Journal La Medihealtico

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

I Putu Bagus Normantia Cahaya Putra — 2026-06-17

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

Melki Saudila — 2026-06-17

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

Melinar Fitra Zahrani Moha — 2026-06-24

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.

Public Perception of Patient Referral Services

Reza Fazaki — 2026-07-03

Referral is the transfer of responsibility for patient care between health service units, either vertically or horizontally, to ensure appropriate management of health problems. Data from Padang Tiji Health Center showed that patient referrals remained an important issue. In 2018, the number of visits to the health center reached 45,246, while the number of referrals was 6,511. Therefore, this study aimed to identify factors influencing patient referrals at Padang Tiji Health Center in 2020. This study used a cross-sectional survey design involving 100 respondents. The relationship between independent variables and patient referral was analyzed using the Chi-square test with a 95% confidence level and a significance value of p < 0.05. The results of multivariate analysis showed that knowledge had a significant relationship with patient referral, with a p-value of 0.000. Health information also showed a significant relationship, with a p-value of 0.049. Meanwhile, the availability of facilities and infrastructure, availability of human resources, attitudes of health workers, and public perception did not show significant relationships with patient referral. Among all variables, knowledge was found to be the most dominant factor influencing patient referral. This study concludes that knowledge and health information are associated with patient referrals, while facilities, human resources, health worker attitudes, and public perception are not significantly related. It is recommended that Padang Tiji Health Center improve health education and strengthen referral service competence to ensure that referrals are conducted according to established standards and mechanisms.

Factors Influencing the Occurrence of Preeclampsia in Pregnant Women: Literature Review

Citra Resy Ismail — 2026-07-10

Preeclampsia is a pathological condition characterized by an increase in blood pressure after 20 weeks of gestation, which may be accompanied by proteinuria as well as signs of organ dysfunction such as impaired liver, kidney, nervous system, and hematological function. The method used is a narrative review design of international literature from 2016–2025 obtained from Google Scholar, PubMed, ScienceDirect, ClinicalKey, and Garuda (Garba Rujukan Digital), using the keywords “preeclampsia,”“risk factors of preeclampsia,” “maternal risk factors,” “faktor risiko preeklamsia,” and “preeclampsia in pregnancy.” The results of the review indicate that preeclampsia is multifactorial, meaning it is not caused by a single factor but rather a combination of biological conditions, medical history, and maternal demographic characteristics. Medical and reproductive factors such as a history of hypertension and preeclampsia where women who previously experienced preeclampsia or have chronic hypertension have the highest risk primigravida (first pregnancy), and comorbidities such as diabetes mellitus, obesity (high BMI), and kidney disease further increase the burden on blood vessels.

Risk Factors and Prevention Strategies for Recurrent Lower Urinary Tract Infections in Pregnant Women: A Literature Review

Mutiara Andjani Arsyad — 2026-07-14

Urinary tract infections (UTIs) in pregnant women are among the most common health problems and may lead to serious complications for both the mother and the fetus. Physiological changes during pregnancy increase the risk of infection as well as recurrence of UTIs. Therefore, a comprehensive understanding of risk factors and effective preventive strategies is essential. This study aims to analyze the risk factors and preventive measures for recurrent UTIs in pregnant women based on current literature. This study employed a narrative review approach by examining various scientific articles obtained from databases including PubMed, ScienceDirect, Google Scholar, Garuda, and Neliti. The literature search was conducted using keywords relevant to the research topic. Results of the research showed that the main risk factors for UTIs in pregnant women include hormonal and anatomical changes, a history of previous UTIs, poor personal hygiene, sexual activity, and medical conditions such as diabetes mellitus. In addition, asymptomatic bacteriuria plays an important role in increasing the risk of complications. Effective preventive measures include routine screening, culture-based treatment of urine samples, health education, and the implementation of clean and healthy lifestyle practices. The occurrence and recurrence of UTIs in pregnant women are multifactorial in nature, requiring a comprehensive management approach to reduce risks and improve maternal and fetal health outcomes.