The Relationship between Fulfilling Privacy Needs and Service Satisfaction in Adolescents with Chronic Illness Conditions in the Inpatient Room

Aini Hayati Ihsar, Henny Suzana Mediani, Siti Yuyun Rahayu Fitri



Introduction : Privacy needs for adolescents with chronic disease conditions are important, including secure information, psychological information, and social privacy. Violations against privacy will bring discomfort, stress, and dissatisfaction. Patients' satisfaction is one of the most important indicators that show the quality of ward services that include the dimensions of tangibility, reliability, responsiveness, assurance, and empathy. Objectives : This study was conducted to analyze the relationship between the fulfilment of privacy needs and service satisfaction in adolescents with hospitalized chronic conditions. Methods : This correlational study was conducted using a cross-sectional approach. Samples were 72 adolescents aged 12-21 years with chronic disease conditions were selected using the consecutive sampling method. Data of this study were collected using questionnaires. Bivariate data analysis was performed using chi-square analysis. Result : The results showed that the most unfulfilled need for privacy security was information privacy (70.8%), followed by psychological privacy (63.9%), physical privacy (58.3%), and the least unfulfilled one was social privacy (51.4%). Respondents were most dissatisfied with the dimension of empathy (87.5%), followed by assurance (84.7%), reliability (83.3%), tangibility (80.6%), and responsiveness (76.4%). This study also confirmed a meaningful relationship between service satisfaction with information privacy (p-value <0.001) and physical privacy (p-value 0.021 <0.05). Discussion : Whereas service satisfaction is associated with neither psychological privacy nor social privacy. The role of nurses is very important in carrying out patient-centered care, especially in meeting the privacy needs to achieve service satisfaction for adolescents with chronic disease conditions.


Pendahuluan : Kebutuhan privasi pada remaja dengan kondisi penyakit kronis merupakan suatu hal yang penting  meliputi privasi informasi, fisik, psikologis dan sosial karena jika tidak terpenuhi akan menimbulkan ketidaknyamanan, stress dan ketidakpuasan. Kepuasan merupakan salah satu indikator paling penting untuk menunjukan kualitas pelayanan di ruang rawat inap mencakup dimensi tangibles, reliability, responsiveness, assurance, dan empathy. Tujuan : Tujuan penelitian ini menganalisis hubungan pemenuhan kebutuhan privasi dengan kepuasan layanan pada remaja kondisi penyakit kronis di ruang rawat inap. Metode : Desain penelitian studi korelasional dengan pendekatan cross sectional. Jumlah sampel pada penelitian ini adalah remaja usia 12-21 tahun dengan kondisi penyakit kronis berjumlah 72 orang dengan metode consecutive sampling. Pengumpulan data menggunakan kuesioner. Analisis data bivariat menggunakan chi square. Hasil : Hasil penelitian menunjukan bahwa paling banyak kebutuhan privasi yang tidak terpenuhi adalah privasi informasi sebanyak 70,8%, diikuti privasi psikologis sebanyak 63,9%, privasi fisik 58,3%, dan paling sedikit tidak terpenuhi adalah privasi sosial sebanyak 51,4%. Responden paling banyak tidak puas dalam dimensi emphaty sebanyak 87,5%, urutan kedua dimensi assurance sebanyak 84,7%, urutan ketiga dimensi reliability sebanyak 83,3%, urutan keempat dimensi tangibles sebanyak 80,6%, dan yang kelima dimensi responsiveness sebanyak 76,4%. Terdapat hubungan antara kepuasan layanan dengan privasi informasi (p-value < 0,001) dan privasi fisik (p-value 0,021 < 0,05), sedangkan dengan privasi psikologis dan sosial tidak memiliki hubungan. Diskusi. Peran perawat sangat penting dalam melakukan asuhan dengan berpusat pada pasien terutama dalam memenuhi kebutuhan privasi agar tercapainya kepuasan layanan terhadap remaja dengan kondisi penyakit kronis.


Adolescents; Chronic Disease Condition; Needs; Privacy; Satisfaction

Full Text:



Akyüz, E., & Erdemir, F. (2013). Surgical patients’ and nurses’ opinions and expectations about privacy in care. Nursing Ethics, 20(6), 660–671.

Al-Abri, R., & Al-Balushi, A. (2014). Patient satisfaction survey as a tool towards quality improvement. Oman Medical Journal, 29(1), 3–7.

Al-Yateem, N., Docherty, C., & Rossiter, R. (2016). Determinants of Quality of Care for Adolescents and Young Adults With Chronic Illnesses: A Mixed Methods Study. Journal of Pediatric Nursing, 31(3), 255–266.

Alghamdi, F. S. (2014). The impact of service quality perception on patient satisfaction in government hospitals in Southern Saudi Arabia. Saudi Medical Journal, 35(10), 1271–1273.

Ama-Amadasun, M. M. (2016). Evaluation of Patients’ Privacy Rights: A Swiss Healthcare Level Perspective. International Journal of Business and Management, 4(10), 191–202.

Atoui, M., Badr, L. K., Brand, T. D., Khoury, R., Shahine, R., & Abboud, M. (2015). The Daily Experiences of Adolescents in Lebanon With Sickle Cell Disease. Journal of Pediatric Health Care, 29(5), 424–434.

Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M. M., & Amenta, P. (2017). Determinants of patient satisfaction: A systematic review. Perspectives in Public Health, 137(2), 89–101.

Dagnew, T., Tessema, F., & Hiko, D. (2015). Original Article Health and Reported Satisfaction Among Adolescents in Dejen District , Ethiopia : a Cross-Sectional Study. Ethiopian Journal of Health Sciences, 25(1), 17–28.

Daley, A. M., Polifroni, E. C., & Sadler, L. S. (2017). “Treat Me Like a Normal Person!” A Meta-Ethnography of Adolescents’ Expectations of Their Health Care Providers. Journal of Pediatric Nursing, 36, 70–83.

Fan L., Gao L., Liu X., Zhao S., Mu H., Li Z., Shi L., Wang L., Jia X., Ha M., & Lou F. (2017). Patients’ perceptions of service quality in China: An investigation using the SERVQUAL model. PLoS ONE [revista en Internet] 2017 [acceso 14 de diciembre de 2020]; 12(12): 1-13. 1–13.

Ferri, P., Muzzalupo, J., & Lorenzo, R. Di. (2015). Patients’ perception of dignity in an Italian general hospital: A cross-sectional analysis. BMC Health Services Research, 15(1), 1–8.

Hajbaghery, C. (2014). Evaluation of elderly patients’ privacy and their satisfaction level of privacy in selected hospital in eshafan.

Jamalimoghadam, N., Yektatalab, S., Momennasab, M., Ebadi, A., & Zare, N. (2019). Hospitalized adolescents’ perception of dignity: A qualitative study. Nursing Ethics, 26(3), 728–737.

Kaushansky, D., Cox, J., Dodson, C., McNeeley, M., Kumar, S., & Iverson, E. (2017). Living a secret: Disclosure among adolescents and young adults with chronic illnesses. Chronic Illness, 13(1), 49–61.

Kroger, J. (2015). Identity in Childhood and Adolescence. In International Encyclopedia of the Social & Behavioral Sciences: Second Edition (Second Edi, Vol. 11). Elsevier.

Moruno Miralles, P., Ramón, N. C., & Valero, S. A. (2016). Adolescents with Cancer and Occupational Deprivation in Hospital Settings: A Qualitative Study. Hong Kong Journal of Occupational Therapy, 27, 26–34.

Nayeri, N. D., & Aghajani, M. (2010). Patients’ privacy and satisfaction in the emergency department: A descriptive analytical study. Nursing Ethics, 17(2), 167–177.

Nurhidayah, I., Hendrawati, S., S. Mediani, H., & Adistie, F. (2016). Kualitas Hidup pada Anak dengan Kanker. Jurnal Keperawatan Padjadjaran, v4(n1), 45–59.

Rangkasbitung, R. D. A. (2017). Data keadaan mobilitas pasien rawat inap rumah sakit.


Sanders, R. A. (2013). Adolescent psychosocial, social, and cognitive development. Pediatrics in Review, 34(8), 354–359.

Sarenko. (2013). Patients ’ perceptions of privacy and their outcomes in healthcare Natalia Serenko * and Lida Fan. 4(2).

Sumartini, S., & Maretha, V. (2020). Efektifitas Peer Education Method dalam Pencegahan HIV/AIDS terhadap Pengetahuan Dan Sikap Remaja. Jurnal Pendidikan Keperawatan Indonesia, 6(1), 77–84.

Valizadeh, F., & Ghasemi, S. F. (2020). Human privacy respect from viewpoint of hospitalized patients. European Journal of Translational Myology, 30(1), 1–8.

Wei, J., Wang, X. L., Yang, H. Bin, & Yang, T. B. (2015). Development of an inpatient satisfaction questionnaire for the Chinese population. PLoS ONE, 10(12), 1–11.

Zhang, L. fang. (2015). Erikson’s Theory of Psychosocial Development. International Encyclopedia of the Social & Behavioral Sciences: Second Edition, 7, 938–946.



Jurnal Pendidikan Keperawatan Indonesia(JPKI) published by Indonesia University of Education. JPKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License

View My Stats

Office :
Nursing Department. FPOK UPI.
229, Dr. Setiabudhi Street. Bandung 40154
West Java , Indonesia
E-mail :