in 59.15% of samples, ER positive in 83.10%, PR positive in 67.61%, and Ki67 expression was low in 52.11%. Conclusion: Most cases showed negative HER2 and positive ER/PR expression with low Ki67, indicating the relevance of hormonal receptors and proliferation rate as prognostic indicators. These markers are crucial for prognosis and treatment planning in breast carcinoma.