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Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 30465192     EISSN : 30465184     DOI : 10.62383
Core Subject : Health,
Health Professions Public Health
sub rumpun Ilmu Kedokteran dan Kesehatan, Spesialis, Ilmu Kedokteran Akademik, Spesialis Kedokteran gigi dan mulut, Kedokteran Gigi Akademik.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 167 Documents
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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1454

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1456

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1482

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1490

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1491

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1502

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1508

Abstract

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.
Seorang Anak Usia 7 Bulan dengan Bronkopneumonia Regina Keumala Sabty; Elli Kusmayati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1531

Abstract

Bronchopneumonia (BP) is the most common clinical manifestation of pneumonia in the pediatric population. BP is an acute inflammation of the lung parenchyma involving the bronchi or bronchioles to the alveoli, with a patchy consolidation distribution centered around the bronchi that are multifocally inflamed, usually bilateral. Bronchopneumonia in children has typical clinical symptoms, generally preceded by an upper respiratory tract infection, such as nasal congestion, fussiness, and decreased appetite. These symptoms are then followed by sudden fever reaching 39–40˚C or more, restlessness, and respiratory distress characterized by dyspnea, rapid and shallow breathing, use of accessory muscles, nasal flaring, and mouth breathing. Within a few days, respiratory symptoms may worsen. The basis of bronchopneumonia management in hospitalized patients is causal treatment with appropriate antibiotics based on the suspected etiology, as well as supportive measures such as oxygenation and hydration. This case report will discuss a pediatric patient with bronchopneumonia, the diagnostic approach, and the therapeutic management provided to achieve optimal clinical improvement.
Pengaruh Konsumsi Fast Food terhadap Risiko Obesitas pada Remaja di Berbagai Negara dan Wilayah Daerah Ghalin Annisa Widiya; Andriyani Andriyani; Nurmalia Lusida
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1601

Abstract

The fast-paced modern lifestyle has led teenagers to favor fast food over healthier home-cooked meals. This study aims to analyze the effects of fast food consumption on obesity risk among adolescents through a review of 20 relevant studies. The findings indicate that excessive consumption of fast food, along with low physical activity and social influences, significantly contributes to the increasing rates of adolescent obesity in Indonesia. Key factors include easy access, affordability, aggressive marketing, sedentary lifestyles, and a lack of nutritional education. As a result, there is a heightened risk of degenerative diseases such as type 2 diabetes, hypertension, and heart disease, as well as psychological issues related to low self-esteem. To address the rising trend of adolescent obesity, comprehensive interventions are necessary, including nutrition education, dietary regulation, and the promotion of active lifestyles.
Konsep Diri dengan Mekanisme Koping pada Mahasiswa Tingkat Akhir Sisilia Bawele; Helly M. Katuuk; Sri Wahyuni
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 3 (2025): Juli: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i3.1649

Abstract

The concept of self plays an important role in determining how individuals assess and cope with various pressures.Efforts to cope with experienced stress sources, students can employ various methods as their coping mechanisms.The aim of this study is to determine the relationship between self-concept and coping mechanisms among final-year students at Muhammadiyah University of Manado.The research uses a cross-sectional design.The sample in this study consisted of 54 respondents using the purposive sampling technique.Data collection on self-concept and coping mechanisms was conducted using a questionnaire, and analyzed using the chi-square statistical test.The results of the self-concept study showed that the majority fell into the good category, with 44 respondents (81.5%), while the majority of coping mechanisms fell into the adaptive category, with 37 respondents (68.5%).The results of the chi-square test showed a p-value of 0.007, which is < α 0.05.Conclusion: There is a relationship between self-concept and coping mechanisms among final-year students at Muhammadiyah University of Manado.

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