Journal La Medihealtico

Retrospective Analysis of Electrocautery Procedures in the Dermatology Outpatient Clinic of Bali Mandara Hospital Based on Medical Record Data

2026-06-17T14:00:56+07:00

Electrocautery is a minor surgical procedure that uses electrical energy to generate heat for tissue destruction and hemostasis. This procedure is commonly used in the Dermatology Outpatient Clinic of Bali Mandara Hospital for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis. This study aimed to analyze the pattern and management of electrocautery procedures for these dermatological cases based on medical record data from 2022 to 2025. This study used a retrospective descriptive design based on secondary data obtained from the medical records of patients who underwent electrocautery procedures at the Dermatology Outpatient Clinic of Bali Mandara Hospital. Data were analyzed using descriptive statistics, cross-tabulation, and annual case growth analysis with Microsoft Excel and SPSS version 27. The results showed a total of 322 cases, consisting of 78 cases of Condyloma Acuminata (24.22%), 138 cases of Verruca Vulgaris (42.86%), and 106 cases of Seborrheic Keratosis (32.92%). Verruca Vulgaris was the most frequently treated condition during the study period. The findings also indicate that each condition requires different electrocautery techniques according to lesion characteristics, anatomical location, and clinical considerations. Electrocautery is a suitable procedure for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis at Bali Mandara Hospital. However, the technique should be adjusted to the characteristics of each case to optimize treatment outcomes and ensure patient safety.

Integrated Primary Care Implementation and Patient Satisfaction

2026-06-19T10:15:54+07:00

Integrated Primary Health Care (IPHC) aims to improve the quality, continuity, and responsiveness of primary health services. However, its implementation in Kupang City still faces challenges, as reflected in the 2023 Minimum Service Standards achievement of 82.17%, which was lower than the East Nusa Tenggara provincial average of 95.37%. This study aimed to analyze the association between IPHC-based service quality and patient satisfaction at Sikumana Public Health Center and to identify the service quality dimension with the strongest practical tendency. This study employed a quantitative explanatory design with a cross-sectional approach. A total of 100 respondents were selected using proportional stratified random sampling from six service areas. Service quality was measured using five SERVQUAL/RATER dimensions: reliability, assurance, tangibles, empathy, and responsiveness, while patient satisfaction was dichotomized for binary logistic regression analysis. Data were analyzed using univariate analysis, Chi-Square tests, and binary logistic regression. The bivariate analysis showed that only reliability was significantly associated with patient satisfaction. However, in the multivariate analysis, none of the five service quality dimensions showed a statistically significant partial effect after simultaneous analysis. The regression model was statistically significant, showed good model fit, and explained 31.7% of the variation in patient satisfaction. Tangibles had the highest odds ratio, indicating the strongest practical tendency in shaping patient satisfaction. These findings suggest that patient satisfaction in IPHC implementation is multidimensional, with physical facilities, equipment adequacy, cleanliness, and service readiness requiring practical attention.

The Relationship between Medication Adherence, Self-Efficacy, and Quality of Life in Patients with Acute Myocardial Infarction

2026-06-24T13:18:24+07:00

AMI is one of the most serious cardiovascular diseases, associated with impaired quality of life, increased morbidity and mortality, making it the number one cause of death in the world. The use of medications for secondary prevention is a cornerstone in the treatment of coronary artery disease. Self-efficacy is an important predictor of adherence to treatment. Therefore, high self-efficacy is associated with health which can improve the patient’s quality of life. The aim of this study was to analyze the relationship between medication adherence and self-efficacy with the quality of life of patients who had been diagnosed with acute myocardial infarction at Muhammadiyah Hospital Semarang. The type of quantitative research was analytical observational with a cross-sectional approach. Research respondents were patients who had been diagnosed with AMI from June 2022-June 2023 who were taken through total sampling taking through the sample criteria. Inclusion was 47 and exclusion was 27 respondents. Data analysis uses the chi-square test, significant if p<0.05. 34 respondents were compliant in taking medication (72.3%), 13 respondents were not compliant in taking medication (27.7%). 28 respondents had high self-efficacy (59.6%), 19 respondents had low self-efficacy (40.4%). 38 respondents had a good quality of life (80.9%) and 9 respondents had a poor quality of life (19.1%). As a result, there is no relationship between medication adherence with the quality of life of acute myocardial infarction patients. There is a relationship between self-efficacy with the quality of life of acute myocardial infarction patients.