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The Effect of the Otago Home Exercise Programme on Decreasing the Level of Falling Risk in the Elderly in Tegalrejo Village, Merakurak District 奥塔哥家庭运动项目对降低梅拉库拉克地区Tegalrejo村老年人跌倒风险水平的影响
Pub Date : 2023-09-01 DOI: 10.30989/mik.v12i2.891
Dyah Pitaloka, Nurus Safa’ah, Linda Yuni Alfiyanti
Background: The phenomenon of the risk of falling that occurs in the elderly in recent years has increased. Many cases of falls in the elderly result in soft tissue injuries, thigh and wrist fractures, and even death. Falling is a physical problem that is often experienced by the elderly, as you get older, the higher the decline in physical, mental and bodily functions.Objective: To Analyze the effect of the otago home exercise programme on decreasing the level of falling risk in the elderly in Tegalrejo Village, Merakurak District.Methods:The research used pra-experimental: pra-pasca test (one group pra-post design) with a cohort approach. The Sampling technique used was purposive sampling with a total sample of 102 elderly.Results: The results of the research conducted after being analyzed using the wilcoxon test with a significance level of α=<0.05, with value p = 0,000<0,05 value results Asymp sig(2-tailed)=0,000 which shows the influence between the two variables into a strong category with a positive direction.Conclusion: Otago home exercise programme has an effect on decreasing the level of falling risk in the elderly in Tegalrejo Village, Merakurak District.
背景:近年来老年人发生跌倒风险的现象有所增加。许多老年人跌倒导致软组织损伤、大腿和手腕骨折,甚至死亡。跌倒是老年人经常经历的身体问题,随着年龄的增长,身体、精神和身体机能的下降程度越高。目的:分析奥塔哥家庭运动项目对降低美拉库拉区Tegalrejo村老年人跌倒风险水平的效果。方法:采用pra-experimental: pra-pasca检验(单组pra-post设计),采用队列法。抽样方法为目的抽样,共抽样102名老年人。结果:采用wilcoxon检验对研究结果进行分析,显著性水平为α=<0.05,值p = 0000 <0.05,值结果为Asymp sig(2-tailed)= 0000,表明两个变量之间的影响进入一个正向的强范畴。结论:奥塔哥家庭运动项目对降低Merakurak地区Tegalrejo村老年人跌倒风险水平有一定作用。
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引用次数: 0
Efektivitas rimpang kunyit hitam (curcuma caesia roxb.) Terhadap penurunan glukosa darah dan perbaikan ginjal tikus diabetes nefropati 黑姜黄根茎(curaku caesia roxb)的效力。血糖下降和肾脏糖尿病老鼠肾脏修复的问题
Pub Date : 2023-09-01 DOI: 10.30989/mik.v12i2.874
Zakiyyah Qurrotul Aini, Wiwin Herdwiani, Tri Wijayanti
Background: Diabetes Mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Diabetic nephropathy is a degenerative kidney vascular disorder that has a relationship with impaired carbohydrate metabolism or sugar intolerance (Diabetes Mellitus). Black turmeric (Curcuma Caesia Roxb.) is widely used by the community as a traditional medicine and has potential as an antidiabetic.Objective: This study aims to determine the effect of black turmeric extract on decreasing blood glucose levels and its effect on improving kidney histopathology in diabetic nephropathy rats.Method: This research was conducted at the Laboratory of the Center for Food and Nutrition Studies, University of Gajah Mada for the period October-November 2022 consisting of 6 groups. STZ-Na induced rats to obtain a state of hyperglycemia. Examination of blood glucose levels using the GOD-PAP method (enzymatic photometric test).Results: The percentage of blood glucose is decreased levels was 16.75% and repaired kidney histopathology was 6.67% as a score mild damage category (1).Conclusion: Black turmeric rhizome extract (Curcuma Caesia Roxb.) can reduce blood glucose levels and improve kidney function at a dose of 400 mg/kg BW.
背景:糖尿病是一组以胰岛素分泌、胰岛素作用缺陷或两者兼而有之引起的高血糖为特征的代谢性疾病。糖尿病肾病是一种退行性肾血管疾病,与碳水化合物代谢受损或糖不耐受(糖尿病)有关。黑姜黄(Curcuma Caesia Roxb.)是一种被广泛使用的传统药物,具有潜在的抗糖尿病作用。目的:研究黑姜黄提取物降低糖尿病肾病大鼠血糖水平及改善肾脏组织病理学的作用。方法:本研究于2022年10 - 11月在加迦马达大学食品与营养研究中心实验室进行,共分为6组。STZ-Na诱导大鼠进入高血糖状态。使用GOD-PAP法(酶光度法)检查血糖水平。结果:大鼠血糖降低率为16.75%,肾组织病理学修复率为6.67%,为轻度损伤(1)。结论:黑姜黄根茎提取物(Curcuma Caesia Roxb.)在400 mg/kg BW剂量下可降低血糖水平,改善肾功能。
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引用次数: 0
Evaluasi pelaksanaan program rumah tunggu kelahiran (RTK) dengan logic model di Kabupaten Jayapura Provinsi Papua 利用逻辑模型对巴布亚省查亚普拉地区待产之家计划的实施情况进行评估
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.795
Vera Iriani Abdullah, Wiwit Vitania
Background: One of the government's efforts to increase the coverage of deliveries in health facilities is by establishing a maternity waiting home (MWH)Objective: This study aims to evaluate the implementation of the MWHs Program in the Depapre district and Unurum Guay, Jayapura district, Papua. The component of study including the input component, process, output and external factor Method: Type of this research is qualitative research, evaluate the program using the Logic model conducted in MWHs Jayapura district. The research subjects included 9 program managers, and 28 people in community.. Data collection performed with interviews, observation, questionnaires and document analysisResults: The results indicate that the input component includes the availability of funding, policies, facilities infrastructure, and inadequate transportation which has impact for MWHs service process. Process of implementation of MWHs in form of disseminating information, cooperation, recording, reporting and supervision has not optimal. The output component form of MWHs utilization already well even though in the following year there was a decrease Conclusion: The implementation of the MWHs program is not optimal. The input component is still inadequate, the process component has not run optimally and the output component has not achieved the expected results. Strategy is needed for program implementation runs a well
背景:政府通过建立待产之家(MWH)来提高卫生设施分娩覆盖率的努力之一。目的:本研究旨在评估待产之家方案在巴布亚省的Depapre区和Jayapura区的Unurum Guay的实施情况。研究成分包括输入成分、过程、输出和外部因素。方法:本研究类型为定性研究,采用在MWHs Jayapura地区进行的Logic模型对方案进行评价。研究对象包括9名项目经理和28名社区居民。通过访谈、观察、问卷调查和文献分析等方法收集数据。结果:研究结果表明,投入要素包括资金可得性、政策、设施基础设施和交通运输不足,这些因素对MWHs服务过程有影响。在信息发布、合作、记录、报告和监督等形式的实施过程中存在不完善的地方。MWHs利用率的产出成分形式已经很好,尽管第二年有所下降。结论:MWHs计划的实施并不是最优的。输入部分仍然不足,过程部分没有达到最佳运行状态,输出部分没有达到预期结果。战略是计划实施运行良好的必要条件
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引用次数: 0
Hazardous and toxic waste management operations in educational hospitals Semarang city 三宝垄市教育医院的危险和有毒废物管理业务
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.842
Nandya Silvalinda, Ayun Sriatmi, Nurhasmadiar Nandini
Background: The problem of medical hazardous and toxic materials waste management is still often the problem of mostly being in hospitals plus during the COVID-19 pandemic. Objective: The study aimed to evaluate the management of medical hazardous and toxic materials waste at Diponegoro National Hospital, Semarang city during the COVID-19 pandemic.Methods: Data collection was carried out through qualitative descriptions.Results: Management that has not been in accordance with regulations was waste bags that were still found that have not been equipped with infectious symbols, the binding to garbage bags was not correct, and the bags were still hollow. There was still a discrepancy in the waste storage at the TPS, namely the floor of the TPS looks dirty. Selection of special lines for transportation, provision of disinfectants and noncompliance with the use of Personal Protective Equipment (PPE) for waste officers.Conclusion: It is recommended that the Hospital has made efforts to meet the standard requirements for waste management in accordance with the Minister of Environment and Forestry Regulation No. 56 of 2015
背景:在2019冠状病毒病大流行期间,医疗危险和有毒材料废物管理问题往往仍然是主要在医院的问题。目的:评价三宝让市迪波尼戈罗国立医院在2019冠状病毒病大流行期间的医疗危险和有毒物质废物管理。方法:采用定性描述法收集资料。结果:管理不符合规定的垃圾袋仍有未贴有感染标志、垃圾袋绑扎不正确、垃圾袋仍有空心现象。TPS的废物储存仍然不一致,即TPS的地板看起来很脏。选择专用运输线路、提供消毒剂和不遵守废物处理人员使用个人防护装备(PPE)的规定。结论:根据环境和林业部2015年第56号条例,建议医院努力达到废物管理的标准要求
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引用次数: 0
Reduction Potential of Formalin in Salted Fish Anchovy by Garlic Peel Waste Powder 大蒜皮废粉对咸鱼凤尾鱼中福尔马林的还原潜力
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.783
Amelia Handayani Burhan
Background: Food safety in the community is relatively low. This is evidenced by the fact that many food products contain harmful substances, such as the discovery of formalin anchovy salted fish in the city of Yogyakarta. This condition can threaten the health of the people of Yogyakarta City because many traders use anchovies as the main raw material in their cooking, such as in the manufacture of Angkringan Cat Rice, the typical cuisine of the city of Yogyakarta. This potential hazard can be suppressed by reducing the level of formalin that may be contained in anchovy before consumption, one of which is by utilizing the saponin content in garlic peel waste. Objective: This study aims to study the effect of the mass of garlic peel waste powder on formalin in salted anchovy samples Methods: The type of this research was a completely randomized design (CRD) with ten mass variations of garlic peel waste powder, namely 0, 1, 2, 3, 4, 5, 6, 7, 8, and 10 grams of powder in 50 ml of distilled water. This design is used to soak 1 gram of anchovy with formalin for 30 minutes at room temperature. Sampling was done by accidental sampling method at five traditional markets in Yogyakarta City. Formalin identification was carried out using the ET Group brand formalin test kit. Samples that have been treated are then re-determined the levels of formalin. Determination of formalin content was carried out by the acidimetric method. The effect test was carried out statistically with a confidence level of 0.05. Results: The highest decrease in formalin levels in the F7 treatment (soaking 1 gram of anchovy salted fish in 6 grams of garlic peel powder in 50 ml of distilled water for 30 minutes) reached 89.12%. However, with the addition of more powder (F8-10), it was seen that there was a decrease in the reduction ability of formalin by saponins. The statistical test showed that the mass of garlic peel waste powder affected reducing the level of formalin in anchovy salted fish (sig < 0.05). Conclusion: Garlic peel waste powder has the potential to reduce formalin levels in anchovy salted fish
背景:社会上的食品安全相对较低。许多食品含有有害物质,例如在日惹市发现的福尔马林凤尾鱼就是证明。这种情况可能威胁到日惹市人民的健康,因为许多商人在烹饪中使用凤尾鱼作为主要原料,例如在制造Angkringan猫饭时,这是日惹市的典型美食。这种潜在的危害可以通过降低食用前凤尾鱼中可能含有的福尔马林的水平来抑制,其中一种方法是利用蒜皮废料中的皂苷含量。目的:研究大蒜皮废粉质量对盐凤尾鱼样品中福尔马林含量的影响;方法:采用完全随机设计(CRD),分别取0、1、2、3、4、5、6、7、8、10 g大蒜皮废粉加入50 ml蒸馏水中。本设计将1克凤尾鱼用福尔马林在室温下浸泡30分钟。在日惹市五个传统市场采用随机抽样法进行抽样。使用ET集团品牌的福尔马林检测试剂盒进行福尔马林鉴定。经过处理的样本将被重新测定福尔马林的含量。采用酸度法测定福尔马林的含量。统计学上进行效果检验,置信水平为0.05。 结果:F7处理(将1克凤尾鱼咸鱼与6克蒜皮粉浸泡在50毫升蒸馏水中30分钟),福尔马林水平下降幅度最大,达89.12%。然而,随着粉末添加量的增加(F8-10),可以看出皂苷对福尔马林的还原能力有所下降。统计检验表明,蒜皮废粉的质量对降低凤尾鱼咸鱼体内福尔马林水平有影响(sig <0.05)强生# x0D;结论:大蒜皮废粉具有降低凤尾鱼体内福尔马林含量的作用
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引用次数: 0
Literature review pengaruh pemberian bekam basah terhadap hipertensi 湿马鞭草对高血压的影响影响
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.753
Ignasia Nila Siwi, Annisa Aina Fitria, Tri Hardi Miftahul Ulum
Background: Hypertension is a non-communicable disease that is one of the causes of mortality in the world. Hypertension is often referred to as the silent killer because it is often without complaints, a serious condition that significantly increases the risk of heart, brain, kidney, and other diseases. Complications in patients with hypertension can be life-threatening, so pharmacological therapies is wet cupping which can lower blood pressure. Objective: The purpose of this study was to determine the effect of wet cupping on hypertension. Methods: The method in this study uses the PICOS framework, namely Population/problem (P), Intervention (I), Comparison (C), Outcome (O), and study design (S). In the early stages of article selection, 68 articles were found from the PubMed database, ProQuest, Elsevier, Science Direct, Google Scholar, Harvard Library, Springer Link, ResearchGate, Taylor and Francis search engine after further matching, 60 article were selected, then 53 articles were excluded because they were not appropritate. With problems, intervention, study design, and no effect of wet cupping on hypertension so that 7 articles were obtained that matched the research topic. Results: The results of the search that wet cupping affects hypertension, this is evidenced from before and after the wet cupping intervention was given, namely there was a significant decrease in systole and diastole with p-value <0,05. This wet cupping treatment is more effective, given once a month for satisfactory results with an adminstration time of 15-30 minutes.Conclusion: This treatment is highly recommended to the general public, health clinics, hospitals, and health workers and this treatment provides many benefits.
背景:高血压是一种非传染性疾病,是世界上导致死亡的原因之一。高血压通常被称为沉默的杀手,因为它通常没有怨言,是一种严重的疾病,会显著增加患心脏、大脑、肾脏和其他疾病的风险。高血压患者的并发症可能危及生命,因此药物治疗是湿拔罐,可以降低血压。目的:探讨湿拔罐对高血压的影响。方法:本研究方法采用PICOS框架,即Population/problem (P)、Intervention (I)、Comparison (C)、Outcome (O)、study design (S)。在文章选择的前期,在PubMed数据库、ProQuest、Elsevier、Science Direct、Google Scholar、Harvard Library、Springer Link、ResearchGate、Taylor and Francis等搜索引擎中共找到68篇文章,经进一步匹配,最终筛选出60篇,再因不合适而排除53篇。有问题,干预,研究设计,湿拔罐对高血压无影响,得到7篇符合研究主题的文章。结果:湿拔罐影响高血压的搜索结果,这从湿拔罐干预前后得到证实,即收缩期和舒张期均显著降低,p值为< 0.05。这种湿罐治疗更有效,每月一次,给药时间为15-30分钟,效果满意。结论:强烈建议公众、卫生诊所、医院和卫生工作者使用这种治疗方法,这种治疗方法有许多好处。
{"title":"Literature review pengaruh pemberian bekam basah terhadap hipertensi","authors":"Ignasia Nila Siwi, Annisa Aina Fitria, Tri Hardi Miftahul Ulum","doi":"10.30989/mik.v11i3.753","DOIUrl":"https://doi.org/10.30989/mik.v11i3.753","url":null,"abstract":"Background: Hypertension is a non-communicable disease that is one of the causes of mortality in the world. Hypertension is often referred to as the silent killer because it is often without complaints, a serious condition that significantly increases the risk of heart, brain, kidney, and other diseases. Complications in patients with hypertension can be life-threatening, so pharmacological therapies is wet cupping which can lower blood pressure. Objective: The purpose of this study was to determine the effect of wet cupping on hypertension. Methods: The method in this study uses the PICOS framework, namely Population/problem (P), Intervention (I), Comparison (C), Outcome (O), and study design (S). In the early stages of article selection, 68 articles were found from the PubMed database, ProQuest, Elsevier, Science Direct, Google Scholar, Harvard Library, Springer Link, ResearchGate, Taylor and Francis search engine after further matching, 60 article were selected, then 53 articles were excluded because they were not appropritate. With problems, intervention, study design, and no effect of wet cupping on hypertension so that 7 articles were obtained that matched the research topic. Results: The results of the search that wet cupping affects hypertension, this is evidenced from before and after the wet cupping intervention was given, namely there was a significant decrease in systole and diastole with p-value <0,05. This wet cupping treatment is more effective, given once a month for satisfactory results with an adminstration time of 15-30 minutes.Conclusion: This treatment is highly recommended to the general public, health clinics, hospitals, and health workers and this treatment provides many benefits.","PeriodicalId":340508,"journal":{"name":"MEDIA ILMU KESEHATAN","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135287212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Media edukasi berbasis android untuk meningkatkan pengetahuan tentang anemia pada remaja 以android为基础的教育媒体旨在提高青少年贫血的知识
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.797
None Lulu Luthfiya, Aghitsna Fyrodhika, Kartika Pibriyanti, Fathimah Fathimah
Background: One of the common adolescent problems is anemia. Knowledge is one of the factors that influence of anemia. One of the media that increase knowledge is educational media based on android. educational media based on android is more interesting than the other media. Adolescent is the most group of internet and android users among the other age groups.Objective: This research aim to know the effectiviness educational media based on android. Methods: The research was conducted by Quasy experimental with control group post-test design method which consisted of 2 groups, namely the intervention group that was given intervention by educational media based on android which created by a mock up system and the control group was given vide . The sample was 110 each group with purposive sampling. the data was analyzed by Stata 13.1 with mann whitney test.Results: Based on the results of statistical tests, it is known that there is a difference between intervention and the control group (p value <0.05). the average score of knowledge in the intervention group was 83.15 and the control group was 77.1. Conclusion: Android-based educational media has effect to increase the knowledge of anemia in adolescents
背景:青少年常见的问题之一是贫血。知识是影响贫血的因素之一。其中一个增加知识的媒体是基于android的教育媒体。基于android的教育媒体比其他媒体更有趣。在其他年龄组中,青少年是互联网和安卓用户最多的群体。目的:了解基于android的教育媒体的有效性。方法:采用Quasy实验和对照组后测设计方法进行研究,分为两组,干预组通过模拟系统创建的基于android的教育媒体进行干预,对照组通过视频进行干预。目的抽样,每组110例。数据采用Stata 13.1结合mann whitney检验进行分析。结果:根据统计检验结果可知,干预组与对照组存在差异(p值<0.05)。干预组平均知识得分为83.15分,对照组平均知识得分为77.1分。结论:基于android的教育媒体对提高青少年贫血知识有一定效果
{"title":"Media edukasi berbasis android untuk meningkatkan pengetahuan tentang anemia pada remaja","authors":"None Lulu Luthfiya, Aghitsna Fyrodhika, Kartika Pibriyanti, Fathimah Fathimah","doi":"10.30989/mik.v11i3.797","DOIUrl":"https://doi.org/10.30989/mik.v11i3.797","url":null,"abstract":"Background: One of the common adolescent problems is anemia. Knowledge is one of the factors that influence of anemia. One of the media that increase knowledge is educational media based on android. educational media based on android is more interesting than the other media. Adolescent is the most group of internet and android users among the other age groups.Objective: This research aim to know the effectiviness educational media based on android. Methods: The research was conducted by Quasy experimental with control group post-test design method which consisted of 2 groups, namely the intervention group that was given intervention by educational media based on android which created by a mock up system and the control group was given vide . The sample was 110 each group with purposive sampling. the data was analyzed by Stata 13.1 with mann whitney test.Results: Based on the results of statistical tests, it is known that there is a difference between intervention and the control group (p value <0.05). the average score of knowledge in the intervention group was 83.15 and the control group was 77.1. Conclusion: Android-based educational media has effect to increase the knowledge of anemia in adolescents","PeriodicalId":340508,"journal":{"name":"MEDIA ILMU KESEHATAN","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135287215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study Molecular Docking of pigment compounds derived from monascus sp as hepatitis B inhibitors 红曲霉色素化合物作为乙型肝炎抑制剂的分子对接研究
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.882
Anna Yuliana, Dikri Fadhlurrohman
Background: Pigment is a dye derived from the mold of Monascus sp which is known to have antiviral activity, hepatitis B is an inflammation of the liver organs caused by the hepatitis B virus. Objective: This study aims to find out whether the five pigments of Monascus sp derivative compounds have the potential to be inhibitors of hepatitis BMethods: The method used in this study is molecular docking, with hepatitis B virus protein samples with the PDB code 5GMZ to be used as docking targets. Results: The results of docking showed that monascin compounds had the best inhibitor activity with energy binding of -7.96 kcal / mol and an inhibition constant of 1.46 uM, the formation of hydrogen and hydropobic bonds.The results of the RMSD chart from MD showed that the Monascin compound was stable at the beginning of the simulation with an average RMSD of 2.1 Å, on the RMSF chart it showed the lowest fluctuation when the compound bound to the amino acid PHE103.Conclusion: Of the five test ligands used, the potential as an inhibitor of hepatitis B is the compound Monascin
背景:色素是一种从红曲霉中提取的染料,已知具有抗病毒活性,乙型肝炎是由乙型肝炎病毒引起的肝器官炎症。目的:研究红曲霉sp衍生物中5种色素是否具有作为乙型肝炎抑制剂的潜力。方法:本研究采用分子对接方法,以PDB编码为5GMZ的乙型肝炎病毒蛋白样品作为对接靶点。结果:对接结果表明,monascin化合物的抑制活性最好,其能结合值为-7.96 kcal / mol,抑制常数为1.46 uM,抑制氢和疏水键的形成。MD的RMSD图结果显示,Monascin化合物在模拟开始时是稳定的,平均RMSD为2.1 Å,在RMSF图上,化合物与氨基酸PHE103结合时波动最小。结论:在所使用的5种试验配体中,有潜力作为乙型肝炎抑制剂的是化合物Monascin
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引用次数: 0
The Hubungan word of mouth, kualitas pelayanan, kepuasan dan loyalitas pelanggan klinik rawat jalan bedah onkologi di Rumah Sakit Khusus Bedah X 口腔接触词,服务质量,满意和忠诚的客户门诊肿瘤科手术诊所的客户
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i3.808
Thomas Darwin, Ratni Prima Lita, Rima Semiarty
Background: Customer loyalty is absolutely necessary because without customer loyalty the hospital cannot develop, it can even experience a decline in business that threatens the existence of the hospital. But to achieve customer loyalty many influencing factors such as service quality, word of mouth and customer satisfaction.Objective: Therefore it is necessary to know which factors significantly affect customer loyalty, so that the hospital can develop effective and efficient program and strategies.Methods: This study is an explanatory research by examining relationship of the variables. Respondents in this study were 195 people that were customer of the Surgical Oncology Outpatient Clinic of X Surgical Specialty Hospital. Data processing using the SEM PLS Method with Smart PLS application.Results: The results show that service quality have a positive and significant direct effect to customer satisfaction and loyalty. Word of mouth also shows positive and significant direct effect to customer satisfaction and loyalty. But this study failed to prove a significant direct effect of customer satisfaction to customer loyalty.Conclusion: We can significantly increase customer satisfaction and customer loyalty by increasing service quality and improve word of mouth activity. However customer satisfaction is not a significant factor for customer loyalty
背景:顾客忠诚是绝对必要的,因为没有顾客忠诚,医院就无法发展,甚至会出现业务下滑,威胁医院的生存。但影响顾客忠诚度的因素很多,如服务质量、口碑和顾客满意度等。目的:因此有必要了解哪些因素显著影响客户忠诚度,以便医院制定有效和高效的方案和策略。方法:本研究采用解释性研究,考察各变量之间的关系。本研究的调查对象为X外科专科医院肿瘤外科门诊的195名患者。数据处理使用扫描电镜PLS方法与智能PLS应用。结果:服务质量对顾客满意度和忠诚度有显著的正向直接影响。口碑对顾客满意度和忠诚度也有正向显著的直接影响。但本研究未能证明顾客满意对顾客忠诚有显著的直接影响。结论:通过提高服务质量和提高口碑活动,可以显著提高顾客满意度和顾客忠诚度。然而,顾客满意并不是顾客忠诚的重要因素
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引用次数: 0
Hubungan Peran Pengawas Menelan Obat (PMO) dan Kepatuhan Pasien Menelan Obat dengan Kejadian TBC MDR 服用药物的监管者的作用关系(PMO)和患者遵守药物治疗结果为MDR结核病例
Pub Date : 2023-05-13 DOI: 10.30989/mik.v11i2.758
Novie Mauliku, Dyan Nugraeheni, Teguh Akbar Budiana, Elis Rosita
Background: Tuberculosis (TBC) until now still a public health problem, Indonesia take second position with highest TBC MDRload in the world. Tle level of TBC MDR treatment success in Indonesia on 2013 reach 51% despite Tuberculosis handling effort with DOTS strategy has been applied since 1995. One of DOTS strategy component is direct supervision swallowing drug by supervisory role o swallowing drug to prevent drug resistance.Objective: research is to know the related of supervisory role and patient compliance swallowing drug with incidence of MDR tuberculosiMethods: Research desain using case control. The sample case is target total population 15 peoples and control sample is TBC patient with drug sensitive 30 peoples. Data analysis is univariat analysis, bivariate using Chi SquareResults: shows there is a relationship between supervisory role of swallowing drug with TBC MDR p value=0,034; OR = 9,3 (95% CI: 1,080-80,627) and patient compliance swallowing drug p value=0,015; OR = 6,4 (95% CI: 1,606-25,644) with TBC MDRConclusion: PMO monitoring and medication adherence are associated with the incidence of MDR. Recommend to public health service place for intensity increase of TBC MDR patient home visit about the importance supervisory role and patient compliance swallowing drug
背景:结核病(TBC)至今仍是一个公共卫生问题,印度尼西亚是世界上TBC耐药量第二高的国家。尽管自1995年以来一直采用DOTS战略进行结核病处理工作,但印度尼西亚2013年TBC耐多药治疗成功率达到51%。DOTS策略的一个组成部分是通过监督作用直接监督吞咽药物,以防止药物耐药。目的:了解监管角色和患者服药依从性与耐多药结核病发病率的关系。方法:采用病例对照法进行研究。样本病例为目标人群15人,对照样本为药物敏感的TBC患者30人。数据分析采用单因素分析,双因素采用卡方分析。结果:吞咽药物监管作用与TBC MDR之间存在相关性,p值= 0.034;OR = 9,3 (95% CI: 1,080-80,627),患者服药依从性p值=0,015;OR = 6,4 (95% CI: 1,606-25,644)与TBC MDR相关。结论:PMO监测和药物依从性与MDR发生率相关。建议公共卫生服务场所加强对TBC耐多药患者家访的监督作用的重要性和患者服药依从性
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引用次数: 0
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