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Perbandingan Pengajaran Menggunakan Keterampilan Klinis Video Dengan Keterampilan Klinis Konvensional
Aulia Lukito Wardhani;
Andra Novitasari;
Mega Pandu Arfiyanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1450
The use of video media in clinical skills education has been implemented at the Faculty of Medicine, Universitas Muhammadiyah Semarang (UNIMUS) since 2019, particularly to enhance students’ understanding and skills in neuromotor physical examination. This study aimed to evaluate the effectiveness of video-based teaching compared to conventional methods in clinical skills learning. A quantitative descriptive method with univariate analysis was used on 138 students who met the inclusion and exclusion criteria. Data were collected from Objective Structured Clinical Examination (OSCE) scores and analyzed using a total sampling technique. The results showed that students who received video-based learning had significantly higher average OSCE scores (93.33 ± 8.918 SD in Block 1) than those who were taught without video media (68.12 ± 15.58 SD in Block 3). In Block 1, 98.6% of the students achieved the “excellent” score category, while only 26.1% of students in Block 3 reached the same level. These findings indicate that the use of teaching videos significantly improves students’ clinical skills and helps overcome the limitations of conventional methods, which tend to promote passive learning. Therefore, the implementation of video-based teaching media can be an effective method to improve the quality of clinical skills education, encourage active student participation, and support the achievement of optimal competencies in medical education. This approach not only enhances skill acquisition but also contributes to more engaging and student-centered learning experiences in the clinical education environment.
Hubungan Self Efficacy dan Self Directed Learning Readiness (SDLR) Terhadap Kemampuan Keterampilan Klinis Mahasiswa S1 Kedokteran
Daffa Pratama Wijaya;
Romadhoni Romadhoni;
Mega Pandu Arfiyanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1451
Clinical skills are essential competencies that serve as foundational provisions in medical education, particularly in shaping students’ readiness for professional practice. Two important psychological and behavioral attributes that influence the development of clinical skills are self-efficacy and self-directed learning readiness (SDLR). Self-efficacy refers to an individual's belief in their own ability to execute behaviors necessary to produce specific performance attainments, emphasizing the role of self-confidence in clinical tasks. Meanwhile, SDLR reflects a student's willingness and preparedness to take responsibility for their own learning, which is critical in the context of self-regulated and lifelong learning in medical education. This study aimed to analyze the relationship between self-efficacy and SDLR on the clinical skill competencies of first-year medical students at the Faculty of Medicine, Muhammadiyah University Semarang (UNIMUS). A quantitative, observational analytic study was conducted using a cross-sectional approach. The instruments used were the General Self-Efficacy Scale (GSES) and Self-Directed Learning Readiness Scale (SDLRS). The study involved 120 first-year medical students, selected through total sampling. Data were analyzed using the Spearman correlation test. The results indicated a significant positive relationship between self-efficacy and clinical skills (p = 0.005; r = 0.254), and between SDLR and clinical skills (p = 0.009; r = 0.238). Although the correlation strength was weak, the direction was positive, suggesting that higher levels of self-efficacy and SDLR are associated with better clinical skills performance. These findings highlight the importance of fostering psychological readiness and self-directed learning habits among medical students to support the development of essential clinical competencies.
Gambaran Kadar Trigliserida dan Tekanan Darah pada Masyarakat Perumahan Universitas Andalas
Caesar Rayhand Arrafif Nasution;
Eti Yerizel;
Nita Afriani
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1453
Hypertension is a disease that often causes death and complications related to cardiovascular disease. The prevalence of hypertension in Indonesia is 34.11%. One of the factors that influence the incidence of hypertension is high levels of the triglycerides in the blood (hypertriglycerida). This study aims to determine the description between triglycerides levels and the incidence of hypertension in the community of Bandar Buat Village. This research was a descriptive study with 29 respondents taken using total sampling techniques from secondary data of community service in the village of Bandar Buat in 2019. Data were selected based on inclusion criteria and exclusion criteria, the data were processed in table to generate frequency and percentages distribution. The results showed that the majority of respondents aged 18-50 years (55.1%), were women (58.6%). The results showed that respondents' triglycerides levels were dominated by hypertriglycerida (58.6%) and blood pressure classification was dominated by normotension (55.2%). Based on age, most people with hypertriglycerida and hypertension are above 50 years old. Based on sex, hypertriglycerida and hypertension both are sufferers more frequent in men. The number of percentage were 66.7%; 75% respectively. The conclusion of this research is the triglycerides level of respondents is dominated by respondents with hypertriglycerida, the majority are aged>50 years, male sex. The incidence of hypertension is high, with majority sufferers aged>50 years, male sex.
The Influence Of Clinical Leadership And Self-Efficacy On Patient Safety Culture With Work Engagement As An Intervening Variable In Inpatient Nurses At X Hospital
Thea Tania;
Intan Silviana Mustikawati;
Ratna Indrawati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1454
This research is based on observation results which inform that there will be an increase in patient safety incidents in 2023 compared to 2022. The aim of this research is to empirically reveal the influence of clinical leadership and self-efficacy on patient safety culture with work engagement as an intervening variable. This type of research is quantitative with a cross sectional study design. The population used was 110 inpatient nurses. The sample calculation used the Slovin formula for an error rate of 5%, resulting in a sample size of 86 respondents. The data collection technique uses a questionnaire, and the analysis method uses three box method analysis and PLS-SEM with the help of the Smart-PLS program. The results of the analysis prove that clinical leadership and self-efficacy influence patient safety culture with work engagement as an intervening variable. Clinical leadership and self-efficacy have an influence on work engagement, clinical leadership, self-efficacy and work engagement have an influence on patient safety culture, and clinical leadership is the dominant variable capable of improving patient safety culture.
Development of a Method for Measuring Drug Procurement Efficiency Using a Priority Scale Based on Benefit - Cost Ratio Criteria at Pekerja’s General Hospitals in 2023
Fariha Fariha;
Fresley Hutapea;
Nofi Erni
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1456
In Law Number 44 of 2009 concerning Hospitals it is stated that hospitals must meet the requirements for location, buildings, infrastructure, human resources, pharmacy and equipment. Pharmaceutical requirements must ensure the availability of quality, useful, safe and affordable Pharmaceutical Preparations, Medical Devices and Consumable Medical Materials. The Workers' General Hospital has drug procurement data that exceeds the 2022 RKAP target, namely in the last 5 months between August and December 2022. The aim of this research is to reveal empirically the selection of providers by combining three procurement methods, namely e-catalog, direct procurement with the standardization of the Pertamedika IHC Drug Formulary and direct procurement with negotiations carried out by the hospital's own negotiation committee and a priority scale is formed to achieve efficiency targets. This priority scale meets the eligibility test for the Benefit - Cost Ratio criteria. This research was conducted at the Workers' General Hospital in Jakarta. The research time is February 2023 - June 2023. The research approach used is a qualitative approach. Meanwhile, the research method used was a case study in which researchers conducted an in-depth exploration of the process of selecting generic drug providers on a priority scale and tested their feasibility using the Benefit - Cost Ratio (BCR) method. Based on calculations, a BCR value of 1.9 was obtained, which can be interpreted as a priority scale that is feasible for the Workers' General Hospital. The results of this research have implications for hospitals because implementing effective and efficient drug procurement will ensure continuity of service with affordable drug costs.
Studi Kasus Anak Laki-Laki Usia 8 Tahun Dengan Demam Dengue Derajat I
Yofinda Aurelia Rizkita;
Mauliza Mauliza
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1482
Dengue fever is an acute infectious disease caused by the dengue virus and transmitted primarily by the Aedes aegypti mosquito in urban environments and Aedes albopictus in rural settings. This disease is endemic in many tropical and subtropical regions and is a significant public health concern due to its potentially severe clinical manifestations. This case study presents an 8-year-old boy who was admitted to the hospital with complaints of a high-grade fever lasting for approximately three days. The fever was intermittent and accompanied by chills, which raised suspicions of a viral infection. In addition to fever, the patient also experienced dizziness with a spinning sensation, occasional cough, and flatulence. A thorough clinical evaluation was conducted, including history taking, physical examination, and supporting laboratory tests. Based on the clinical findings and laboratory results, the patient was diagnosed with dengue hemorrhagic fever (DHF) grade I. DHF grade I is characterized by fever, positive tourniquet test, and evidence of plasma leakage without spontaneous bleeding. The patient was managed with supportive therapy, including fluid replacement and close monitoring of vital signs and hematocrit levels to prevent the progression to more severe stages of dengue. No significant complications occurred during the hospital stay. After a period of observation and clinical improvement, the patient was discharged in good condition. This case highlights the importance of early recognition and accurate diagnosis of DHF in pediatric patients, especially in endemic areas. Prompt and appropriate management is essential to prevent complications and ensure recovery. Continuous public health education and vector control remain key strategies in reducing dengue incidence and severity.
Hubungan Pendidikan dan Pengetahuan Ibu Tentang Anemia dengan Keteraturan Konsumsi Tablet Darah Wilayah Kerja Puskesmas Penanggalan Provinsi Aceh Tahun 2023
Fitri Wulandari Sinaga;
Ariska Fauzianty;
Nova Isabella Mariance Br Napitupulu
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1490
Anemia is one of the public health problems experienced by many pregnant women in Indonesia, including in Aceh Province. One of the efforts to prevent anemia is by consuming iron tablets (TTD) regularly. This study aims to determine the relationship between the level of education and knowledge of mothers about anemia with the regularity of blood tablet consumption. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 100 pregnant women in the Penanggalan Health Center working area, selected through purposive sampling technique. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between the level of education (p = 0.032) and knowledge about anemia (p = 0.005) with the regularity of blood tablet consumption. Mothers with higher education and good knowledge tend to be more regular in consuming blood tablets. Improvement of health education is needed through routine counseling to increase mothers' awareness of the importance of preventing anemia during pregnancy.
Pengaruh Pijat Oksitosin terhadap Kelancaran Produksi Asi pada Ibu Post Partum di Klinik Lidya Kabupaten Deli Serdang
Tarida Irmayani Marbun;
Marta Armita Silaban
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1491
Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.
Karakteristik Ibu Hamil dengan Insidensi Plasenta Previa pada Ibu Hamil di RSU HKBP Balige Kabupaten Toba
Sifra Sopia Sinaga;
Marta Armita Silaban
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1502
Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.
Alternatif Herbal untuk Menurunkan Demam : Efektivitas Ekstrak Daun Sirih (Piper betle) Dibandingkan Parasetamol
Haryanto Haryanto;
Fitrinaya Fitrinaya
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/vimed.v2i2.1508
Fever is a condition characterized by an increase in body temperature as a response to infection or inflammation, and it is one of the most common clinical symptoms in various diseases. The excessive use of synthetic antipyretics such as paracetamol can lead to side effects; therefore, safer and natural-based alternatives are needed. This study aims to determine the antipyretic activity of betel leaf and to compare its effectiveness with that of paracetamol.This research was conducted using an experimental laboratory method with a completely randomized design. The test subjects were male white rats (Rattus norvegicus) of the Wistar strain, induced with fever using a 20% yeast suspension. The rats were divided into five groups: negative control, positive control (paracetamol), and three treatment groups with low, medium, and high doses of the extract. Body temperature was measured every 30 minutes for 180 minutes after treatment. The data were statistically analyzed using one-way ANOVA followed by Tukey's post hoc test.The results showed that the [plant extract] exhibited significant antipyretic activity (p < 0.05) compared to the negative control, especially at medium and high doses. The effectiveness of the highest dose was comparable to that of paracetamol. This antipyretic effect is presumed to be associated with the presence of flavonoids and tannins that may inhibit the synthesis of prostaglandin E2 (PGE2), a key mediator in the fever response.In conclusion,betel leaf has potential as an effective natural antipyretic agent and may be developed as a safer herbal-based alternative for fever treatment.