Jurnal Kesmas Prima Indonesia

Analysis of Increasing Trends in Hemodialysis Patients and Its Implications for National Health Financing Burden in Indonesia: Literature Study

2025-06-21T02:31:27+00:00

The number of chronic kidney disease (CKD) patients undergoing hemodialysis in Indonesia continues to increase, putting great pressure on the national health financing system, especially the National Health Insurance (JKN). This study is a literature review that analyzes five scientific articles published between 2021 and 2024. Articles were selected through targeted searches in Google Scholar and PubMed, then synthesized narratively to describe trends and financing implications. The synthesis results show a significant increase in the number of hemodialysis patients each year, with therapy costs reaching trillions of rupiah. Payment rates set in the INA-CBGs system are often not in accordance with real costs in hospitals, risking a deficit in health facilities and BPJS Kesehatan. The increasing trend of hemodialysis patients places a large economic burden on the national health system. Cost control strategies are needed through primary prevention, early detection of CKD, adjustment of INA-CBGs rates, and development of alternative therapies to maintain service sustainability.

Relationship of Knowledge to SBAR Communication Attitude During Patient Handover in Recovery Room in Anesthesiology Nursing Students of Aisyiyah University Yogyakarta

2025-06-09T02:39:12+00:00

Communication failure can lead to malpractice, misunderstanding, delayed diagnosis, service, additional costs, incomplete information, patient and family dissatisfaction and can even cause death, so effective communication with the SBAR method is needed during patient handover in the recovery room. This study aims to determine the relationship between the level of knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. This research method uses quantitative correlation with a cross-sectional design. Sampling with random sampling totaling 67 respondents. Data were collected using a questionnaire with Spearman rank analysis. The results of the Spearman Rank correlation test obtained a p-value of 0.000 <0.005 and a correlation value of 0.758 (strong), meaning that there is a relationship between knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. The majority of respondents had good knowledge of 35 respondents (52.5%) and good attitudes of 37 respondents (55.2%).

Analysis of the Level of Service Satisfaction of BPJS Patients at the Primary Outpatient Clinic of UIN North Sumatra Using the Servqual Method

2025-06-16T08:46:17+00:00

Service quality is closely related to customer satisfaction because service quality can create a good relationship with the company and tell the company how to meet consumer needs. This study aims to determine the level of patient satisfaction with the services provided by the Primary Outpatient Clinic of UIN North Sumatra. The method in this study uses a quantitative approach, and the research design is carried out in a cross-sectional manner. The research sample of 50 respondents was selected through the purposive sampling method in accordance with the criteria of patients who received BPJS and had reading and writing skills. The results showed that all dimensions of SERVQUAL had a positive gap, with responsiveness as the highest dimension (0.49), followed by tangibles (0.36), assurance (0.35), reliability (0.32), and empathy (0.31). The CSI value of 82.61% indicates that patient satisfaction is in the very satisfied category. The conclusion of this study shows that the level of satisfaction of BPJS patients with the services at the Primary Outpatient Clinic of UIN North Sumatra is in the category of very satisfied. The responsiveness and tangibles dimensions received the highest ratings, while the empathy and a dimensions still needed improvement to be able to meet patient expectations more optimally and sustainably.

The Relationship Between Field Clinical Practice Experience And Work Readiness Of Final Level Anesthesiology Nursing Students In Yogyakarta

2025-06-16T03:54:54+00:00

Field Clinical Practice (PKL) is an important stage in Anesthesiology Nursing education to equip students with technical skills and work readiness. Students are required to have competence in anesthesia management. However, students' work readiness after undergoing PKL is still a question, so this research needs to be carried out. This study aims to determine the relationship between PKL experience and work readiness of Anesthesiology Nursing students in Yogyakarta. This research uses quantitative methods with a correlational design and approach cross-sectional. The research population was final year Anesthesiology Nursing students at UNISA and the Yogyakarta Ministry of Health Polytechnic. The sampling technique uses stratified random sampling, with a total of 60 respondents. Data analysis was carried out using a correlation test Spearman Rank. Based on the results of statistical analysis, the results showed that 50 students (83.3%) had PKL experience in the good category, with 52 students (86.7%) in the ready category for work readiness. Correlation test results Spearman Rank The value obtained was 0.825** and the Sig (2-tailed) value between the PKL Experience and Work Readiness variables was 0.000 (p<0,05). There is a very strong relationship between PKL experience and job readiness of final year Anesthesiology Nursing students in Yogyakarta.

The Role of Technology in Primary Health Care Management Strategy : Literature Study

2025-06-15T04:52:21+00:00

Primary health care is a very important first-level service in the health system, especially in remote and low-income areas. The development of digital technology has great potential to improve the effectiveness and efficiency of primary health care through integration in management strategies. This article is a literature study that aims to explore the role of technology in primary health care management strategies based on the results of recent research. Data were obtained from various national and international scientific journals between 2021 and 2025 through searches on databases such as Google Scholar, PubMed, Scopus, and ScienceDirect. The results of the analysis show that the use of technology such as electronic medical records, telemedicine, and mobile health applications can improve access, service quality, and managerial efficiency. However, challenges such as limited infrastructure, digital literacy, and human resource readiness are still major obstacles. This study recommends the need for contextual adaptive strategies to optimize the use of technology in primary health care, especially in developing countries like Indonesia.

Analysis of Factors of Utilization of JKN Program Services in Pancur Batu District

2025-06-17T06:27:39+00:00

The JKN program in Pancur Batu District, Deli Serdang Regency, has not been running optimally, with a low number of participants utilizing health services. This is due to various factors, including access, service quality, and public understanding. This study aims to identify the relationship between factors that influence the utilization of health services in the area. The method used is a quantitative approach with a cross-sectional design, involving 97 respondents selected by simple random sampling. Data were collected through questionnaires and analyzed using chi-square analysis. The results showed a significant correlation between the use of JKN services and education level (p = 0.015), availability of facilities and infrastructure (p = 0.009), accessibility (p = 0.002), and complaints of illness (p = 0.011). In contrast, no significant correlation was found between employment status (p = 0.805) and salary (p = 0.622) with service utilization. The conclusion of this study is that increasing the utilization of the JKN program requires a holistic approach, which includes improving access to health facilities, improving service quality, and educating the public about the benefits of the JKN program.

The Relationship Between Family Support And Anxiety Levels In Children Aged 5–18 Years With Chronic Kidney Disease At Haji Adam Malik Hospital Medan

2025-07-07T07:35:27+00:00

Anxiety is a problem characterized by refusing to be given nursing care, sleep disturbances, restlessness, worry, fear, crying easily, decreased appetite. The presence of family support can reduce the patient's anxiety level and influence the level of support they receive. The aim of this research is to identify the relationship between family support and the anxiety level of children suffering from chronic kidney failure aged 5-18 years at Haji Adam Malik Hospital. This type of research is correlation analysis with a Cross Sectional approach. The population in this study were families and children with GGK, the sample in this study was 73 people using a total sampling technique. The tool used to measure family support and the anxiety level of children with chronic kidney failure aged 5-18 years is a questionnaire. From the data, 18 people (24.7%) had good family support with anxiety in children, 10 people (13.7%) in the non-anxious category, 6 people in the mild anxiety category (8.2%), 2 people in the moderate anxiety category (2.7%). Of the 37 people (50.7%) who have sufficient family support, 5 people (6.8%) are not anxious in the child's anxiety category, 22 people are in the mild anxiety category (30.1%), 10 people are in the moderate anxiety category (13.7%). Of the 18 people (24.7%) who had less family support with anxiety in children in the non-anxious category, 3 people (4.1%), in the mild anxiety category, 5 people. It was concluded that there was a relationship between family support and the level of anxiety in children with CKD aged 5-18 years at Haji Adam Malik Hospital (p value = 0.005). It is hoped that the suggestions in this study can increase family support in reducing anxiety in children by providing religious education to children, always accompanying children in the treatment of chronic kidney failure.

Keywords: Family Support, Anxiety for CKD Children

The Impact of Educational Videos and Leaflets on the Use of PPE Among Welding Workshop Employees

2025-06-02T07:29:31+00:00

Welding workers are vulnerable to various accident risks, such as electric shock, fire, and explosion, which can result in serious injury and even death. One of the main causes of work accidents is failure to use personal protective equipment (PPE). This study aimed to analyze the effectiveness of video and leaflet-based counseling methods in improving knowledge, attitudes, and actions related to the use of PPE among welding workshop workers. A quasi-experimental study with a non-randomized pretest-posttest control group design was conducted in Tanjung Gusta Village, Medan, involving 36 welding workshop workers who were divided into intervention (video) and control (leaflet) groups. The results showed that both extension methods significantly improved workers' knowledge, attitude, and action scores (p<0.05). However, video counseling showed a greater advantage, with a higher mean score increase and a significantly higher N-Gain value (61.8) compared to leaflet (43.3) (p<0.001). Mann-Whitney analysis confirmed that the intervention group using the video showed a significant increase in mean knowledge, attitude and action scores compared to the control group. This study concludes that video education is more effective than leaflets in improving PPE use among welding workshop workers. Integration of video-based education into occupational health programs is recommended to improve worker safety behavior.

Analysis Of Satisfaction And Performance Levels At Community Health Center X, Jayapura City

2025-02-18T23:24:49+00:00

The implementation of accreditation in a community health center can have a positive impact with the existence of legal security related to the quality of services provided by the community health center. Therefore, it is important to measure several indicators for assessing the implementation of accreditation such as measuring satisfaction and performance in the community health center. The purpose of this study was to analyze the level of satisfaction and performance of the community health center at Community Health Center X, Jayapura City. This type of research is descriptive quantitative conducted in August 2024 with the research location at Community Health Center X in Jayapura City. The research subjects were patients visiting Community Health Center X. The sampling technique used accident sampling with a sample size of 72 respondents. Data analysis was descriptive and presented in the form of a frequency distribution. The results of the study found that the highest level of satisfaction of respondents was in the Satisfied category with an average value of 37.6 (52.2%), while the performance of health services at the Community Health Center was in the Good category. Based on the results of the study, it shows good quality services at Community Health Center X based on indicators of the level of satisfaction of service users and performance. To determine the extent of the contribution of accreditation to service quality, further research is needed.

Kata kunci: Akreditasi, Kepuasan, Kinerja, Puskesmas.

Analysis of Factors Related to Nurse Performance in Inpatient Wards Citra Medika General Hospital

2025-07-11T02:53:15+00:00

Introduction:A hospital is a health service organization that is very important for the community. One of the most important resources in determining the success of hospital services is the health workforce. Nurses are one of the professional health workers who provide nursing care to patients whose performance greatly affects the quality of services provided. The performance of a health worker is greatly influenced by several factors that influence a person to continue to improve, direct and maintain their behavior both directly and indirectly with the work environment. Purpose: This study aims to analyze factors related to nurse performance. Method: This research method is quantitative withThe analytical survey research design uses a cross-sectional approach, namely research that tries to explore how and why the phenomenon occurs and then carries out a dynamic analysis of the correlation between the phenomena, both between the independent variables and the dependent variables., the population was 53 nurses in the inpatient room and the sample used was a total sampling of 53 nurses in the inpatient room. The data collection technique used a measuring instrument in the form of a questionnaire. Results: The results of the study showed that the variables of job promotion with a ρ value (0.033), the work itself with a ρ value (0.030) and awards with a ρ value (0.005) had a relationship with nurse performance because the valueρ value< 0.05. Conclusion: Promotion, the work itself, and rewards are related to nurse performance at Citra Medika Hospital.

The Effect of Childbirth Planning and Complication Prevention Program Education on the Knowledge and Attitudes of Pregnant Women

2025-06-16T03:30:51+00:00

The high maternal mortality rate (MMR) and infant mortality rate (IMR) are the main drivers for the implementation of the Childbirth Planning and Complication Prevention Program (P4K). The P4K program plays an essential role in helping pregnant women prepare for labor and detect potential complications. The success of this program is highly dependent on the knowledge and attitude of pregnant women towards childbirth planning and the complication prevention program itself. The purpose of this study was to determine the Education of childbirth planning programs and prevention of complications on the knowledge and attitudes of pregnant women. The research design used was a quasi-experiment with a one-group pretest-posttest design. The research was conducted at the Praktik Mandiri Bidan of Parangargo Village, Wagir District, Malang Regency in April 2024. The subjects of this study were all pregnant women who underwent antenatal care examination, a many of 30 people, with a purposive sampling technique. Data collection was done by distributing questionnaires to pregnant women. The intervention was provided in the form of a childbirth planning and complication prevention program to measure the knowledge and attitudes of pregnant women before and after the intervention. Analysis of research data using the Wilcoxon test. The results showed that there was an effect of providing the P4K program on increasing the knowledge and attitudes of pregnant women through the P4K program.

Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan

2025-07-11T03:32:41+00:00

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

Prevalence and Associated Risk Factors of Dehydration Among Construction Workers

2025-07-11T05:39:39+00:00

Dehydration poses a significant health risk to construction workers due to heavy physical work and exposure to hot working conditions. This study aimed to determine the prevalence of dehydration and identify associated risk factors among construction workers. A cross-section study was conducted involving 32 construction workers in a construction project for the construction of a wheat flour and soybean mill owned by PT. Agri First which operates at KIM 2 Medan. Data were collected using questionnaires, fingertip pulse oximeters, urine refractometers, and observation sheets. Dehydration is categorized based on the level of urine specific gravity (ultrasound). The data was statistically tested using the Fisher Exact test (α=0.05). The majority of workers (75%) were dehydrated. There was no significant relationship between dehydration and age. However, workers with more than 3 years of experience were more likely to be dehydrated compared to workers with less than 3 years of experience (OR = 8,333, 95% CI: 1,392-49,872). Workers with moderate workloads were also more likely to be dehydrated compared to workers with light workloads (OR = 18,333). There was a significant association between water intake and dehydration (p = 0.000). All workers who did not drink enough water were dehydrated, while only 66.7% of those who drank enough water were dehydrated. Workers with more than 3 years of experience, moderate workload, and inadequate water intake have a higher risk of becoming dehydrated. Interventions to improve hydration among construction workers are urgently needed.

The Effect of Rosa Damasecana Aromatherapy on the Level of Anxiety During the First Active Phase of Labor

2025-07-07T04:46:55+00:00

Anxiety can weaken uterine contractions or reduce maternal pushing power (power), thereby inhibiting labor progress and potentially leading to prolonged labor. Many pregnant women experience anxiety during childbirth. Aromatherapy can help relax the body, improve mood, and refresh the mind. Rose essential oil has been shown to reduce relative sympathetic nerve activity by 40% and decrease plasma adrenaline concentrations. This study used a quasi-experimental design with a one-group pretest-posttest with control group. The population and sample included all mothers who gave birth at the Lena Barus Binjai Clinic between October and December 2024, totaling 20 individuals, divided into intervention and control groups. The result of the t-test showed a p-value of 0.000 (<0.05), indicating a significant effect of Rosa damascena aromatherapy on reducing anxiety levels during the first stage of active labor. The mean ranks for the control and intervention groups were 5.70 and 15.30, respectively, with sum ranks of 57.00 and 153.00.

Optimizing menarche readiness through video and leaflet health education interventions among primary school girls

2025-07-09T05:49:47+00:00

The counseling process requires engaging media to effectively enhance understanding and promote behavioral change within the target population. This study aimed to evaluate the impact of health counseling delivered through video and leaflet media on adolescents’ readiness to face menarche. A quasi-experimental design with a nonequivalent control group was employed. The study population consisted of students in grades 4 to 6 at SDN 101816, totaling 136 individuals. From this population, 60 respondents were selected and divided equally into two groups: one group (n = 30) received counseling via video media, while the other group (n = 30) received counseling through leaflets. Results indicated that adolescents' readiness to face menarche increased following health counseling with video media, with mean scores rising from 26.47 pre-intervention to 31.20 post-intervention, representing an improvement of 4.73 points. Statistical analysis confirmed a significant effect of video-based counseling on readiness (p < 0.001). Similarly, counseling using leaflet media resulted in an increase in readiness, with mean scores improving from 24.73 before intervention to 27.10 after, an increase of 2.34 points, also statistically significant (p < 0.001). Furthermore, comparison between the two groups revealed a significant difference in the effectiveness of video versus leaflet counseling approaches, favoring video media (p = 0.002). These findings suggest that health workers should prioritize the use of engaging media, such as videos, in health promotion efforts aimed at preparing adolescents for menarche.