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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 320 Documents
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Hubungan Dukungan Sosial dengan Tingkat Kecemasan Mahasiswa Keperawatan Tingkat Akhir dalam Menghadapi Penyusunan Skripsi di Universitas Yatsi Madani Nayla Latipah Laillatussoliha; Wardiman Wardiman
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1008

Abstract

Final-year nursing students face a stage that demands mental readiness and the ability to handle multiple obligations at once, since besides writing their thesis they must also meet graduation requirements such as the TOEFL test and BTCLS training. This condition can trigger anxiety, particularly when students encounter difficulties during supervision, extensive revisions, limited time and cost, and concern about not meeting all graduation requirements on time. Social support from family, friends, and significant others is presumed to help students cope with such pressure. This study aimed to determine the relationship between social support and anxiety levels among final-year nursing students facing thesis writing at Universitas Yatsi Madani. The study used a quantitative method with a correlational analytic design and a cross-sectional approach, employing Stratified Random Sampling. The analysis using the Spearman Rank correlation test showed a significance value (p-value) of 0.020 (p < 0.05) with a correlation coefficient (r) of -0.184, indicating a significant relationship with a negative direction and a very weak strength between social support and anxiety level. It can be concluded that social support has a significant, albeit very weak, relationship with anxiety levels among final-year nursing students facing thesis writing at Universitas Yatsi Madani.
Edukasi Pencegahan Campak melalui Media Poster pada Ibu Balita di Posyandu Desa Grendeng Purwokerto Anisa Kautsar Firdaus; Anisa Wulan Dari; Annima Alfi Fauqina; Aurelia Zahra; Rosyanah Rosyanah; Ronald Vanness; ⁠ Siti Setianingsih
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1010

Abstract

Campak adalah penyakit yang sangat menular dan tetap menjadi ancaman serius bagi kesehatan balita, terutama di daerah padat penduduk. Pengetahuan ibu mengenai gejala awal, metode penularan, dan langkah-langkah pencegahan sangat penting untuk menekan kejadian wabah campak di tingkat desa. Kegiatan promosi kesehatan ini bertujuan untuk meningkatkan pemahaman ibu-ibu dengan balita mengenai campak melalui penggunaan media visual. Metode yang digunakan dalam kegiatan ini adalah pendidikan kelompok menggunakan poster edukatif yang dilakukan di Posyandu Desa Grendeng, Purwokerto. Target kegiatan ini adalah 20 ibu balita yang mengikuti jadwal posyandu rutin. Materi pendidikan meliputi pengenalan gejala klinis seperti ruam dan demam, mekanisme penularan melalui tetesan, dan pentingnya imunisasi lengkap sebagai langkah pencegahan utama. Evaluasi dilakukan melalui sesi tanya jawab dan observasi keterlibatan peserta selama kegiatan. Hasil menunjukkan peningkatan yang signifikan dalam pemahaman peserta, di mana para ibu mampu menjelaskan kembali metode penularan dan langkah-langkah yang harus diambil jika anak menunjukkan gejala campak. Penggunaan poster terbukti efektif sebagai alat pendidikan karena menyederhanakan informasi medis yang kompleks menjadi ilustrasi yang mudah diingat. Kesimpulannya, penyediaan pendidikan berbasis poster di posyandu sangat efektif dalam memperkuat literasi kesehatan masyarakat pedesaan. Disarankan agar poster tetap dipajang di area posyandu sebagai referensi visual yang berkelanjutan bagi warga.   \
Hubungan Intensitas Penggunaan dan Literasi Digital dalam Media Sosial TikTok terhadap Tingkat Pengetahuan Kesehatan Mental pada Remaja: Literature Review Zahra Asia Fakhrizal; Mochammad Bagus Qomaruddin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1020

Abstract

Introduction: The widespread use of TikTok among adolescents has raised concerns regarding their psychological well-being, while digital literacy is considered essential in shaping how content exposure affects mental health knowledge. This study aims to analyze the relationship between usage intensity and digital literacy on TikTok toward adolescents' mental health knowledge level. Methods: This study employed a narrative literature review, examining fifteen relevant articles from the Scopus, Sinta, and Google Scholar databases within the 2022–2026 timeframe. Results and Discussion: The synthesis revealed that high-intensity TikTok use is associated with increased anxiety and diminished self-regulation, whereas digital literacy functions as a protective factor reducing the risk of cyber-victimization and cyberbullying. The interaction between digital literacy and mental health literacy, forming mental eHealth literacy, was found to be a key determinant in enhancing adolescents' mental health knowledge, confirming that TikTok's impact is context-dependent and highly reliant on users' digital literacy quality. These findings indicate the need for an integrative approach combining digital and mental health education to optimize the platform's potential as a sustainable medium for promoting adolescent psychological well-being.
Faktor-Faktor yang Mempengaruhi Pelaksanaan Manajemen Risiko di RSIJ Sukapura Kelapa Gading Ahmad Sulvi Fafiru; Husni Abdul Muchlis; Hosizah Hosizah; Nauri Anggita Temesvari; Witri Zuama Qomarania; Lely Rahmawati; Rachmat Sudrajat; Awan Awan
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1026

Abstract

The importance of risk management in hospitals to minimize future risks. Initial observations found that risk management implementation was less routine. Lack of staff involvement resulted in suboptimal risk management implementation. The purpose of this study was to analyze the factors influencing risk management implementation. The research method used a quantitative approach with a cross-sectional research design. The study population consisted of 39 respondents with a total sampling technique from January to February 2026 at the Jakarta Islamic Hospital Sukapura Kelapa Gading using a questionnaire. The first data analysis used validity and reliability tests on the distributed questionnaires with valid and reliable results. Furthermore, univariate analysis using the three-box method showed that respondents assessed the indicators of risk management implementation, namely risk mitigation and other independent factors such as top management commitment and support, communication, culture, training, information technology, and trust as sufficient, while the organizational structure was good. Multivariate analysis using multiple logistic regression shows that there is a simultaneous relationship between the independent variables of top management commitment-support, communication, culture, organizational structure, training, information technology, and trust that influence the implementation of risk management with a result of 0.006<0.05. Therefore, it is necessary to strengthen top management commitment-support, foster a risk management culture, and mitigate risks in the form of establishing and implementing regulations for risk management to reduce potential risks.
Hubungan Berat Badan Lahir dan Pemberian Asi Eksklusif dengan Status BB/U pada Usia 0-11 Bulan di UPTD Puskesmas Mauk Riana Sari; Rini Sartika; Ria Setia Sari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1027

Abstract

Weight-for-age (WFA) status in infants aged 0-11 months is largely determined by exclusive breastfeeding and birth weight. Infants who are underweight based on the weight-for-age (WFA) indicator or experience growth faltering are at risk of impaired brain development, decreased intelligence quotient (IQ), stunting, and weakened immune function. This study aimed to analyze the relationship between birth weight and exclusive breastfeeding with WFA status among infants aged 0-11 months at UPTD Mauk Public Health Center. This study used a quantitative method with a correlational analytical design and a cross-sectional approach. The sample consisted of 232 infants selected using purposive sampling. The results showed that 157 infants (67.7%) had normal birth weight, 191 infants (82.3%) received exclusive breastfeeding, and 186 infants (80.2%) experienced weight gain. There was a significant relationship between birth weight and WFA status (p-value = 0.001), as well as between exclusive breastfeeding and WFA status (p-value = 0.001). Logistic regression analysis showed that exclusive breastfeeding was the most dominant variable associated with WFA status, with an odds ratio (OR) of 21.000, while birth weight had an OR of 4.240. This indicates that infants who received exclusive breastfeeding had a 21 fold greater likelihood of experiencing weight gain.
Analisis Korelasional Skor Child-Pugh dan lama Perdarahan pada Pasien yang Menerima Terapi Oktreotid di RSUP Dr.Kariadi Anita Tri Widiati; Tri Murti Andayani; Woro Harjaningsih
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1036

Abstract

Gastrointestinal bleeding due to esophageal variceal rupture is a life-threatening complication of liver cirrhosis. Octreotide is widely used as a first-line pharmacological therapy to control bleeding. However, bleeding duration varies among individuals and may be correlated with liver functional reserve. This study aimed to analyze the correlation between Child-Pugh score, its constituent components, transfusion characteristics, and bleeding duration in liver cirrhosis patients receiving octreotide therapy at Dr. Kariadi Central Hospital. A cross-sectional analytical study was conducted involving 80 liver cirrhosis patients with esophageal variceal bleeding treated with octreotide. Data on demographics, Child-Pugh class, constituent clinical/laboratory parameters, transfusion types, co-medications, and bleeding duration were recorded. Data non-normality was established, and Spearman's rank correlation test (Spearman's rho) was applied to evaluate the correlation between Child-Pugh score and bleeding duration. Patients were predominantly aged 40–60 years (58.8%) and male (72.5%). Most patients belonged to Child-Pugh Class B (56.3%), followed by Class A (23.8%) and Class C (20.0%). Packed Red Cells (PRC) were the most frequently transfused blood component (73.8%, mean 3.59 units). The overall mean bleeding duration was 2.93 ± 1.92 days, with Class A averaging 2.53 ± 2.04 days, Class B 2.76 ± 1.43 days, and Class C 3.88 ± 2.68 days. Spearman's correlation analysis revealed a statistically significant positive correlation between Child-Pugh score and bleeding duration (r = 0.252, p = 0.024). There is a statistically significant positive correlation between Child-Pugh score and bleeding duration in liver cirrhosis patients receiving octreotide therapy. Higher Child-Pugh scores are associated with prolonged duration of bleeding.
Analisis Capaian Standar Pelayanan Minimal Program Kesehatan Jiwa Berdasarkan Pendekatan Teori Sistem di Puskesmas Tanjungwangi Kabupaten Subang Indriyanti Noviyan; Samino; Muhammad Arifki Zainaro
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1042

Abstract

The achievement of Minimum Service Standards (SPM) for Severe Mental Disorders (ODGJ) services at Tanjungwangi Public Health Center significantly dropped from 67.5% in 2024 to 9.7% in 2025. Objective: To analyze the underachievement of the mental health program's SPM target based on the 5M input and POACE process framework. Methods: A qualitative research with a descriptive-evaluative approach was conducted from June to July 2026. Informants were selected using purposive sampling, including the Head of the Community Health Center, Head of Administration, Mental Health Program Coordinator, Pharmacist, cadres, and ODGJ caregivers. Data gathered via in-depth interviews, observations, and document reviews were analyzed using the Miles and Huberman model. Results: The input analysis revealed the absence of the Community Mental Health Executive Team (TPKJM), lack of clinically trained mental health personnel, and poor drug logistics management. In terms of the process, key barriers included passive case finding, lack of medication adherence tracking cards, and low digital competency regarding the SIMKESWA application. The low administrative SPM figure reflects severe underreporting rather than a lack of actual clinical service delivery. Conclusion: The low achievement of the Mental Health Program's SPM is driven by structural management deficits and suboptimal digital reporting systems.
Hubungan Tingkat Pengetahuan Dan Dukungan Keluarga Dengan Derajat Hipertensi Di Dusun III Tanjung Anom, Deli Serdang Cindy Laura Margareth Sihombing; Elpriska Elpriska; Dewi Astuti Pasaribu; Marta Imelda Br Sianturi
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1045

Abstract

Hypertension is a chronic disease characterized by blood pressure ≥140/90 mmHg with risk of cardiovascular complications. Patient knowledge and family support are believed to play roles in disease control. This study aimed to analyze the relationship of knowledge level and family support with hypertension severity in Dusun III, Tanjung Anom Village, Deli Serdang Regency. A quantitative correlational study with cross-sectional design was conducted. The sample consisted of 34 hypertension patients selected by total sampling. Instruments included a 15-item knowledge questionnaire (true–false scoring) and a 17-item family support questionnaire using a Likert scale. Blood pressure was measured with a sphygmomanometer and categorized based on the Indonesian Ministry of Health 2021 guidelines. Data were analyzed with Spearman Rank correlation (α = 0.05). Results showed a significant relationship between knowledge level and hypertension severity (ρ = 0.457; p = 0.007) and between family support and hypertension severity (ρ = 0.570; p < 0.001), both with positive direction. These findings indicate meaningful associations that must be interpreted cautiously given the cross-sectional design that cannot establish causation. Family-based education and routine blood pressure monitoring at primary care are recommended to optimize disease management.
Hubungan Aktivitas Fisik Dengan Tingkat Demensia Pada Lansia Di Yayasan Sosial Nelly Huang Indonesia Bulkis Putri Nazira Hsb; Elpriska Elpriska; Dewi Astuti Pasaribu; Siti Khadijah Nasution
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1046

Abstract

Dementia is a leading cause of disability among the elderly, and physical activity has been recognised as one of the modifiable risk factors for cognitive decline. Institutionalised older adults are particularly vulnerable because of restricted mobility and monotonous routines, yet evidence from Indonesian foundation-based care settings remains limited. Objective: This study aimed to analyse the relationship between physical activity and the level of dementia among older adults living at Yayasan Sosial Nelly Huang Indonesia, Medan. Methods: A quantitative analytic observational study with a cross-sectional design was conducted in January 2026. Forty-two elderly residents were selected through purposive sampling from a population of 71 using the Slovin formula. Physical activity was assessed with the Physical Activity Scale for the Elderly (PASE) and cognitive function with the Mini Mental State Examination (MMSE). Data were analysed using univariate distribution and the Spearman rank correlation test after a Kolmogorov–Smirnov normality check. Results: A significant relationship was found between physical activity and the level of dementia (r = 0.457; p = 0.002), indicating a moderate association in which more favourable levels of physical activity accompanied better cognitive status. Conclusion: Physical activity is significantly associated with the level of dementia among institutionalised older adults. Structured and sustained physical activity programmes are recommended as a nonpharmacological strategy to preserve cognitive function.
Hubungan Pengetahuan Kebersihan Lingkungan Dengan Pencegahan Skabies Pada Anak Sekolah Di SD Negeri 067692 Kecamatan Medan Labuhan Icha Jovanka Angelika; Elpriska Elpriska; Nilawati Nilawati; Balqis Nurmauli Damanik
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1047

Abstract

Scabies remains a significant public health problem in Indonesia, particularly among school-age children who are vulnerable due to close physical contact and limited hygiene understanding. This study aimed to analyze the relationship between environmental hygiene knowledge and scabies prevention among school children at SD Negeri 067692, Medan Labuhan District. A quantitative descriptive-correlational design with a cross-sectional approach was used. From a population of 258 students, a sample of 72 grade III and IV students was determined using Slovin's formula (margin of error 10%) with inclusion and exclusion criteria. Data were collected using an Environmental Hygiene Knowledge questionnaire adapted from Matin (2017) (Cronbach's α = 0.85) and a Scabies Prevention questionnaire adapted from Titi Lestari (2022) (Cronbach's α = 0.82), and analyzed using frequency distribution and Spearman's rho correlation test. The results showed that 39 respondents (54.2%) had high, 5 (6.9%) moderate, and 28 (38.9%) low environmental hygiene knowledge; 39 (54.1%) demonstrated good scabies prevention behavior and 33 (45.9%) poor behavior. Spearman's rho test revealed a very strong positive correlation (rho = 0.868; p < 0.001; N = 72). These findings imply that strengthening school-based environmental hygiene education is essential for supporting scabies prevention among elementary school students.

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