International Journal of Health Engineering and Technology

The Relationship Between Service Quality, Facilities, And Effective Communication With Patient Satisfaction At Carolus Serpong Hospital In 2025

Siska Ayu Puspita — Tue, 05 May 2026 00:00:00 +0000

Patient satisfaction is a crucial indicator of hospital service quality amidst increasing public demand for better healthcare. This study aims to analyze the relationship between service quality, facilities, and effective communication on outpatient satisfaction in the pediatric and obstetrics clinics of Carolus Hospital Serpong in 2025. Using an analytical quantitative cross-sectional design with purposive sampling of 100 respondents, data were collected through a valid (r>0.361) and reliable (α=0.978) SERVQUAL questionnaire, analyzed with Chi-Square and SPSS. The results showed that 80% of respondents were satisfied, with good service quality (61%), facilities (65%), and effective communication (75%). There was a significant relationship between service quality (p=0.016; OR=3.857), facilities (p=0.04; OR=6.896), and effective communication (p=0.009; OR=4.33) on patient satisfaction, with facilities having the strongest influence. It was concluded that the three variables were significantly related to patient satisfaction, and it was recommended that parking facilities and nurse communication training be improved.

Posterior Ischaemic Optic Neuropathy (Pion) Secondary To Distal Segment Stenosis Of The Left Ophthalmic Artery: A Rare Case Report

Delta Iswara, Hasna Okta Asyrofi, Hernawan Hernawan — Tue, 05 May 2026 00:00:00 +0000

Ischaemic optic neuropathy (ION) is a vision-threatening condition caused by impaired arterial blood supply to the optic nerve. Posterior ischaemic optic neuropathy (PION) is a rare subtype that often presents without funduscopic abnormalities in the acute phase, making diagnosis challenging. We report a case of a 50-year-old man who presented with sudden, painless monocular visual loss in the left eye, accompanied by hemisensory deficits. Ophthalmic examination revealed no optic disc abnormalities, while automated perimetry demonstrated an inferior arcuate visual field defect. Brain magnetic resonance imaging showed a right corona radiata infarction, and digital subtraction angiography confirmed stenosis of the distal branches of the left ophthalmic artery. These findings supported the diagnosis of PION secondary to ophthalmic artery stenosis, an uncommon etiology of ION. The patient had uncontrolled hypertension as a major vascular risk factor and was treated with antiplatelet therapy, resulting in clinical improvement of visual acuity. This case highlights the importance of comprehensive vascular evaluation in patients with suspected PION and emphasizes ophthalmic artery stenosis as a rare but significant cause of ischaemic optic neuropathy. Early recognition of the underlying vascular pathology may facilitate appropriate management and help prevent further ischemic complications.

The Relationship Between Family Support And The Quality Of Life Of Tuberculosis Patients In The Kembaran 1 Banyumas Community Health Center Area

Inggrid Fatmah Miharsih, Mariah Ulfah, Madyo Maryoto — Tue, 05 May 2026 00:00:00 +0000

Tuberculosis (TB) is a communicable disease that remains a major public health problem in Indonesia due to its high incidence, long treatment duration, and its impact on patients' physical, psychological, social, and environmental conditions, which can reduce quality of life. Family support is an important factor that plays a role in improving the quality of life of tuberculosis patients. This study aimed to determine the relationship between family support and the quality of life of tuberculosis patients in the working area of Kembaran 1 Public Health Center, Banyumas. This study employed a quantitative analytical method with a cross-sectional design. The sample consisted of 67 tuberculosis patients selected using proportionate stratified random sampling and simple random sampling techniques. The research instruments were the Perceived Social Support from Family (PSS-Fa) questionnaire to measure family support and the WHOQOL-BREF Indonesian version to assess patients' quality of life. Data were analyzed using appropriate statistical tests. The results showed that there was a significant relationship between family support and the quality of life of tuberculosis patients (p < 0.05). Better family support was associated with better quality of life among tuberculosis patients. Family support plays an important role in improving the quality of life of tuberculosis patients.

Near-Fatal Asthma With Severe Hypercapnic Respiratory Failure Requiring Mechanical Ventilation In A Resource-Limited Setting: A Case Report

Tue, 05 May 2026 00:00:00 +0000

Near-fatal asthma (NFA) is a life-threatening manifestation of acute severe asthma characterized by hypercapnia, respiratory acidosis, altered consciousness, and the need for invasive mechanical ventilation. Early recognition and timely airway stabilization are essential to prevent respiratory arrest and mortality, particularly in resource-limited settings. A 41-year-old woman with a history of asthma was brought to the emergency department with decreased consciousness and severe respiratory distress. On arrival, her Glasgow Coma Scale score was 5, respiratory rate was 35 breaths per minute, and oxygen saturation was 46% on room air. Arterial blood gas analysis demonstrated life-threatening hypercapnic respiratory failure (pH 6.954; PaCO₂ 95.4 mmHg; P/F ratio 87). Due to worsening respiratory failure and decreased level of consciousness, the patient underwent immediate endotracheal intubation and invasive mechanical ventilation and was admitted to the intensive care unit. She received systemic corticosteroids, repeated bronchodilator therapy, aminophylline infusion, and broad-spectrum antibiotics. Lung-protective ventilatory strategies with prolonged expiratory time were applied. The patient improved rapidly and was successfully extubated on the second day of mechanical ventilation, with subsequent discharge in stable condition. Appropriate ventilatory strategies combined with guideline-based pharmacological therapy are essential to improve outcomes in patients with near-fatal asthma presenting with severe hypercapnic respiratory failure, even in resource-limited settings.

Factors Associated With Chronic Energy Deficiency (Ced) In Adolescent Girls Aged 10-19 In Jambi Province

Tue, 05 May 2026 00:00:00 +0000

Chronic Energy Deficiency (CED) is a critical nutritional issue among Indonesian adolescent girls. In Jambi Province, its prevalence shows a fluctuating upward trend, requiring a thorough analysis of risk determinants. This study aimed to determine CED prevalence and analyze its association with macronutrient intake frequency, infectious diseases, hygiene behavior, physical activity, and family size. This quantitative study used a cross-sectional design with 2023 Indonesian Health Survey (SKI) secondary data. The sample consisted of 1,082 adolescent girls (10–19 years) in Jambi Province. Data were analyzed using Chi-square and Cox Regression to identify dominant factors and Prevalence Ratios (PR). CED prevalence was remarkably high at 56.1%, predominantly in the 15–19 age group (51.6%). Nutritional patterns showed infrequent consumption of carbohydrates (51.7%), fats (66.0%), and proteins (58.3%). While most respondents reported good hygiene and no infection history, bivariate analysis showed no significant association with CED. However, multivariate analysis identified light physical activity as the dominant factor significantly associated with CED risk (p-value: 0.045; PR: 1.45; 95% CI: 1.00–2.08). Physical activity is the primary determinant of CED among adolescent girls in Jambi. These findings highlight the urgency for comprehensive nutritional interventions focusing on energy balance and dietary quality.