PKU Muhammadiyah Research Articles

ANALYSIS OF THE RELATIONSHIP BETWEEN TREATMENT PATTERNS BASED ON PATIENT CHARACTERISTICS IN CASES OF HYPERTENSION COMPLICATIONS AT PKU MUHAMMADIYAH GAMPING HOSPITAL

<p><strong><em>Background : </em></strong><em>Hypertensive disease is often referred to as "The Silent Disease" or silent disease. The percentage of complication hypertension in Indonesia is cerebrovascular disease 21.6%, heart disease 40.9%, and kidney disease 33.2%. Yogyakarta is one of the provinces in Indonesia with a prevalence of complication hypertension of 32.86%. Each year, an estimated 9.4 million people die from hypertension and complications.</em></p><p><strong><em>Objective :</em></strong><em> To analyze the relationship between treatment patterns based on sociodemographic characteristics in complication hypertensive patients in Inpatient PKU Muhammadiyah Gamping Hospital.</em></p><p><strong><em>Methods:</em></strong><em> </em>This study was analytical research methods using retrospective methods. The sampling technique was in this study is the total sampling technique. The variables used in this study were patterns of antihypertensive drug use associated with sociodemographic factors including gender, age, and patient health insurance (BPJS or non-BPJS). The test analysis was Chi-Square Test and Kendall's tau-b Test for variable blood pressure relationships and drug use patterns.<em></em></p><p><strong><em>Results:</em></strong><em> Sociodemographic characteristics of respondents include: adult age (16.7%) and elderly (83.3%), male and female gender (50.0%), BPJS treatment coverage (91.7%) and general (8.3%). Hypertensive disease complications include: stroke (20.8%), myocardial infarction (4.2%), kidney failure (4.2%), heart failure (33.3%), diabetes mellitus (37.5%). Drugs used: Amlodipine (23.10%), Candesartan (30.80%), Nifedipine (11.50%), Bisoprolol (19.20%), Clonidin (5.80%), Captopril (1.90%), Lisinopril (3.80%), and Ramipril (3.80%).</em></p><strong><em>Conclusion:</em></strong><em> There was no relationship between sociodemographic characteristics and treatment patterns and there was a relationship between systolic / diastolic blood pressure with drug use patterns in cases of complication hypertension at PKU Muhammadiyah Gamping Hospital.</em>

SWOT Analysis of the Marketing Mix Strategy of Integrated Heart Services of Pku Muhammadiyah Gamping Hospital in the Era of National Health Insurance

The referral system in the National Health Insurance policy is a challenge for class B hospitals. This research aims to analyze the marketing mix strategy for Cardiac Vascular Center carried out by the PKU Muhammadiyah Gamping hospital in the National Health Insurance era. The research approach used is qualitative with a case study type of research. The subjects of this research are internal hospital informants and were selected based on purposive sampling criteria, namely those related to the marketing strategy of the hospital's superior services. Based on the results of the SWOT analysis, an alternative strategy was obtained, namely a growth oriented strategy. This strategy maximizes the strengths you have to take advantage of existing opportunities or can also be called an SO (strength-opportunity) strategy. The strategies resulting from the SWOT analysis are improving human resources, adding services, developing facilities and infrastructure, increasing promotions, collaborating, improving IT systems, providing HR training and studies, and providing appropriate remuneration. It is hoped that the results of this research can be used as a consideration for strategic decisions for Cardiac Vascular Center at PKU Muhammadiyah Gamping Hospital and for other researchers to make strategic priorities according to hospital needs.

The Influence of Religious Coping on Burnout with Resilience as a Mediator among Healthcare Workers at PKU Muhammadiyah X Hospital

Burnout is a condition marked by diminished personal performance resulting from prolonged stress. While common, it can be alleviated through strategies such as religious coping and resilience. This study aimed to investigate the impact of religious coping on burnout, with resilience explored as a potential mediator, among healthcare workers at PKU Muhammadiyah X Hospital. The research included 106 participants, comprising nurses, pharmacist assistants, pharmacists, midwives, and other healthcare professionals. Measurement tools used in the study were the Maslach Burnout Inventory (MBI), the Religious Coping Scale (RCOPE), and the Resilience Scale. Mediation analysis conducted using JAMOVI revealed that resilience did not mediate the relationship between religious coping and burnout. However, religious coping was found to have a direct effect on reducing burnout, accounting for 83.4% of the influence.

Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms

Nasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hypotheses attribute the direct physical cleansing of thick mucus, allergens, and pollutants. This study aimed to determine the effect of nasal saline irrigation on the nasal mucosa using the modified Lund-Kennedy endoscopic score as the objective evaluation. This pre-post-experimental study was conducted at PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia, from May to June 2023. The study included 18 individuals presenting with sinonasal symptoms. Participants meeting the inclusion and exclusion criteria who provided informed consent were trained in nasal saline irrigation. Patients were assessed at baseline and one week after nasal saline irrigation using endoscopy, TNSS, and MCC time. Results revealed that the mean of endoscopic scores before and after saline irrigation were 6.89±1.1 and 5.33±1.4, respectively (p-value 0.006), while the mean of TNSS scores before and after saline irrigation was 6.17±2.3 and 4.28±2.6, respectively (p-value 0.006). Thus, nasal saline irrigation significantly improves the endoscopy and TNSS scores, but not the MCC time.

Efektivitas Pemberian Virgin Coconut Oil (Vco) dengan Tingkat Kejadian Ruam Popok Pada Pasien Diare Anak

Diarrhea is the second leading cause of death in children under five years of age. According to WHO (2017) worldwide there are approximately 1.7 billion cases of diarrhea in children each year. In Indonesia, the incidence of diarrhea in toddlers is 23.8%, down from the previous year of 28.9%, still not in accordance with the maximum target set at 20%. The incidence of diarrhea in Karanganyar Regency is 15.30%. Children with diarrhea are prone to diaper rash. One of the treatments for the diaper room is using non-pharmacological therapy by administering virgin coconut oil to maintain the moisture of the child's skin. The effectiveness of administering VCO oil in reducing the incidence of diaper rash in children with diarrhea. Pre-experimental design with one group pre-test post-test design, Sampling technique with total sampling and Data analysis using the Wilcoxon test. Obtaining a p value of 0.000 <0.05, the test decision is Ho is rejected, so it is concluded that there is an effect of administering VCO in reducing the incidence of diaper rash in children with diarrhea at the PKU Muhammadiyah Karanganyar Hospital. diaper rash levels after VCO administration decreased compared to diaper rash levels before VCO administration.

Implementation of the Use of the Hospital Management Information System (SIMRS) at the PKU Muhammadiyah Clinic, North Lombok

The advancement and development of information technology is currently growing so rapidly in all fields including in the health sector. Especially in hospitals. Hospital information systems have an important role in clinical and administrative services. One of the developments in information systems in hospitals is electronic medical records which have become an integral part of the online-based Hospital Management Information System (SIMRS) application which is computerized in an integrated system stored in a central database.

Examining Sepsis Incidence, Risk Factors, and Mitigation Efforts at PKU Muhammadiyah Gamping Hospital, Yogyakarta: A Retrospective Analysis

Sepsis poses a significant challenge in healthcare settings due to its association with heightened morbidity and mortality rates, prolonged hospitalizations, and increased healthcare expenditures. This study aims to investigate the incidence of sepsis, its associated risk factors, and the efficacy of various mitigation efforts implemented at PKU Muhammadiyah Gamping Hospital in Yogyakarta. Employing a cross-sectional, analytical observational design, this study examined a sample comprising patients diagnosed with sepsis at the hospital between January 2019 and December 2022, meeting predefined inclusion and exclusion criteria. Inclusion criteria encompassed patients diagnosed with sepsis in accordance with hospital protocols and those admitted between January 2019 and December 31, 2022, while exclusion criteria included patients with incomplete bacteremia diagnoses. Consecutive sampling was utilized for sample selection, with data extracted from patient records maintained in the hospital's medical archives. This study was conducted with the approval of PKU Muhammadiyah Gamping Hospital's ethical committee (permit number: 051/KEP-PKU/III/2023). Analysis of four years' worth of data revealed a total of 210 cases of sepsis, comprising 112 male and 98 female patients.

PENGARUH KOMITMEN DAN KEPUASAN PASIEN BPJS TERHADAP WORD OF MOUTH DI RAWAT JALAN RSU PKU MUHAMMADIYAH YOGYAKARTA

The roadmap towards National Health Insurance (JKN) targets that by 2019 all Indonesian residents will be covered by JKN. One way to achieve this program is to encourage community participation and increase membership compliance. However, some independent participants (non PBI) who have registered, drop out from BPJS Health participants. Patients will have a high commitment if the service provider respects the patient. So that the possibility of dropping out of BPJS health participants is the dissatisfaction of BPJS Health participants with services at the hospital. The impact to patient dissatisfaction is to tell ten to eleven people because 78 % of Indonesia consumers trust what friends say more. This study aims to determine the effect of BPJS patient commitment and satisfaction on word of mouth in outpatient services at PKU Muhammadiyah Yogyakarta General Hospital. This research is a quantitative study with a cross sectional approach. The sample is 100 people with accidental sampling technique. Data analysis using multiple linear regression tests. The results of the analysis shows that the commitment and satisfaction of BPJS patients has an influence on word of mouth in outpatient services at PKU Muhammadiyah Yogyakarta Hospital. So that PKU Muhammadiyah Yogyakarta Hospital data increases the commitment and satisfaction of BPJS patients in outpatient services by paying attention to word of mouth.

Analysis of 12-Dimensions of Patient Safety Culture at PKU Muhammadiyah Bantul Hospital (Plenary Accredited)

Analysis of 12-Dimensions of Patient Safety Culture at PKU Muhammadiyah Bantul Hospital (Plenary Accredited)

Management Of Hazardous And Toxic Waste at PKU Muhammadiyah Hospital Surabaya in 2024

Hospitals, as healthcare service facilities, generate hazardous and toxic waste. Inadequate management can cause health problems both within the hospital environment and in the surrounding community. This study aims to examine the management of hazardous and toxic waste generated by PKU Muhammadiyah Hospital Surabaya.This research uses a descriptive method by collecting primary and secondary data. The subjects in this study are those responsible for the management of hazardous and toxic waste. The data obtained are then analyzed descriptively using the CIPP evaluation method.The context evaluation of hazardous and toxic waste management based on interviews and observations falls into the good category, while the input, process, and product evaluations based on interviews also fall into the good category. However, based on observations, they fall into the sufficient category. This is because several CIPP evaluation variables have not fully met the assessment criteria. It is hoped that the results of this evaluation can be used as feedback to improve the quality of hazardous and toxic waste management at PKU Muhammadiyah Hospital Surabaya.Based on the research results, it can be concluded that the management of hazardous and toxic waste at PKU Muhammadiyah Hospital Surabaya generally complies with Ministry of Health Regulation Number. 2 of 2023. However, its implementation is not yet optimal, as it is adjusted to the hospital's conditions and capabilities. It is recommended that the hospital improve and upgrade the facilities and infrastructure for hazardous and toxic waste management.

Therapeutic Spiritual-Community Model (TSCM) for Anxiety Reduction in Haemodialysis Patients: A Controlled Pilot Study

Background: Patients undergoing haemodialysis frequently experience elevated anxiety, adversely affecting their well-being. This pilot study evaluates the Therapeutic Spiritual-Community Model (TSCM), which integrates spiritual care within community settings, for its effectiveness in reducing anxiety in chronic kidney disease patients undergoing haemodialysis. Methods: This randomized controlled trial was conducted at PKU Muhammadiyah Gombong Hospital, Indonesia, from January to March 2024, involving 60 haemodialysis patients. Participants were randomly assigned to either the TSCM intervention group (n=30) or a control group (n=30) receiving standard care. The TSCM, based on spiritual mindfulness, community engagement, and holistic well-being, was delivered through community-led sessions. Content validity and reliability were assessed by a panel of six experts, including nephrologists, mental health and community nursing specialists, and psychologists. The model achieved a Content Validity Index (CVI) of 0.91, indicating excellent content validity, and a Cronbach's alpha of 0.89, demonstrating strong internal consistency. Results: The intervention group showed a significant reduction in anxiety levels compared to the control group (p < 0.05), with an 18% decrease in mean anxiety scores versus a 3% reduction in the control group. Conclusion: The TSCM appears to be an effective intervention for reducing anxiety in haemodialysis patients, supported by its high content validity and strong reliability. Further research with larger samples is needed to confirm these results and explore the long-term impact of TSCM on psychological well-being.

The influence of module-based coronary heart disease risk factor education on the level of patient knowledge at Hospital of PKU Muhammadiyah Yogyakarta

Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality worldwide. Effective patient education regarding CHD and its risk factors is essential for prevention and management. Purpose: This study aims to evaluate the effectiveness of a module-based educational intervention on improving patient knowledge of CHD risk factors. Methods: This quasi-experimental study employed a pre-test and post-test control group design. A total of 34 participants were selected via quota sampling, with 17 assigned to the intervention group and 17 to the control group. Participants' knowledge levels were measured using the Heart Disease Facts Questionnaire (HDFQ) before and after receiving education on CHD risk factors through a structured booklet and Counselling Events Units (SAP). Results: Statistical analysis using the Mann-Whitney test revealed a significant increase in the knowledge levels of the intervention group compared to the control group (p = 0.001), indicating the effectiveness of the module-based education. Conclusion: Module-based education on CHD risk factors significantly improves patient knowledge. This approach can be an effective educational tool in clinical settings for enhancing patient understanding and reducing CHD risk.

Application of Naive Bayes Algorithm for Sentiment Analysis of Service and Facility Satisfaction (Case Study: PKU Muhammadiyah Sukoharjo General Hospital)

PKU Muhammadiyah Sukoharjo Hospital is a health facility located in Sukoharjo, Central Java. The role of the hospital in the Sukoharjo community is very important in terms of the level of community satisfaction with its services and facilities. Opinions and assessments from the community also affect the assessment of the quality of service provided by the hospital. A large assessment can be seen on Google Maps review, which will take time for the community. Public complaints on Google Maps review of PKU Muhammadiyah Sukoharjo Hospital became the basic object of this research. This research uses the Naive Bayes algorithm to categorize the assessment based on positive and negative sentiments. Two hundred nine review data from Google Maps were processed with text processing and classified using Naïve Bayes. Test results using 10% test data show a dominant positive sentiment, with 90% accuracy, 94% precision, and 83% recall.

Evaluasi Pemanfaatan Data Rekam Medis untuk Sistem Informasi Pemasaran di RS PKU Muhammadiyah Temanggung

Electronic medical records become one big data source. Well-managed data can provide information needed in marketing management, especially for private hospitals. PKU Muhammadiyah Temanggung Hospital has implemented electronic medical records starting with the use of billing system in 2014. The data managed includes patient demographics. It is necessary to evaluate the use of these data in terms of man, materials, machine, method, money and markets. The study was descriptive qualitative. The data collection process is carried out by conducting interviews and observations. The marketing information system design process carried out with the IT team. The team uses the waterfall method where system designers complete their concepts by going through a library review process and taking inspiration from various CRM (Customer Relationship Management) models. The results showed that electronic data of medical records has been used as material for marketing information systems. The readiness of man and money makes it easy to build a menu bar of the marketing information system on the dashboard of the management information system. The system is still possible to be developed in terms of materials and machines. The method of data utilization is transforming from manual to digital gradually. This is influenced by the readiness of the next prospective data users to become part of the marketing information system developer by utilizing electronic medical record data. Keywords: menu bar, marketing, data, electronic medical records

Analisis Pengetahuan dan Kepatuhan Perawat dalam Penerapan Pencegahan Resiko Pasien Jatuh di Ruang Rawat Inap Rumah Sakit PKU Muhammadiyah Kartasura

Patient safety includes safe care, risk assessment, risk management, and incident reporting. The most frequent patient safety incidents are falls, which rank second after medication errors. Objective: To analyze the knowledge and compliance of nurses in implementing prevention for patients at risk of falls in the inpatient room at PKU Muhammadiyah Kartasura Hospital. Method: This research uses mixed methods, which combines collection, analysis and mixing of quantitative and qualitative data in one study. The research population was 20 nurses at the PKU Muhammadiyah Kartasura Hospital Inpatient Installation in 2024. Results: Respondents aged 26-35 years (45%), female (85%), last education was D-III Nursing (80%), and length of service 1-5 years (40%). Most respondents had a high level of knowledge (70%), and high compliance (80%). Nurses with poor knowledge who did not comply were 66.7%, while all nurses with good knowledge complied 100%. Chi-square analysis was 0.003, showing that compliance was influenced by level of knowledge, length of work, age, and self-awareness. Conclusion: A nurse's compliance cannot be separated from the nurse's level of knowledge in implementing risk prevention for patient falls. Apart from the level of knowledge, length of work and a person's age also greatly influence the implementation of risk prevention for patient falls, a person's lack of self-awareness can also influence a person's compliance to progress and be successful.

Implementation of Accountability in the Management of PKU Muhammadiyah Sukoharjo Hospital

This research aims to explain the accountability of the management of the PKU Muhammadiyah Sukoharjo hospital from five aspects, namely legal and honesty aspects, process aspects, program aspects, policy aspects and financial aspects. This research uses a qualitative method from a phenomenological perspective. The data collection technique used was triangulation using in-depth interviews, observation and documentation. Data analysis was carried out in three stages, namely data reduction, data presentation, and drawing conclusions. The results of this research show that hospital management accountability. PKU Muhammadiyah Sukoharjo seen from the first five aspects, legal and honesty aspects states that there is no KKN at the employee, nurse and staff selection stage and carries out tasks in accordance with the established SOP. Second, aspects of the hospital program. PKU Muhammadiyah Sukoharjo provides training programs and workshops for doctors, nurses and other employees. The three aspects of the process indicate that the main tasks and functions have been carried out well, marked by appropriate service times according to procedures and affordable costs. Fourth, the policy aspect, policies made by the director such as costs, quality, SOPs that must be fulfilled. Fifth, financial accountability, there is no transparency regarding hospital financial reports. PKU Muhammadiyah Sukoharjo towards the community, apart from that there were no reports of hospital activity. PKU Muhammadiyah Sukoharjo therefore does not comply with the rules of PSAK No. 45 concerning financial reporting of non-profit organizations.

Pengaruh Intervensi Terapi Hypnobreastfeeding Terhadap Tingkat Kecemasan pada Ibu Primipara Pasca Operasi Sectio Caesarea

Background: Sectio Caesarea (SC) is currently an alternative method of delivery for mothers. Delivery by sectio caesarea method in primipara mothers can cause anxiety problems. One way to reduce anxiety is with hypnobreastfeeding technique. Objective: Apply hypnobreastfeeding therapy and determine the effect of hypnobreastfeeding therapy on the anxiety level of primiparous mothers with post sectio caesarea. Methods: The method used in this study is a case study conducted on patients who are primiparous mothers after cesarean section with anxiety using hypnobreastfeeding therapy. This therapy was conducted for 2 days from May 10, 2024 - May 11, 2024 at PKU Muhammadiyah Gamping Hospital. Results: From the case study conducted for 2 interventions, a decrease in anxiety was obtained as evidenced by the results of the HARS score showing anxiety decreased to 18 (mild anxiety) from the previous 22 (moderate anxiety). Conclusion: Based on the results of the analysis and discussion carried out on the case study report entitled “The Effect of Hypnobreastfeeding Therapy Intervention on Anxiety Levels in Primiparous Mothers After Sectio Caesarea Surgery” it can be concluded that hypnobreastfeeding therapy is effective for reducing anxiety in postoperative sectio caesarea mothers.

Job Satisfaction’s Impact on Employee Performance: The Mediating Role of Employee Engagement

This study aims to examine the impact of job satisfaction (JS) on employee performance (EP) and examine the role of employee engagement (EE) in their relationship. This study was undertaken based on settled theories of job satisfaction (JS), employee performance (EP), and employee engagement (EE). It maintains that the employee's perceived JS can boost EP and that EE serves as a mediator in this relationship. Using a deductive approach and a quantitative research design, the study investigated the correlation between JS and EP in PKU Muhammadiyah Yogyakarta Hospital. Data from 131 respondents were analyzed utilizing AMOS with the help of SEM software. The data analysis uncovered that employee job satisfaction (JS) positively impacted performance (EP) in PKU Muhammadiyah Yogyakarta Hospital. In addition, employee engagement (EE) acted as a mediator between JS and EP. Job satisfaction felt by employees and creating employee engagement could boost EP in PKU Muhammadiyah Yogyakarta Hospital. The study highlights that providing job satisfaction to employees has broad benefits, including greater employee engagement, enhanced employee work, and a positive contribution to the development of PKU Muhammadiyah Yogyakarta Hospital. Practically, this research highlights the importance of creating employee job satisfaction. Employee satisfaction is something that organizations must pay attention to because it affects employee engagement and employee performance. Employees will be more active in carrying out their assigned tasks if they feel satisfied. Employees who feel connected (engaged) with the company will have an awareness of the organization so that employees will provide their best abilities and skills for the success of the organization. The theoretical implications of testing the correlation between job satisfaction and employee engagement on employee performance can enrich existing behavioral theories in organizations.

PERAN MANAJER DALAM IMPLEMENTASI FUNGSI MANAJEMEN DI UNIT REKAM MEDIS DAN INFORMASI KESEHATAN RSU PKU MUHAMMADIYAH PRAMBANAN

Management functions consisting of planning, organizing, implementing, and supervising that runs properly and correctly is one characteristic of a well-functioning organization. Hospitals are healthcare institutions that provide medical services and support services to patients. Good support services in the Medical Records and Health Information (MRHI) unit at the hospital require good management to manage the unit. The MRHI unit has the responsibility of creating and maintaining patient medical records. The purpose of this study is to determine the role of the head of the medical support sub-sector as a manager in implementing the management functions of the MRHI unit at PKU Muhammadiyah Prambanan Hospital. This research is a qualitative study with a descriptive method. The results show that the manager's role is quite good in implementing management functions. This is evidenced by the well-organized planning process by the head of the medical support sub-sector so that activities can run continuously. In terms of organization, it is still quite minimalistic but already structured because the hospital has only been established for 2 years and patient visits are still not too many. In the implementation function, the manager is able to provide good guidance to the staff, although at this stage, the staff has not fully performed their duties according to procedures. The supervision function runs very well, indicated by the service provided being directed, orderly, and in accordance with established rules. The implementation of management functions can be maintained by improving the management functions that are not yet optimal.

Health Education Concerning Stroke Patients Treatment on Family's Readiness to Go Home for Non-Hemorragic Stroke Patients

Stroke has physical and mental impacts so that stroke clients depend on their families and need long-term care and recovery. Therefore, family readiness is needed in caring for stroke patients. Through health education using leaflets, we try to help patient family members be ready to care for stroke patients while at home. The research aims to determine the effect of health education on the readiness to return home to families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu. The research used a pre-experimental design method type one group pretest-posttest. The sample was taken by purposive sampling and obtained 32 respondents using the Slovin formula. The instrument uses leaflets and questionnaires. The data analysis technique uses a paired t test. It was found that the majority of families of stroke patients were female (65,6%), aged 46-55 years (37.5%), had a high school education (53.1%), did not work or were housewives (53,1% ), and the family caring for the child (62.5%), before being given health education using leaflets related to the care of non-hemorrhagic post-stroke patients, the majority of family members were less prepared (62.5%) and after being given health education, the majority of family members feel ready (87,5%). There is an influence of health education regarding the care of stroke patients on the readiness to return home to the families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu (p value 0.000 < 0,05).