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Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
ISSN : 30465192     EISSN : 30465184     DOI : 10.62383
Core Subject : Health,
sub rumpun Ilmu Kedokteran dan Kesehatan, Spesialis, Ilmu Kedokteran Akademik, Spesialis Kedokteran gigi dan mulut, Kedokteran Gigi Akademik.
Articles 271 Documents
Pola Dinamika Pertumbuhan Fisik Balita: Analisis Perubahan Berat Badan dan Lingkar Kepala Selama Tiga Bulan Rochmawati Rochmawati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 3 (2026): 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.v3i3.3403

Abstract

Serial monitoring of weight and head circumference in toddlers is essential for the early detection of growth disturbances, since a single measurement cannot capture the dynamics of growth over time. This study aimed to describe the change patterns of weight and head circumference among toddlers over a three-month observation period (October–December) and to identify the proportion of toddlers experiencing an increase, stagnation, or decrease in each anthropometric indicator. A quantitative descriptive study with a retrospective longitudinal design was conducted using secondary anthropometric monitoring data. Through a data screening and matching process across the three measurement periods, 99 toddlers with complete weight and head circumference records were included in the analysis; one implausible weight value in December (101.0 kg) was corrected to 10.1 kg following verification against the primary data. Data were analyzed descriptively using mean, median, standard deviation, minimum, and maximum values, and monthly changes were categorized as increasing, stagnant, or decreasing. The mean weight increased from 11.38 kg in October to 11.88 kg in December, with 78.8% of toddlers showing an increasing trend, 6.1% stagnant, and 15.2% decreasing. The mean head circumference increased from 47.07 cm to 47.49 cm, with only 45.5% showing an increasing trend, 30.3% stagnant, and 24.2% decreasing. Weight and head circumference exhibited distinct change patterns during the observation period, indicating that both indicators provide complementary information for growth monitoring. Continuous, serial anthropometric monitoring is recommended to support the early identification of growth disturbances in toddlers.
Literatur Review: Dampak Pemberian Immunonutrition Perioperatif terhadap Penurunan Angka Infeksi Luka Operasi dan Kebocoran Anastomosis Andi Adam Indra; Abdul Mubdi; Anis Bamatraf; Agung Kurniawan; Muh Darwis Tanthowi
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3463

Abstract

Colorectal cancer is one of the most common malignancies worldwide, with high incidence and mortality rates. Surgery remains the main treatment; however, postoperative complications, particularly surgical site infections and anastomotic leakage, remain common. Malnutrition increases the risk of these complications. Perioperative immunonutrition containing arginine, glutamine, omega-3 fatty acids, nucleotides, and antioxidants may enhance immune responses, reduce inflammation, and accelerate tissue healing. This study aimed to evaluate the impact of perioperative immunonutrition on reducing surgical site infections and anastomotic leakage in patients with colorectal cancer. This study employed a literature review using a descriptive-narrative approach. Data were obtained from scientific articles published within the last five years through PubMed, Google Scholar, ScienceDirect, Springer, and Cochrane databases. The literature included systematic reviews, meta-analyses, randomized controlled trials, and observational studies relevant to the topic. Results showed that most studies reported clinical benefits of perioperative immunonutrition, including reduced surgical site infections, fewer postoperative infectious complications, improved immune responses, decreased inflammatory markers, and faster recovery. Several studies also indicated a tendency toward reduced anastomotic leakage, particularly in malnourished or high-risk patients, although findings varied. In conclusion, perioperative immunonutrition may improve postoperative outcomes, particularly by reducing surgical site infections and supporting healing. However, evidence regarding anastomotic leakage remains inconsistent, requiring further robust studies.
Pengaruh Kombinasi Terapi Genggam Jari dan Dzikir terhadap Tingkat Kecemasan pada Pasien Pre-Operasi di RS PKU Muhammadiyah Boja Shalli Kurnia Dewi; Apriliani Yulianti Wuriningsih; Sri Wahyuni
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3473

Abstract

Patients undergoing surgery often experience pre-operative anxiety due to their health conditions, surgical procedures, or uncertainty about the process. Uncontrolled anxiety may affect psychological conditions and surgical readiness. Non-pharmacological interventions, such as finger-holding therapy combined with dhikr, can be used as an approach to reduce anxiety. This study aimed to analyze the effect of combining finger-holding therapy and dhikr on anxiety levels among pre-operative patients at PKU Muhammadiyah Boja Hospital. This study used a pre-experimental one-group pretest-posttest design involving 55 respondents selected through purposive sampling. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) and analyzed using the Wilcoxon Signed-Rank Test. Before the intervention, most respondents experienced mild anxiety (52.7%), followed by moderate anxiety (32.7%) and severe anxiety (14.5%). After the intervention, mild anxiety increased to 76.3%, moderate anxiety was 23.6%, and no respondents experienced severe anxiety or panic. The statistical analysis showed a p-value of 0.001 (p < 0.05), indicating a significant effect of the intervention. Therefore, the combination of finger-holding therapy and dhikr effectively reduces anxiety levels in pre-operative patients.
Hubungan Kepatuhan Diet Diabetes dengan Kadar Glukosa Darah pada Pasien Diabetes Mellitus Tipe 2 Vivi Nurtama; Indah Sri Wahyuningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3474

Abstract

Background:Type 2 Diabetes Mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from impaired insulin secretion or effectiveness. Blood glucose stability is influenced by various factors, including patients’ adherence to a diabetes diet. Dietary adherence involves selecting appropriate types and amounts of food and maintaining regular meal times to support glycemic stability. However, adherence to recommended dietary patterns among patients with type 2 Diabetes Mellitus remains inconsistent. Methods: This study employed a quantitative design with an analytical observational approach and prospective longitudinal follow-up. A total of 67 respondents were included as the sample. Dietary adherence was measured using the PDAQ, while blood glucose levels were assessed through random blood glucose (RBG) and fasting blood glucose (FBG) examinations. Data were analyzed using univariate and bivariate analyses, with the Pearson Chi-Square test used to examine the relationship between dietary adherence and RBG and FBG categories. Results: Most respondents had moderate dietary adherence (55.2%). Abnormal glucose levels were found in 56.7% of respondents based on RBG and 64.2% based on FBG. Dietary adherence was not significantly associated with RBG but was significantly associated with FBG, with a Gamma coefficient of 0.778. Conclusion: Dietary adherence was significantly associated with FBG levels among patients with type 2 Diabetes Mellitus, indicating that better dietary adherence tends to be associated with more optimal basal glycemic control.
Manajemen Penyakit Ginjal Kronis Stage V pada Wanita Usia 72 Tahun: Sebuah Laporan Kasus Zaky Prasetya Utama
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i4.3483

Abstract

Background: Stage 5 CKD patients frequently present with cardiorenal emergencies in the form of acute pulmonary edema and severe metabolic acidosis, requiring rapid stabilization and emergency Kidney Replacement Therapy (KRT). Methods: An observational case report of a 72-year-old female patient admitted to the intensive care unit (ICU) with chief complaints of acute dyspnea. Data were collected through history taking, physical examination, and diagnostic workups. Results: The patient was diagnosed with stage 5 CKD, acute pulmonary edema, and metabolic acidosis. Clinical findings revealed tachypnea, tachycardia, altered mental status, decreased oxygen saturation, and lung auscultation indicating fluid overload. Management included oxygenation, administration of diuretics, nitroglycerin, electrolyte correction, and acid-base balancing. Hemodialysis was performed via a central venous catheter for 2.5 hours using a low-flow rate, bicarbonate dialysate, and controlled ultrafiltration. Conclusion: The management of stage 5 CKD patients in the ICU with critical cardiorenal complications relies on the synergy between cardiorespiratory stabilization and the initiation of Kidney Replacement Therapy. The use of hemodialysis has proven effective in reversing respiratory failure, pulmonary edema, and severe metabolic acidosis without precipitating intracranial complications or further hemodynamic instability.
Adenoid Cystic Carcinoma of the Nasal Cavity: A Rare Case Report Fadillah Sayuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3498

Abstract

Background: Adenoid cystic carcinoma (ACC) is an uncommon malignant epithelial neoplasm that most frequently arises from the salivary glands but may rarely occur in the nasal cavity and paranasal sinuses. Its diagnosis can be challenging because of its slow-growing nature, variable clinical presentation, and distinctive histopathological features. Case Presentation: A 41-year-old woman presented with a progressive nasal mass accompanied by unilateral nasal obstruction and intermittent epistaxis. Physical examination revealed a friable mass occupying the nasal cavity. An excisional biopsy was performed for histopathological evaluation. Microscopic examination demonstrated an infiltrative epithelial neoplasm composed of relatively uniform basaloid cells arranged in cribriform, tubular, and solid patterns. The cribriform areas contained pseudocystic spaces filled with eosinophilic basement membrane-like material. The tumor cells showed hyperchromatic nuclei with scant cytoplasm and mild-to-moderate cytological atypia. Perineural invasion was identified. Conclusion: Adenoid cystic carcinoma of the nasal cavity is a rare malignancy that should be considered in the differential diagnosis of an infiltrative nasal mass, particularly when histology demonstrates a characteristic cribriform or tubular architecture with pseudocystic spaces.
Pengaruh Metode Psycoeducation terhadap Peningkatan Pengetahuan pada Mahasiswa dalam Pengelolaan Bahan Habis Pakai (BHP) di Program Studi Diploma Tiga Keperawatan Universitas Abulyatama Rahmatul Maulana; Urip Pratama; Khairuman Khairuman
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i4.3502

Abstract

During the first year of university, new students may experience a challenging transition period, particularly nursing students who are required to master practical skills involving the direct use of medical equipment and consumable medical supplies. This study employed a quantitative approach using a quasi-experimental design with a one-group pre-test-post-test design. The population consisted of 121 students from the 2025 cohort, with a sample of 30 students selected using purposive random sampling. The psycho-education intervention was conducted over 7 sessions from April 8 to April 27, 2026, with session lasting for 60 minutes. The instrument used was a Consumable Medical Supplies Knowledge Questionnaire to assess students’ knowledge, with a Cronbach’s alpha reliability coefficient of 0.748. The results of the paired-samples t-test showed a statistically significant difference between the pre-test and post-test scores, with a mean difference in knowledge scores of −7.000 and a p-value of 0.000 (p < 0.05). The study concludes that the psycho-education method has a significant effect on improving students’ knowledge of the management of consumable medical supplies in the Diploma III Nursing Study Program, Universitas Abulyatama. Therefore, students are encouraged to improve their knowledge of the proper and consistent management of consumable medical supplies in nursing practice.
Hubungan Pengetahuan, Sikap, Motivasi dan Dukungan Suami dengan Pemeriksaan Antenatal Care pada Ibu Hamil di Wilayah Kerja Puskesmas Cilodong Yuni Asminingsih; Nina Nina; Astrid Novita
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i4.3503

Abstract

Pelayanan ANC mempersiapkan ibu hamil agar sepenuhnya siap menghadapi kehamilan dan persalinan serta memastikan lingkungan mereka dapat melindungi bayi mereka dari infeksi. Perawatan antenatal yang suboptimal dapat meningkatkan risiko komplikasi kehamilan yang tidak terdeteksi sejak dini. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan, sikap, motivasi, dan dukungan suami/istri dengan kunjungan ANC di kalangan ibu hamil di wilayah pelayanan Puskesmas Cilodong. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Populasi penelitian terdiri dari 207 ibu hamil pada bulan keempat kehamilan, dengan sampel 67 responden yang dipilih menggunakan random sampling. Instrumen penelitian berupa kuesioner, dan analisis data dilakukan menggunakan uji Chi-Square. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara pengetahuan dan kunjungan ANC (nilai p 0,002 < 0,05); tidak ditemukan hubungan yang signifikan antara sikap dan kunjungan ANC (nilai p 0,400 > 0,05); Terdapat hubungan antara motivasi dan kunjungan ANC (nilai p 0,000 < 0,05), dan terdapat hubungan antara dukungan pasangan dan kunjungan ANC (nilai p 0,004 < 0,05). Kesimpulannya, terdapat hubungan antara pengetahuan, motivasi, dan dukungan pasangan dengan kunjungan ANC di kalangan ibu hamil di wilayah layanan Puskesmas Cilodong.
Asuhan Kebidanan Berkesinambungan pada Ny.F di Praktik Mandiri Bidan Walladatun Islah, S.Keb Kota Batam Desyanti Christin H. Lumbantobing; Mona Rahayu Putri
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3504

Abstract

Background: Continuity of Care (CoC) is a midwifery service provided continuously from pregnancy, childbirth, postpartum, newborn care, to family planning in order to improve maternal and neonatal health and to facilitate the early detection of potential complications. Methods: This study used a case study approach with midwifery management and SOAP documentation on Mrs. F, a 31-year-old G3P2A0, at PMB Bidan Islah in 2026. Comprehensive midwifery care was provided from the third trimester of pregnancy, childbirth, postpartum, newborn care, to family planning through history taking, observation, physical examination, and documentation. Results: The pregnancy progressed physiologically without complications. The delivery was normal with a first-degree perineal tear that was managed according to standard procedures. The postpartum period was normal, with good perineal wound healing, normal uterine involution, appropriate lochia progression, and adequate breast milk production. The newborn was healthy and received standard neonatal care. For family planning, the mother chose the three-month injectable contraceptive and experienced no complaints during its use. Conclusion: Comprehensive midwifery care for Mrs. F was provided in accordance with the standards of midwifery practice, covering pregnancy, childbirth, postpartum, newborn care, and family planning. As a result, both the mother and the baby remained in good health throughout the continuity of care.
Asuhan Kebidanan Berkesinambungan pada Ny. N di Praktik Mandiri Bidan Nur Ika Rahayu, S.Keb Kota Batam A Deapika Syahfitri; Mona Rahayu Putri
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): 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.v3i4.3505

Abstract

Women’s health is an important aspect of health development because it is closely related to women’s quality of life and the health of future generations. Comprehensive midwifery care (Continuity of Care) is a service provided continuously from pregnancy, childbirth, the postpartum period, and newborn care to family planning. This care aims to improve maternal and infant health and to detect complications at an early stage. The method used was a case study with a midwifery management approach and SOAP documentation. Care was provided to Mrs. N, aged 29 years, at the Independent Midwife Practice of Nur Ika in Batam City in 2026, beginning in the third trimester of pregnancy through family planning services. The results showed that the pregnancy progressed physiologically without complications, childbirth proceeded normally with a second stage lasting 28 minutes, the postpartum period was physiological with smooth breast milk production, and the baby was born normally and received standard neonatal care. For family planning services, the mother chose oral contraceptive pills and experienced no complaints during their use. Comprehensive midwifery care for Mrs. N, from pregnancy, childbirth, the postpartum period, newborn care, to family planning services, was provided in accordance with midwifery care standards, with no complications or significant discrepancies between theory and practice.