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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 187 Documents
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Trauma Ginjal pada Kecelakaan dengan Kecepatan Tinggi Annisa Humaira; Fadhli Hasan
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.v2i4.2426

Abstract

Kidney trauma is a relatively common urological injury, often resulting from high-speed motor vehicle accidents, falls, or violent incidents. The kidneys are vulnerable to both blunt and penetrating trauma, with blunt mechanisms accounting for approximately 90% of all renal injuries. This paper reviews the anatomy of the kidney, mechanisms of injury, classification according to the American Association for the Surgery of Trauma (AAST), diagnostic evaluation, imaging modalities, and current management strategies. Most renal traumas are managed conservatively based on hemodynamic stability, while surgical exploration is indicated in severe or vascular injuries. Understanding the mechanism of injury and applying appropriate diagnostic evaluations are essential to determine the correct management approach and improve patient outcomes. Moreover, advancements in imaging techniques, such as CT scans, have significantly improved the accuracy of diagnosing renal injuries. Early intervention and appropriate monitoring are crucial in preventing complications such as hemorrhage or renal failure. This review aims to provide a comprehensive overview of renal trauma management to aid clinicians in improving patient care and optimizing recovery.
Hubungan Asupan Zat Gizi Makro dengan Status Gizi Mahasiswi Program Studi S1 Gizi Unesa Aisyah Aisyah
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): April : 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.v2i2.2377

Abstract

The majority of students tend to have irregular eating patterns and often consume unhealthy foods, resulting in nutritional problems such as malnutrition or overnutrition. Malnutrition makes the body more susceptible to infectious diseases, while overnutrition makes the body more susceptible to degenerative diseases. Nutritional status is basically determined by the amount of food consumed and how that food is processed in the body. This study aims to investigate the relationship between macronutrient intake and the nutritional status of female students in the Nutrition Study Program at Unesa. This study is a quantitative study with a cross-sectional design. The respondents in this study were female students in the Nutrition Study Program at Unesa, namely the 2021, 2022, and 2023 cohorts, totaling 247 students. Nutritional status data were obtained from weight and height measurements, while macronutrient intake data were obtained from food consumption measurements using a 3x24-hour food record form. Data analysis in this study used the chi-square test. The results of the chi-square test showed that there was no relationship between carbohydrate intake, fat intake, and protein intake with the nutritional status of female students in the Nutrition Study Program at Unesa.
Penerapan Nesting terhadap Perubahan Saturasi Oksigenasi dan Frekuensi Nadi pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang Sri Rahayu; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2481

Abstract

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    
Pengaruh Pemberian Teknik Relaksasi Genggam Jari terhadap Perubahan Kecemasan Pasien dengan Pasien Pre Operasi di RSUD Batang Johan Mukhibul Ahkam; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2482

Abstract

Patients undergoing surgery often experience preoperative anxiety due to concerns about the outcome, pain, and the risk of complications. Uncontrolled anxiety can affect the patient's physiological and psychological condition and slow the recovery process. One non-pharmacological effort that can be used to reduce anxiety is the finger-holding relaxation technique, a simple method that can help balance emotions and provide a sense of calm. To determine the effect of the finger-holding relaxation technique on changes in preoperative anxiety levels in patients at Batang Regional General Hospital. Method: This study used a descriptive case study approach. The respondents were four patients who were about to undergo surgery and were experiencing anxiety. The intervention was conducted for approximately 15 minutes using the finger-holding relaxation technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). All respondents experienced a decrease in anxiety levels after the intervention. The average reduction in anxiety scores was 7.25 points. Before the intervention, two patients experienced severe anxiety and two patients experienced moderate anxiety. After the intervention, two patients experienced mild anxiety and two others experienced a decrease to moderate levels. This indicates that finger-holding therapy has a positive effect on reducing preoperative anxiety in patients. The finger-holding relaxation technique has been proven effective in reducing preoperative anxiety in patients. This intervention can be used as a simple, safe, and easy-to-implement non-pharmacological therapy alternative for nurses to improve patient psychological comfort.
Asuhan Keperawatan Post Partum dengan Sectio Caesarea (SC) dengan Masalah Menyusui Tidak Efektif di Ruang Mawar RSUD dr. H. Soewondo Kendal M. Ulin Nuha; Mudhoifah, Mudhoifah; Murti Nuryati; Siti Khomsatun
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2488

Abstract

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.
Pengaruh Pemberian Pijat Oksitosin untuk Memicu Produksi Asi pada Ibu Post Partum Natalia Yeni; Ellyzabeth Sukmawati; Eddy Wibowo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2533

Abstract

Oxytocin massage is a technique used to stimulate the release of the hormone oxytocin, which plays a vital role in breastfeeding. Spinal massage stimulates the parasympathetic nervous system, which then triggers the release of oxytocin. This hormone causes contractions in the muscle cells surrounding the milk ducts, thereby promoting breast milk production. The purpose of this study was to determine the effect of oxytocin massage on increasing breast milk production in postpartum mothers. This study used a quantitative design with a quasi-experimental approach, namely a one-group pretest-posttest design. The study population was postpartum mothers with breast milk flow problems at the Bandarharjo Community Health Center, Semarang City. The sampling technique used was purposive sampling, where researchers selected samples based on certain characteristics. Data collection was carried out using a questionnaire. Data analysis used the Chi-Square test. The results of the study showed that the calculated Chi-Square value on the first day (62,000) was greater than the Chi-Square table (12,591), on the second day (54,866 > 23,684), and the third day (58,117 > 32,670). Based on these results, H0 was rejected and Ha was accepted, which means there was a significant effect of oxytocin massage on the smooth production of breast milk in postpartum mothers at the Bandarharjo Community Health Center.
Menurunkan Stres Akademik melalui Intervensi Psikoterapi Berbasis Mindfulness pada Mahasiswa Generasi Z Zuyina Luklukaningsih; Dwi Wahyuni Uningowati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2546

Abstract

This study aimed to determine the effectiveness of a Mindfulness -based psychotherapy intervention in reducing academic stress levels experienced by college students. The study used a pretest–posttest design without a control group, involving 10 active college students purposively selected based on moderate to high levels of academic stress. The intervention was implemented over two days and included reflective exercises and guided experiences focused on the application of the seven Mindfulness principles according to Kabat-Zinn (2015): non-judgment using personal standards, patience, a beginner's mind, trust, effortlessness, acceptance, and letting go. Data were collected using an academic stress scale that measures four aspects: coursework pressure, demands for satisfactory grades, time management for studying, and social support. Data were analyzed quantitatively using a paired-samples t-test. The results showed a significant decrease in academic stress levels from an average score of 73.1 to 58.5, indicating that this intervention was effective in helping students manage academic stress more consciously, calmly, and adaptively. This condition suggests that psychotherapy intervention through Mindfulness training can be a strategy to support students' psychological well-being in academic environments. Keywords: Mindfulness , academic stress, psychotrophic intervention, students
Hubungan Pengalaman Penyuluhan Pertolongan Pertama dengan Pengetahuan Pertolongan Pertama Cedera Ringan Teknik PRICE: Studi Korelasi pada PMR SMK YP 17 Pare Didit Damayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2642

Abstract

First aid is the initial action taken quickly and accurately for someone who has experienced an injury. One way to improve knowledge about injury management is by providing education or counseling. This study aims to determine the relationship between first aid counseling experience and knowledge of the PRICE technique for first aid for minor injuries. The study design was correlational. The study population was 68 members of the Indonesian Red Cross (Rural Red Cross), with 30 respondents selected using a purposive sampling technique. Data were collected using a questionnaire and analyzed using the Spearman's rho test. The Spearman's rho test yielded a p-value of 0.000 (α: 0.05) with an r (correlation strength) of 0.796, indicating a significant relationship between counseling experience and knowledge of the PRICE technique for first aid for minor injuries. Experience is a valuable learning experience that can enhance one's knowledge in dealing with health problems encountered in the surrounding environment. It is recommended that respondents increase their experience in various ways to address health problems that frequently occur in daily life.
Manajemen Diabetes Melalui Edukasi 5 Pilar di Ruang Rawat Penyakit Dalam: Studi Kasus Syifa Aulia Hafitriany; Kurniawan Yudianto
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2655

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder caused by inadequate insulin action. Poor disease control can lead to complications such as neuropathy, commonly marked by tingling or sensory loss. Effective prevention requires structured management through the five pillars of diabetes care. This case study describes the application of these pillars in a patient with hyperglycemia. Case: A 58-year-old male with diabetes mellitus presented with reduced sensation in the feet, abdominal discomfort, and consistently elevated blood glucose levels. The patient had limited disease knowledge and misconceptions related to diabetes self-management. Intervention: Education on the five pillars of diabetes was provided using a structured approach consisting of three self-care pillars and two collaborative pillars. Leaflet-based educational materials developed by the author were used to facilitate understanding for both the patient and family. Results: Following the intervention, the patient demonstrated increased knowledge, awareness, and improved ability to manage hyperglycemia. The family also showed enhanced understanding and support for diabetes care. Conclusion: Nurse-led education using the five pillars of diabetes effectively improves knowledge, awareness, and self-management abilities in individuals with diabetes mellitus, contributing to better glycemic control and prevention of complications.
Hubungan Tingkat Pengetahuan dan Perilaku Masyarakat tentang Swamedikasi Batuk di Apotek Gracia Mengwi Badung Luh Anggi Distya Pratiwi; A.A Made Krisna Dewi; Asriyanti Kristina Modena; Rosalia Tahan Bau
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: 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.v3i1.2665

Abstract

Cough self-medication was a common practice among the community because it was perceived as quick and practical; however, it posed a risk of irrational drug use when not supported by adequate knowledge. The phenomenon of many customers at Gracia Pharmacy Mengwi Badung purchasing cough medicines without consulting a pharmacist prompted the need for research on the relationship between knowledge level and self-medication behavior. This study aimed to analyze the relationship between the level of knowledge and cough self-medication behavior at Gracia Pharmacy Mengwi Badung. The study used a quantitative descriptive method with a cross-sectional approach. The research population consisted of all customers who purchased cough medicine without a doctor’s prescription, with a total sample of 30 respondents meeting the inclusion criteria through purposive sampling. The research instrument used a questionnaire. Data were collected through direct interviews and observations. Data analysis was conducted using quantitative descriptive techniques. The results showed that most respondents had a good level of knowledge (60%) and demonstrated good self-medication behavior (56.7%). Statistical analysis revealed a positive and significant relationship between knowledge level and self-medication behavior for cough (r = 0.612; p = 0.004).

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