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Adhar Arifuddin
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Jl. Soekarno Hatta KM.9, Fakultas Kedokteran Universitas Tadulako , Palu, Provinsi Sulawesi Tengah, 94148
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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 393 Documents
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The Correlation Between Knowledge of Pregnant Women and the Incidence of Anemia in Pregnancy in the Working Area of Puskesmas Nagrak Susanti, Elsa; Novryanthi, Dhinny; Andriani, Ria
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 3 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i3.1750

Abstract

Background: Anemia in pregnancy is a global health issue with a prevalence of 48.9% in Indonesia (Riskesdas, 2018). This condition is influenced by iron deficiency (50% of cases), dietary patterns, and socioeconomic factors. Previous studies indicate a correlation between maternal knowledge and anemia incidence, yet research in the Puskesmas Nagrak area remains limited. Objective: To identify the relationship between pregnant women's knowledge and anemia incidence in the working area of Puskesmas Nagrak. Methods: A quantitative cross-sectional study involving 70 pregnant women in trimesters 1-3. Data were collected using Guttman-scale questionnaires and secondary data from maternal health records. Chi-Square test (a=0.05) was used for analysis. Results: 52.9% of respondents had anemia (Hb<11 g/dL). Women with low knowledge (38.6%) showed the highest anemia risk (p<0.000). Education level (57.1% junior high graduates) and occupation (92.9% housewives) significantly contributed. Conclusion: Knowledge level significantly affects anemia incidence. Community-based health education interventions are recommended to improve immunization coverage and Fe tablet consumption.
The Relationship Between Knowledge, Attitude, and Behavior Factors With the Implementation of Smoke-Free Areas in the Campus Environment: Literature Review Putri, Hanan Aliya; Umaroh, Ayu Khoirotul
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 3 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i3.1751

Abstract

Background: The prevalence of smoking among Indonesians aged >/ 15 years was 36.3% in 2013 and decreased to 33.8% in 2018 (Riskesdas). The Smoke-Free Area (SFA) policy aims to minimize the adverse health impacts of smoking. Compliance in campus settings requires the academic community to follow regulations, such as refraining from smoking in designated SFA zones. Objective: To identify significant factors knowledge, attitudes, and behaviors associated with compliance to the SFA policy in the campus environment. Methods: A literature review was conducted following the PRISMA approach, using databases including Google Scholar, PubMed, and ScienceDirect. Inclusion criteria were full-text articles, quantitative cross-sectional studies with bivariate analysis, published in Indonesian or English between 2013–2023. Results: Four eligible articles were reviewed. Two focused on knowledge as a factor, two on attitudes, and one on behaviors influencing compliance. Findings indicate that higher knowledge levels, positive attitudes, and supportive behaviors contribute to improved adherence to SFA implementation in campuses. Conclusion: Knowledge, attitudes, and behaviors are significant factors in enhancing compliance with SFA policies. Promoting awareness and cultivating positive behavioral changes among the academic community can strengthen the success of smoke-free campus initiatives
Spatial Pattern Analysis and Determinants of Stunting Prevalence in Central Sulawesi, Indonesia: Using Linear Regression, Local Moran’s I, and Random Forest Approaches Arifuddin, Adhar; Fauzan, Achmad; Hakim, Raden Bagus Fajriya; Nur, A Fahira
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 3 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i3.1863

Abstract

Background: Stunting remains a significant public health issue in Indonesia, particularly in Central Sulawesi, where socio-economic and environmental factors contribute to its prevalence. Understanding these determinants is crucial for effective intervention strategies. Objective: This study aims to analyze the spatial distribution and predictors of stunting prevalence in Central Sulawesi, focusing on socio-economic and environmental factors. Methods: An observational design was employed, utilizing secondary data from the Central Sulawesi Provincial Health Department. Spatial analysis, including Moran’s I and Local Moran’s I, assessed spatial autocorrelation and identified outliers. Regression analysis and Random Forest modeling examined predictors of stunting prevalence. Results: The study found significant spatial clustering in stunting prevalence. Key socio-economic factors identified were maternal education and household income, with poverty being the most influential predictor. Random Forest analysis highlighted sanitation and access to health facilities as important, although access to clean water did not show a significant effect. Conclusion: The findings provide valuable insights into the socio-economic determinants of stunting and emphasize the need for targeted, comprehensive intervention strategies focusing on improving maternal education and addressing poverty, along with enhancing healthcare access in Central Sulawesi
The Relationship Between Diabetes and Hypertension and Mortality in Chronic Kidney Disease Patients in Indonesia Yonata, Ade; Islamy, Nurul
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1534

Abstract

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
The Relationship Between Maternal Knowledge and the Incidence of Hypertension in Pregnancy at Bhakti Medicare Hospital, Sukabumi Octafiana, Dian Fitria; Novryanthi, Dhinny; Andriani, Ria
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1753

Abstract

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.
Factors Associated with Caregiver Burden in Children With Cerebral Palsy in Developing Countries: A Systematic Review Sanjaya, Kadek Dwi Wira; Wirawan, I Ketut Gede Agus Budi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1757

Abstract

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.
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 Kusuma, Aurrell Adna; Purwanti, Okti Sri
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1760

Abstract

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
Effectiveness of Health Promotion Strategies on Dengue Hemorrhagic Fever Prevention and Control: A Literature Review Martiningsih, Ika; Trisnowati, Heni; Sulistyawati, Sulistyawati
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1766

Abstract

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.
The Relationship Between Compliance With Iron Supplement (TTD) Consumption and the Incidence of Anemia Among Adolescent Girls at SMPN 16 Sukabumi City Rahayu, Reza Gustiana; Andriani, Ria; Novryanthi, Dhinny
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1779

Abstract

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.
Comparison Of Reduction In Blood Pressure Between Sublingual and Oral Captopril Agustiawan, Agustiawan; Tabari, Muhammad Fadhlan La; Ilvira, Muhammad Natsir; Mastari, Ekawaty Suryani; Hardiyanti, Dwi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1794

Abstract

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.

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