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Penelitian ini bertujuan untuk mengetahui kepuasan pasien terhadap Pelayanan Unit Rawat Jalan Rumah Sakit Pusat TNI AU dr. Esnawan Antariksa. Dalam penyusunan kerangka konsep penelitian ini sebagai variabel dependen adalah variabel kepuasan total yang meiiputi harapan dan persepsi responden dimana tingkat kepuasan dihitung berdasarkan kesenjangan nilai antara keduanya sedangkan sebagai variabel independen adalah mencari diantara lima dimensi servqual yaitu rangible, reliability, responsiveness, asurance dan emphaty yang memiliki pengaruh paling dominan dalam kepuasan pasien. Metode penelitian yang dilakukan adalah kuantitatif, dimana menggunakan survei kepada 149 responden militer dan 140 responden umum. Data kuantitatif dikumpulkan menggunakan metode cross sectional terhadap responden. Kemudian data yang terkumpul dianalisis menggunakan program perangkat lunak komputer. Dari hasil penelitian didapatkan bahwa ada hubungan antara perkejaan dan pendapatan perbulan responden urnum dengan kepuasan, yaitu dengan p value 0,012 dan 0,011. Berdasarkan metode servqual didapati bahwa 8,72% responden militer dan 7,86% responden umum merasa puas terhadap pelayanan yang diberikan Unit Rawat Jalan RUSPAU. Penggunaan metode servqual sebagai alat ukur kepuasan responden, memperlihatkan adanya kesenjangan antara jasa yang dipersepsikan dengan jasa yang diharapkan responden. Berdasarkan diagram kartesius didapatkan bahwa responden militer merasa paling puas dengan dimensi emphaty yaitu sebesar 24,16% dan responden umum merasa paling puas dengan dimensi responsivenss yaitu sebesar 20%. Secara keseluruhan atribut servqua! yang harus menjadi prioritas untuk diperbaiki oleh manajemen rumah sakit adalah atribut pada dimensi tangible dan reliabiliiy. Sebagai kesimpulan dari penelitian ini bahwa alat ukur metode servqual dapat mengidentifikasikan unsur-unsur pelayanan yang menyebabkan ketidakpuasan responden militer dan umum terhadap perlayanan Unit Rawat Jalan RUSPAU serta unsur-unsur pelayanan mana yang menjadi prioritas untuk diperbaiki oleh manajemen rumah sakit. Oleh karena itu disarankan kepada pihak manejemen rumah sakit unluk menggunakan metode servqual dalam melakukan survei pengukuran kepuasan pasien. Karena penelitian ini membuktikan bahwa metode senfqual dapa! digunakan dan efektif untuk dterapkan di rumah sakit dalam mengukur kepuasan pasien di rumah sakit. Dari hasil penelitian, saran untuk semua pihak yang terkait untuk memperhatikan pasien yang mempunuai harapan tinggi namun berpersepsi rendah, dimana hal tersebut menggambarkan tingginya ketidakpuasan pasien di Unit Rawat Jalan RUSPAU.
This research goals is to assess the level of patient satisfaction of healthcare service on outpatient unit at Air Force Hospital dr. Esnawan Antariksa. ln compiling this frame of this research concept, the dependent variable are total satisfaction variable that encompased expectation and perseption of the military respondens and public respondens, where the level of satisfaction is calculated based on the different value between the two, while the independent variable is finding between consists of 5 dimension; service quality, tangible, reliability, responsiveness, assurance and emphaty that has most dominant effect in respondens satisfaction. Research method that is implemented is kuantitatif; that use surveys to l49 military respondens and 140 public respondens. Kuantitatif data was collected using cross sectional method to the responden. Then data obtained from this research will he analized by using computer software. From the result of the research, we can see there is a correlation between job and salary from the responden with responden satisfaction, with the p value 0,012 and 0,01 I. Based on servqual method we can get 8.72 % military responden and 7,86 % public responden felt satisfied with the services being served by the outpatient unit of RUSPAU. The used of servqual method as an indicator of repondent satisfaction, shows there is a gap between service that is perceived and the service that is expectation by the responden. Based on cartesius diagram, we can also get that military respondens felt the most satisfied with the emphaty dimension is 24,16 % and public respondens felt the most satisfied with the responsiveness is 20 %. Generally, servqual atribute has to be the priority to be fixed by the hospital management is the attribute of tangible and reliability dimension. As the conclusion from this research, servqual method can identified the attribute of services that causes military respondents and public respondents unsatisfied with the RUSPAU outpatient healthcare services and which attribute of service that become the priority to be fixed by the hospital management. It is recommended to the hospital management to use servqual method in surveys to assess the level ofthe custumers satisfaction. This method could be use effectively in hospital in order to assess the level of the customers satisfaction in the outpatient unit.
500 mg with Vitamin E 200 mg to Decrease Oxidative Stress and Increase Antioxidant on Technician Crew Military Aircraft. Oxidative stress is pathological condition body that is caused by imbalance between oxidants with antioxidants body, which produces free radicals that can lead cell damage early. Free radical will bind building blocks cell covering of fat, protein and DNA will result damage cell, so cell can not regenerate that affect onset of degenerative diseases. Technicians crew military aircraft as specialized personnel with activity job direct contact with material oxidant, thus high risk of oxidative stress. Vitamin C and vitamin E are antioxidant enzyme exogen outside body which has role inhibiting oxidative stress, so oxidative stress does not occur. The design study experimental studies with intervention randomized double blind controled trial. Sample size 206 people divided into two groups are intervention group with sample size 103 people are given supplements combination vitamin C 500 mg with vitamin E 200 mg and control group with sample size 103 people are given placebo for 40 days without break. Data collected include are characteristics of respondent, pattern and amount of consumption of vitamin C, vitamin E and nutrient food, derived from food frequecy questionnaire (FFQ) and 24-hour recall, examination of oxidative stress by checking levels malondialdehyde (MDA) and examination of antioxidant by checking levels glutathione (GSH) in blood serum in pre and post intervention. The results showed decrease oxidative stress in group intervention who are received suplement combination vitamin C 500 mg with vitamin E 200 mg compared with control group who are received placebo, are significant with p value 0.04 with effects size -0.089 nmol/mL, confidence interval 95 % (-0.17875 - 0.00095). No increase antioxidants in group intervention who are received supplement combination vitamin C 500 mg with vitamin E 200 mg compared with control group who are received placebo, are not significant with p value 0.81 with effects size -0.019 ug/mL, 95% confidence interval ( -0.140 - 0.180).