Royal Prima Research Articles

Analysis of the effect of range of motion exercises on the quality of life of post-stroke patients at royal prima hospital Medan in 2024

Stroke is a severe medical condition that occurs due to the interruption of blood supply to the brain, either through blockage (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). With more than 15 million cases each year worldwide, stroke is a leading cause of disability and death, with a significant impact on patients' quality of life. In Indonesia, the prevalence of stroke is very high, especially among adult patients, which contributes to the high mortality and disability rates. This study aims to evaluate the effect of Range of Motion Exercises on the physical condition and quality of life of post-stroke patients at the Rehabilitation Polyclinic of Royal Prima Hospital Medan. Using a correlational descriptive research design with the One Group Pretest-Posttest approach, this study involved 30 respondents who underwent a range of motion exercises. The results of the analysis showed that before the intervention, the majority of patients were in the poor quality of life category. However, after undergoing a rehabilitation program, there was a significant improvement in the patient's quality of life, where 50% of the respondents reported an excellent quality of life. This study indicates that range of motion exercises are effective in improving the quality of life of stroke patients, which has the potential to make an essential contribution to the development of stroke rehabilitation programs in Indonesia.

Analysis of related factors related to the quality of life of post-stroke patients at Royal Prima Hospital Medan

Stroke is a severe global health problem and is ranked the third leading cause of death after heart disease and cancer. According to WHO data, about 15 million people have a stroke each year, with more than 5 million suffering from permanent disability. In Indonesia, the prevalence of stroke increases with the increase in risk factors such as hypertension and unhealthy lifestyles. This study aims to analyze the factors that affect the quality of life of post-stroke patients at Royal Prima Hospital Medan. The method used is non-experimental quantitative research with a descriptive approach and associative analysis. The study was conducted at the Royal Prima Hospital Medan, a population of patients undergoing post-stroke rehabilitation in the last three months. A sample of 60 patients was taken using the Slovin formula, and data analysis was carried out univariate, bivariate using the Chi-Square test, and multivariate with logistic regression analysis. The results of the study showed a significant relationship between age factors (p-value = 0.002), gender (p-value = 0.001), psychological condition (p-value = 0.002), physical condition (p-value = 0.004), and family support (p-value = 0.000) on the quality of life of patients. Family support was the most significant factor, with an odds ratio (OR) of 11,686, indicating that patients who received family support were likelier to achieve a good quality of life. These findings are expected to provide insights into designing more effective rehabilitation programs and raise awareness about the importance of support for post-stroke patients.

Hubungan Penggunaan Masker Terhadap Tingkat Kejadian Akne Vulgaris Pada Tenaga Kesehatan di RS Royal Prima Medan

Acne vulgaris is a common skin condition with a prevalence of around 85-100%, frequently encountered in Indonesia. Prolonged use of masks can lead to continuous friction on the facial skin, triggering irritation and inflammation. The aim of this study is to examine the relationship between mask usage and the incidence and severity of acne vulgaris among healthcare workers at RS Royal Prima Medan. This research is an analytical observational study employing a quantitative approach with a cross-sectional design. The study was conducted at RS Royal Prima Medan from January 2024 to June 2024. The population of this study consists of healthcare workers at RS Royal Prima Medan, with 69 individuals selected as the sample. The results indicate a relationship between the duration of mask use and the incidence of acne vulgaris; a relationship between the type of mask and the incidence of acne vulgaris; a relationship between daily facial wash use and the incidence of acne vulgaris; a relationship between the frequency of facial cleansing with facial wash and the incidence of acne vulgaris; a relationship between replacing masks and the incidence of acne vulgaris; and a relationship between the occurrence of acne vulgaris and mask use with the incidence of acne vulgaris.

Analysis Head Nurses' Leadership Styles to Staff Inpatient Nurses' Job Performance Royal Prima Hospital

lack of research in knowing the relationship between nurse leadership styles and nurse performance. Data collection by interviews, questionnaires and observations on inpatient nurses at Rotal Prima Hospital Medan. This study tries to examine the influence of the Job Performance Nurse dimension which is influenced by the dimensions of the Transactional Leadership Style and the Transformational Leadership Style of Head Nurses. This research is associative, with a quantitative method approach, using a descriptive correlational research design. The research was validated using SPSS-26 with data analysis techniques using multiple linear regression analysis. The results showed that the Transactional Leadership Style and Transformational Leadership Style had a positive and significant effect on Nurse Job Performance. The results of this study, we found that nurse leaders must have a good transformational leadership style so that leaders can help and encourage their subordinates in providing training and achieving their work goals properly. Nurse leaders are more likely to adopt a transformational leadership style. The results of this study also show that transactional leadership can affect nurse performance, although it is even better if the head nurse performs transformational leadership.

Penjelasan Dokter dan Durasi Pengambilan Obat terhadap Loyalitas Pasien BPJS dengan Variabel Kepuasan Pasien sebagai Variabel Intervening

This study aims to determine the effect of a doctor's explanation and duration of drug intake on BPJS patient loyalty, with patient satisfaction as an intervening variable. The research method used cross-sectional. The results showed that there was an effect of doctor's explanation on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of drug intake duration on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of doctor's explanation on patient satisfaction, there was an effect of drug intake duration on patient satisfaction, there was an effect of patient satisfaction mediating doctor's explanation on patient loyalty, there was an effect of patient satisfaction mediating drug intake duration on patient loyalty, and there was an effect of patient satisfaction on patient loyalty. This study concludes that the doctor's explanation and duration of drug intake affect patient loyalty. Keywords: Drug Taking Duration, Satisfaction, Loyalty, Doctor's Explanation

Analisis Faktor-Faktor Penunjang Kesiapan Pelaksanaan Rekam Medis Elektronik

This study aims to analyze the factors that support the readiness to implement electronic medical records at the Royal Prima Medan General Hospital. The research method uses cross-sectional. The results of this study indicate that there is an influence of the perception of benefits on the readiness of the implementation of electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.041, there is an influence of behavioral interest factors using the behavioral attention hospital management information system on the readiness for the implementation of electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.000, there is an influence of the use of the hospital management information system on the readiness of submitting electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.016. The conclusion is that there is an influence of the perception of benefits, behavioral interest, and use of information systems on the implementation of electronic medical records is a behavioral variable. Keywords: Readiness for Implementation, Electronic Medical Records, Hospital

Peran Rumah Sakit dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit

This study aims to determine the role of hospitals in preventing and controlling infections at Royal Prima Indonesia Hospital. The research method uses a cross-sectional study. The study results showed that the chi-square statistical test analysis of the role of hospitals in preventing and controlling infections at Royal Prima Medan Hospital showed a p-value = 0.283, which means the p-value> 0.05. In conclusion, there is no relationship between the hospital's role and the PPI team's compliance in preventing and controlling infections. Suggestions should be made so the hospital can provide ongoing training and education to improve compliance with standard precautions every three months. Keywords: Role of Hospitals, Prevention and Control of Infection

The Effect of Swedish Foot Massage on Reducing Fatigue and Muscle Cramps in Hemodialysis Patients at Royal Prima Hospital

The Effect of Swedish Foot Massage on Reducing Fatigue and Muscle Cramps in Hemodialysis Patients at Royal Prima Hospital

The Effect of BPJS Online Tiered Referral System Health on Patient Satisfaction at Royal Prima Hospital

The National Health Insurance System (JKN), managed by BPJS, is a strategic initiative of the Indonesian government to ensure access to affordable and quality healthcare. This study aims to evaluate the effect of implementing an online tiered referral system on patient satisfaction at Royal Prima Hospital. The method used was non-experimental quantitative research with a descriptive approach and associative analysis conducted at Royal Prima Hospital Medan from February to March 2019. Data was collected through an online-based questionnaire survey involving 100 respondents and analyzed using the Chi-Square test and multiple logistic regression. The results of the analysis showed a significant relationship between several variables and patient satisfaction, such as ease of requirements (p = 0.010), service procedures (p = 0.017), service time (p = 0.006), cost efficiency (p = 0.001), and facilities/ infrastructure (p = 0.020). In contrast, variables that did not show a significant relationship included product specifications (p = 0.268), executor competence (p = 0.200), executor behavior (p = 0.103), and complaint handling (p = 0.074). From the multivariate analysis, the cost variable showed the highest Odds Ratio (OR) of 7.516, indicating that patients who felt cost-efficient had a 7.516 times greater chance of being satisfied. This study confirms that cost efficiency, service speed, and procedure quality significantly affect patient satisfaction, providing insight for BPJS Kesehatan in improving the quality of health services in Indonesia.

The Relationship between Work Motivation and Nurse Performance at RSU Royal Prima Medan In 2023

The Relationship between Work Motivation and Nurse Performance at RSU Royal Prima Medan In 2023

The effectiveness of Slow Deep Breathing in DM patients who experience anxiety

Diabetes mellitus (DM) is a chronic metabolic disease characterised by persistent hyperglycemia. The etiology of the condition could stem from issues related to insulin secretion, peripheral insulin resistance, or a combination of both factors. Slow deep breathing (SDB) is abdominal breathing with a slow or slow frequency, rhythmic and comfortable which is done by closing the eyes and blowing air through the lips. SDB technique is done for 15 minutes 3 times a day, can be accomplished at any time. It is anticipated that there will be a globally recognised standard for Sleep-Disordered Breathing (SDB) procedures. This will facilitate further research utilizing larger sample sizes for more robust analysis. Aims: to detect the effect of the application of SDB to DM Type II patient experiencing anxiety during the treatment at Royal Prima Hospital. Study design: the chosen design was a quasi experiment with a case study with the use of the SPSS. The sample size comprised a singular participant meeting the criteria of Type 2 Diabetes Mellitus (DM) accompanied by comorbid anxiety and undergoing treatment for a duration exceeding 48 hours. Data collection methods encompassed interviews, interventions, observations, documentation, and subsequent evaluations. Place and Duration of Study: Royal Prima Hospital and 1 month Methodology: quantitative methods were employed, adhering to ethical guidelines that included obtaining informed consent from participants who agreed to partake as respondents. Results: after SDB intervention the blood pressure was reduced from the first examination, and the period of sleep from 4 to 6-8 hours, the patient's anxiety was reduced as well as the dizziness. The patient exhibited a noticeable reduction in signs of tension. Conclusion: Slow Deep Breathing (SDB) can reduce anxiety in DM Type II patients.

Analisis Kinerja Keuangan dengan Menggunakan Metode Rasio Return On Aset (ROA) dan Return On Equity (ROE) pada PT. Royal Prima Tbk

This research aims to determine the financial performance of PT. Royal Prima Tbk for the 2019-2022 period using the Return On Aset and Return On Equity ratios and to provide evidence that the Return On Assets and Return On Equity methods are effectively use in assessing financial performance at PT. Royal Prima Tbk for the 2019-2022 period. The type of research used is quantitative descriptive analysis, namely by collecting,clarifying, analyzing and interpreting data obtained from the company so that it can provide a picture of the actual situation. Result from financial performance research ata PT. Royal Prima Tbk for the 2019-2022 period is said to be not good, because the average value of Return On Asset and Return On Equity is less than the industri average standard. Therefore, PT. Royal Prima Tbk must be able to improve its financial performance optimally and optimally

Analysis of the dimensions of health service quality on patient satisfaction in the polyclinic of surgical sub-specialists of Royal Prima Hospital Medan, the Year 2024

This study focuses on evaluating how different dimensions of health service quality impact patient satisfaction at Royal Prima Medan Hospital's Sub-Specialist Surgery Polyclinic in 2024. Understanding patient satisfaction is crucial as it reflects their expectations, needs, and assessments of the care received, ultimately influencing their loyalty and the hospital's reputation. Using a quantitative non-experimental approach with descriptive and associative analyses, the study involved 133 patients at the polyclinic, with a sample of 60 respondents selected incidentally. Data collection methods included interviews, questionnaires, and secondary data from the hospital. The variables studied were Service Satisfaction, Tangible aspects, Reliability, Responsiveness, Assurance, and Empathy. Ethical considerations were paramount, with approvals from the Health Research Ethics Commission and obtaining Informed Consent from informants/respondents. Validity and reliability tests were conducted on research instruments to ensure data quality. Statistical analysis using Chi-Square tests and multiple logistic regression revealed significant correlations between Reliability, Assurance, Appearance, Responsiveness, Empathy, and Patient Satisfaction. Among these, Empathy emerged as the most influential factor, highlighting the importance of communication, strong relationships, and understanding patient needs in healthcare settings. In conclusion, this study underscores the critical role of service quality dimensions in enhancing patient satisfaction, offering insights for healthcare providers to improve care delivery and patient experiences at Royal Prima Medan Hospital's Sub-Specialist Surgery Polyclinic.

ANALYSIS OF THE DIMENSIONS OF HEALTH SERVICE QUALITY ON PATIENT SATISFACTION AT ROYAL PRIMA MARELAN HOSPITAL IN 2024

One indicator of quality in health services is patient satisfaction, where high-quality health services will generally create a high level of patient satisfaction, leading to loyalty to health services. The study aimed to analyze the dimensions of Health Service Quality toward Patient Satisfaction at Royal Prima Marelan Hospital in 2024. The method used in this research is quantitative non-experimental with a descriptive approach (cross-sectional survey) and associative analysis. The population was 318 people, and the sample determination used Slovin so that the sample size was 197, rounded up to 200 samples, with incidental sampling technique-data analysis using univariate, bivariate (Chi-Square), multivariate (multiple logistic regression Enter method). The results of the Chi-Square analysis obtained the variables of Physical Evidence (p-value 0.004), reliability (p-value 0.006), Responsiveness (p-value 0.008), assurance (p-value 0.004), empathy (p-value 0.002) have a p-value ≤ 0.05 with a significant level of 0.05. It is concluded that the most influential variable is the empathy variable, with a p-value of 0.000 <0.05. The OR value obtained is 10.224, meaning that ease of relationship, good communication, and understanding of the needs of patients have an opportunity of 10.224 times to increase patient satisfaction at Royal Prima Marelan Hospital in 2024. KEYWORDS: quality, satisfaction, patient, empathy

Analysis of factors affecting the utilization of BPJS health services at Royal Prima Hospital Medan in 2024

This study analyzes the utilization of BPJS Kesehatan services at RS Royal Prima Medan in 2024. Although BPJS Kesehatan offers affordable and equitable access to healthcare services, the suboptimal utilization rate indicates challenges in the effectiveness of healthcare services at the hospital. The research method used is a non-experimental quantitative approach with descriptive and associative analysis. The study population consists of patients who visited in the past 3 months, with a sample size of 200 respondents selected through purposive sampling techniques. The results of the analysis show a significant relationship between Age, Gender, Education, Occupation, Attitude Perception of Health Workers, and Facility Accessibility with the utilization of BPJS. Younger age groups, females, those with higher education, unemployed individuals, and those with positive perceptions of health workers and close accessibility are more likely to utilize BPJS. Multivariate analysis confirms that facility accessibility is the main factor influencing BPJS utilization, with an Odds Ratio of 13.558. This study provides a significant contribution to understanding the factors affecting BPJS service utilization at RS Royal Prima Medan. Strategic recommendations can be made to improve the effectiveness of healthcare services and the overall quality of the healthcare system, including improving accessibility to healthcare facilities for the public.

Comparison of Neutrofil-Lymphocyte Ratio to Severity of Stroke Ischemic Based of Vascular Territory Assessed By Ct-Scan

Diagnosing severity of the stroke requires a NIHSS score which is a graded neurological examination. However, despite its successes, there are problems with the NIHSS. The scale contains items with poor reliability and has been criticized for its redundancy and complexity may not capture the full range of stroke severity, particularly in those with very mild or severe symptoms. Over the last 10 years, the evaluation of the NLR as an emerging marker of diseases has become a compelling field of bio-medical research. However, the value of NLR in predicting the poor prognosis of stroke patients is still controversial. Patients of stroke ischemic from July to December 2023 at Royal Prima Hospital were studied to analyze the correlation between NLR to severity of stroke regarding vascular territory. Our investigation reveals no correlation between those two variablesation between those two variables.

Analysis Of Factors Influencing Patient Safety Incidents at Royal Prima Medan General Hospital in 2021

Incident safety patients must be minimized to avoid undesirable danger during maintenance in the hospital. Perception of health workers reporting patient safety incidents at the Royal Prima Medan General Hospital still needs to be higher. Low perception of health workers in writing incident Patient safety is related to individual and organizational factors. The study aims to identify the influence factor on patients' personal and corporate incident safety in the inpatient room of royal prima hospital medan. The type of research used is a method survey with a cross-sectional approach. The population in the study of health workers at the Royal Prima General Hospital in Medan was 259 people, and the sample was 119. Collection data with primary, secondary, and tertiary data was analyzed with multiple logistic regression statistical tests with a level of trust of 95%. Results study show bring individual factors (knowledge with p-value = 0.021 and experience with p-value=0.021) effect-on-patient safety incident reporting and organizational factors (organizational environment with p-value = 0.038 and power with p-value=0.014) effect on reporting incident safety patient, individual characteristics (motivation with p-value = 0.557) have no impact on writing incident safety patient And factor organization (organizational culture with p-value =0.535) has no effect to reporting incident patient safety and most influence reporting incident patient safety in Royal Prima General Hospital Medan is a knowledge variable (OR=155.6). They are recommended for a hospital for-develop system information integration related to writing incident patient safety and officer health to increase the perception of officer health through improvement, knowledge, and experience of officer health.

Analysis Of Determinant Factors Affecting The Leadership Style Of Chief Of Room In The Inpatient Room At Royal Prima Medan General Hospital

The head of the room is managing all the resources in the care unit to produce quality services. The head of the room is responsible for carrying out the supervision of nursing services to patients in the treatment room he leads. The head nurse of the room is responsible for leading and organizing the activities of servants and nursing care. The role of nurse leadership style has a large influence on nurses' work motivation. This is because the leadership of a good head nurse room will increase nurse job satisfaction, so that if leadership is not good it will reduce the level of nurse job satisfaction. Some previous studies suggested that leadership is one of the main factors that influence performance because leadership is the driving force for all resources within an organization. In leadership itself there are several parts of leadership that affect performance such as leadership style, leadership traits, type of leadership, work motivation, empowerment, work environment, organizational culture, leadership quality, and organizational commitment Research conducted aims to determine the analysis of influence factors leadership style on the performance of nurses in class 3 inpatient rooms Royal Prima Hospital in 2022. This research is a type of quantitative research with a cross sectional approach. The sample in the study was 110 room nurses. Data collection techniques in research using questionnaires. The results of this study found a significant relationship between communication factors (p = 0.001), planning (p = 0,000), direction (p = 0,000), and work discipline (p = 0,002) with the performance of nurses in class 3 Royal Prima Hosptal inpatient care. The conclusion of this study is that of the four variables studied, there was one of the most dominant variables influencing nurses' work motivation in class 3 inpatient rooms of Royal Prima Hospital in 2022, namely directing work by the head of the room.

Analysis Of Communications And Incentives On Nurse Performance In Inpatient Rooms In Royal Prima Marelan General Hospital

One of the factors that influence the success rate of a hospital is the performance of nurses. Efforts to improve nurse performance include paying attention to nurse work stress. This study aimed to determine the effect of communication and incentives on nurse performance in the inpatient room of the Royal Prima Maryland General Hospital. The type of research used is cross-sectional survey research with an explanatory research method approach. The total population is 41 nurses; all nurses are used as respondents (complete sampling). Data were analyzed using the Chi-square test, and logistic regression was used to obtain the OR (Odds Ratio) value. The results showed a statistical relationship between communication and performance (p = 0.012), and the OR value was 6.708, meaning that nurses with good communication would increase their performance by 6.7 times. Providing incentives on performance (p = 0.006) and the OR value is 6.667, meaning nurses with incentives will improve performance by 6.6 times. Income on performance (p = 0.004) and the OR value is 8.762, meaning nurses with incentives will increase performance by 8.7 times. The hospital should conduct periodic counseling and distribute questionnaires as evaluation material and material for stress management for nurses every three months.

Influence of Online Media on the Progress Prima Indonesia University

The establishment of universities and aggressive marketing strategies in the modern era of globalization have increased competition in the higher education sector. Therefore, it is very important to know the benefits of Royal Prima Universities' marketing strategies, both online and offline, by conducting research on how affiliate marketing as a moderating variable affects brand image. The aim of this research is to explain the synergy and interdependence that exists between offline and online marketing activities in the process of forming perceptions of a university. This will be achieved through analysis involving multiple scientific disciplines. With 300 students as a sample, the data was processed using the hair formula method. In path analysis, a hypothesis testing approach is used. The test results show that offline marketing has a greater impact ratio on affiliate marketing compared to online marketing. The results also show that offline marketing has a greater ratio impact on brand image than online marketing.