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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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Faktor Risiko Kejadian Stunting pada Anak Usia 9-24 Bulan di Wilayah Kerja Puskesmas pada Kecamatan Dullah Utara Kota Tual Tahun 2022 Alfaro Muhammad; Zubaedah Hehanussa; Josepina Mainase
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2288

Abstract

Stunting is one of the growth disorders that occur in childhood under two years. Stunting events can be influenced by two factors, namely direct factors and indirect factors. Based on data from the Tual City Health Office, the number of stunting cases in Tual City was recorded in 2021 as many as 308 cases and 74 cases in North Dullah District. The purpose of this study is to find out the picture of risk factors for stunting events in children aged 9-24 months in the puskesmas work area in North Dullah District of Tual City for the period 2021. This research is quantitative research, a type of observational descriptive research with a cross sectional design. The sample in this study was children aged 9 months to 24 months who experienced stunting and domiciled in North Dullah District for the 2021 period as many as 71 children and then given questionnaires to be filled out.  The data obtained is presented in the form of a table accompanied by explanations and arranged and grouped according to the purpose of the research. The results showed that in the North Dullah Health Center of Tual City, as many as 71 children aged 9-24 years experienced stunting, as many as 47 stunting children (66.2%) aged 9-24 months did not experience BBLR (not at risk), the sex of stunting children aged 9-24 months who were most found was male, namely as many as 47 children (66.2%), most children did not get exclusively breast milk, namely as many as 45 children (63.4%) and most children were immunized as many as 41.  children (57.7%). The most maternal education level is high school as many as 32 people (45.1%) and many parents' incomes are in the low category of 68 cases (95.8%).  
Hubungan antara Pola Asuh Demokratis dengan Self Efficacy dalam Mahasiswa Melakukan Skripsi Adytia Kurniawan; Muh.Abdurrouf; Retno Isroviatiningrum
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2313

Abstract

The purpose of this study is to examine the extent to which parental democratic parenting style is related to students’ level of self-efficacy in completing their undergraduate thesis. Self-efficacy, or an individual’s belief in their ability to achieve specific goals, plays a crucial role in determining academic success, particularly in the thesis writing process. This research employed a quantitative approach with a cross-sectional design. The study involved a total of 141 student respondents, selected using a simple random sampling technique to ensure representativeness. The research instrument consisted of questionnaires designed to measure students’ perceptions of their parents’ parenting style and their self-efficacy levels regarding thesis completion. Data were analyzed using the Spearman Rank correlation test to identify the relationship between the independent and dependent variables. The results revealed that most respondents perceived their parents’ democratic parenting style as high, with 27 respondents (19.1%) categorized in this group. In addition, students’ self-efficacy levels were found to be predominantly high, with 132 respondents (93.6%). Statistical analysis showed a significant correlation between democratic parenting style and students’ self-efficacy in thesis completion, with a p-value of 0.001 (<0.05). The correlation coefficient was 0.289, indicating a moderate relationship. These findings suggest that democratic parenting, characterized by warmth, support, and open communication, plays an important role in shaping students’ confidence and belief in their ability to successfully complete academic tasks, particularly their undergraduate thesis. Thus, the study highlights the contribution of family environment as a supportive factor in enhancing students’ academic resilience and achievement.
Pengaruh Metode Edukasi Flipped Classroom terhadap Peningkatan Pengetahuan Kader Posyandu mengenai Pengukuran Antropometri Balita di Desa Bumiharjo Ngesti Setyawati; Mohammad Arifin Noor; Indah Sri Wahyuningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2314

Abstract

Posyandu plays a crucial role in improving community health, particularly in monitoring the growth and development of children during the golden age. However, limitations in the knowledge and skills of Posyandu cadres are still frequently found, especially regarding anthropometric measurement of toddlers. This study aims to examine the effect of the flipped classroom educational method on the knowledge improvement of Posyandu cadres in anthropometric measurement of toddlers in Bumiharjo Village. This research employed a quasi-experimental design with a pretest-posttest control group. A total of 38 respondents were recruited and divided into two groups: the intervention group, which received education using the flipped classroom method, and the control group, which did not receive the same treatment. Data analysis was conducted using the Wilcoxon Signed Rank Test, Mann Whitney U Test, and ANCOVA to control for baseline differences. The results showed a significant improvement in knowledge in the intervention group after treatment (p=0.000), with the proportion of respondents in the “good” knowledge category increasing from 5.3% to 36.8%. In the control group, improvement was observed but limited (p=0.003), with no respondents reaching the “good” category. The Mann Whitney test indicated significant differences in posttest scores between the groups (p=0.000). Furthermore, ANCOVA analysis confirmed that after controlling for pretest scores, posttest scores remained significantly different (F=6.771; p=0.013). In conclusion, the flipped classroom method effectively improves the knowledge of Posyandu cadres regarding toddler anthropometric measurement. This strategy can serve as an innovative and sustainable alternative for cadre training, ultimately enhancing Posyandu service quality in addressing nutritional and health issues among toddlers.
Hubungan Motivasi dan Kepatuhan Penilaian Risiko Jatuh dengan Kejadian Jatuh di Ruang Rawat Inap Anak RS QIM Batang Khairun Nisak; Nopi Nur Khasanah; Kurnia Wijayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2315

Abstract

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.
Hubungan Response Time Perawat dengan Kepuasan Pasien di IGD RSU Islam Harapan Anda Kota Tegal Nurul Muzamil; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2316

Abstract

Nurses’ response time is a crucial indicator of service quality in the Emergency Department (ED). A prompt response not only plays a vital role in ensuring patient safety but also significantly affects patient satisfaction with the care received. Patient satisfaction in the ED is often considered a benchmark of hospital quality, as the ED operates 24/7 and frequently deals with critical conditions. This study aimed to determine the relationship between nurses’ response time and patient satisfaction in the ED of Harapan Anda Islamic General Hospital, Tegal. This study employed an observational analytic design with a cross-sectional approach. A total of 92 ED patients were included as samples based on inclusion criteria. Nurses’ response time was measured using a stopwatch, starting from the completion of triage until the first contact with the nurse. Patient satisfaction was assessed using the standardized Brief Emergency Department Patient Satisfaction Scale (BEPSS) questionnaire. Data analysis was conducted using Pearson’s Chi-Square test to examine the relationship between the two variables. The results showed that 75 patients (81.5%) experienced a fast response time, while 72 patients (78.3%) reported being satisfied with the care provided. Statistical analysis yielded a Pearson’s Chi-Square value of 11.933, with an odds ratio of 6.545 and a significance level of 0.001 (p < 0.05). These findings indicate a significant association between nurses’ response time and patient satisfaction. In conclusion, nurses’ response time is strongly related to patient satisfaction in the ED of Harapan Anda Islamic General Hospital. Other factors such as effective communication, clinical competence, ED environment, and triage system may also influence satisfaction and should be considered in future studies.
Pengaruh Intervensi Mindfulness dan Berdzikir terhadap Kecemasan pada Keluarga Pendamping Pasien Tahap Terminal di Ruang ICU Kukuh Feri Setyawan; Mohammad Arifin Noor; Indah Sri Wahyuningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2317

Abstract

Families of terminal patients often experience anxiety triggered by the deterioration of the patient’s condition, limited information received, and feelings of loss due to facing separation from their loved ones in a critical situation. This anxiety may occur at varying levels, ranging from mild to panic, and if not properly managed, it can affect the psychological well-being of family members as well as their ability to support the patient. Therefore, appropriate interventions are needed to help reduce the psychological burden of families. One approach that can be applied is mindfulness combined with dhikr, which integrates full awareness with spiritual practice to calm thoughts and emotions. This study employed a quasi-experimental design with a one-group pretest–posttest approach without a control group, involving 20 respondents who were family members accompanying terminal patients in the ICU. Respondents were selected using total sampling according to the inclusion criteria. The research instrument consisted of an anxiety observation questionnaire, and data were analyzed using the Wilcoxon test. The results showed that before the intervention, all respondents experienced anxiety at different levels. After the intervention, there was a significant reduction, with 14 respondents (70%) in the mild anxiety category and 6 respondents (30%) reporting no anxiety. The Wilcoxon test yielded a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention. In conclusion, mindfulness and dhikr interventions were effective in reducing anxiety among family members accompanying terminal patients in the ICU. This method can be recommended as a spiritually based psychological support strategy to help families cope with critical situations more calmly and adaptively.
Hubungan Dukungan Keluarga dan Komunikasi Terapeutik terhadap Tingkat Kecemasan Pasien di Ruang ICU Nur Anisah; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2318

Abstract

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.
Pengaruh Terapi Smile terhadap Tekanan Darah pada Pasien Hipertensi di RSUI Harapan Anda Kota Tegal Elisa Artiyaningsih; Sri Wahyuni; Apriliyani Yulianti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2319

Abstract

Hypertension, often referred to as high blood pressure, is a major global health problem that significantly increases the risk of atherosclerotic cardiovascular disease, heart failure, stroke, and kidney failure. Various complementary and alternative therapies have been explored to support conventional treatments in reducing blood pressure, one of which is smile therapy. This study aimed to analyze the effect of smile therapy on blood pressure among hypertensive patients at RSUI Harapan Anda Tegal. The research employed a quantitative approach with a quasi-experimental design using a one-group pretest-posttest method. A total of sixty hypertensive patients were selected through exhaustive sampling. Data were collected before and after the intervention and analyzed using the Wilcoxon test to determine the statistical significance of changes in blood pressure. The demographic characteristics of participants showed that most were in their early to mid-forties (36 individuals, 60%), predominantly female (38 individuals, 63.3%), with a junior high school education or below (25 individuals, 41.7%), and unemployed (41 individuals, 71.7%). The findings indicated that prior to the intervention, 41 participants (68.3%) had uncontrolled blood pressure. After undergoing smile therapy, 48 participants (80%) demonstrated improvement with more stable blood pressure levels. Statistical analysis revealed a significant effect of smile therapy on reducing blood pressure with a p-value of 0.000. These results suggest that smile therapy can serve as an effective, simple, and low-cost complementary intervention to help hypertensive patients manage their condition and improve overall health outcomes
Pengaruh Pengaturan Posisi Semi Fowler terhadap Lama Pemulihan Kesadaran Pasien Post Operasi dengan General Anestesi Siti Hajar; Suyanto; Retno Setyawati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2320

Abstract

Postoperative consciousness recovery in patients who have received general anesthesia sometimes experiences delays, which can lead to postponing the transfer of patients to the recovery room. One approach that nurses can use to accelerate consciousness recovery after general anesthesia is by adjusting the patient’s sleeping position. This study aims to determine the effect of the semi-Fowler position on the length of consciousness recovery in postoperative patients with general anesthesia. The research method is quasi-experimental with a posttest-only control group design. The sample consisted of 42 postoperative patients with general anesthesia at RSUD dr. H. Soewondo Kendal, divided into two groups: the intervention group and the control group, selected using consecutive sampling technique. Data analysis was performed using the independent sample t-test. The results showed that most patients were aged 36-45 years, male, with the most commonly used anesthetic being Laryngeal Mask Airway (LMA) and the duration of surgery was less than 1 hour. The average consciousness recovery time for patients in the semi-Fowler position was 11.19 minutes, categorized as quick recovery. Meanwhile, the average consciousness recovery time for patients in the supine position was 15.0 minutes, also categorized as quick recovery. The analysis showed a significant effect of the semi-Fowler position on the consciousness recovery time (p-value = 0.048). In conclusion, the semi-Fowler position can accelerate consciousness recovery time by 3.81 minutes compared to the supine position in postoperative patients with general anesthesia.
Perbandingan Lokasi Kompres Ice Gel antara Dada dan Ketiak terhadap Perubahan Suhu Tubuh Pasien Post Craniotomy di Ruang ICU RSI Sultan Agung Semarang Fitri Cahyaningrum; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2321

Abstract

Craniotomy is a medical procedure to open the skull in order to repair and assess damage to the brain, which can cause fever due to thermoregulatory disturbances in the central nervous system. Monitoring the body temperature of post-craniotomy patients is crucial, as hyperthermia can increase the risk of complications. One non-pharmacological therapy to reduce fever is the use of ice gel compresses. This study aims to compare the effect of ice gel compress placement between the chest and armpit on body temperature changes in post-craniotomy patients in the ICU of RSI Sultan Agung Semarang. This research uses a pre-experimental design with a two-group pretest-posttest design, involving 22 respondents selected through total sampling technique. Data were collected using observation sheets, and statistical analysis was performed using the Paired Samples Test. The analysis results showed that the p-value for the chest was 0.867 (p > 0.05) and for the armpit was 0.199 (p > 0.05), indicating no significant difference in body temperature before and after the ice gel compress at both locations in relation to the body temperature changes of post-craniotomy patients. In conclusion, the application of ice gel compresses to the chest and armpit locations did not show a significant effect on reducing body temperature in post-craniotomy patients.

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