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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 179 Documents
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Studi Kualitatif tentang Pengalaman Pasien setelah Menjalani Operasi Sectio Cesarea dengan Metode ERACS di RSUD Banggai Laut, Provinsi Sulawesi Tengah Sukmawati Sukmawati; Arlin Adam; Andi Alim
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.v2i3.2078

Abstract

The implementation of the Enhanced Recovery After Cesarean Surgery (ERACS) method as an innovation in the Sectio Cesarea (SC) surgical procedure aims to accelerate recovery, minimize pain, and improve patient comfort. Although it has been clinically proven, there is still limited research exploring patients' subjective experiences with this method, particularly in eastern Indonesia. This study aims to explore in depth the physical, emotional, psychological experiences, as well as perceptions of service and patient expectations after undergoing SC with the ERACS method at Banggai Laut General Hospital. The study employs a qualitative approach with a phenomenological study design. Data were collected through in-depth interviews with purposively selected informants and analyzed using Braun & Clarke's thematic analysis technique. The results showed that patients experienced rapid physical recovery, minimal pain, and were able to mobilize early. Emotionally, patients felt calm and stable, supported by good communication with medical staff and family support. However, information about the ERACS procedure before surgery was still perceived as lacking detail. Patients also hope that this method continues to be implemented with improvements in educational aspects and financial support from BPJS. Patients' experiences with the ERACS method are generally very positive and reflect the success of this approach not only clinically but also in creating a more comfortable, efficient, and humane childbirth experience. This study recommends enhancing preoperative education, postoperative monitoring, and more inclusive financial support systems.
Upaya Pendekatan Kedokteran Keluarga pada Seorang Pasien Perempuan 52 Tahun dengan Hiperurisemia di Puskesmas Banda Baro Kabupaten Aceh Utara Dira Putri Nabila; Noviana Zara
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.v2i3.2085

Abstract

A 52-year-old female patient presented to the non-communicable disease clinic at the Banda Baro Community Health Center with complaints of pain in the right toe joint for the past two weeks. The pain was described as severe, especially when touched or moved. The patient reported that the toe initially became red and swollen, but the redness had subsided by the time she arrived at the clinic. The patient also complained of feeling weak and occasional tingling in the tips of her toes. She admitted to frequently consuming chicken liver and other offal. She mentioned having experienced a similar condition previously, and previous examinations indicated elevated uric acid levels. She had previously taken allopurinol two years ago, obtained from the health center, to alleviate her symptoms. On physical examination, the patient's blood pressure was 120/70 mmHg, heart rate 87 beats per minute, respiratory rate 19 breaths per minute, and temperature 36.5°C. The patient was prescribed allopurinol 2x100 mg. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and completing patient records. Assessment was based on the initial, ongoing, and final holistic diagnosis of the visit. Interventions included education on the importance of clean and healthy living habits, avoiding risk factors, medication adherence, and preventing complications that may arise due to hyperuricemia.
Determinan Sosial dan Ekonomi yang Berkontribusi pada Ketahanan Pangan Rumah Tangga di Wilayah Pesisir Kharis Meiwan K. Telaumbanua
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.v2i3.2086

Abstract

Food security is a strategic issue that is directly related to community welfare, especially in coastal areas that are vulnerable to climate change and economic fluctuations. This study aims to identify and analyze social and economic determinants that contribute to the level of household food security in coastal areas. The method used is a quantitative approach with a survey technique of 150 households in three coastal villages. The variables studied include income level, education, access to markets, social participation, and ownership of productive assets. The results of the study indicate that income factors, education of the head of the family, and participation in social groups have a significant influence on household food security. This finding confirms that food security is not only determined by food availability alone, but also by socio-economic factors that shape household resilience in accessing and utilizing food optimally. The implications of this study emphasize the need for multi-sector policy interventions that focus on increasing income, education, and social empowerment to strengthen sustainable food security in coastal areas.
Studi Morfologi Enterobius Vermicularis Menggunakan Preparat Mikroskopis Dari Kasus Anak 3-10 Tahun Di Persisir Pantai Aldiana Astuti; Ni Ketut Yuliana Sari; Agnes Rantesalu; Marni Tangkelangi; Novian Aghni Yudhaswara
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.v2i3.2114

Abstract

Enterobius vermicularis, or pinworm, continues to be a public health concern, particularly among children in coastal and densely populated areas. Though it is classified as a non-Soil Transmitted Helminth (non-STH), its fecal-oral transmission route allows rapid spread, especially where hygiene practices are inconsistent. In Indonesian coastal communities such as Lasiana, Kupang, limited studies have focused on the intersection between environmental factors, personal hygiene, and parental knowledge in relation to enterobiasis. This study aimed to determine the prevalence and morphological characteristics of Enterobius vermicularis in children aged 3–9 years living in the coastal area of Lasiana Beach, Kupang. A descriptive observational study was conducted involving 81 heads of households and 24 children as research participants. Data were collected through questionnaires distributed to parents to assess sanitation conditions, hygiene practices, and knowledge levels. Perianal samples were obtained from the children using the clear tape (scotch tape) method and examined microscopically to identify E. vermicularis eggs. Findings revealed that 21% of the children tested positive for E. vermicularis. The eggs displayed typical morphological features—oval shape with one flattened side and a transparent double-layered shell. Despite most respondents reporting good hygiene behavior and environmental sanitation, cases of infection persisted. Limited access to handwashing facilities and dense housing conditions were identified as contributing risk factors. The presence of Enterobius vermicularis infections despite adequate sanitation and knowledge highlights a gap between awareness and effective daily practices. These findings underscore the need for strengthened community-based health education and consistent monitoring in high-risk coastal areas to prevent enterobiasis among children.
Malaria Cut Titien Mauliza; Yenni Sulisma
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.v2i3.2117

Abstract

Malaria is one of the leading cause of illness and death worldwide. The prevalence of malaria cases in Indonesia in 2024 reached 543,965 positive cases and 34 deaths. Malaria is an infectious disease caused by parasites (protozoa) of the genus Plasmodium, which can be transmitted through the bite of Anopheles mosquitoes. Malaria is classified as a re-emerging disease, which refers to diseases that resurface due to natural phenomena, including environmental factors such as climate, temperature, and rainfall. The most effective way to prevent and control malaria is by breaking the transmission chain. Additionally, simple preventive measures that everyone in the community can take include avoiding or reducing mosquito bites, avoiding outdoor activities at night, sleeping under a mosquito net, applying mosquito repellent, installing screens on windows, cleaning mosquito breeding sites, and clearing bushes or dense vegetation around the house. In addressing clinical issues, medications can be used to prevent and stop clinical attacks.
Faktor Risiko yang Berhubungan dengan Perilaku Pencegahan DM Tipe 2 Berdasarkan Teori Health Belief Model pada Remaja Aisyhabilla Oktaviani; Munaya Fauziah
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.v2i3.2119

Abstract

Type 2 diabetes mellitus (T2DM), once primarily affecting adults, is now increasingly prevalent among adolescents due to lifestyle changes. Adolescents represent a critical age group for the development of healthy behaviors, making it essential to identify factors influencing T2DM preventive behavior. This study employed a quantitative approach with a cross-sectional design, conducted in Ciledug District, Tangerang City, from April to June 2025. A total of 224 adolescents aged 15–24 years were selected using stratified random sampling. Data were analyzed using the Chi-Square test. The results showed that 49.1% of adolescents exhibited poor preventive behavior against T2DM. Gender and perceived barriers were significantly associated with preventive behavior (p < 0.05), whereas other factors such as age, family history, and other Health Belief Model (HBM) constructs were not significantly related. In conclusion, adolescents’ preventive behavior toward T2DM remains relatively low and is influenced by perceived barriers. Therefore, interventions should focus on reducing perceived barriers while enhancing environmental support and self-motivation. Active involvement from schools, governments, families, and communities is crucial to foster positive behavioral change.
Penerapan Terapi Musik Religi terhadap Nyeri pada Pasien Fraktur di Bangsal Flamboyan 5 RSUD Dr. Moewardi Surakarta Opie Yunia Widiati; Eska Dwi Prajayanti; Isti Wulandari
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.v2i3.2124

Abstract

Fracture is a condition in which the bone structure is severed or damaged due to external pressure on the bone. Fractures can be caused by direct impact, sudden twisting movements, or even by extreme muscle contractions. The WHO states that the prevalence rate of fractures increased from 2020 by approximately 13 million (2.7%). The Ministry of Health in 2023 stated that in Indonesia around 8 million people had fractures. To determine the results of the application of religious music therapy on pain in fracture patients in Flamboyant Ward 5 of Dr Moewardi Surakarta Hospital. The application uses a case study method with a research sample of 2 respondents, the research instrument uses NRS. The intervention group reduced pain from a scale of 6 to 4, and in the control group reduced pain from a scale of 5 to 4. From this study it can be concluded that religious music therapy is more effective to reduce pain.
Tingkat Kepuasan Pasien JKN terhadap Pelayanan Kesehatan di Wilayah Kerja Puskesmas: Studi Literatur Review Nani Yuniar; Resti Ayu; Ririn Natasya; Sabrina Putri Meylani; Sinta Rizkita; Sunartin Sunartin; Thesalonika Diandra Bara; Wa Ode Muthya Yusrin; Zahratul Jannah; Sitti Adhayanti Putri; Wa Ode Sarfianti; Muh. Zaim Afif Al Fauzi
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.v2i3.2145

Abstract

Quality health services are key to improving patient satisfaction among National Health Insurance (JKN) participants. This study aims to systematically review various studies that have been conducted in Indonesia related to the level of JKN patient satisfaction with health services at Community Health Centers. The method used is a literature study by selecting relevant articles published in 2023-2025. Inclusion criteria include articles that discuss the relationship between service quality and JKN patient satisfaction. A total of 11 articles that meet the criteria have been analyzed. The results of the analysis show that the dimensions of service quality that most often influence the level of patient satisfaction are reliability, responsiveness, empathy, and tangibles. Most studies also use a quantitative approach with statistical tests such as chi-square and logistic regression to analyze the relationship between variables. However, not all dimensions always significantly affect the assurance dimension in several studies showing inconsistent results. The conclusion of this study is the importance of improving the quality of health services at Community Health Centers to improve JKN patient satisfaction. Health centers must develop patient-focused service strategies by training human resources, improving service systems, and conducting continuous quality evaluations.
Varisela, Skabies, dan Pityriasis Versicolor pada Remaja yang Tinggal di Asrama Sri Yulianti; Wizar Putri Mellaratna
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.v2i2.2156

Abstract

Varicella is a contagious skin infection caused by the varicella zoster virus (VZV). Varicella, scabies, and pityriasis versicolor are diseases with the same risk factors, namely in adolescents with high physical activity and living in crowded places such as dormitories. Case: A 13-year-old male adolescent complained of fluid-filled bumps on the body and face accompanied by itching that had been felt since yesterday. Low fever that fluctuates accompanied by dizziness, nausea since 2 days ago. Due to the itching, the patient scratched the area of ​​the bumps so that the bumps burst. The patient is currently undergoing scabies treatment. The patient also complained of white spots all over the body that had appeared since 2 months ago and worsened when the patient sweated. The patient is a student living in an Islamic boarding school. The patient said he often changed clothes, sarongs, and caps with his dorm mates. The patient also has high physical activity such as playing ball and does not immediately change clothes if he sweats. The diagnosis of varicella, scabies, and pityriasis versicolor is based on anamnesis and physical examination. Treatment options in this case are administration of drugs in the form of Acyclovir 400mg 4 x 2, Paracetamol 500mg 3 x 1, Permethrin 5% applied to the entire body 1x for 8 hours, Fucilex cream 2 dd ue, and Ketoconazole 2% shampoo. Conclusion: in this case, a 13-year-old patient with varicella, scabies, and pityriasis versicolor with risk factors of adolescence with high physical activity and living in crowded places such as dormitories was found.
Adenocarsinoma Paru Kanan Stadium Lanjut yang Menyebabkan Hidropneumothorax pada Perempuan yang Bukan Perokok Rosmiati Rosmiati; Indra Buana
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.v2i3.2157

Abstract

Lung adenocarcinoma is one of the most common types of lung cancer, especially in non-smoking women. This disease can develop progressively to cause complications such as pleural effusion and hydropneumothorax. Risk factors involved include exposure to secondhand smoke, air pollution, radon, and a history of previous tuberculosis. A 61-year-old woman came with complaints of right chest pain radiating to the back, shortness of breath, dry cough, weakness, and weight loss. The medical history showed that the patient had undergone chemotherapy for lung cancer and had a history of pulmonary tuberculosis that had been resolved. Supporting examinations such as CT-scan, bronchoscopy, and cytology showed a mass in the right lung inferior lobe and massive pleural effusion leading to a diagnosis of stage IVA right lung adenocarcinoma (T3N1M1A) complicated by hydropneumothorax. The patient underwent management in the form of chemotherapy, supportive therapy, and symptomatic care.

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