Medical Methodist Journal (MediMeth)

HUBUNGAN MUTU PELAYANAN KESEHATAN DENGAN TINGKAT KEPUASAN PASIEN HIPERTENSI DI PUSKESMAS BESTARI MEDAN TAHUN 2025

Hana Cornelia Sinulingga — 2026-06-30

Background : Quality healthcare services are key to maintaining and improving patient satisfaction, notably in primary healthcare institutions such as local clinics. Service quality is significantly guided by the level of provisions, healthcare personnel, service processes, which encompass the factors influencing patient satisfaction. ServQuaL, that is reliability, responsiveness, assurance, empathy, tangible. This quality of healthcare services at community health centers is vital for better patient outcomes satisfaction, particularly among those with hypertension, whose numbers continue to rise. In Indonesia, hypertension is a common non-communicable disease, including at Bestari Community Health Center.

Method: This research employed a cross-sectional design using observational analysis. The study included 240 hypertension patients who received treatment at the Bestari Community Health Center in Medan in 2025. Data collection was conducted using primary data, namely a questionnaire. The independent variable analyzed was the effectiveness of healthcare services, while the dependent variable evaluated was the satisfaction rate of diabetes patients at the Bestari Community Health Center.

Results : This study's conclusions illustrate the association among reliability(reliability)with the satisfaction of hypertension patients, the value obtainedp valueof 0.008, the connection among responsiveness and satisfaction of hypertension patients obtained a value ofp valueof 0.037, the guarantee relationship (assurance)with the satisfaction of hypertension patients, the value obtainedp valueof 0.028, empathy relationship(empathy)with the satisfaction of hypertension patients, the value obtainedp valueof 0.007, the link between tangible evidence and the contentment of hypertension patients achieved a result ofp valueof 0.007.

Conclusion : A notable connection exists among the five dimensions of service quality and overall satisfaction levels of hypertension patients at the Bestari Medan Community Health Center in 2025 a p-value ≤ 0.05.

Keywords : Service quality, patient satisfaction, community health center, SERVQUAL, hypertension

PENGARUH DIET MEDITERANIA TERHADAP FUNGSI KOGNITIF PADA PASIEN DIABETES MELITUS TIPE 2 DI RSUD DR. PIRNGADI KOTA MEDAN TAHUN 2025

risa sagala — 2026-06-30

Type 2 diabetes acts like a never-ending puzzle, messing with sugar levels and how our brains work. The Mediterranean diet is like a superhero cape, known for maybe helping our brains stay sharp because it fights swelling and rust. Yet, we're still unsure if it does the trick for Indonesians grappling with type 2 diabetes.Objective: This study aimed to figure out if eating like folks in the Mediterranean impacts the thinking skills of type 2 diabetes patients at Dr. Pirngadi General Hospital in Medan.Methods : The study was like watching and checking, using a snapshot approach. Scientists picked 153 type 2 diabetes patients meeting set rules using a step-by-step pick method. They checked how well patients stuck to the Mediterranean diet, then used a brainpower test to measure thinking skills. The info gathered got assessed using special tests.Results: Most folks in the study, around 80.4%, weren't fans of the Mediterranean diet. Brainpower went down in over half (51.2%) who skipped this eating plan. But, a whopping 86.7% who loved the Mediterranean diet showed normal brain skills. Sticking to this diet and thinking skills seemed linked (p = 0.002). Getting older (60 plus) and having diabetes longer (8+ years) also upped the odds of brain decline.Conclusion: The Mediterranean diet seriously affects the thinking skills of type 2 diabetes patients. So, embracing this diet could be like a shield against losing brainpower.

HUBUNGAN PENGETAHUAN DAN SIKAP IBU HAMIL TERHADAP ANTENATAL CARE DENGAN KUNJUNGAN ANTENATAL CARE DI PUSKESMAS PADANG BULAN TAHUN 2025

Joice Ambarita — 2026-06-30

ABSTRACT

Background: Pregnant women can benefit from antenatal care (ANC) in various ways, including better monitoring of the health of both mother and fetus, early detection of problems, and a reduced risk of maternal and fetal mortality. Their attitudes and understanding influence their ANC visits frequency.

Objective: Specifically, the aim was to investigate whether there is a correlation between pregnant women's attitudes and understanding regarding ANC visits at the Padang Bulan Community Health Center (UPT Puskesmas).

Methods: A cross-sectional approach was used in this quantitative study. A total of 38 pregnant women in their third trimester were selected using consecutive sampling. The research instrument used was a knowledge and attitude questionnaire that has been tested for reliability and validity. The Chi-square test was used to analyze the data.

Results: ANC visits among pregnant women were significantly associated with their knowledge and attitudes regarding ANC, according to the Chi-square test, which yielded a p-value of 0.001 (<0.005).

Conclusion: A strong relationship was found between the frequency of ANC visits and knowledge and attitudes. To maintain regular annual check-ups (ANC), pregnant women should increase their knowledge through counseling with health workers and get support from their families.

HUBUNGAN PERKEMBANGAN BAYI USIA 0-6 BULAN YANG MENDAPAT ASI EKSKLUSIF DAN YANG TIDAK MENDAPAT ASI EKSKLUSIF DI UPT PUSKESMAS SIMALINGKAR TAHUN 2025

Nathalin Olivia Sinaga — 2026-06-30

Exclusive breastfeeding is the best nutritional choice for infants aged 0–6 months because it is rich in essential nutrients and immune-boosting substances, which are crucial components for achieving optimal growth and development. The main problem that remains is the low rate of exclusive breastfeeding, which negatively affects the dimensions of infant development, namely physical, motor, cognitive, and socio-emotional development. The main focus of the study conducted in 2025 was to evaluate the causal relationship between exclusive breastfeeding and the development of infants aged 0–6 months at the Simalingkar Community Health Center. This analytical observational study used a cross-sectional approach and involved 82 infants selected using consecutive sampling. Data collection procedures were carried out by interviewing mothers in a structured manner about breastfeeding, while observing infant development using the KPSP. Data testing was performed using the Chi-Square method. According to the results of the study, the largest proportion of infants were 6 months old (24.4%) and female (53.7%). A total of 70.7% of infants received exclusive breastfeeding, while developmental analysis using the Developmental Pre-Screening Questionnaire (KPSP) showed that 56.1% of infants developed according to their age, 29.3% were classified as doubtful, and 14.6% had the potential for developmental abnormalities. The Chi-Square test yielded a p-value of 0.034, indicating a strong association between exclusive breastfeeding and the development of infants aged 0–6 months. The conclusion of this study shows that exclusive breastfeeding plays an important role in supporting the development of infants aged 0–6 months. Infants who receive exclusive breastfeeding show a tendency for better development or development in line with age norms, in contrast to infants who do not receive exclusive breastfeeding.

Keywords: Exclusive Breastfeeding, KPSP, Infant Development.