MULTIDIMENSIONAL APPROACH TO PATIENT SATISFACTION IN HEMODIALYSIS NURSING SERVICES AT ROYAL PRIMA GENERAL HOSPITAL, MEDAN
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Evalatifah Nurhayati
Elis Anggeria
Tiarnida Nababan
Abstract
Background: The increasing population of patients with end-stage kidney disease necessitates high-quality nursing services. Patient satisfaction in hemodialysis is a multidimensional construct encompassing physical, psychological, and technical aspects of care.
Objective: To analyze patient satisfaction through a multidimensional approach and identify the dominant factor influencing satisfaction at Royal Prima General Hospital, Medan, in 2025.
Methods: This quantitative study used a cross-sectional design. Total sampling was applied to 115 hemodialysis patients (Sample). Variables included nine dimensions of service measured via a multidimensional questionnaire (Instrument). Data were analyzed using univariate, bivariate (Chi-square), and multivariate (Logistic Regression) tests (Analysis).
Results: Patients reported high satisfaction levels, categorized as very satisfied (52.5%) and satisfied (47.5%). All service dimensions significantly correlated with satisfaction (p≤ 0.05). Multivariate analysis identified medical care as the most dominant factor (p = 0.000; B = 0.104), indicating its critical role in shaping patient perceptions.
Conclusion: Nursing service quality across multiple dimensions significantly drives patient satisfaction, with medical care being the most influential. Hospitals should focus on enhancing medical care, nurse responsiveness, and therapeutic communication to sustain service quality.
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2026 Evalatifah Nurhayati, Elis Anggeria, Tiarnida Nababan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Holistic Care agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
References
Amalia, A., & Apriliani, N. M. (2021). Analisis efektivitas single use dan reuse dialyzer pada pasien gagal ginjal kronik di RSUD Mardi Waluyo Kota Blitar. Jurnal Sains dan Kesehatan, 3(5), 652–659. https://doi.org/10.24293/ijcpml.v13i3.910
Andra, S. W., & Mariza, P. Y. (2013). Keperawatan medikal bedah (Keperawatan dewasa). Nuha Medika.
Anggeria, E., & Resmita, M. (2019). Hubungan dukungan keluarga dengan kecemasan pasien gagal ginjal kronik di ruang hemodialisa Rumah Sakit Royal Prima Medan. Jurnal Keperawatan Priority, 2(1), 9–16. https://doi.org/10.34012/jukep.v2i1.349
Astri, I. T., & Aryani, T. (2016). Hubungan jenis kelamin dan frekuensi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Umum Daerah Raden Mattaher Jambi. Jurnal Akademika Baiturrahim, 5(2), 46–55.
Brunner, L. S., & Suddarth, D. S. (2013). Buku ajar keperawatan medikal bedah (12th ed.). EGC.
Dwifungsiania, A. (2021). Gambaran kepuasan pelayanan dan kepuasan pasien hemodialisa di Rumah Sakit X. Jurnal Ilmiah Pascasarjana, 1(3), 179–184. http://ejournal.uika-bogor.ac.id/index.php/diversity
Euphora, N. L., & Samira, J. (2023). Hubungan lama menjalani hemodialisis dengan status gizi pada pasien gagal ginjal kronik. Indonesian Journal of Applied Science and Technology, 4(1), 96–107.
Indramayu, M. (2023). Inovasi terapi suportif dalam peningkatan quality of life pada pasien gagal ginjal dengan hemodialisa. CV. Media Sains Indonesia.
Indrasari, D. M. (2019). Pemasaran dan kepuasan pelanggan. Unitomo Press.
Silitonga, E., Pardede, J. A., & Sinaga, T. R. (2022). Mutu pelayanan dan kepuasan pasien haemodialisis. Jurnal Penelitian Perawat Profesional, 4(1), 307–316. https://doi.org/10.37287/jppp.v4i1.847