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                <text>Komunikasi terapeutik merupakan keterampilan esensial perawat dalam membantu pasien beradaptasi terhadap stres dan gangguan psikologis, serta membangun hubungan interpersonal yang efektif. Keberhasilan kondisi ini menjadi salah satu indikator penentu kepuasan pasien terhadap asuhan keperawatan. Penelitian ini bertujuan untuk menganalisis hubungan antara tahap komunikasi terapeutik perawat dengan tingkat kepuasan pasien di Instalasi Rawat Inap RSU Mitra Sejati Medan melalui pendekatan kuantitatif dengan desain cross-sectional. Menggunakan teknik consecutive sampling, diperoleh 71 responden sebagai sampel penelitian yang datanya dikumpulkan melalui kuesioner dan dianalisis menggunakan uji korelasi Spearman’s Rho (alpha = 0,05). Hasil uji statistik menunjukkan terdapat hubungan yang signifikan antara tahap orientasi (p = 0,000) dan tahap kerja (p = 0,003) terhadap kepuasan pasien, namun tidak ditemukan hubungan yang signifikan pada tahap terminasi (p = 0,265). Hal ini menunjukkan bahwa kepuasan pasien lebih dominan dipengaruhi oleh impresi awal dan kualitas interaksi saat pemberian tindakan keperawatan dibandingkan fase akhir interaksi yang sering kali terhambat durasi singkat saat pemulangan. Disimpulkan bahwa penguatan kompetensi komunikasi perawat di setiap fase interaksi sangat diperlukan untuk menjamin asuhan keperawatan yang berkesinambungan dan holistik demi mengoptimalkan pengalaman pasien.&#13;
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                <text>Kehamilan pertama kali bagi seorang calon ibu merupakan suatu perjalanan baru yang ditandai dengan perubahan-perubahan fisik dan psikis sehingga timbul berbagai masalah psikologis. Salah satu aspek psikologis yang berpengaruh pada kehamilan adalah kecemasan. Selain itu, timbul kecemasan pada ibu hamil dipengaruhi oleh perubahan fisik yang terjadi selama kehamilannya yaitu dengan perut yang semakin membesar dan badan yang bertambah gemuk (Utami, 2017). Program kelas ibu hamil di Indonesia dimulai sejak tahun  2010  dan  pelaksanaan  di  Puskesmas  Tarabintang  Kec  Tarabintang  Kab  Humbang  Hasundutan  mulai dilaksanakan sejak tahun 2012. Salah satu hasil yang diharapkan dari pelaksanaan kelas ibu hamil adalah adanya pemahaman, perubahan sikap, dan perilaku ibu hamil sehingga ibu hamil dapat menjalani kehamilannya dengan tenang dan nyaman terhindar dari penyakit fisik dan jiwa serta persalinannya dapat berlangsung dengan normal yang pada akhirnya berkontribusi terhadap penurunan angka kematian ibu. TUJUAN Untuk mengetahui pengaruh terhadap kecemasan ibu primigravida di Puskesmas Tarabintang Kec Tarabintang Kab Humbang Hasundutan Tahun 2023. METODE quasiexperimental design dengan Uji normalitas data ini menggunakan Uji Shapiro Wilk karena disesuaikan untuk sampel penelitian yang berjumlah kecil HASIL adalah Kesimpulan dalam penelitian ini adalah Terdapat perbedaan tingkat kecemasan pada ibu primigravida yang mengikuti kelas ibu hamil dan tidak mengikuti kelas ibu hamil. Saran diberikan bagi penelitian dan bagi tempat penelitian dan bagi institusi Pendidikan tentang factor yang berhubungan dengan pengetahuan dengan sikap ibu post partum tentang kelas Ibu Hamil</text>
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