FACTORS THAT CONTRIBUTE TO THE SATISFACTION OF STUDENT IN THE MEDICAL RESIDENCY PROGRAM

Background: A high demand of physiatrist should be supported by quality assurance in education system of Physical Medicine & Rehabilitation (PMR) residency program, that could be done by evaluating satisfaction of its service users. This study was conducted to find the dimensions of service quality that influences the students satisfaction.Methods: A cross-sectional study with fifty subjects using total sampling technique was conducted. Service quality was evaluated using ServQual questionnaire consisted of five dimensions: ‘tangible’, ‘reliability’, ‘responsiveness’, ‘assurance’ and ‘empathy’. Statistical analysis consisted of bivariate analysis followed by a multivariate analysis was performed to determine the most significant dimension associated with student satisfaction which was measured using Likert scale.Results: Bivariate analysis revealed that all dimensions had significant association with satisfaction (p value < 0,05) except for ‘tangible’(p value = 0,060). Further multivariate analysis resulted in ‘reliability’ dimension as the most significant dimension associated with satisfaction (p value = 0,005; Adjusted OR = 142,67; CI 95% = 15,460-1316,587).Conclusion: Reliability is the most significant dimension associated with student satisfaction. Improvement of this dimension, followed by other significant dimensions would lead to satisfaction of the students.

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Utilization of Puskesmas in Efforts to Prevent COVID-19 in Bengkulu City

Disease Prevention and Public Health Journal ◽

10.12928/dpphj.v16i1.4494 ◽

2021 ◽

Vol 16 (1) ◽

pp. 16-24

Author(s):

Oktarianita Oktarianita ◽

Andry Sartika ◽

Nopia Wati ◽

Bintang Agustina Pratiwi

Keyword(s):

Quantitative Research ◽

Sampling Technique ◽

Cross Sectional Study ◽

Vital Role ◽

Dominant Factor ◽

Bivariate Analysis ◽

P Value ◽

Design Data ◽

Cross Sectional ◽

Research Population

Background: Puskesmas as First Level Health Facilities (FKTP) plays a vital role during the Covid-19 pandemic in preventing and controlling the number of Covid-19 cases by anticipating, detecting, responding to events. However, at this time, the puskesmas are still underutilized by the community. The highest confirmed positive cases in Bengkulu City were in the Gading Cempaka District, with 990 cases. This study aimed to determine the variables related to the utilization of puskesmas in Bengkulu City. Methods: This research was quantitative research with a cross-sectional study design. Data collection was carried out by distributing questionnaires to respondents using an accidental sampling technique executed in March-August 2021. The research population was the entire community of Bengkulu City, with a sample of 110 respondents from the Gading Cempaka District, Bengkulu City. Data were analyzed by univariate to multivariate logistic regression. Results: The results show that 88 respondents (78.2%) have utilized the puskesmas, as many as 86 (78.2%) were female, 86 respondents (60.9%) belonged to the young age group, respondents with higher education were 73 respondents ( 66.4%), 73 respondents (66.4%) worked and as many as 79 respondents (71.8%) have income <UMP. The bivariate analysis results showed that the factors related to the utilization of the puskesmas (p<0.05) were variables of age, education, occupation, and income despite no relationship between gender, distance, knowledge, and family support (p>Î±). The results of the multivariate analysis showed that education was the dominant factor influencing the utilization of the puskesmas with (p-value = 0.010; B = 2.707; 95% CI = 1.892-118.569). Conclusion: The community has taken advantage of the puskesmas in terms of preventing Covid-19. The utilization of puskesmas is affected by age and education level.

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MOTHER’S KNOWLEDGE AND PARTICIPATION IN MEASLES RUBELLA (MR) IMMUNIZATION FOR TODDLERS

SEAJOM: The Southeast Asia Journal of Midwifery ◽

10.36749/seajom.v6i2.129 ◽

2020 ◽

Vol 6 (2) ◽

pp. 87-91

Author(s):

Haspita Rizki Syurya Handini ◽

Yussie Ater Merry ◽

Dhina Khairina

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Number Of Children ◽

Chi Square Test ◽

The Government ◽

Influential Variable

Measles rubella (MR) immunization is to provide immunity against measles and rubella. To reduce measles and rubella, the government carried out the MR immunization campaign. The target of MR immunization achievement is at 95%; however, in West Sumatra Province it is still at 38,98% and Padang City is at 47%. The purpose of this study was to determine the determinant factor as participation in MR immunization for toddlers. This analytic survey used a cross sectional study design. The population was mothers who had toddlers with a sample of 86 respondents taken by proportional random sampling technique. The instrument used was a questionnaire. Data processing was analyzed by bivariate and multivariate using chi square test and logistic regression. The results of the bivariate analysis showed factors related to MR immunization, namely knowledge (p = 0.003), level of education (p = 0.006), and attitude (p = 0.006), while employment (p = 0,222) and number of children (p = 0,160) were not related to MR immunization and the most influential variable was the level of knowledge with p value 0.009 and OR 0.28. It can be concluded that knowledge, education and attitude are related to maternal participation in MR immunization with the most influential variable being knowledge. Therefore, there needs to be innovation in providing counseling to mothers and families about the importance of MR immunization.

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HUBUNGAN PENDIDIKAN DAN PENGETAHUAN IBU TENTANG ASI PERAH DENGAN PRAKTEK PEMBERIAN ASI PERAH

Jurnal Endurance ◽

10.22216/jen.v3i2.3191 ◽

2018 ◽

Vol 3 (2) ◽

pp. 415

Author(s):

Sunesni Harfiandri ◽

Dea Dea ◽

Ananda Putri

Keyword(s):

Data Collection ◽

Health Center ◽

Working Mothers ◽

Cold Water ◽

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Cross Sectional

Background: Breastfeeding on Working Mothers is hampered at breastfeeding as the intensity of the mother and baby encounters decreases. The alternative that can be taken is the provision of ASIP. Objective: To know the Education Relationship and Knowledge of ASIP with ASIP Assessment on Working Mother in Desa Tanjung Aur Kelurahan Balai Gadang Work Area of Cold Water Health Center Year 2017. Method: Cross sectional design cross sectional study was conducted in Tanjung Aur Village Balai Gadang District Working Area of Puskesmas Cold Water 2017. Data collection dated 3-7 July 2017. Population of all working mothers with infants aged ≥ 2-11 months sampled as many as 36 people total sampling technique. Result: Data collection with questionnaire and chi-square statistic test. Univariate was found from 36 respondents, 25 people (69,4%) did not give ASIP to their babies, 21 people (58,3%) low education level, 29 people (80,6%) low knowledge level. In bivariate analysis obtained p value <α, there is correlation of education with giving ASIP (P value = 0,002) and there is correlation of knowledge with giving ASIP (P value = 0,001). Conclusion: Mothers Working in breastfeeding in the village of Tanjung Aur Kelurahan Balai Gadang Working Area Cold Water Health Center partially did not provide ASIP to the baby. Suggested to Health Center to increase health promotion about ASIP. Latar belakang : Pemberian ASI pada Ibu Bekerja terhambat pada waktu menyusui karena intensitas pertemuan Ibu dan Bayi berkurang. Alternatif yang bisa ditempuh adalah pemberian ASIP. Tujuan : untuk mengetahui Hubungan Pendidikan dan Pengetahuan tentang ASIP dengan Pemberian ASIP pada Ibu Bekerja di Desa Tanjung Aur Kelurahan Balai Gadang Wilayah Kerja Puskesmas Air Dingin Tahun 2017. Metode : Penelitian bersifat analitik desain cross sectional dilaksanakan di Desa Tanjung Aur Kelurahan Balai Gadang Wilayah Kerja Puskesmas Air Dingin 2017. Pengumpulan data tanggal 3-7 Juli 2017. Populasi seluruh Ibu bekerja yang memiliki bayi usia ≥ 2-11 bulan sampel sebanyak 36 orang teknik total sampling. Hasil : Pengumpulan data dengan kuesionerdan uji statistic chi-square. Univariat ditemukan dari 36 orang responden, 25 orang (69,4%) tidak memberikan ASIP pada Bayinya, 21 orang (58,3%) tingkat pendidikan rendah, 29 orang (80,6%) tingkat pengetahuan rendah. Pada analisa bivariat didapatkan p value < α, ada hubungan pendidikan dengan pemberian ASIP ( P value = 0,002) dan ada hubungan pengetahuan dengan pemberian ASIP ( P value = 0,001). Simpulan : Ibu-Ibu Bekerja menyusui di Desa Tanjung Aur Kelurahan Balai Gadang Wilayah Kerja Puskesmas Air Dingin sebagian tidak melakukan pemberian ASIP pada Bayinya. Disarankan kepada Puskesmas meningkatkan Promosi kesehatan tentang ASIP.

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PERBEDAAN KADAR ASAM URAT PADA WANITA PERIMENOPAUSE DAN MENOPAUSE

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v10i2.338 ◽

2018 ◽

Vol 10 (2) ◽

pp. 159-162

Author(s):

Rini Patroni

Keyword(s):

Uric Acid ◽

Sampling Technique ◽

Cross Sectional Study ◽

T Test ◽

The Body ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Menopausal Women ◽

Perimenopausal Women

Increased levels of uric acid will occur in women after menopause due to a decrease in estrogen hormones that play an important role in increasing urinary acid excretion through urine. The occurrence of deposition of uric acid continuously in the body so that the kidneys are not able to remove uric acid properly. This study aims to determine differences in uric acid levels in perimenopausal women and menopause at Sukamerindu Health Center Bengkulu City. This study includes comparative study, with cross sectional study design. The sampling technique was purposive sampling as much as 74 respondents, with 37 respondents perimenopause women and 37 respondents of menopause women. Data analysis used univariate and bivariate analysis using independent t test. The mean rate of uric acid levels in perimenopausal women was 5.02 mg / dL while mean menopausal uric acid level was 7.04 mg / dL and after statistical test using independent t test, p value 0.0001, which means p <0, 05 then there are differences in uric acid levels in perimenopausal women and menopause at puskesmas sukamerindu city of Bengkulu. The average uric acid levels in menopausal women is higher compared with perimenopausal women so it is expected for menopausal women to maintain health and consume lots of mineral water so that uric acid does not accumulate in the body.

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HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU SELAMAT PADA WISATAWAN DI PANTAI PARANGTRITIS KABUPATEN BANTUL DIY

Jurnal Cakrawala Promkes ◽

10.12928/promkes.v1i1.292 ◽

2018 ◽

Vol 1 (1) ◽

pp. 32

Author(s):

Nurul Samratul Aini ◽

Helfi Agustin

Keyword(s):

Skin Irritation ◽

Food Poisoning ◽

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Safe Behavior

Various health risks can occur in tourism depending on the physical condition of the traveler and the type of trip. Tourists suddenly get sick because of changes in places visited such as altitude, humidity, temperature, or because of an accident. Parangtritis Beach Tourism is a tourist destination with the biggest destination in the Special Region of Yogyakarta (DIY). Parangtritis Beach has an increasing number of visitors annually, of course, accompanied by an increase in the risk of accidents and health problems. The risk of accidents that can occur to tourists is sinking, being hit by ATVs, jeeps and delmans, jellyfish animal bites, food poisoning, air pollution, skin irritation, and others. The purpose of this study was to determine the relationship between knowledge and attitudes with safe behavior on tourists at Parangtritis Beach, Bantul Regency, DIY. This study was an observational study with a cross-sectional or cross sectional study design. The sample in this study were visitors to Parangtritis beach, aged 17-50 years, with 110 respondents. The sampling technique used is accidental side. The instrument in this study was a questionnaire. Data analysis with chi square test. Bivariate analysis shows, sex with healthy and safe behavior (p-value 0.627), age with healthy and safe behavior (p-value 0.911), education with healthy and safe behavior (p-value 0.677), knowledge with healthy behavior and safe (p-value 0.020) and attitudes with healthy and safe behavior (p-value 0.003). There is a relationship between knowledge and attitudes with healthy and safe behavior. There is no relationship between gender, age and education with healthy and safe behavior.

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The Role of Midwife Therapeutic Communication With Anxiety Levels in Maternity at The Limboro Health Center in 2020

Muhammadiyah International Public Health and Medicine Proceeding ◽

10.53947/miphmp.v1i1.146 ◽

2021 ◽

Vol 1 (1) ◽

pp. 861-866

Author(s):

Rusnawati Rusnawati ◽

Muhammad Syafar ◽

Sitti Maisuri Tadjuddin Chalid ◽

Werna Nontji ◽

Rosita Rosita

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

P Value ◽

Therapeutic Communication ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Anxiety Levels

Anxiety has an impact on the duration of the first and second stages of labor. Generally, anxiety during labor is caused by fear of giving birth. To reduce the level of anxiety, it is necessary to communicate with therapeutic midwives in creating good relationships with maternity mothers so that there is an exchange of information, feelings, and thoughts. This research aims to find the relationship between the therapeutic communication of midwives with the level of anxiety in maternity mothers. The research method uses a cross-sectional study with a sample of 30 maternity mothers who were selected based on the purposive sampling technique. The results of the study from 30 respondents, the percentage of mothers who received therapeutic communication was not good with mild anxiety levels as many as 4 respondents (66.7%), while at moderate and severe levels of anxiety each 1 respondent (16.7%). Bivariate analysis with chi-square test showed p-value = 0.014 with a significance level ofa = 0.05, where p < a (0.05)so it can be concluded that there is a relationship between the midwife's therapeutic communication with the level of maternal anxiety. It is recommended to manage the psychological condition of the mother during pregnancy monitoring so that the anxiety and worries of the mother before delivery can be resolved properly.

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Effect of Maternal Age, Parity and Placental Weight on Birth Weight in Otanaha Hospital, Gorontalo City

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2020.8(4).253-260 ◽

2021 ◽

Vol 8 (4) ◽

pp. 253

Author(s):

Puspita Sukmawaty Rasyid ◽

Endah Yulianingsih

Keyword(s):

Birth Weight ◽

Maternal Age ◽

Univariate Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

Placental Weight ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Cross Sectional

Birth weight is an indicator of fetal growth whether healthy or experiencing problems during the womb. Low birth weight (LBW) has an effect on high infant morbidity and mortality rates. Data obtained from the delivery room of the Otanaha Hospital showed the prevalence of LBW births in 2018 was 1.83% and had increased in 2019 to 3.25%. The factors that influence birth weight included the age of the mother, parity and weight of the placenta. The research objective was to determine the effect of maternal age, parity and placental weight on birth weight at the Otanaha Hospital, Gorontalo City. This research type was analytic observation with cross sectional study approach. The sampling technique used was accidental sampling technique with a total of 60 respondents.The data analysis used was the Chi-Square statistical test. The results of the univariate analysis of 60 respondents showed that the age group without risk was 42 (70.0%), parity without risk was 41 (68.3%), normal placental weight was 31 (51.7%) and normal birth weight was 46 (76.7%). Bivariate analysis showed the variable maternal age and parity with p-value 0.065 and 0.526 (p> 0.05) and placental weight variable with p-value 0.000 (p <0.05). The conclusion of the study showed that maternal age and parity had no effect on birth weight, while placental weight had an effect on birth weight of infants at Otanaha Hospital, Gorontalo City.

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RELATIONS BETWEEN THE QUALITY OF HEALTH SERVICES WITH OUTPATIENT LOYALTY IN POLY OBGYN RSIA ERIA PEKANBARU IN 2016

Photon: Jurnal Sain dan Kesehatan ◽

10.37859/jp.v7i02.504 ◽

1930 ◽

Vol 7 (02) ◽

pp. 61-68

Author(s):

Leon Candra ◽

Rosi Hairati

Keyword(s):

Service Quality ◽

Sampling Technique ◽

Bivariate Analysis ◽

Measuring Instruments ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Patient Loyalty ◽

Cross Sectional Design ◽

Improve Service Quality

Customer loyalty is a person who buys, especially purchase regularly and repeat edly (Hassan, 2008). The purpose of this study is whet her there is a relationship of health service quality and out patient loyalty of poly OBGYN in RSIA Eria Bunda Pekanbaru 2016. This research method is quantitative analytic observational using cross-sectional design, respondents were out patients of poly OBGYN RSIA Eria Bunda Pekanbaru. The study sample as many as 97 out patients. The sampling technique is purposive sampling. The analysisis univariate and bivariate analysis using Chi-square, measuring instruments used were question naires and computerized data processing. The results showed anassociation between tangibles (p value = 0.046 and POR = 2.9), reliability (p value = 0.007, and POR = 4) and empathy (p value = 0.031, and POR = 3.4) with patient loyalty in the Poly Obgyn RSIA Eria Bunda Pekanbaru. The absence of a relationship between responsiveness (p value = 0.079, and POR = 0.3) and assurance (p value = 0.593, and POR = 1.4) with patient loyalty in the Poli OBGYN RSIA Eria Bunda Pekanbaru. Suggested for RSIA Eria Bunda Pekanbaru need to do the training, disseminating feed back, criticisms, and suggestions of the patien/family and need to think about how to suppress deficiencies in service, equipment (tangible ) to improve service quality, and human resources, that are expected to display the superior it service.

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Perception Analysis of Installation Services Quality on Patient Satisfaction at Bhayangkara Hospital Level II Medan

Journal La Medihealtico ◽

10.37899/journallamedihealtico.v2i3.345 ◽

2021 ◽

Vol 2 (3) ◽

pp. 1-8

Author(s):

Gisna Hartini ◽

Arifah Devi Fitriani ◽

Iman Muhammad

Keyword(s):

Patient Safety ◽

Patient Satisfaction ◽

Service Quality ◽

Health Workers ◽

Sampling Technique ◽

Internal Communication ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Multivariate Statistic

The purpose of this research is to analyze the influence of patient perception about professionalism, efficiency, patient safety and access of service to patient satisfaction at Inpatient Bhayangkara TK II Hospital Medan. The type of research used in this study is an analytical survey (explanatory research) with Cross-Sectional Study study design. The number of samples in this study were 54 patients who got service at the inpatient installation. Sampling technique by Accidental Sampling. The result of this research shows that the result of bivariate analysis to select multivariate analysis modeling candidate is statistically tested by using chi square test found that from the four variables all entered as multivariate modeling candidate. Then from the result of multivariate statistic test, it was found that p value (Sig) of professional variable (p = 0,024), efficiency (p = 0,025), access (p = 0,022) and patient safety (p = 0,048) which is significant to patient satisfaction at Inpatient Installation of Bhayangkara TK II Hospital Medan. The conclusion of the research shows that there is influence of service quality of inpatient installation which consist of profession, efficiency, access to service and patient safety to patient satisfaction. It is hoped that this research can make an actual input for health workers and the hospital. It is recommended that health workers carry out their duties according to the work SOP. Improve internal communication so that cooperation between health partners can run well in improving service quality and patient satisfaction.

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Gejala Heat Strain pada Pekerja Pembuat Tahu di Kawasan Kamboja Kota Palembang

JURNAL KESEHATAN LINGKUNGAN INDONESIA ◽

10.14710/jkli.20.2.120-127 ◽

2021 ◽

Vol 20 (2) ◽

pp. 120-127

Author(s):

Dicky Zulhanda ◽

Mona Lestari ◽

Desheila Andarini ◽

Novrikasari Novrikasari ◽

Yuanita Windusari ◽

...

Keyword(s):

Influencing Factor ◽

Sampling Technique ◽

Cross Sectional Study ◽

Heat Strain ◽

Hot Working ◽

Bivariate Analysis ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional

Latar belakang: Pabrik tahu merupakan salah satu tempat kerja yang berpotensi menimbulkan iklim kerja panas. Hal ini tidak terlepas dari penggunaan api sebagai media produksi yang dapat menyebabkan seseorang mengalami heat strain. Untuk itu, penelitian ini bertujuan untuk mengetahui proporsi gejala heat strain pada pekerja pembuat tahu dan faktor apa yang paling mempengaruhi gejala heat strain tersebut.Metode: Penelitian ini menggunakan desain cross sectional study dan penetapan sampel menggunakan teknik total sampling. Sampel dalam penelitian ini berjumlah 54 orang yang berasal dari enam pabrik tahu. Analisis data penelitian menggunakan uji chi square untuk analisis bivariat dan uji regresi logistik berganda untuk analisis multivariat.Hasil: Hasil penelitian menunjukkan proporsi gejala heat strain pada pekerja sebesar 64,8% dan diketahui bahwa adanya hubungan antara iklim kerja panas (p-value = 0,008), usia (p-value = 0,014), dan konsumsi air minum (p-value = 0,002) dengan gejala heat strain, dan tidak adanya hubungan antara lama kerja (p-value = 0,077) dengan gejala heat strain. Hasil analisis multivariat menunjukkan bahwa terdapat hubungan antara iklim kerja panas dengan gejala heat strain (p-value = 0,004) setelah dikontrol oleh variabel perancu.Simpulan: Hasil penelitian diketahui bahwa iklim kerja panas merupakan faktor yang paling mempengaruhi gejala heat strain pada pekerja pembuat tahu di Kawasan Kamboja Kota Palembang. Pemilik pabrik tahu dapat melakukan perbaikan ventilasi dan memasang plafon di pabrik, serta menyediakan fasilitas air minum untuk memenuhi kebutuhan air 2,8 liter/hari bagi pekerja. Title: Heat Strain Symptoms in Tofu Production Workers in Kamboja Area of Palembang CityBackground: Tofu industry is one of workplaces which has potential in creating hot working climate. This industry cannot be separated from the use of fire as one of production element where exposure to fire may cause workers to experience heat strain. This study aimed to determine the proportion of heat strain symptoms in tofu workers and what factors most influence the symptoms of heat strain.Method: This study used cross sectional study design and samples were determined by using total sampling technique. Samples in this study amounted to 54 workers from six tofu making businesses. Analysis for study data was using chi-square test for bivariate analysis and multiple logistic regression test for multivariate analysis.Result: The study showed that the proportion for workers with heat strain symptoms was 64.8%. It was found that there was a correlation between hot work climate (p-value = 0.008), age (p-value = 0.014), and water consumption (p-value = 0.002) with heat strain symptoms. Meanwhile, there is no correlation between work length (p-value = 0.077) with heat strain symptoms. The result of multivariate analysis showed that there was a correlation between hot working climate and heat strain symptoms (p-value = 0.004) after control applied from confounding variables.Conclusion: The result showed that the hot working climate was the most influencing factor for the symptoms of heat strain on tofu workers. Tofu factory owners can repair ventilation and install ceilings in the factory. Besides, provide drinking water facilities to meet 2.8 liters/day for workers’ water needs.

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