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Vitamedica: Jurnal Rumpun Kesehatan Umum
Published by Sekolah Tinggi Ilmu Kesehatan Columbia Asia Medan
ISSN : 3030900X     EISSN : 30308992     DOI : 10.62027
Core Subject : Health,
Health Professions Public Health
Jurnal ini adalah Jurnal Asclepius : Jurnal Rumpun Kesehatan Umum yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk riset Ilmu Kesehatan Umum
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 281 Documents
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Adaptasi Psikososial Pasien Hemodialisis Terhadap Perubahan Gaya Hidup : Literature Review Psychosocial Adaptation Of Hemodialysis Patients To Lifestyle Changes : Literature Review Bagus Yudantoro; Mamnuah; Wantonoro
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.868

Abstract

Patients with end-stage chronic kidney disease undergoing hemodialysis experience complex lifestyle changes, including fluid and dietary restrictions, dependence on therapy, fatigue, changes in social roles, and psychological distress that affect psychosocial adaptation and quality of life. This literature review aimed to examine the factors influencing psychosocial adaptation among hemodialysis patients and their implications for nursing practice. The review was conducted using PubMed, Scopus, ScienceDirect, ProQuest, MDPI, and BMC databases with keywords related to hemodialysis and psychosocial adaptation. Inclusion criteria were full-text articles published between 2020–2025 in English or Indonesian that discussed psychosocial aspects of hemodialysis patients. Of 326 identified articles, 11 studies were analyzed using a narrative-thematic approach. The findings identified five major themes: illness acceptance, depression and anxiety, social support, burden of physical symptoms, and coping strategies and cultural values. Illness acceptance and social support positively contributed to psychosocial adaptation, whereas depression, anxiety, and physical symptom burden negatively affected patients’ quality of life. Overall, psychosocial adaptation in hemodialysis patients is influenced by psychological, social, physical, and cultural factors. Therefore, nurses should perform routine psychological screening, provide self-management education, strengthen family support, and facilitate adaptive coping strategies to improve patient outcomes.Top of Form
Efektivitas Pembelajaran Berbasis Virtual Reality Dibandingkan Pembelajaran Tatap Muka Dalam Meningkatkan Keterampilan Klinis Mahasiswa Keperawatan: Literatur Review Siti Zahara Nasution; Ulfah Salwani; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.869

Abstract

Introduction : The advancement of technology in the field of education has encouraged the utilization of Virtual Reality (VR) as an innovative learning method, particularly in nursing education. Objective: This study aims to analyze the effectiveness of VR-based learning compared to conventional methods in improving the clinical skills of nursing students. Methods: This study employed a literature review approach based on PRISMA guidelines, with article searches conducted through PubMed and SINTA databases within the publication period of 2021–2026. A total of 10 journals that met the inclusion criteria were analyzed in this study. Results: The findings indicate that the use of VR significantly improves clinical skills, knowledge, self-efficacy, and professional attitudes of nursing students. In addition, VR provides a more interactive and immersive learning experience, which enhances understanding and information retention compared to conventional learning methods. When compared to face-to-face learning, VR demonstrates equivalent or even superior effectiveness in certain aspects, such as reducing stress levels and increasing learning engagement. However, the combination of VR and conventional methods (blended learning) produces the most optimal outcomes. Conclusion: VR-based learning is an effective and innovative approach in nursing education with great potential to enhance students’ clinical competencies. Therefore, the integration of VR into the nursing education curriculum is highly recommended to support more modern and high-quality learning processes.
Efektivitas Pembelajaran E-Learning Berbasis Teknologi Digital Terhadap Peningkatan Kompetensi Mahasiswa Keperawatan: A Literature Review Siti Zahara Nasution; Adelina Rizki Wardani Rangkuti; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.870

Abstract

Introduction: The rapid advancement of information and communication technology has driven a major transformation in global nursing education systems. E-learning represents a learning approach that opens new opportunities for teaching and learning processes across various educational sectors beyond the conventional classroom setting. Nursing education demands comprehensive competency acquisition, encompassing cognitive, psychomotor, and affective dimensions. The acceleration of e-learning adoption became particularly evident during the Covid-19 pandemic, which forced all educational institutions to shift massively to online learning. This study aims to identify and analyze the effectiveness of e-learning on improving the competencies of nursing students. Methods: This study employed a literature review design using a systematic approach guided by the PRISMA framework. Articles were searched from three primary databases, ScienceDirect, PubMed, and Google Scholar covering publications from 2022 to 2026. Based on predetermined inclusion criteria, 10 primary articles were selected for data extraction and synthesis. Results: The review findings indicate that various digital technology-based e-learning platforms have been widely utilized in nursing education, including mobile- and multimedia-based competency evaluation systems, virtual simulation, online learning, immersive virtual reality (VR), LMS-based mobile learning, online cooperative learning methods, and Online Peer Assisted Learning (OPAL). Conclusion: The findings of this literature review indicate that digital technology-based e-learning is effective in enhancing the cognitive competencies of nursing students through flexible and self-directed access to learning materials.
Efektivitas Edukasi Kesehatan Reproduksi Berbasis Evidence-Based Education Terhadap Peningkatan Pengetahuan Dan Sikap Remaja Tentang Risiko Kehamilan Dini: Studi Pre-Experimental Pada Siswa SMP Negeri 1 Unter Iwes, Kabupaten Sumbawa Ninik Wahyuni; Fitri Setianingsih; Rati Andriani
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.871

Abstract

Background: Adolescent pregnancy remains a persistent public health concern with adverse consequences on maternal-neonatal outcomes, educational attainment, and psychosocial well-being. Evidence-based education (EBE) has emerged as a promising strategy for improving reproductive health literacy, yet empirical data from junior high school settings in Eastern Indonesia remain limited. Objective: This study aimed to evaluate the effectiveness of an evidence-based education intervention on improving knowledge and attitudes regarding early-pregnancy risks among adolescents at SMP Negeri 1 Unter Iwes, Sumbawa Regency. Methods: A quantitative pre-experimental study with a one-group pretest–posttest design was conducted. Fifty seventh-grade students were recruited using purposive sampling based on predefined inclusion criteria. Knowledge and attitudes were measured using structured questionnaires before and after the intervention. Data were analyzed using univariate statistics and the Paired Sample t-test at α = 0.05, following a Shapiro-Wilk normality assessment. Results: The proportion of respondents with good knowledge rose from 16% to 70%, and positive attitudes increased from 38% to 82%. Mean knowledge scores improved from 63.20 (pretest) to 84.60 (posttest), while mean attitude scores rose from 64.40 to 79.80. The Paired Sample t-test yielded p = 0.000 (p < 0.05) for both variables, indicating statistically significant improvements. Conclusion: Evidence-based reproductive health education significantly improved adolescents' knowledge and attitudes toward early-pregnancy risks. Integrating evidence-based reproductive health modules into School Health Programs (UKS) is recommended as a scalable promotive-preventive strategy.
Analisis Faktor Risiko Penyakit Low Back Pain Pada Petani Sayur Di Desa Raya Kabupaten Karo Santy Deasy Siregar; Carla Vioren Ginting; Mika Trines Aulia Rajagukguk; Riky Suherman Simanjuntak; Eka Lolita Eliyanti Pakpahan
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.873

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by workers, including vegetable farmers in mountainous areas who repeatedly perform strenuous physical activities. Vegetable farmers in Desa Raya, Karo Regency face a high risk of LBP due to hilly working terrain, heavy lifting loads, non-ergonomic working positions, and long working hours. This study aimed to analyze the relationship between individual, ergonomic, and work environment risk factors and the incidence of LBP among vegetable farmers in Desa Raya, Karo Regency. This study used a quantitative approach with an analytical observational design and a cross-sectional approach. The sample consisted of 96 respondents determined using the Lemeshow formula and an accidental sampling technique. Data were collected through questionnaires and analyzed using the Chi-Square test (Continuity Correction/Fisher's Exact Test) at a 95% confidence level. The results showed that of the 96 respondents, 73 (76.0%) reported LBP complaints. Significant associations were found between age (p=0.008) and length of employment (p=0.043) with the incidence of LBP, while sex showed no significant association (p=0.657). Ergonomic risk factors, namely working position (p=0.242), lifting load (p=0.147), and working duration (p=1.000), as well as work environment conditions (p=1.000), showed no statistically significant associations. This study recommends ergonomic interventions and occupational health education for vegetable farmers to reduce the risk of LBP.
Gambaran Hope pada Dewasa Awal yang Mengalami Ketiadaan Peran Ayah (Fatherless) di Kota Medan Tyta Nauri Damanik; Nancy Naomi Aritonang
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.839

Abstract

The phenomenon of fatherlessness due to the death of a father can cause psychological impacts that continue until early adulthood, such as sadness, loss of security, changes in economic conditions, and difficulties in dealing with developmental demands. Nevertheless, individuals still have the potential to develop hope as a psychological strength in facing life's challenges. This study aims to find out the picture of hope in early adult individuals who experience fatherlessness due to the death of their father in Medan City based on aspects of goals, pathways thinking, and agency thinking according to Snyder. The research method used is qualitative with a descriptive approach. The study subjects consisted of two early adults aged 18–30 years who were selected through purposive sampling. Data is collected through in-depth interviews, observations, and documentation, then analyzed through data reduction, data presentation, and verification. The results showed that both participants still had hope despite losing their father figure. The first participant cultivates hope through clear life goals, solutions to obstacles, and family support. The second participant built hope through complex adaptations due to economic change and negative interpersonal experiences, but was helped by social support and self-reflection. These findings confirm that hope is dynamic, developing according to life experiences, goals, achievement strategies, motivation, and social support obtained.
Hubungan Antara Kecerdasan Emosional dengan Self-Efficacy Akademik pada Mahasiswa FKIP di Universitas HKBP Nommensen Medan Meckel Paskaria Naibaho; Togi Fitri Afriani Ambarita
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.854

Abstract

This study aimed to determine the relationship between emotional intelligence and academic self-efficacy among students of the Faculty of Teacher Training and Education (FKIP), HKBP Nommensen University Medan. This research employed a quantitative approach with a correlational research design. The population consisted of 2,715 active FKIP students, and a sample of 310 students was selected using probability sampling through a random sampling technique. Data were collected using Likert scales, namely an emotional intelligence scale developed based on Goleman's theory and an academic self-efficacy scale based on Bandura's theory. The data were analyzed using Spearman's rho correlation test. The results revealed a positive and significant relationship between emotional intelligence and academic self-efficacy among FKIP students at HKBP Nommensen University Medan, with a correlation coefficient of ρ = 0.646 and a significance value of 0.000 (p < 0.05). The correlation coefficient indicates a strong relationship, suggesting that higher emotional intelligence is associated with higher academic self-efficacy. Furthermore, the overall levels of both emotional intelligence and academic self-efficacy were categorized as moderate. These findings indicate that emotional intelligence is one of the psychological factors associated with the development of students' academic self-efficacy. Therefore, enhancing emotional intelligence is expected to strengthen students' confidence in dealing with various academic demands and to support their academic success.
Penerapan Teknik Relaksasi Benson dalam Asuhan Keperawatan Pasien Stemi dengan Nyeri Dada di ICCU Cica Handayani; Nonok Karlina; Muadi Muadi
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.855

Abstract

ST-Elevation Myocardial Infarction (STEMI) triggers severe chest pain due to coronary occlusion, risking increased cardiac workload. Non-pharmacological management, such as Benson's Relaxation, is required as a complementary therapy. This scientific paper aims to analyze nursing care and the effectiveness of Benson's Relaxation Technique in reducing chest pain intensity among STEMI patients in the ICCU at RSD Gunung Jati, Cirebon City. This study used a descriptive qualitative design with a case study approach on Mrs. O (46 years old) presenting with Anteroseptal STEMI. Data were collected through anamnesis, observation, and medical records, with validity ensured via triangulation. The Benson intervention was administered for 15 minutes per session over 3 days. During the initial assessment, the patient presented with severe chest pain (scale 7) and hemodynamic instability (BP: 155/95 mmHg, HR: 110 bpm). The primary nursing diagnosis established was Acute Pain. After 3 days of intervention, the pain decreased progressively from a scale of 7 to 0 (pain completely resolved) and vital signs improved significantly (BP: 122/78 mmHg, HR: 76 bpm). Benson's Relaxation Technique is effective and safe to be utilized as a complementary therapy to reduce chest pain intensity and stabilize hemodynamic status in STEMI patients within the intensive care unit.
Intradialytic Stretching Exercise terhadap Nyeri dan Tekanan Darah pada Pasien Hemodialisis Feni Novia; Dwiyanti Purbasari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.856

Abstract

Chronic Kidney Disease (CKD) is a global health problem with an increasing prevalence every year. CKD patients who undergo hemodialysis often experience complications such as muscle cramps, fatigue, and changes in blood pressure during the dialysis process that have an impact on quality of life. This study aims to analyze the effectiveness of the application of Intradialytic Stretching Exercise on pain and blood pressure in hemodialysis patients. The research method uses a qualitative approach with a case study design. The study sample consisted of one patient with a medical diagnosis of CKD on HD and a primary nursing diagnosis of chronic pain. Data were collected through nursing assessments including anamnesis, inspection, palpation, percussion, and auscultation. Implementation was carried out by administering Intradialytic Stretching Exercise according to the procedure, then evaluating the patient's pain level and blood pressure. Data analysis used comparative descriptive between pre- and post-intervention conditions. The research will be carried out in February 2026 at the Hemodialysis Room of Gunung Jati Hospital, Cirebon City. The results showed a decrease in pain scale, reduced muscle cramp complaints, patients appeared more relaxed, and blood pressure was stable during the hemodialysis process. These findings confirm that Intradialytic Stretching Exercise is effective as a nonpharmacological intervention to reduce pain and maintain blood pressure stability in hemodialysis patients.
Kombinasi Semi Fowler dan Pursed Lip Breathing terhadap Stabilisasi Respirasi pada Pasien Gagal Jantung: Studi Kasus Fika Dwilianti Sakri; Dwiyanti Purbasari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.857

Abstract

The prevalence of heart disease in Indonesia is 1.5% and in West Java 1.6%, with acute decompensated heart failure (ADHF) being one of the cardiovascular conditions that frequently requires hospitalization. ADHF is a condition characterized by a sudden or gradual worsening of heart failure symptoms that can cause shortness of breath. Objective: To determine the effect of a combination of the semi-Fowler position and pursed-lip breathing on respiratory stabilization in patients with ADHF. Research method: Qualitative research using a case study design. The sample consisted of 2 individuals with a medical diagnosis of ADHF and a nursing diagnosis of ineffective breathing pattern. The research procedure involved assessment through history-taking, inspection, palpation, percussion, and auscultation; implementation of the semi-Fowler position and pursed-lip breathing; and evaluation of respiratory stabilization. The study was conducted over three days, from February 23 to 25, 2026, in the ICCU ward at Gunung Jati Regional General Hospital. Research findings: The nursing diagnosis based on the SDKI for both respondents was ineffective breathing pattern; data from both respondents indicated complaints of shortness of breath, increased respiratory rate, use of accessory breathing muscles, and decreased oxygen saturation. After implementing the semi-Fowler position and pursed-lip breathing, respiratory stabilization occurred, with shortness of breath improving, respiratory rate improving, use of accessory breathing muscles decreasing, and oxygen saturation improving. Conclusion and Recommendations: The combination of the semi-Fowler position and pursed-lip breathing can help stabilize respiration in patients with shortness of breath. It is hoped that the combination of the semi-Fowler position and pursed-lip breathing can be implemented as a safe and simple nonpharmacological nursing intervention to help stabilize respiration in patients with respiratory disorders, particularly heart failure.

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