Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) merupakan media komunikasi dan publikasi ilmiah di bidang ilmu kesehatan yang diterbitkan oleh Unit Penjaminan Mutu Fakultas Kedokteran Universitas Tadulako yang. Jurnal ini terbit secara berkala 4 kali dalam setahun (Januari, April, Juli dan Oktober). Jurnal Tadulako Sehat diterbitkan pertama kali pada tahun 2015. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) menerima dan menerbitkan artikel penelitian, tinjauan pustaka dan laporan kasus di bidang kedokteran dan kesehatan.
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<![CDATA[The Relationship Between Diabetes and Hypertension and Mortality in Chronic Kidney Disease Patients in Indonesia ]]>
<![CDATA[Yonata, Ade]]>;
<![CDATA[Islamy, Nurul]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1534
<![CDATA[Background: Chronic kidney disease (CKD) is a major global health problem that significantly increases morbidity and mortality, mainly due to cardiovascular disease (CVD). In Indonesia, cardiovascular complications account for approximately 42% of deaths among CKD patients. This study aimed to analyze the relationship between diabetes and hypertension with mortality in CKD patients in Indonesia. Objective: To investigate the association between diabetes and hypertension and mortality among chronic kidney disease patients undergoing hemodialysis in Indonesia. Methods: A cross-sectional study was conducted at Dr. H. Abdul Moeloek Regional Hospital, Lampung, from March to May 2024. The study population consisted of end-stage CKD patients undergoing hemodialysis. Data were obtained from medical records and analyzed using the Chi-Square test, with a significance level set at p < 0.05. Results: Of 110 patients, 58% of those with diabetes and 55.1% of those with hypertension died. Both comorbidities showed a significant association with mortality in CKD patients (p = 0.0031 for diabetes, p = 0.019 for hypertension). Conclusion: Diabetes and hypertension significantly increase mortality risk among CKD patients. These findings underscore the importance of comprehensive management of comorbidities to improve survival outcomes in CKD populations]]>
<![CDATA[The Relationship Between Maternal Knowledge and the Incidence of Hypertension in Pregnancy at Bhakti Medicare Hospital, Sukabumi ]]>
<![CDATA[Octafiana, Dian Fitria]]>;
<![CDATA[Novryanthi, Dhinny]]>;
<![CDATA[Andriani, Ria]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1753
<![CDATA[Background: Hypertension in pregnancy is a major cause of maternal and fetal morbidity and mortality, contributing to 14% of global maternal deaths. In Indonesia, it is the second leading cause of maternal mortality. Knowledge is an important determinant of health behavior, yet its link to pregnancy-induced hypertension remains underexplored in Sukabumi. Objective: To analyze the relationship between pregnant women’s knowledge and the incidence of hypertension in pregnancy. Methods: A quantitative cross-sectional study was conducted with 44 pregnant women diagnosed with hypertension in the Amarylis Room, Bhakti Medicare Hospital, Sukabumi (November–December 2024). Data were collected using a validated 15-item questionnaire. Knowledge level (good, sufficient, poor) and hypertension severity (mild, severe) were analyzed with the chi-square test (p < 0.05). Results: Most respondents had poor knowledge (45.5%) and severe hypertension (52.3%). Chi-square analysis showed a significant relationship between knowledge and hypertension incidence (p = 0.002). Severe hypertension was more frequent among women with poor knowledge (36.4%) compared to those with good knowledge (2.3%). Conclusion: Maternal knowledge significantly influences the incidence of hypertension in pregnancy. Educational interventions are urgently needed to reduce risks and improve maternal health outcomes.]]>
<![CDATA[Factors Associated with Caregiver Burden in Children With Cerebral Palsy in Developing Countries: A Systematic Review ]]>
<![CDATA[Sanjaya, Kadek Dwi Wira]]>;
<![CDATA[Wirawan, I Ketut Gede Agus Budi]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1757
<![CDATA[Background: Cerebral palsy is a chronic condition requiring long-term care, leading to a high burden on caregivers, particularly in developing countries where access to cerebral palsy care remains inadequate. Objective: This study aims to identify factors influencing the burden on caregivers of children with cerebral palsy in developing countries. Methods: A systematic review following PRISMA was conducted. From inception to August 2024, 173 records were retrieved from PubMed and ScienceDirect. Studies were screened against predefined inclusion/exclusion criteria, and study and evidence quality were appraised. Results: A total of 10 articles were included. Depression, fatigue levels, and quality of life were identified as moderate-quality evidence for caregiver-related factors contributing to caregiver burden. GMFCS levels and spastic type were also identified as moderate-quality evidence for patient-related factors contributing to caregiver burden. Several factors with 'moderate' evidence quality include caregiver depression, fatigue levels, caregiver quality of life, GMFCS levels of cerebral palsy, and spastic type. Conclusion: Understanding these factors can guide the implementation of interventions to reduce caregiver burden, potentially improving caregivers' quality of life and positively impacting the care and therapy of patients with cerebral palsy.]]>
<![CDATA[The Relationship Between the Role of Nurses as Educators and the Level of Adherence to Taking Medication in Diabetes Mellitus Patients at RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Kusuma, Aurrell Adna]]>;
<![CDATA[Purwanti, Okti Sri]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1760
<![CDATA[Background: Diabetes mellitus (DM) is a chronic disease caused by impaired insulin production or utilization, leading to serious complications if not properly managed. Non-compliance with medication remains a major challenge, contributing to poor outcomes and increased mortality. Nurses play a pivotal role as educators in improving patient adherence. Objective: To examine the relationship between the role of nurses as educators and medication compliance among DM patients. Methods: A quantitative cross-sectional study was conducted on 129 DM patients at the Endocrinology Polyclinic of Dr. Moewardi Regional Hospital, Surakarta, from November to December 2024. Data on nurses’ educational roles and patients’ medication compliance were collected using structured questionnaires, including the validated Morisky Medication Adherence Scale (MMAS-8). The Spearman Rank test was used for analysis. Results: The analysis revealed a significant positive relationship between the role of nurses as educators and medication compliance (p = 0.001; Rho = 0.634). Although most respondents (97.7%) rated the nurses’ role as “good,” more than half (54.2%) still demonstrated moderate to poor compliance. Conclusion: Nurses’ educational role has a strong positive impact on medication compliance in DM patients. Strengthening and sustaining educational strategies are essential to improve adherence and health outcomes]]>
<![CDATA[Effectiveness of Health Promotion Strategies on Dengue Hemorrhagic Fever Prevention and Control: A Literature Review ]]>
<![CDATA[Martiningsih, Ika]]>;
<![CDATA[Trisnowati, Heni]]>;
<![CDATA[Sulistyawati, Sulistyawati]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1766
<![CDATA[Background: Dengue Hemorrhagic Fever (DHF) is a mosquito-borne infectious disease whose prevention and control depend largely on effective health promotion to influence community behavior. Objective: This study aims to review the effectiveness of health promotion strategies in improving public literacy for DHF prevention and control. Methods: A literature review was conducted by analyzing five relevant articles published between 2020–2024 from Google Scholar, PubMed, Research Gate, and GARUDA databases. The selected articles were descriptively analyzed to evaluate the implementation and outcomes of health promotion strategies. Results: The review shows that health promotion strategies integrating advocacy, social support, and community empowerment are effective in reducing the incidence of DHF when implemented through coordinated cross-sector collaboration. Active community participation strengthens behavioral change and program sustainability. Nevertheless, several barriers persist, including limited political commitment, inadequate monitoring systems, and insufficient resources, which reduce the effectiveness of these strategies. The findings emphasize that health promotion must be adaptive, participatory, and supported by clear policy frameworks to maximize impact. Conclusion: Strengthening collaboration across sectors, ensuring adequate resources, and tailoring health promotion to local community needs are essential to achieving sustainable and effective dengue prevention and control in Indonesia.]]>
<![CDATA[The Relationship Between Compliance With Iron Supplement (TTD) Consumption and the Incidence of Anemia Among Adolescent Girls at SMPN 16 Sukabumi City ]]>
<![CDATA[Rahayu, Reza Gustiana]]>;
<![CDATA[Andriani, Ria]]>;
<![CDATA[Novryanthi, Dhinny]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1779
<![CDATA[Background: Adherence to blood-boosting tablet consumption among adolescent girls is vital for preventing anemia and maintaining optimal hemoglobin levels to support overall health. Objective: This study aimed to examine the relationship between adherence to blood-boosting tablet consumption and anemia incidence among adolescent girls. Methods: A quantitative cross-sectional study was conducted among 36 randomly selected grade VII students at SMPN 16 Sukabumi City, using the MMAS-8 questionnaire for adherence and the Homovue tool for hemoglobin measurement, analyzed with the Kendall tau test. Results: The findings revealed a significant relationship between adherence and anemia incidence, with a p-value of 0.002 (<0.05). Students with low adherence showed a higher prevalence of anemia, while those with moderate to high adherence maintained normal hemoglobin levels. The results also indicated that knowledge, motivation, and family support influenced adherence behavior. These findings confirm that consistent consumption of blood-boosting tablets effectively reduces anemia risk among adolescents. Conclusion: There is a significant correlation between adherence to blood-boosting tablet intake and anemia prevention, highlighting the importance of continuous education, motivation, and parental involvement to improve adolescent health outcomes.]]>
<![CDATA[Comparison Of Reduction In Blood Pressure Between Sublingual and Oral Captopril ]]>
<![CDATA[Agustiawan, Agustiawan]]>;
<![CDATA[Tabari, Muhammad Fadhlan La]]>;
<![CDATA[Ilvira, Muhammad Natsir]]>;
<![CDATA[Mastari, Ekawaty Suryani]]>;
<![CDATA[Hardiyanti, Dwi]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1794
<![CDATA[Background: Hypertensive crisis poses a high risk for long-term cardiovascular complications, and management focuses on controlled blood pressure (BP) reduction rather than immediate normalization. Objective: To compare the effectiveness of sublingual and oral captopril in reducing BP among patients with hypertensive urgency. Methods: A literature review was conducted using English-language studies published after 2012 that evaluated BP reduction outcomes of sublingual versus oral captopril. Results: Three relevant studies met the inclusion criteria, comparing both administration routes in hypertensive urgency management. All studies demonstrated that sublingual and oral captopril were similarly effective in lowering systolic and diastolic BP within the first few hours after administration. Sublingual captopril consistently produced a faster onset of action, with BP reduction observed within 15–30 minutes, whereas oral administration required 30–60 minutes to achieve comparable effects. None of the studies reported significant differences in adverse effects between the two routes. These findings suggest that while overall efficacy is comparable, the sublingual route provides more rapid BP control, which may be crucial in acute care settings. Conclusion: Both sublingual and oral captopril are effective options for hypertensive urgency, with the sublingual form offering a faster therapeutic response suitable for rapid BP reduction in emergency situations.]]>
<![CDATA[The Relationship Between Personal Hygiene Knowledge and the Incidence of Pediculosis capitis Among Female Students at the Islamic Boarding School X in Pati ]]>
<![CDATA[Astuti, Avisa Silviana Adi]]>;
<![CDATA[Asyfiradayati, Rezania]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1843
<![CDATA[Personal hygiene merupakan faktor penting dalam mencegah penyebaran infeksi, termasuk Pediculosis capitis. Kurangnya kebersihan diri dapat meningkatkan risiko infestasi kutu rambut, yang umum terjadi di lingkungan pesantren dengan interaksi sosial tinggi. Penelitian ini bertujuan untuk menganalisis hubungan antara pengetahuan Personal hygiene dengan kejadian Pediculosis capitis pada Santriwati di Pondok Pesantren X. Penelitian ini menggunakan metode survei analitik kuantitatif dengan desain cross-sectional. Data dikumpulkan melalui kuesioner dari 84 santriwati yang dipilih dengan teknik total sampling. Analisis bivariat dilakukan menggunakan uji chi-square dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa 63,1% santriwati mengalami Pediculosis capitis dalam satu tahun terakhir, dan 53,6% memiliki tingkat pengetahuan Personal hygiene yang kurang baik. Analisis statistik menunjukkan adanya hubungan signifikan antara pengetahuan Personal hygiene dengan kejadian Pediculosis capitis (p-value = 0,001). Kurangnya pengetahuan Personal hygiene berkorelasi dengan tingginya kejadian Pediculosis capitis pada santriwati Pondok Pesantren X. Oleh karena itu, diperlukan upaya edukasi dan peningkatan kesadaran tentang pentingnya menjaga kebersihan diri guna mencegah infeksi Pediculosis capitis. Hal yang mempengaruhi kejadian Pediculosis capitis di Pondok Pesantren X adalah yaitu karena santriwati tidur bersama dengan orang yang menderita Pediculosis capitis.]]>
<![CDATA[Application of Verbal De-Escalation and Assertive Training on Anger Control in Schizophrenia Patients with Violent Behavior ]]>
<![CDATA[Wulandari, Sri]]>;
<![CDATA[Hidayati, Laili Nur]]>;
<![CDATA[Sri Purwanti, Titik]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1889
<![CDATA[Background: Violent behavior is a harmful action directed toward oneself or others, commonly observed in patients with schizophrenia, and requires structured behavioral management such as de-escalation and assertiveness training. Objective: This case study aims to evaluate the effectiveness of de-escalation and assertiveness training in improving anger control among schizophrenia patients exhibiting violent behavior. Methods: A case study was conducted over four days one day in the Intensive Ward and three days in the Maintenance Ward on a male paranoid schizophrenia patient (Mr. J) using psychiatric nursing care guidelines from Muhammadiyah University of Yogyakarta and the PANSS-EC (Positive and Negative Syndrome Scale Excited Component). The intervention incorporated the KSS (frequent but brief contact) and BHSP (building a helping and supportive relationship) approaches. Results: After four days of intervention, the patient demonstrated improved emotional regulation, reduced irritability, and increased ability to communicate assertively. The PANSS-EC score decreased from 22 to 18, indicating a clinically meaningful reduction in the severity of violent behavior symptoms. The patient also showed greater self-awareness and cooperation during therapy sessions, suggesting enhanced anger control and self-regulation. Conclusion: De-escalation and assertiveness training are effective nursing interventions for reducing violent behavior and improving anger management in schizophrenia patients.]]>
<![CDATA[History of Activeness in Organizations and Therapeutic Communication Skills in Nursing Profession Students at the Faculty of Nursing, Jember University ]]>
<![CDATA[Mulyana, Nonica]]>;
<![CDATA[Purwandari, Retno]]>;
<![CDATA[Kurniawati, Yulia]]>;
<![CDATA[Nur, Kholid Rosyidi Muhammad]]>;
<![CDATA[Afandi, Alfid Tri]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/htj.v11i4.1954
<![CDATA[Background: Organizational involvement plays an important role in enhancing nursing students’ therapeutic communication, a critical competency for future healthcare professionals. Objective: To determine the relationship between organizational activeness and therapeutic communication skills among nursing profession students. Methods: This correlational descriptive-analytical study used a quantitative cross-sectional design involving 171 nursing profession students selected through total sampling. Results: Most students demonstrated a moderate level of organizational activeness (56.1%) and moderate therapeutic communication skills (55.6%). Statistical analysis revealed a significant positive correlation between organizational activeness and therapeutic communication skills (r = 0.521; p < 0.05), indicating that greater participation in organizational activities was associated with better communication performance. Students who were more active in organizations tended to exhibit higher confidence, empathy, and interpersonal awareness during clinical interactions. These findings suggest that active engagement in organizational activities provides opportunities for teamwork, leadership, and communication practice, which are transferable to professional therapeutic communication settings. Conclusion: There is a significant relationship between organizational activeness and therapeutic communication skills, emphasizing that participation in student organizations can enhance professional communication competencies essential for nursing practice.]]>
