Health Access Journal

Overview of Patient Family Satisfaction About Emergency Room Services at RSUD dr. Soedono Madiun

Punjung Guritno — 2025-10-28

Patient family satisfaction is a perception of the patient's family of the services provided to the patient with what the patient's family expects, so that the services provided to patients can affect patient family satisfaction. Patient family satisfaction is affected by service quality which consists of tangible, reliability, responsiveness, assurance, and empathy. This research aims to determine the overview of patient family satisfaction about the emergency room services at RSUD dr. Soedono Madiun. This research uses descriptive design and quantitative research type with 40 respondents taken by purposive sampling. Data analysis in this study is univariate. The results of this research indicate the patient's family satisfaction about the service at the emergency room RSUD dr. Soedono Madiun is mostly in the category of very satisfied satisfaction of 75%. Based on the 5 dimensions of service quality, the highest score is obtained in the assurance dimension and the lowest score is located in the tangible dimension. It can be said that the services in the emergency room provided are very good. Therefore, it is hoped that the services provided will maintain the quality of service, and even be improved for the better.

Individual Performance of CIMC Staff Nurses and Patient Satisfaction: its Relationship in Maintaining Quality Standards of Care

Angelito Estoesta Alvarado — 2025-10-28

This study aims to examine the relationship between the Individual Performance Commitment and Review (IPCR) of CIMC (City of Ilagan Medical Center) staff nurses and patient satisfaction in maintaining the quality standards of care using a descriptive quantitative approach. The research focuses on measuring the extent to which nurses' performance evaluations, as reflected in their IPCRF scores, correlate with the satisfaction levels reported by patients regarding the care they received. Data were collected through structured surveys distributed to both staff nurses and patients. The IPCRF scores of nurses were analyzed alongside patient satisfaction surveys to identify patterns and relationships. Descriptive statistics, such as mean scores and frequency distributions, were used to analyze the data and provide an overview of the current state of performance and satisfaction. The results highlight a positive correlation between high performance ratings of staff nurses and greater patient satisfaction. This study contributes valuable insights into the role of performance evaluations in healthcare quality, suggesting that improving nurse performance through regular assessments may enhance patient care outcomes. The findings have implications for healthcare institutions looking to improve the quality of care by refining performance management systems for nursing staff.

Acceptance of Teledermatology Among Primary Health Care Workers in Isabela

Louella Fatima Ramos Bascos — 2025-10-28

Teledermatology is emerging as a means of delivering healthcare service to remote areas. In the context of the full implementation of the Universal Health Care, dermatological services can be given to those in the primary care facilities. This study explores the acceptance of teledermatology among primary healthcare workers in Isabela, Philippines, focusing on technological, individual, and organizational factors influencing adoption. Guided by the modified Technology Acceptance Model (TAM), the research evaluates constructs such as perceived usefulness, perceived ease of use, attitude, compatibility, facilitators, subjective norms, and habitual use. A structured survey was administered to 87 purposively selected healthcare professionals, including nurses, midwives, doctors, and barangay health workers. Findings reveal that perceived usefulness and attitude significantly influence intention to use. Younger professionals and nurses exhibited higher acceptance levels, whereas gender and years of service were not significant factors. Despite positive perceptions, challenges remain in habitual use, underscoring the need for reliable internet access, administrative support, and ongoing training. The study affirms the relevance of TAM in this context and highlights the importance of targeted interventions to support sustainable teledermatology integration in primary care settings. In conclusion, this study highlights the acceptance of teledermatology among primary health care workers in Isabela.

A Case Study: Nursing Care in Stroke Patients with Impaired Skin Integrity

Agus Wiwit Suwanto — 2025-10-28

Stroke is one of the leading causes of long-term disability that often results in impaired skin integrity due to immobilization. This study aimed to analyze nursing care for stroke patients with impaired skin integrity at Dr. Harjono Regional Hospital, Ponorogo. A case study with a descriptive qualitative approach was conducted on a 66-year-old patient who experienced stroke and pressure ulcers. Data were collected through interviews, observation, physical examination, and risk assessment using the Braden Scale. Nursing interventions included pressure ulcer management, skin condition monitoring, adequate nutritional support, and repositioning every two hours to prevent further tissue damage. The results showed an improvement in the Braden Scale score from 11 (high risk) to 16 (low risk) after seven days of nursing care, indicating better skin condition and reduced tissue impairment. Evaluation revealed that impaired skin integrity problems were resolved following consistent implementation of nursing interventions. This study concludes that a holistic nursing approach, including nutritional support and family involvement, plays an essential role in preventing further complications and enhancing the quality of nursing care in stroke patients.

The Relationship Between Cadre Mentoring and Adolescent Participation in Youth Posyandu Activities

Ainani Hasanah — 2025-10-28

Adolescence is a critical developmental period that strongly influences reproductive health, where insufficient knowledge may increase the risk of unwanted pregnancy and sexually transmitted infections. The youth posyandu plays an important role in providing reproductive health education; however, adolescent participation remains low due to limited awareness, stigma, and restricted access to information. This study aimed to examine the relationship between cadre mentoring and adolescent participation in youth posyandu activities in Petungsewu Village, Dau Subdistrict, Malang Regency. A correlational analytic design with a cross-sectional approach was employed, involving 18 cadres and 35 adolescents actively engaged in youth posyandu activities, selected through total sampling. Data were collected using a structured questionnaire and analyzed with the Spearman rank test. Results showed that 50% of cadres provided good mentoring, while 74.3% of adolescents demonstrated moderate participation. The Spearman rank test yielded a p-value of 0.028 and a correlation coefficient of 0.518, indicating a significant positive relationship between cadre mentoring and adolescent participation. It can be concluded that continuous and structured cadre mentoring effectively enhances adolescent engagement in youth posyandu activities. Appropriate mentoring approaches may strengthen adolescents’ sense of support, motivation, and knowledge, thereby encouraging more active participation.
Keyword: Adolescent Health; Adolescent Participation, Cadre Assistance, Youth Posyandu

Anxiety Levels in Diabetes Mellitus Patients with Diabetic Foot Ulcers

Andi Abiddin — 2025-10-28

Unmanaged diabetes can lead to various serious complications, one of which was the occurrence of diabetic foot ulcers. When patients experienced diabetic ulcers, it triggered anxiety. The aimed of this study was to determine the anxiety levels of diabetic patients with diabetic foot ulcers. The design of this study used a descriptive quantitative design with a population of 30 inpatients in the Wijaya Kusuma ward at Dr. Soedono Hospital, Madiun. The sampling used in this study was total sampling, and the method used to measure anxiety in this study was the “Hamilton Anxiety Rating Scale” (HARS), conducted from April 29 to May 4, 2024. The results found that more than half of the patients were female, and patients with anxiety levels were entirely in the severe anxiety category, with a small portion of patients aged 51-70 years experiencing severe anxiety. The study results showed that there was mild to severe anxiety in diabetic patients with diabetic foot ulcers, which was related to factors such as age, wound severity, and patient age. With this research, it was expected that healthcare professionals, especially doctors, nurses, and also the patients' families, could provide support and motivation to the patients to prevent excessive anxiety

Effect of Audio Visual ROM Education on Family Attitude and Motivation in Post-Stroke Care

Ixora — 2025-10-28

Stroke is a major cardiovascular disease globally, contributing significantly to mortality and disability, with an incidence rate of 12.1 cases per 1,000 population in Indonesia in 2018. Family support is crucial during the rehabilitation phase, but inadequate information often leads to incomplete family knowledge regarding disease management. Objective: This study aimed to analyze the effect of Audio Visual Education (AVE) about Range of Motion (ROM) training on the attitude and motivation of family caregivers in performing home ROM exercises for post-stroke patients. Methods: This research employed a Quasi-Experimental Design using a one-group pre-test post-test model, with a sample of 30 family caregivers selected through purposive sampling. The intervention delivered was AVE focused on ROM techniques, the Wilcoxon Sign Rank Test was used to compare pre- and post-test scores. Results: The findings demonstrated a significant positive effect on both family attitude (P-Value = 0.001) and motivation (P-Value = 0.000). The proportion of negative attitudes decreased from 63.3% to 0.0% post-intervention, while strong motivation increased dramatically from 26.7% to 93.3% after the intervention. Conclusion: Audio Visual Education on ROM exercises is highly effective in significantly improving the attitude and motivation of family caregivers in post-stroke patient care

Development of Adult Diapers Made From Banana Stem Powder For Elderly Patients In the Panti Werdha

Lutfi Dwi Rahayu — 2025-10-28

Background : Elderly is someone older than 60 years who experiences several changes. Elderly health problems not only lie in the aspect of chronic or degenerative diseases, but the susceptibility to infection is quite high. Urine and alvi incontinence are problems that are often suffered by the elderly. Natural resources that can be used to develop diapers to reduce skin irritation are banana stems which are processed into powder. Research Objective : this is to develop adult diapers made from banana stem powder for elderly patients. Research Methods : This research design is Research and Development, with research procedures using ADDIE. This research was conducted at Griya Sakinah Nursing Home with 2 respondents and 6 media experts on January 27 - March 15, 2025. The research instruments used were expert validation and field trials. Research Results : this shows that the feasibility of expert validators is 84.23% and respondents are 88.23%. The results of the assessment of adult diaper products made from banana stem powder have met the criteria of being very feasible to use to help elderly patients. Conclusion : It is hoped that this adult diaper product made from banana stem powder can be used as an alternative to prevent skin irritation in the elderly.

Health Education Using Video Media to Improve Parents Knowledge About Handling Choking in Children

Yevi Asih Arina — 2025-10-28

Choking is an emergency that often occurs in early childhood due to foreign objects or food that block the respiratory tract and can cause death if not treated immediately. This study aims to determine the effect of health education using video media on increasing the knowledge of student guardians about choking management. The study used a pre-experimental one group pretest-posttest design with 34 respondents selected by total sampling at Al-Hidayah Ringinanyar Kindergarten in April-May 2025. The instrument was a choking knowledge questionnaire consisting of 17 items that had been tested for validity (p = 0.005) and reliability (Cronbach's Alpha = 0.82). Data analysis included univariate and bivariate using Wilcoxon test. The results showed that before the intervention 61.8% of respondents had poor knowledge, after the intervention it increased to 88.2% with a good category. The Wilcoxon test resulted in a p value = 0.000 (p < 0.05), which indicates a significant effect after health education with video media. Video media allows respondents to practice the material directly, making it easier to remember and repeat information. In conclusion, health education using video media is effective in increasing the knowledge of student guardians about choking management in early childhood.