HUBUNGAN KEPATUHAN PERAWATAN KAKI DENGAN KEJADIAN NEUROPATI PADA PASIEN DIABETES MELITUS DI RSUP H. ADAM MALIK MEDAN TAHUN 2019

Introduction. Diabetes mellitus (DM) is a metabolic disease characterized by increased blood glucose levels or hyperglycemia. Long-term hyperglycemia can cause various complications including neuropathy. Some measures can be taken to prevent neuropathy, such as foot care. The purpose of this study was to identify the relationship between adherence foot care with the incidence of neuropathy in patients with diabetes mellitus in H. Adam Malik General Hospital Medan in 2019.Method. This research is a descriptive correlational study using cross sectional design. The population in this study were all DM patients who came to the Polyclinic disease in H. Adam Malik General Hospital Medan. The sampling technique used was purposive sampling with a sample size of 44 respondents. Data collection was performed using a foot care compliance questionnaire and a neuropathic event observation sheet.Result. Data analysis with Chi-square test obtained p value = 0.001, which means there is a relationship between adherence of foot care with the incidence of neuropathy in DM patients at H. Adam Malik General Hospital Medan in 2019.Duscussion. DM patients can prevent neuropathy by doing regular foot care. Health workers and families can play a role in providing support to patients to improve the independence of doing foot care at home.

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PENGARUH PERAN KELUARGATERHADAP REGULASI KADAR GULA DARAH PENDERITA DM

Jurnal Perawat Indonesia ◽

10.32584/jpi.v3i2.312 ◽

2019 ◽

Vol 3 (2) ◽

pp. 85

Author(s):

Novita Setyowati ◽

Puguh Santoso

Keyword(s):

Diabetes Mellitus ◽

Blood Sugar ◽

Health Workers ◽

Sampling Technique ◽

Chi Square ◽

Cross Sectional ◽

Glucose Levels ◽

The Family ◽

Sugar Levels

Pencegahan komplikasi penyakitpada Penderita DM memerlukan peran keluarga sebagai mitra petugas kesehatan denganmengontrol regulasi kadar glukosa darah. Tujuan penelitian ini untuk mengetahui pengaruh peran keluarga terhadap regulasi kadar gula darah. Penelitian ini merupakan kuantitatif deskriptif korelasi dengan pendekatan cross sectional. Populasi penelitian adalah penderita diabetes mellitus di Puskesmas Balowerti kota kediri sebanyak 90 orang. Sampel penelitian yang ditentukan menggunakan teknik purposive sampling.Pengumpulan data penelitian menggunakan kuesioner, sedangkan analisis data menggunakan uji chi squarePenelitian dilaksanakan pada bulan Mei 2019 sampai dengan Juni 2019. Hasil pengujian dengan menggunakan uji korelasi sederhana , dengan chi square menunjukkan (p=0,005) yang berarti ada hubungan peran keluarga mempunyai hubungan yang signifikan terhadap regulasi kadar gula dalam darah penderita DM. Disarankan perlunya bimbingan dan penyuluhan pada penderita tentang latihan jasmani, diit yang sehat, berhenti merokok, penggunaan obat antidiabetik dan efek sampingnya, serta pentingnya control gula darah, meningkatkan informasi tentang DM, komplikasi, dan penanggulangannya. Kata kunci: Peran keluarga, regulasi kadar gula darah, diabetes melitus Abstract The Effect Of Role Of Family On Regulation Levels Of Sugar Blood Patients DM. Prevention of disease complications in DM sufferers requires the role of the family as partners of Health workers by controlling the regulation of blood glucose levels. The purpose of this study was to determine the effect of the role of the family on the regulation of blood sugar levels.This research is a quantitative descriptive correlation with the cross approach sectional. The study population was people with diabetes mellitus at the health center Balowerti city of Kediri as many as 90 people. The research sample was determined using a purposive sampling technique. The collection of research data using a questionnaire, while the analysis of data using the chi square test The study was conducted in May 2019 to June 2019. The test results using a simple correlation test, with chi square shows (p = 0.005) so that Ho is rejected and Hı is accepted, which means there is a relationship between the role of the family has a significant relationship to the regulation of blood sugar levels in patients with DM. Suggested the need for guidance and counseling to sufferers about physical exercise, healthy diet, smoking cessation, the use of antidiabetic drugs and their side effects, as well as the importance of blood sugar control, increasing information about DM, complications, and prevention. Keywords : The role of the family, regulation of blood sugar levels, diabetes mellitus

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Faktor-Faktor Yang Berhubungan Dengan Pemanfaatan Voluntary Counselling and Testing (VCT) Pada Ibu Hamil di Wilayah Kerja Puskesmas Karanganyar Kota Tasikmalaya

Jurnal Medika Cendikia ◽

10.33482/medika.v6i01.100 ◽

2019 ◽

Vol 6 (01) ◽

pp. 33-43

Author(s):

Dudi Ahmad M ◽

Sri Mulyanti ◽

Neni Nuraeni

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Community Health Center ◽

Correlation Method ◽

Sampling Technique ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Nursing Services ◽

Chi Square Test

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services

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Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan pada Pasien Diabetes Mellitus Rawat Jalan di RSUD Sukoharjo

Pharmacon Jurnal Farmasi Indonesia ◽

10.23917/pharmacon.v17i2.12261 ◽

2020 ◽

Vol 17 (2) ◽

pp. 110-120

Author(s):

Tri Yulianti ◽

Lusi Anggraini

Keyword(s):

Diabetes Mellitus ◽

Medication Adherence ◽

Diabetes Mellitus Type 2 ◽

Sampling Technique ◽

Diabetes Mellitus Type ◽

P Value ◽

Affecting Factors ◽

Chi Square ◽

Cross Sectional

Diabetes mellitus is a chronic metabolic with high prevalence and it can increase the risk of the complications, if it not handled properly. Medication adherence is one of the determining factor to achive therapeutic outcome. This research aims to determine the affecting factors of adherence in diabetes mellitus type 2 outpatient at RSUD Sukoharjo in 2020. This research type is cross sectional with a purposive sampling technique. A total of 85 patients diabetes mellitus type 2 outpatient at RSUD Sukoharjo with inclusion criteria received OAD therapy (Oral Antidiabetic Drugs) or a combination of OAD with insulin for at least 1 month, recruited in this study. The data was collected from medical records and questionnaires. Adherence was measured by using the MARS 5 questionnaire (Medication Adherence Report Scale 5). Factors contributing to medication adherence was analyzed by using chi-square test. The results showed that 37 respondents (43.5%) were obedient. The significant factors of medication adherence are monthly income (p-value = 0.018 and OR = 2.887), Medication (p - value = 0.007 and OR = 3,551), the frequency of treatment (p-value = 0.006 and OR = 3,529) and blood glucose level (p-value = 0.006 and OR = 3,529).

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Peran Tenaga Kesehatan, Promosi Kesehatan dan Dukungan Keluarga Terhadap Pencegahan Anemia pada Ibu Hamil

SIMFISIS Jurnal Kebidanan Indonesia ◽

10.53801/sjki.v1i2.34 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Madinah Munawaroh ◽

Pinna PN Situmorang

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Health Center ◽

Family Support ◽

Health Workers ◽

Sampling Technique ◽

P Value ◽

Chi Square ◽

Cross Sectional

Introduction: Anemia is one of the most common nutritional disorders during pregnancy, this anemia can be achieved with iron supplementation. Pregnant women who suffer from severe anemia can increase the risk of maternal and infant morbidity and mortality, the possibility of giving birth to babies with low birth weight. Objectives: The purpose of the study was to determine the relationship between health promotion, the role of health workers, and family support with the prevention of anemia in pregnant women in the working area of the Bondongan Health Center, Bogor City in 2019. Method: This type of research, quantitative and analytical descriptive approach using the cross-sectional method. The study population was all pregnant women as many as 128 people and a sample of 56 respondents. The sampling technique is purposive sampling. The measuring instrument uses a questionnaire. Data analysis using chi-square with 0.05. Result: The results showed that the prevention of anemia in pregnant women was in the poor category (57%), the role of health workers was not good (55%), health promotion was not good (63%), low family support (54%) in preventing anemia in pregnant women working area of Bondongan Health Center, Bogor City in 2019. Conclution: There is a significant relationship between the role of health workers (P-value 0.04), Health Promotion (P-value 0.012), and Family Support (P-value 0.02) on the prevention of anemia in pregnant mothers.

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HUBUNGAN LAMA PEMAKAIAN KB AKDR DENGAN KEJADIAN LEUKOREA DI PUSKESMAS SOSIAL PALEMBANG TAHUN 2016

Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang ◽

10.35325/kebidanan.v6i2.89 ◽

2019 ◽

Vol 6 (2) ◽

Author(s):

Bina Aquari, Yuhemy Zurizah Bina Aquari, Yuhemy Zurizah

Keyword(s):

Family Planning ◽

Health Workers ◽

Sampling Technique ◽

Planning Method ◽

Family Planning Method ◽

P Value ◽

Small Object ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

a B S T R A k AKDR merupakan suatu benda kecil yang terbuat dari plastik yang lentur, mempunyai lilitan tembaga atau mengandung hormon yang dimasukkan ke dalam vagina dan mempunyai benang. Pada 3 bulan setelah pemasangan.ada keluhan leukorea. Leukorea merupakan cairan yang keluar dari dalam vagina selain berupa darah. Tujuan penelitian ini adalah mengetahui Hubungan lama pemakaian KB AKDR dengan kejadian Leukorea di Puskesmas Sosial Palembang. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan total populasi yaitu ibu yang KB AKDR dengan lama pemakaian ≤ 3 bulan dan > 3 bulan yang berjumlah 56 orang. Teknik pengumpulan data menggunakan kuesioner. Analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa mayoritas ibu lama menggunakan KB AKDR > 3 bulan adalah mengalami Leukorea fisiologis (58,1%). Hasil perhitungan dengan menggunakan Chi-Square diperoleh P value 0,009 dimana (0,010 < 0,05) yang berarti ada hubungan lama pemakaian KB AKDR dengan kejadian Leukorea. Ibu atau akseptor KB lebih baik memperhatikan efek samping sebelum memutuskan untuk memilih KB agar tidak mempunyai efek yang bisa merugikan kesehatannya. Selain itu, petugas kesehatan terutama bidan juga tetap waspada dalam memberikan pelayanan khususnya tentang KB harus memperhatikan dampak yang akan muncul bagi akseptor, bila terjadi suatu yang merugikan bagi pasien maka mencarikan solusi yang tepat. Dapat menjadi acuan yang bermanfaat bagi penelitian selanjutnya yang berkaitan dengan lama pemakaian KB AKDR dengan kejadian Leukorea. ABSTRACT Labor AKDR is a small object made of flexible plastic, has a coil of copper or contains hormones that is inserted into the vagina and have a yarn. In 3 months after inserted the complaint of leucorrhea incidence. Leucorrhea is a vaginal discharge other than blood. The purpose of this study was to determine the association between duration in using AKDR and leucorrhea incidence at Sosial Health Center Palembang. The study used descriptive correlation design with cross-sectional approach. The sampling technique used total population of mothers who become family planning acceptors by AKDR method with duration of use ≤ 3 months and > 3 months, as many as 56 people. Data collection used questionnaire technique. And the data analyzed by using Chi-Square test. The results of study indicated that the majority of women have long duration in using family planning of AKDR method for more than 3 months had experiencing physiological leukorea (58.1%). By Chi-Square test obtained p value 0.009 (p<0.05), which means there was a correlation of duration in using AKDR and the leucorrhea incidence. The mother or family planning acceptors better to pay attention to its side effects before deciding to choose family planning method in order to have not an effect that could harm their health. In addition, health workers, especially midwives must be vigilant in providing their services particularly in family planning method and should pay attention to the potential impacts for the acceptor. If there is a disservice to patients then find the right solution. This study can be a useful reference for further researchers in making a research to correlate the duration in using AKDR with leukorea.

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Ankle Brachial Indeks (ABI), Kadar Glukosa Darah dan Nutrisi Pada Ulkus Diabetikum

Jurnal Endurance ◽

10.22216/jen.v4i3.4560 ◽

2019 ◽

Vol 4 (3) ◽

pp. 449

Author(s):

Riwanti Silaban ◽

Pina Lestari ◽

May Daryeti ◽

Diah Merdekawati

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Diabetic Ulcer ◽

Control Blood Glucose ◽

Glucose Levels ◽

Blood Glucose Levels ◽

And Control

The increasing number of people with diabetes mellitus each year, the client has also experienced one of the complications, namely ulcers. During this time, the concern of nurses at Raden Mattaher Jambi Hospital is only an ulcer on the client, but no intervention has been made to determine the factors causing the duration of the client's ulcer resolved. The kind of is a cross-sectional. The sample in this study was 27 respondents who had criteria by what was to be studied. The sampling technique is done by accidental sampling that is taking samples by taking cases or respondents who happen to be available or available. Analysis of the data in this study was Univariate and Bivariate. It was held on April 29th until June 29th 2019 with uses observation sheets and questionnaires as aids in data collection. Statistical test results obtained p-value <0.05, meaning that there is a relationship between ABI values, blood glucose levels and nutrients with the area of diabetic ulcer. It can be concluded that the ABI value, blood glucose level and nutrition affect the area of diabetic ulcer. It is expected that Raden Mattaher Jambi Hospital can make ABI examination a Standard Operational Procedure and control blood glucose and nutrition levels as a factor in accelerating wound healing. Semakin meningkatnya angka penderita diabetes mellitus tiap tahunnya, maka semakin meningkat pula klien mengalami salah satu komplikasinya yaitu ulkus. Selama ini, yang menjadi perhatian perawat di RSUD Raden Mattaher Jambi hanya ulkus pada klien, namun belum ada intervensi yang dilakukan guna mengetahui faktor penyebab lamanya ulkus klien teratasi. Jenis penelitian ini adalah penelitian cros sectional. Sampel dalam penelitian ini 27 responden yang memiliki kriteria sesuai dengan yang akan diteliti. Teknik pengambilan sampel dilakukan dengan cara accidental sampling yaitu pengambilan sampel dilakukan dengan mengambil kasus atau responden yang kebetulan ada atau tersedia. Analisa data dalam penelitian ini secarra Univariat dan Bivariat. Penelitian ini dilaksanakan dari 29 April-29 Juni 2019 dengan menggunakan lembar observasi dan kuesioner sebagai alat bantu dalam pengumpulan data. Hasil uji statistik diperoleh nilai p-value < 0,05, artinya ada hubungan antara nilai ABI, kadar glukosa darah dan nutrisi dengan luas ulkus diabetikum. Dapat disimpulkan bahwa nilai ABI, kadar glukosa darah dan nutrisi mempengaruhi luas ulkus diabetikum. Diharapkan kepada pihak RSUD Raden Mattaher Jambi dapat menjadikan pemeriksaan ABI sebagai Standar Prosedur Operasional dan melakukan pengontrolan kadar glukosa darah serta nutrisi sebagai faktor mempercepat penyembuhan luka.

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An Analysis of Factors Related to the Ability of Hypoglycemic and Hyperglycemic Early Detection in patients of Diabetes Mellitus in Bima Public Hospital in 2017

Media Keperawatan Indonesia ◽

10.26714/mki.1.3.2018.18-23 ◽

2018 ◽

Vol 1 (3) ◽

pp. 18

Author(s):

Martiningsih Martiningsih

Keyword(s):

Diabetes Mellitus ◽

Early Detection ◽

Public Hospital ◽

Sampling Technique ◽

P Value ◽

Validity And Reliability ◽

Chi Square ◽

Cross Sectional ◽

Acute Hypoglycemia ◽

The Right

This study aims to determine the ability of early detection, the factors that are most influential and related to the ability of early detection of hypoglycemia and hyperglycemia in diabetes mellitus patients in Bima Public Hospital in 2017. The method used in this research is an analytical descriptive method and uses a cross-sectional approach. The population of this study was all DM patients in Bima Public Hospital in 2017. The sample size was determined by purposive sampling technique, namely 30 people. The study was conducted in the internal medicine room of Bima Hospital. The data were retrieved by using questionnaire of Ability to Detect Hypoglycemia and Hyperglycemia which has been tested for the validity and reliability of the instrument with Cronbach's Alpha value of 0.734. The data analysis process was carried out by using Chi-Square test and logistic regression. Results: The ability of hypoglycemia and hyperglycemia to be detected in DM patients in Bima Public Hospital in 2017 was 47% who were able and 58% who were not able with the average of 42.70, with a minimum-maximum value of 34-52. The results of the multivariate test revealed that the duration of DM disease had the most significant effect on the ability of hypoglycemia and hyperglycemia detection (p-value = 0.001, OR 39.429). Discussion: Improving the quality of nursing care through self-care education in the right nursing perspective with regard to the characteristics of the respondents, one of them is a history of long-term DM disease, can prevent acute hypoglycemia and hyperglycemia.

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Factors Affecting Nurse Performance at Datu Beru Takengon General Hospital

Journal La Medihealtico ◽

10.37899/journallamedihealtico.v2i6.403 ◽

2021 ◽

Vol 2 (6) ◽

pp. 57-66

Author(s):

Mappeaty Nyorong ◽

Asyiah Simanjorang ◽

Jauhari Jauhari

Keyword(s):

General Hospital ◽

Sampling Technique ◽

P Value ◽

Length Of Service ◽

Chi Square ◽

Cross Sectional ◽

Test Analysis ◽

Factors Affecting ◽

Training Variable ◽

Cross Sectional Design

This study aims to determine the factors that influence the performance of nurses and to determine the most dominant factors affecting the performance of nurses at the General Hospital Datu Beru Takengon 2021. The research design used a quantitative analytic survey with a cross-sectional design. The population is all nurses in the Inpatient Room at RSU Datu Beru Takengon as many as 200 people. The sampling technique used was random sampling. Data analysis was performed by univariate, bivariate and multivariate analysis with chi_square. The results of the Chi-Square statistical test analysis obtained p-value = 0.003 < 0.05, which means there is a relationship between workload and nurse performance, while the length of service period obtained p-value = 0.652 < 0.05, which means there is no relationship between length of service and nurse performance, the training variable obtained p-value = 0.004 < 0.05 which means there is a relationship between training and nurse performance, the discipline variable obtained p-value = 0.005 < 0.05 which means it means that there is a relationship between discipline and nurse performance and the motivation variable is obtained p-value = 0.002 < 0.05, which means there is a relationship between motivation and nurse performance. The results of the Multivariate test analysis showed that the variables that influenced the performance of nurses were workload, discipline and motivation, while the most dominant variable was the workload variable with p = 0.002 <0.05.

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Hubungan Pemenuhan Informasi Pasien Pre Operasi Dengan Tingkat Kecemasan Di Rumah Sakit XX Palembang

Jurnal Berita Ilmu Keperawatan ◽

10.23917/bik.v12i1.4488 ◽

2019 ◽

Vol 12 (1) ◽

pp. 31-36

Author(s):

Zuhrah Gia Tamah ◽

Muliyadi Muliyadi ◽

Sri Yulia

Keyword(s):

Health Workers ◽

Sampling Technique ◽

Recovery Process ◽

Bivariate Analysis ◽

Invasive Technique ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Physical Trauma ◽

Risk Of Death

Background: Surgery is medication of invasive technique causing physical trauma and risk of death. This high risk can cause a psychological effect namely anxiety in the form of recovery process duration after a surgery.A patient that will go through a surgery feels anxious and needs an intervention of information fulfillment. Objective of the Study: This study aimed to find out the relationship between information fulfillment of pre-surgery patients and their level of anxiety at Muhammadyah Hospital of Palembang in 2017. Method: This study was quantitative using an analytical descriptive design with cross- sectional approach. The sampling technique was accidental sampling with the number of samples of 35 respondents. The data were collected using questionnaire with 12 items of information fulfillment statements and 20 items of statements of anxiety level. This study used bivariate analysis with chi square test. Results: The patients having poor information fulfillment were 22 respondents (62.9%), while those feeling anxious were 23 respondents (65.7%). The results of the statistical test showed that there was a relationship between information fulfillment and level of anxiety (p value = 0.024). Conclusion and Suggestion: Information fulfillment is very important to be carried out to decrease the anxiety of pre-surgery patients. It is expected that health workers particularly nursesapply their knowledge and formulate how to decrease the anxiety of the patients facing a surgery and information standard of pre-surgery condition that can be provided by the nurses in the form of pre-surgery nursing care.

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Hubungan Caring Perawat Dengan Kepuasan Pasien Rawat Inap Di Rumah Sakit

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v5i1.4918 ◽

2020 ◽

Vol 5 (1) ◽

Author(s):

Nahrul Hayat ◽

Asfri Sri Rahmadeni ◽

Marzuki Marzuki

Keyword(s):

Patient Satisfaction ◽

Health Workers ◽

Sampling Technique ◽

P Value ◽

Hospital Nurses ◽

Chi Square ◽

Cross Sectional ◽

Nurse Caring ◽

Chi Square Test

Caring nurses are very important in meeting patient satisfaction, this is one indicator of the quality of service in a hospital. Nurses are people who become one of the keys in meeting patient satisfaction. Therefore, caring nurse behavior can have an effect on quality service to patients. Some studies conducted in Indonesia show that caring is still lacking for patients in hospitals as much as 50% show poor caring. Patient satisfaction is influenced by caring nurses in serving patients in hospitals. The purpose of this study was to analyze the relationship between caring nurses and patient satisfaction in the inpatient room. This study is a cross sectional analytic study and purposive sampling technique with a sample of 67 patients, collecting data using a questionnaire.The Chi-Square test results showed a significant relationship between caring nurses and patient satisfaction in the inpatient room with a p value of 0,045 (α = 0,05). Nurse caring attitude greatly affects patient satisfaction so it is expected that nurses or other health workers can be more sensitive, be responsive and respond well to patient complaints and show sincere care in helping patients recover

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