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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 210 Documents
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Dampak Konsumsi Makanan Berpengawet terhadap Kesehatan Masyarakat dan Strategi Penguatan Pengawasan Pangan di Indonesia Maximilian Edward Tjang; Timothy Arthur Harrison; Fanny Indarto
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2859

Abstract

Public health is a crucial aspect of national development and is influenced by dietary consumption patterns. In Indonesia, the consumption of preserved foods has increased alongside lifestyle changes, economic conditions, and access to processed and packaged foods. Although preservatives function to extend shelf life, their improper use particularly hazardous substances such as formaldehyde, borax, and rhodamine B can have adverse health effects. This study aims to identify the factors contributing to high preserved food consumption, analyze their impact on public health, and examine weaknesses in Indonesia’s food monitoring system. The research employs a qualitative method through a literature review of scientific articles, reference books, and official reports from the National Agency of Drug and Food Control and the Ministry of Health. The findings indicate that preserved food consumption is influenced by a preference for convenience, economic constraints, and limited public knowledge of nutrition and food safety. Health impacts include digestive disorders, decreased immunity, impaired organ function, and an increased risk of chronic diseases. In addition, limited resources and weak law enforcement contribute to suboptimal food supervision. Therefore, strengthening regulatory oversight, enhancing public education, and promoting cross-sector collaboration are necessary to achieve a safe and healthy food system.
Identifikasi Nematoda Usus dan Cestoda Usus pada Feses Anak Sekolah Dasar di Desa Bekoso Kalimantan Timur Firda Zalianty; Dian Nurmansyah; Puspawati Puspawati; Lala Foresta Valentine Gunasari
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2881

Abstract

Helminth infections caused by Soil Transmitted Helminths (STH) and Taenia sp. remain a major public health concern in tropical regions, including Indonesia, particularly among elementary school children. This study aimed to identify the presence of eggs and larvae of intestinal nematodes and cestodes in fecal samples collected from elementary school children in Bekoso Village, East Kalimantan. The research employed a descriptive survey method with a cross-sectional approach, and laboratory examinations were conducted using the Kato-Katz technique. A total of 16 fecal samples were examined to detect Ascaris lumbricoides, hookworm, and Taenia sp. eggs. The results showed that 12.5% of samples were positive for hookworm eggs, 12.5% for Taenia sp. eggs, and 6.25% for Ascaris lumbricoides eggs. These findings indicate that poor personal hygiene and inadequate environmental sanitation contribute to an increased risk of intestinal helminth transmission. The study highlights the importance of preventive efforts through the promotion of clean and healthy living behaviors, consistent use of footwear, handwashing with soap, and community participation in mass deworming programs to reduce the prevalence of intestinal helminth infections among elementary school children.
Hubungan Supervisi dengan Pelaksanaan Komunikasi Efektif Perawat di Rumah Sakit Islam Sultan Agung Semarang Amelia Hidayati; Muh. Abdurrouf; Dyah Wiji Puspita Sari
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2883

Abstract

Background: Effective communication is an importat component in improving patient safety in hospitals. Ineffective communication can lead to misperceptions, errors in treatment, and an increased risk of medication errors. Therefore, supervision is necessary to ensure that nurses’ communication meets standards. This study aims to determine the relationship between supervision and the implementation of effective communication by nurses at Sultan Agung Islamic Hospital in Semarang. Method: This study used an analytical quantitative design with a cross-sectional approach. The study sample consisted of 94 nurse practitioners, selected using total sampling technique. The reearch instruments were a supervision questionnire and an obervation sheet on effective communication based on the SBAR method. Data analysis used Pearson product moment rank correlation test to determine the relationship between the two variables. Results: The results show that most nurses have effective communication in the “fair” category, with 70 respondents (74,5%), and supervision in the “moderate” category, with 75 respondents (79,8%). The Pearson product moment test obtained a p-value of 0.025 (< 0.05), which means hat there is a relationship, and r = 0.232, which indicates a weak relationship, and r = 0.232, which indicates a weak relationship and a positive direction. Conclusion: There is a Relationship Between supervision and the implementation of effective communication by nurses
Literature Review : Hubungan Status Gizi dengan Tuberkulosis Paru Fetty Imanda; Indra Buana
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2898

Abstract

Tuberculosis (TB) remains a major global health problem with high morbidity and mortality rates, particularly in high-burden countries such as Indonesia. Nutritional status is one of the important factors influencing the incidence and outcomes of TB. This literature review aims to analyze the relationship between nutritional status and pulmonary tuberculosis based on recent national and international studies. Articles were retrieved from Google Scholar, PubMed, and Portal Garuda using the keywords “nutritional status” and “tuberculosis” as well as “status gizi tuberculosis” within the period of 2019–2024. Eligible articles were analyzed descriptively. The findings indicate that poor nutritional status is significantly associated with an increased risk of pulmonary tuberculosis. Malnutrition impairs cellular immunity, particularly T-lymphocyte and macrophage function, thereby increasing susceptibility to Mycobacterium tuberculosis infection. Conversely, active TB infection can worsen nutritional status through increased energy expenditure, decreased appetite, and metabolic alterations. This bidirectional relationship highlights the crucial role of nutritional interventions in TB prevention and management. Therefore, improving nutritional status should be considered an integral component of tuberculosis control strategies.
Model Pengembangan Pencegahan Kesehatan Reproduksi Berbasis Pendekatan Stepwise WHO Asyima Asyima; Hadriani Irwan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 4 (2024): 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.v1i4.2903

Abstract

The reproductive health problem of couples of childbearing age remains a significant challenge in Indonesian public health, with interventions that tend to be fragmented and less systematic. This study aims to develop and evaluate a comprehensive reproductive health prevention model based on the WHO Stepwise approach for couples of childbearing age in Makassar City, South Sulawesi. The research design used mixed methods sequential exploratory, starting with a qualitative method through focus group discussion and in-depth interviews with 48 participants to explore contextual factors, then continued with a quasi-experimental design on 320 couples in the intervention and control groups. WHO's Stepwise approach includes three phases: assessment, development, and implementation & evaluation. The thematic analysis identified seven major barriers and five supporting factors in reproductive health. The developed model integrates five components: comprehensive education, youth-friendly services, peer education empowerment, family and community engagement, and policy advocacy. Quasi-experimental results showed significant improvements in knowledge (67.3%), positive attitudes (54.8%), and safe reproductive health practices (43.6%) in the intervention group compared to the control (pfeasibility of the WHO Stepwise-based model as a systematic, evidence-based, and multisectoral framework that can be replicated for sustainable reproductive health prevention programs).
Asuhan Keperawatan Lansia Hipertensi dengan Insomnia Melalui Relaksasi Otot Progresif di RSUD Embung Fatimah Batam Irma Mahlisa; Nelli Roza
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2912

Abstract

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.
Penerapan Teknik Rendam Kaki Air Hangat dan Teknik Relaksasi Otot Progresif pada Pasien Hipertensi Surya Apriani Silaban; Sri Indaryati; Lilik Pranata
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2938

Abstract

Hypertension is a non-communicable disease that can lead to cardiovascular complications and requires both pharmacological and non-pharmacological management. One of the non-pharmacological therapies that can be applied is warm water foot soaking and progressive muscle relaxation, which may help reduce blood pressure through peripheral vasodilation, stimulation of the parasympathetic nervous system, and decreased sympathetic nervous system activity. This study aimed to analyze the implementation of nursing care through warm water foot soaking therapy and progressive muscle relaxation to reduce blood pressure in patients with hypertension. The method used was a case study with a pre-experimental design using a one group pre-test post-testapproach involving three hypertensive patients, with the intervention administered once daily for three days. The results showed a decrease in blood pressure in all patients. The average systolic reduction was 5.3 mmHg, 12.3 mmHg, and 5.6 mmHg, while the diastolic reduction was 1.6 mmHg, 2.6 mmHg, and 4 mmHg, respectively. In addition, all patients reported a reduction in pain scale. It can be concluded that warm water foot soaking therapy combined with progressive muscle relaxation is effective as a complementary nursing intervention to help reduce blood pressure in patients with hypertension.
The Effect of Iron (Fe) Tablet Administration on Increasing Hb Levels in Adolescent Girls with Mild Anemia in the Working Area of Ibu Health Center, West Halmahera Regency Aditia Rusmiati Bessy; Anik Purwati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2948

Abstract

Adolescence is a period of change or transition from childhood to adulthood, encompassing biological, psychological, and social changes. Adolescent girls experience menstruation every month, which puts them at risk of anemia, compounded by poor dietary habits and the failure to consume iron tablets. Rapid adolescent growth is linked to nutritional fulfillment or adolescent consumption of nutrients, one of which is iron consumption. Insufficient iron consumption can lead to anemia in adolescents. Strategies to address anemia in adolescent girls include improving dietary intake and providing iron tablet supplementation. Changing dietary patterns is an important long-term strategy, but cannot be expected to be successful quickly. Anemia is a global health problem, especially in developing countries, where an estimated 30% of the world's population suffers from anemia. Adolescent girls are ten times more likely to suffer from anemia than boys. Efforts to prevent anemia in adolescents through iron tablet supplementation are a strategic, specific intervention to prepare healthy mothers-to-be. The aim was to determine the effect of iron (Fe) tablet administration on increasing Hb levels in adolescent girls with mild anemia. This study was quantitative, with an experimental design. The population in this study were 55 young women at the Ibu Health Center in West Halmahera Regency. A purposive sample of 30 samples was taken. Data collection in this study was carried out by examining Hb levels before and after administering iron tablets 4 times in a row for 4 weeks. The results of the study were that there was no significant difference between Hb levels before and after administering iron tablets in young women at the Ibu Health Center in West Halmahera Regency. The average Hb level before administering iron tablets was 11.5 g/dL, and after administering iron tablets was 12 g/dL. The results of the paired t-test showed a difference before and after administering iron tablets (p value = 0.001), so the test has an effect on administering iron tablets (Fe) on increasing Hb levels in young women with mild anemia in the Ibu Health Center in West Halmahera Regency.
Penerapan Rendam Air Hangat dan Foot Massage pada Pasien Hipertensi Yohana Ani Suprapti; Sri Indaryati; Srimiyati Srimiyati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): 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.v3i2.2956

Abstract

Complementary therapy has recently become an important issue in many countries. Its use has increased due to several factors, including personal beliefs, cost considerations, the side effects of chemical medications, and expectations of recovery. One of the complementary therapies that is often chosen is warm water foot soaking combined with foot massage. This therapy has the potential to reduce blood pressure through relaxation mechanisms and peripheral vasodilation, which have been supported by scientific evidence.This study aimed to analyze the application of Evidence-Based Practice (EBP) of warm water foot soaking and foot massage therapy in hypertensive patients within nursing care. The method used was an EBP-based case study design involving three patients with hypertension. The intervention consisted of warm water foot soaking using approximately 2 liters of water at a temperature of 38–40°C combined with foot massage, administered once daily for three days. Blood pressure was measured before and after the intervention.The results showed a decrease in blood pressure: Mrs. S from 170/100 mmHg to 150/80 mmHg, Mrs. L from 170/80 mmHg to 150/80 mmHg, and Mr. F from 165/90 mmHg to 130/70 mmHg. Warm water foot soaking and foot massage were effective as non-pharmacological interventions to reduce blood pressure and improve comfort in patients with hypertension. ase study design involving three patients with hypertension. The intervention consisted of warm water foot soaking using approximately 2 liters of water at a temperature of 38–40°C combined with foot massage, administered once daily for three days. Blood pressure was measured before and after the intervention.The results showed a decrease in blood pressure: Mrs. S from 170/100 mmHg to 150/80 mmHg, Mrs. L from 170/80 mmHg to 150/80 mmHg, and Mr. F from 165/90 mmHg to 130/70 mmHg. Warm water foot soaking and foot massage were effective as non-pharmacological interventions to reduce blood pressure and improve comfort in patients with hypertension.
The Influence of Midwife Visits on the Choice of Long-Term Contraceptive Methods Meliyanti Esa; Anik Sri Purwanti
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.v2i2.2962

Abstract

Background: Women's choice of long-term contraceptive methods (LTCM) is influenced by factors such as counseling, knowledge, and healthcare access. Midwife visits play a key role in providing information and guidance on family planning, including LTCMs like implants, IUDs, and sterilization. Previous studies have shown that healthcare provider interaction enhances awareness and decision-making regarding contraception. However, many women still face barriers, including misinformation, fear of side effects, and cultural beliefs. Understanding how midwife visits shape contraceptive choices is essential for improving maternal and child health outcomes, reducing unintended pregnancies, and supporting family planning programs. Objective: This study aimed to analyze the impact of midwife visits on women’s choice of LTCMs in the reproductive age group. Methods: A quantitative, observational study with a cross-sectional design was conducted with 30 women who had received at least one midwife visit. Data were collected through structured interviews and family planning record reviews. The Wilcoxon signed-rank test examined the relationship between midwife visits and LTCM choices, with a significance level set at p < 0.05. Results: All participants received midwife visits. 20 (90%) chose LTCMs, while 10 (10%) opted for short-term methods. Statistical analysis revealed a significant relationship between midwife visits and LTCM choice (p = 0.000). Conclusion: Midwife visits significantly influence women’s choice of LTCMs, improving knowledge and decision-making. Strengthening midwife outreach can increase LTCM uptake and enhance family planning strategies.

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