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Adhar Arifuddin
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Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Published by Universitas Tadulako
ISSN : 24078441     EISSN : 25020749     DOI : https://doi.org/10.22487
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 20 Documents
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Search results for , issue "vol. 12 no. 1 (2026)" : 20 Documents clear
Nursing Care In Breast Cancer Patients With The Virginia Henderson Model Theory Approach Samran Samran; Irna Nursanti
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1792

Abstract

Background: Nursing theory underpins professional nursing practice by providing systematic frameworks for care delivery. Among conceptual models, Virginia Henderson’s nursing theory emphasizes 14 basic human needs that guide comprehensive, patient-centered nursing care. This model is particularly relevant for patients with breast cancer, who experience complex physical and psychosocial problems. Objective: This case study aimed to implement nursing care for a breast cancer patient using the Virginia Henderson nursing model as a theoretical approach. Methods: A descriptive case study design was applied. The subject consisted of one patient diagnosed with breast cancer. Data were collected through the nursing process, including comprehensive assessment, nursing diagnosis formulation, planning of interventions, implementation of nursing actions, and systematic evaluation. Results: The evaluation showed that nursing diagnoses of acute pain and risk of infection were partially resolved and required ongoing interventions, whereas the diagnosis of impaired physical mobility was successfully resolved following nursing care based on Henderson’s model. The structured focus on basic needs facilitated individualized interventions and continuity of care. Conclusion: The application of the Virginia Henderson nursing model reduced pain, infection risk, and mobility limitations, supporting its use as an evidence-based framework for nursing care in breast cancer patients in clinical practice.
Implementation of Integrated Traditional Healthcare Policy at the Traditional Health Clinic of Puskesmas Sawit Anggiana Mawadda Putri; Dwi Linna Siswardany
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1806

Abstract

Background: The integration of traditional medicine into the primary healthcare system expands community access to services, functioning as both an alternative and a complement to conventional treatment while strengthening promotive and preventive efforts. In Indonesia, this initiative is supported by several regulations, including Ministry of Health Regulation Number 37 of 2017. Objective: This study aimed to describe the implementation of integrated traditional health service policies at the Traditional Medicine Clinic of Sawit Primary Health Center. Methods: A qualitative descriptive design with a case study approach was used. Data were collected through semi-structured interviews lasting 40–45 minutes and document review. The study involved eight informants, including the traditional health program manager at the Boyolali Regency Health Office, the Head of Sawit Primary Health Center, healthcare workers, and community members who used the service. Results: The findings showed that implementation of integrated traditional health services was not optimal. Key constraints included a shortage of competent traditional health personnel, the absence of a dedicated operational budget, and limited service hours. Conclusion: Improving implementation requires recruiting qualified traditional health workers, providing continuous training, allocating specific budgets, and adjusting service duration to enhance effectiveness, sustainability, equity, accessibility, and overall community health benefits outcomes.
Analysis of Legal Responsibility for Forged Informed Consent in Emergency Medical Procedures: A Comparative Study of Indonesian Court Verdicts Jessy Viranda; Riki Zulfiko
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1819

Abstract

Background: Informed consent is a core ethical and legal principle in healthcare to safeguard patient autonomy. In emergencies, when consent cannot be obtained, legal limits for physicians become uncertain. An Indonesian case involving forged consent for an emergency caesarean section produced conflicting judgments between the District Court and the Supreme Court. Objective: This study analyzes regulation of informed consent in emergencies under Indonesian Law No. 17 of 2023 and compares legal reasoning of the Manado District Court and the Supreme Court. Methods: A normative legal research design was applied using comparative analysis of legal documents. Primary sources included Law No. 17 of 2023 on Health, the Indonesian Criminal Code, the Manado District Court verdict No. 90/PID.B/2011/PN.MDO, and the Supreme Court decision No. 365 K/PID/2012. Data were collected through literature review. Results: The District Court acquitted defendants by prioritizing the emergency context. Conversely, the Supreme Court convicted them, stressing criminal forgery and medical negligence contributing to patient death, supported by forensic evidence. Conclusion: The Supreme Court clarified that emergencies do not eliminate criminal liability for procedural violations such as forged consent. This decision reinforces obligations of healthcare professionals to comply with ethical and legal documentation standards during emergency care.
Relationship between Knowledge, Perception, and Self-Efficacy of Junior High School Students towards HPV Vaccination as Cervical Cancer Prevention in Surakarta Khansa Nuriashinta Nabila; Yuli Kusumawati
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1820

Abstract

Background: Cervical cancer remains a major health concern for women in Indonesia, including Surakarta, where participation in HPV screening and vaccination is still low. Objective: This study aimed to examine the relationship between knowledge, perception, and self-efficacy regarding HPV vaccination among junior high school girls in Surakarta. Methods: A cross-sectional study was conducted among 200 students from four randomly selected junior high schools using cluster sampling, with data analyzed using the Spearman Rho correlation test. Results: More than half of the students (52.6%) demonstrated poor knowledge about cervical cancer and the HPV vaccine, yet the majority exhibited high self-efficacy toward vaccination. The analysis revealed no significant relationship between knowledge and self-efficacy (p = 0.589), but a significant, albeit weak, correlation was found between knowledge and perception (p = 0.036; r = 0.15). These findings indicate that improved knowledge contributes to more positive perceptions of HPV vaccination, though self-efficacy tends to be shaped by personal motivation and external support such as parental or peer encouragement. Conclusion: Strengthening health education programs through schools and families is essential to enhance awareness, correct misconceptions, and foster stronger motivation among adolescent girls to participate in HPV vaccination as a preventive strategy against cervical cancer.
Validation of Anthropometry Against Lipid Profile in Women of Reproductive age 15–35 years Rosdiana Mus; Mutmainnah Abbas; Dylan Tamalsir; Vina Latuconsina; Jansye Cynthia Penturi; Elpira Asmin
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1823

Abstract

A Comparative Analysis of Medical Malpractice Law in Indonesia: Evaluating the Shift from Law No. 36 of 2009 to Law No. 17 of 2023 Friska Friska; Riki Zulfiko
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1827

Abstract

Background: Health law is a critical branch of law governing legal relations in the health sector. Medical malpractice, arising from professional negligence that causes patient harm or death, reflects failures in healthcare delivery. Rising malpractice cases indicate public dissatisfaction and serious legal ethical challenges. Objective: This study analyzes regulatory changes on medical malpractice under Indonesia’s Health Law No. 17 of 2023 compared with Law No. 36 of 2009, focusing on shifts in legal protection between medical personnel and patients. Methods: This normative juridical research applies a statutory approach. Analysis compares key provisions on malpractice, dispute resolution, and sanctions in both laws. Data derive from primary legal materials and secondary sources, analyzed qualitatively. Results: Law No. 17/2023 introduces major changes: mandatory ethics council recommendations prior to investigation, compulsory restorative justice mechanisms, and reduced criminal sanctions for negligence causing disability or death. These provisions strengthen protection for medical personnel but create procedural barriers for patients seeking remedies, potentially weakening patient rights. Conclusion: Indonesia’s malpractice regime now favors medical professionals. Although intended to limit defensive medicine, the shift risks marginalizing patients and therefore requires stronger non-litigious patient protection mechanisms and a credible, independent ethics council to sustain justice and public trust.
Management of Linezolid-Induced Anemia in Drug-Resistant Tuberculosis Therapy: A Literature Review Ayu Sekarani Damana Putri
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1873

Abstract

Background: Linezolid is a Class A drug recommended for the treatment of multidrug-resistant tuberculosis (TB), but its use carries a significant risk of hematologic toxicity, particularly anemia. The optimal duration and dose for linezolid therapy are still not fully known. Objective: This systematic review aimed to evaluate strategies to manage anemia in patients with drug-resistant TB receiving linezolid therapy. Methods: Articles were searched through Science Direct, PubMed, and Google Scholar databases for articles published between 2014 and 2024.  The keywords used were “tuberculosis resistant drugs”, “linezolid”, “hematology toxicity”, and “anemia”. Results: From the literature review, linezolid can cause anemia through the mechanism of inhibition of mitochondrial protein synthesis in erythropoiesis progenitor cells in the bone marrow and suppression of hematopoiesis. Major risk factors include long-term use (>8 weeks), high doses (>600 mg/day), and comorbid conditions such as malnutrition and liver disease. Management includes close monitoring of hemoglobin, dose reduction, discontinuation of therapy when necessary, and administration of hematopoietic supplements. Conclusion: Linezolid-induced anemia can significantly affect the continuation of therapy and quality of life of patients. The management strategies that can be applied depend on the severity of the anemia. Close monitoring and early intervention are essential to ensure successful treatment.
Management of Men Diagnosed with Schizophrenia Using a Family Medicine Approach Putri Nabila Febrianty; Raihan Akbar Darmawan; Azzahra Roudatul Jannah; Winsca Maghfirda Yasya; Dhia Adhi Perwirawati; Maria Selvester Thadeus; Tiwuk Susantiningsih
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1882

Abstract

Background: Family medicine emphasizes comprehensive and sustainable health care for individuals and families. Objective: This study aimed to identify clinical problems in patients with schizophrenia and their families, and to analyze factors influencing schizophrenia-related problems using a family medicine approach.Methods: Management was conducted using a family-centered approach designed to create comprehensive health conditions encompassing physical, mental, social, and emotional aspects. The intervention encouraged a supportive family environment for healthy living behaviors and increased family awareness of disease prevention and health promotion in schizophrenia. Family coaching and education were delivered using RANGKUL promotional media. Results: Family coaching demonstrated improved family understanding of schizophrenia, indicated by an increase in post-test scores of 50 out of 100 compared with pre-test results. Families showed better recognition of symptoms, treatment goals, and the importance of long-term care and medication adherence. Conclusion: Management of a male patient diagnosed with catatonic schizophrenia can be effectively implemented using a family medicine approach. Key supporting factors included high family enthusiasm, openness in providing information for family assessment, and strong commitment to maintaining the patient’s medication compliance. Complicating factors included the parents’ educational level, limited to junior and senior high school, requiring information delivery in simple language.
Retrospective Study of Candida sp. Infection in Intensive Care Unit (ICU) RSPAD Gatot Soebroto Yuni Setyaningsih; Fajriati Zulfa; Nunuk Nugrohowati; S Agus Waluyo Jati; R Prathama Wiradharma
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1894

Abstract

Background: An Intensive Care Unit (ICU) provides care for patients with critical conditions requiring monitoring and life-support. ICU patients often have comorbidities, impaired immunity, antibiotic exposure, and invasive devices, increasing susceptibility to opportunistic fungal infections, particularly Candida species. Objective: This study aimed to describe the distribution of Candida species among ICU patients at RSPAD Gatot Soebroto during 2021–2022. Methods: A retrospective observational descriptive study was conducted using total sampling. Secondary data were obtained from medical records and microbiology laboratory reports of ICU patients with confirmed Candida infections. Results: The prevalence of Candida infection in the ICU was 7.19% in 2021 and increased to 8.76% in 2022. Candida albicans was the most common species, accounting for 45.45% of cases in 2021 and rising to 55.76% in 2022. Candida tropicalis was the second most frequent species (30.30% in 2021; 20.00% in 2022), followed by Candida glabrata (13.13% in 2021; 16.97% in 2022). Other species included Candida parapsilosis, Candida krusei, Candida famata, Candida ciferii, and Candida lusitaniae. Positive specimens originated from urine, bronchial, sputum, and blood samples. Conclusion: Candida infections in the ICU were mainly caused by Candida albicans; however, emerging non-albicans Candida species indicate continuous surveillance needs worldwide settings clinically.
High BCAA Enteral Food Formulation Based on Local Food Elakati (Pumpkin Enteral, Red Beans, and Egg White) for Liver Cirrhosis Patients Sheila Amara Putri; Fahdah Haniyah; Annisa Failasufa; Aprodhit Justicia Nabila; Umi Kurniawati; Fitriana Mustikaningrum
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1913

Abstract

Background: Liver cirrhosis is a chronic disease often accompanied by malnutrition due to an imbalance of amino acids, requiring nutritional interventions such as affordable, locally sourced enteral formulas high in Branched Chain Amino Acids (BCAA). Objective: To develop a high-BCAA enteral formula using pumpkin, red beans, and egg whites. Methods: This study used an experimental design. Nutritional content was assessed empirically; viscosity was measured with a viscometer, osmolality with an osmometer, flow rate using a nasogastric tube, organoleptic tests by 15 panelists, and food cost calculated through market surveys. Organoleptic data were analyzed using the Kruskal-Wallis and Mann-Whitney tests (p<0.05). Results: The formula had an energy density of 1.13 kcal/ml (F1) and 1.07 kcal/ml (F2), with nutrient content meeting the standards. Viscosity for F1 and F2 exceeded recommended levels; average flow rates were 0.08 and 0.18 cc/second, respectively. Osmolality of F1 met enteral nutrition recommendations and no sediment was found. Organoleptic tests showed significant differences between CEF, F1 and F2 in color (p=0.001), aroma (p=0.008), texture (p=0.018), and overall acceptance (p=0.034), but not in taste (p=0.184). Conclusion: ELAKATI F1 is recommended as a high-BCAA enteral formula due to its nutritional adequacy, sensory acceptability, and use of affordable local ingredients.

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