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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 271 Documents
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Penguatan Administrasi Kesehatan untuk Mewujudkan Pelayanan Kesehatan yang Merata dan Adaptif di Propinsi Papua Tengah Sri Wahyuni; Emanuel Douw; Ferinat Pigai
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.v3i4.3526

Abstract

The establishment of Central Papua Province in 2022 separated eight regencies, namely Nabire, Paniai, Mimika, Puncak Jaya, Puncak, Dogiyai, Deiyai, and Intan Jaya, from Papua Province. However, health administration capacity in this newly established region remains underdeveloped and faces challenges related to equitable service delivery, extreme terrain, shortages of health workers, and limited digital connectivity. This systematic review synthesizes evidence from 2016–2026 on strengthening health administration to achieve equitable and adaptive health services, focusing on Papua and comparative regions in eastern Indonesia. The reporting followed PRISMA 2020. Searches conducted through Scopus, PubMed, Web of Science, SINTA, DOAJ, and Google Scholar on September 20, 2026, identified 46 records, of which 13 articles from Scopus- and SINTA-indexed journals met the criteria for thematic synthesis across five dimensions: governance and leadership, health workforce, financing and equitable access, referral systems, and digital and geographical adaptation. The findings indicate disparities in the distribution of health workers and referral facilities, limited health insurance coverage among vulnerable groups, and suboptimal digital transformation due to connectivity, data governance, and financing constraints. Health administration in Central Papua needs to strengthen institutional capacity, region-based workforce retention, primary healthcare services, air referral systems, and the integrated utilization of special autonomy funds.
Asuhan Keperawatan Hiperemesis Gravidarum dengan Masalah Keperawatan Defisit Nutrisi di Rumah Sakit Harapan Bunda Kota Batam Lovena Salvitri; Yulia Devi Putri; Inke Asmika
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.v3i4.3530

Abstract

Hyperemesis gravidarum is a pregnancy complication characterized by severe nausea and vomiting, which can lead to loss of appetite, weight loss, and dehydration, resulting in a nursing diagnosis of nutritional deficiency. If not managed appropriately, this condition can endanger both the mother and the fetus. The aim of this study was to report the nursing care provided to a patient with hyperemesis gravidarum and nutritional deficiency at Harapan Bunda Hospital, Batam City. This study employed a descriptive method combined with a case study approach, focusing on a single patient with hyperemesis gravidarum experiencing nutritional deficiency. Interventions included nutritional management, monitoring of nutritional status, dietary education, collaborative administration of intravenous fluids and antiemetics, and observation of the patient's clinical progress. Following nursing interventions, there was an increase in nutritional intake, a reduction in the frequency of nausea and vomiting, an improvement in the patient's general condition, and partial resolution of the nursing problem. The implementation of comprehensive nursing care—aligned with SDKI, SLKI, and SIKI standards—effectively addressed the nutritional deficit in the hyperemesis gravidarum patient, resulting in a gradual improvement of the patient's condition.
Hubungan Kontrol Diri dengan Manajemen Emosi pada Siswa Kelas XI SMA Negeri 16 Makassar Sry Ramadany A.; Kens Napolion; Muh. Erwin Rosyadi
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.v3i4.3545

Abstract

Adolescence is a transitional stage characterized by physical, psychological, social, and emotional changes. During this stage, self-control is essential for adolescents to manage their emotions positively when facing academic and social demands. This study aims to determine the relationship between self-control and emotional management among Grade XI students at SMA Negeri 16 Makassar. The study employed a quantitative method with a correlational analytic design and a cross-sectional approach. The study population consisted of 410 Grade XI students, with a sample of 80 respondents selected using purposive sampling. Data were collected using self-control and emotional management questionnaires and analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of α = 0.05. The results showed that most respondents had a moderate level of self-control, with 68 respondents (85.0%), while 68 respondents (85.0%) also had a moderate level of emotional management. The Chi-Square analysis obtained a Pearson Chi-Square value of 62.206 with a p-value of 0.000 (p < 0.05), indicating a significant relationship between self-control and emotional management. It can be concluded that better self-control is associated with better emotional management among students. These findings emphasize the importance of strengthening self-control through student development programs to support adaptive emotional regulation skills.
Hubungan Waktu Pelaksanaan Survei Primer dengan Tingkat Kecemasan Keluarga Pasien Kritis saat Menunggu Tindakan di IGD RSUD Haji Makassar Rahma Baronga; Makkasau Makkasau; Muh. Yusuf Tahir
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.v3i4.3546

Abstract

Primary survey is the initial stage of assessment of critical patients using the ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) to identify life-threatening condi tions. Delays in the implementation of the primary survey can trigger anxiety in the patient's family while waiting for treatment in the Emergency Department. Objective: To determine the relationship between the time of primary survey implementation and the anxiety level of critical patient's families while waiting for action in the Emergency Department of RSUD Haji Makassar. Method: Quanti tative research with descriptive analytic design and cross-sectional approach. The sample consisted of 46 respondents selected using purposive sampling technique. Data were collected using observa tion sheets of primary survey implementation time and HARS (Hamilton Anxiety Rating Scale) questionnaire, then analyzed using the Fisher-Freeman-Halton Exact Test. Results: Most respond ents received the appropriate time of primary survey implementation, namely 41 people (89.1%), and mild anxiety level as many as 23 people (50.0%). The statistical test results showed a p-value = 0.009 (p < 0.05), which means there is a relationship between the time of primary survey implemen tation and the anxiety level of critical patient's families. Conclusion: There is a significant relation ship between the time of primary survey implementation and the anxiety level of critical patient's families while waiting for action in the Emergency Department of RSUD Haji Makassar. Sugges tion: For further researchers to examine other factors that can affect family anxiety such as triage, length of stay, and therapeutic communication.
Analisis Kualitas Pelayanan Pendaftaran terhadap Kepuasan Pasien Rawat Jalan di Puskesmas Sangkrah Kota Surakarta Ghorizatus Nur Suci Arnoviantika; Rizka Licia; Sinta Novratilova
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.v3i4.3409

Abstract

The quality of outpatient registration services remains one of the factors influencing patient satisfaction in primary healthcare facilities. This study aimed to analyze the relationship between registration service quality and outpatient satisfaction at Sangkrah Public Health Center, Surakarta. This research employed a quantitative analytical method with a cross-sectional design. A total of 100 respondents were selected using an accidental sampling technique. Data were collected through a questionnaire based on the five dimensions of Service Quality (SERVQUAL), namely tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using the Fisher-Freeman-Halton Exact Test with a significance level of 0.05. The results showed that all dimensions of service quality were significantly associated with outpatient satisfaction, including tangibles (p=0.000), reliability (p=0.000), responsiveness (p=0.000), assurance (p=0.000), and empathy (p=0.000). These findings indicate that better registration service quality is associated with higher patient satisfaction. The study implies that improvements in physical facilities, reliability, responsiveness, assurance, and staff empathy should be maintained and enhanced to improve patient satisfaction at Sangkrah Public Health Center, Surakarta.
Pengaruh Mobilisasi Dini terhadap Intensitas Nyeri Luka Operasi pada Hari Ke-2–3 Post Sectio Caesarea dengan Teknik Enhanced Recovery After Cesarean (ERAS) di Ruang Kelas Saruma RSUD Labuha Halmahera Selatan Nurul Muchlisyah; Anik Purwati
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.v3i4.3434

Abstract

Childbirth via cesarean section has an impact on the mother. In postoperative mothers, pain typically begins 2 hours after surgery and can range from mild to severe. The Enhanced Recovery After Cesarean (ERAC) technique focuses not only on the administration of analgesics but also on accelerating the restoration of the patient’s physiological functions through education, early mobilization, nutrition, and multimodal pain management. For mothers who have undergone a cesarean section, early mobilization—performed gradually and in accordance with their clinical condition—can enhance their independence. This study aims to determine “The Effect of Early Mobilization on Surgical Wound Pain Intensity on Days 2–3 Post-Cesarean Section Using the Enhanced Recovery After Cesarean (ERAS) Technique in the Saruma Ward at Labuha Regional General Hospital, South Halmahera.” The study design employed a pre-experimental method using a one-group pretest-posttest approach. The study population consisted of all mothers who had undergone cesarean section and were admitted to the Saruma Ward at Labuha Regional General Hospital in South Halmahera. Total sampling was used to select 30 mothers who gave birth in the Saruma Ward at Labuha Regional General Hospital, South Halmahera. Pain was measured using the Numeric Rating Scale (NRS). Research instruments included an informed consent form, a respondent characteristics form, an NRS observation form, an intervention control form, and the standard operating procedure (SOP) for early mobilization. The results of the data analysis using the paired t-test yielded a p-value of 0.000 < 0.05, indicating that early mobilization has an effect on the intensity of surgical wound pain.
Hubungan Tingkat Pengetahuan dengan Minat Pemilihan Kontrasepsi Implant pada Wanita Subur di Puskesmas Babang Kabupaten Halmahera Selatan Mariyatul Qibtia; Anik Purwati
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.v3i4.3436

Abstract

The use of implant contraceptives in couples of childbearing age is still relatively low compared to short-term contraceptive methods such as pills and injections. One of the factors that affect the low selection of implant contraceptives is the level of public knowledge about how it works, benefits, side effects, and installation procedures. This study aims to determine the relationship between the level of knowledge and interest in choosing implant contraceptives in women of childbearing age at the Babang Health Center, South Halmahera Regency. The study uses a quantitative method with a correlation analytical design and a cross sectional approach. The study population is all couples of childbearing age in the working area of the Babang Health Center with a sample of 30 respondents determined through total sampling techniques. Data analysis was carried out bivariously using the Chi-Square test. The results of the study showed a significant relationship between the level of knowledge and interest in choosing implant contraception, as evidenced by the p-value = 0.000 (p < 0.05). These findings confirm that the higher the level of knowledge, the greater the interest in using implant contraceptives. Therefore, efforts to increase public knowledge through reproductive health education, understanding of parity, and information about various contraceptive methods are needed to encourage the use of implant contraceptives in the community.
Hubungan Tingkat Pengetahuan Ibu Hamil Trimester III Tentang Tanda Bahaya Kehamilan dengan Kepatuhan ANC di Desa Pulau Gala Puskesmas Kukupang Halmahera Selatan Mulyasari Wigati; Anik Purwati
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.v3i4.3437

Abstract

Knowledge of the danger signs during the third trimester of pregnancy is essential for pregnant women to reduce maternal mortality. Insufficient knowledge among pregnant women is often associated with irregular attendance at Antenatal Care (ANC) visits. Antenatal Care (ANC) is a comprehensive and regular healthcare service provided to pregnant women to optimize maternal health and to monitor, prevent, and manage potential complications throughout pregnancy until delivery. This study aimed to determine the relationship between the level of knowledge of third-trimester pregnant women regarding the danger signs of pregnancy and their compliance with ANC visits in Pulau Gala Village, Kukupang Community Health Center, South Halmahera. This study employed a quantitative analytical design with a cross-sectional approach. The study population consisted of all pregnant women residing in Pulau Gala Village, within the working area of the Kukupang Community Health Center, South Halmahera. A total of 25 respondents were selected as the study sample. Data were analyzed using the Chi-square test with a significance level of α = 0.05. The results showed a statistically significant relationship between the level of knowledge of third-trimester pregnant women regarding the danger signs of pregnancy and compliance with ANC visits, with a p-value of 0.000 (p < 0.05). It can be concluded that regular antenatal examinations at independent midwifery practices, community health centers, hospitals, and other healthcare facilities are essential to improve pregnant women's knowledge of pregnancy danger signs and to enhance their compliance with Antenatal Care (ANC) visits.
Pengaruh Dukungan Suami terhadap Unmet Need KB Suntik 3 Bulan pada Pasangan Usia Subur di Puskesmas Lolak Bolaang Mongondow Sriningsi Mokoagow; Anik Purwati
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.v3i4.3446

Abstract

Unmet need is defined as the group of women who no longer wish to have children or who wish to space their pregnancies by up to 24 months. The magnitude of unmet need poses a serious problem for the government, not only in relation to the population explosion expected in 2030 but also in relation to the rising maternal mortality rate (MMR) in Indonesia. Husbands play a controlling and decisive role in the decision-making process regarding whether their wives will use contraception or not. The objective of this study is to analyze the influence of husband support on unmet need for the 3-month injectable contraceptive among couples of reproductive age at the Lolak Community Health Center in Bolaang Mongondow. A cross-sectional study design was used, and the sample consisted of 31 respondents selected using total sampling. The instrument used in this study was a questionnaire. The data revealed that 17 women (89.5%) received support from their husbands and had unmet family planning needs. After analysis using the chi-square test, a P-value (asymp. Sig. 2-tailed) of 0.000 < 0.05 was obtained, indicating that there is an effect of husband’s support on unmet need for the 3-month injectable contraceptive among couples of reproductive age. Therefore, H0 was rejected and H1 was accepted, leading to the conclusion that there is an effect of husband’s support on unmet need for the 3-month injectable contraceptive among couples of reproductive age.
Tabulasi Efektivitas Pemberian Minuman Jeruk Nipis terhadap Mual dan Muntah pada Ibu Hamil di Rumah Sakit Sofifi Annisa Balgis; Anik Sri Purwanti
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.v3i4.3447

Abstract

Emesis gravidarum is an obstetric complaint experienced by up to 80% of pregnant women and may progress into a life-threatening condition if left unmanaged. This study aims to analyze the effectiveness of lime (Citrus aurantifolia) infusion drink in reducing nausea and vomiting among pregnant women at Sofifi Hospital. A quantitative approach with a pre-experimental one group pretest-posttest design was applied to 30 respondents selected through purposive sampling. Measurements were conducted using the Pregnancy-Unique Quantification of Emesis (PUQE-24) instrument before and after three days of intervention. Results revealed that 86.7% of respondents demonstrated effective reduction in nausea and vomiting. The Wilcoxon Signed Ranks Test yielded Z = −4.810 with p = 0.000, confirming a statistically significant difference between pre- and post-intervention conditions. Bioactive compounds including flavonoids and D-limonene in lime were found to inhibit emetic responses through neurochemical pathways. Lime infusion is recommended as an evidence-based complementary intervention within midwifery care protocols.

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