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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 393 Documents
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The Relationship Between Personal Hygiene Knowledge and the Incidence of Pediculosis capitis Among Female Students at the Islamic Boarding School X in Pati Astuti, Avisa Silviana Adi; Asyfiradayati, Rezania
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.v11i4.1843

Abstract

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.
Application of Verbal De-Escalation and Assertive Training on Anger Control in Schizophrenia Patients with Violent Behavior Wulandari, Sri; Hidayati, Laili Nur; Sri Purwanti, Titik
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.v11i4.1889

Abstract

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.
History of Activeness in Organizations and Therapeutic Communication Skills in Nursing Profession Students at the Faculty of Nursing, Jember University Mulyana, Nonica; Purwandari, Retno; Kurniawati, Yulia; Nur, Kholid Rosyidi Muhammad; Afandi, Alfid Tri
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.v11i4.1954

Abstract

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.
Characteristics and Acceptability of a Modified High-Energy, High-Protein Enteral Formula Based on Local Foods Desvianti, Desvianti; Yulianto, Yulianto; Nilawati, Nurul Salasa
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.v11i4.1531

Abstract

Background: Enteral formula is a liquid nutritional preparation administered orally or via tube to patients with a functioning digestive system, and high-energy high-protein (HEHP) diets are essential for patients requiring enhanced nutritional intake. Objective: To determine the optimal formulation of HEHP enteral formula based on purple sweet potato flour, tempeh flour, and chicken egg flour in terms of macronutrient composition, viscosity, microbiological quality, acceptability, and food cost. Methods: This experimental study used a Completely Randomized Design (CRD) with three formulations tested on 30 panelists for organoleptic evaluation. Results: The organoleptic test results (color, aroma, taste, and texture) indicated that Formula 1 (F1) was the most preferred. F1 contained 124.49 kcal energy, 6.75% protein, 7.25% fat, and 8.06% carbohydrates per 100 grams, with a viscosity of 34.0 mPa.s and a Total Plate Count of 1.0 × 10 colonies/ml, meeting the acceptable microbiological standards for enteral nutrition. Among all formulations, F1 demonstrated optimal sensory quality, nutritional balance, and production cost efficiency, making it the most suitable candidate for HEHP dietary use. Conclusion: The HEHP enteral formula made from purple sweet potato, tempeh, and chicken egg flour is a feasible and acceptable alternative for conscious patients requiring oral HEHP nutritional support.
Post Mastectomy Pain Syndrome (PMPS) Incident Profile at Ibnu Sina Hospital Makassar in May–August 2024 Djibran, Moh. Rizqullah; Dwimartyono, Fendy; Syahruddin, Febie Irsandy; Hasbi, Berry Erida; Harahap, Muh. Wirawan
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.v11i4.1767

Abstract

Background: Post-Mastectomy Pain Syndrome (PMPS) is a chronic neuropathic pain lasting over three months after mastectomy, often affecting the chest, axilla, or arm, yet data on its prevalence in Eastern Indonesia remain scarce. Objective: To describe the characteristics and impact of PMPS among post-mastectomy patients at Ibnu Sina Hospital. Methods: A descriptive observational study was conducted involving 30 post-mastectomy patients diagnosed with PMPS, using univariate analysis with SPSS 25.0 to assess pain characteristics and quality-of-life effects, with neuropathic pain defined as a score >/ 4 on the Neuropathic Pain Scale. Results: The majority of patients (76.7%) experienced chronic pain localized mainly to the anterior chest and axilla, often radiating to the upper arm. About 70.0% reported significant interference with daily activities, sleep disturbance, and psychological distress, while 60.0% experienced pain exacerbation during shoulder movement. Neuropathic characteristics such as burning and tingling sensations were frequently reported, with moderate to severe pain intensity noted in over half of the participants. These findings indicate that PMPS substantially compromises patients’ physical function and emotional well-being during postoperative recovery. Conclusion: PMPS prevalence is high and markedly affects quality of life, necessitating early screening and multidisciplinary pain management in post-mastectomy care.
Effect of Diabetes Exercise on Reduction of Blood Glucose Levels in Patients with Type II Diabetes Mellitus Sari, Intan
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.v11i4.1785

Abstract

Background: The rising prevalence of diabetes mellitus in Indonesia from 10.9% in 2018 to 11.7% in 2023, positioning the country fifth globally with 19.47 million cases highlights an urgent public health concern requiring effective management strategies. Objective: To determine the effect of diabetes exercise on blood glucose levels (BGLs) in patients with type 2 diabetes mellitus. Methods: This pre-experimental study used a one-group pretest-posttest design involving 18 respondents who performed diabetes exercise three times per week for four weeks, each session lasting 30 minutes. Results: Data were analyzed using frequency distribution, the Shapiro-Wilk test, and the Wilcoxon Signed Rank Test. Normality tests showed significance values of 0.521 (pre-test) and 0.946 (post-test), indicating normally distributed data. The Wilcoxon test yielded a p-value of 0.001 (<0.05) with a large effect size (0.68), demonstrating a significant reduction in BGLs after the intervention. Mean BGLs decreased substantially from pre- to post-exercise, suggesting improved glycemic control. These findings confirm that regular diabetes exercise enhances insulin sensitivity and promotes better glucose utilization through increased muscle activity. Conclusion: Diabetes exercise significantly reduces blood glucose levels in patients with type 2 diabetes mellitus and should be recommended as a complementary, non-pharmacological therapy for optimal glycemic management.
The Relationship Between Dietary Patterns, Physical Activity, and Stress Levels with the Incidence of Hypertension among Adults of Productive Age Vandika, Danuartha; Maliya, Arina
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.v11i4.1790

Abstract

Background: Hypertension is a major public health concern among productive-age individuals, influenced not only by genetic factors but also by modifiable lifestyle factors such as diet, physical activity, and stress. Objective: This study aimed to analyze the relationship between diet, physical activity, and stress levels with the incidence of hypertension among individuals in the productive age group. Methods: A quantitative research design with a Cross-Sectional approach was employed using purposive sampling involving 112 hypertensive respondents of productive age, and data were analyzed using the Spearman-Rho correlation test. Results: The findings revealed a significant positive relationship between dietary patterns and hypertension incidence (p = 0.001). More than half of the respondents engaged in light physical activity, and a positive correlation was observed between physical activity and hypertension (p = 0.001). Additionally, stress levels were significantly correlated with hypertension incidence (p = 0.001). These results indicate that poor dietary adherence, low physical activity, and high stress levels contribute to the increasing prevalence of hypertension among productive-age adults. Conclusion: Maintaining a balanced diet, engaging in regular physical activity, and managing stress effectively are crucial strategies to prevent hypertension and promote cardiovascular health in the productive age population.
The Role of Self-Efficacy in Treatment Adherence and Quality of Life Improvement in Hypertensive Patients Dewi, Aulia Kusuma; Maliya, Arina
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.v11i4.1791

Abstract

Background: Hypertension is a global health problem that affects quality of life, morbidity, and mortality, with low self-efficacy and poor medication adherence being major barriers to effective management. Objectives: This study aimed to analyze the relationship between self-efficacy, medication adherence, and quality of life among hypertensive patients. Methods: A cross-sectional study was conducted at the Kartasura Health Center from June to November 2024 involving 128 purposively selected respondents. Data were collected using a structured questionnaire and analyzed using statistical tests to determine variable relationships. Results: Most respondents demonstrated low self-efficacy, poor medication adherence, and low quality of life; the majority were females aged 56–65 years with junior high school education. Statistical analysis revealed a significant relationship between self-efficacy and treatment adherence (p < 0.001), as well as between self-efficacy and quality of life (p = 0.002). Furthermore, patients with higher self-efficacy scores exhibited 1.8 times greater adherence and 1.6 times higher quality of life scores compared to those with lower self-efficacy. Conclusion: Self-efficacy plays a pivotal role in enhancing medication adherence and quality of life among hypertensive patients; thus, interventions aimed at strengthening self-efficacy should be prioritized in hypertension management programs.
Characteristics of Risk Factors for Chronic Suppurative Otitis Media at Ibnu Sina Hospital, Makassar City in 2022-2023 Abas, Wahyu Julianto; Sam, Andi Dhedhie Prasatia; Arifuddin, Andi Tenri Sanna; Abidin, Moh. Reza Zainal; Masdipa, Andi
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.v11i4.1793

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is a persistent middle ear infection that significantly contributes to global hearing loss and reduced quality of life, yet recent epidemiological data from major Indonesian cities such as Makassar remain scarce. Objective: To identify risk factor characteristics, including age, gender, and CSOM type (benign or malignant), among patients diagnosed at Ibnu Sina Hospital, Makassar, from 2022 to 2023. Methods: A quantitative descriptive study with a retrospective design was conducted using total sampling of 31 patient medical records meeting inclusion criteria, and data were analyzed univariately to present frequency distributions and percentages. Results: The 17–25-year age group had the highest CSOM prevalence (35.48%), followed by the 0–5-year group (16.13%). Female patients accounted for 51.61%, showing a nearly equal gender distribution. The majority of cases were benign CSOM (96.77%), with only 3.23% classified as malignant. These findings indicate that young adults represent the most affected demographic, likely due to environmental exposure and untreated upper respiratory infections, while malignant CSOM remains rare. Conclusion: Age is the primary risk factor for CSOM in this population, with young adults being the most vulnerable, underscoring the importance of targeted preventive measures and early ear health education.
The Relationship Between Smoking and Blood Glucose Levels in Active Smoking Fishermen in Banggae Sub-District, Majene District Zulkifli, Andi Aldita Nitamapia; Safitri, Asrini; Hamzah, Pratiwi Nasir; Iskandar, Darariani; Gayatri, Sri Wahyuni
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.v11i4.1796

Abstract

Background: Smoking is a major risk factor for non-communicable diseases such as diabetes mellitus, and fishermen may have specific smoking habits that influence blood glucose levels. Objective: To analyze the relationship between smoking activity and random blood glucose levels among active fishermen in Banggae Sub-District, Majene District. Methods: This quantitative analytical study with a cross-sectional design involved 100 active fishermen selected using the Slovin formula, with data analyzed using Spearman correlation in SPSS. Results: Most respondents were young (45%) and middle-aged adults (46%), and 94% smoked filter cigarettes. A significant positive correlation was found between smoking activity and random blood glucose levels (r = 0.295, p = 0.003), indicating that higher smoking frequency and dependency were associated with elevated glucose levels. Conversely, no significant relationship was observed between dietary patterns and glucose levels (r = -0.081, p = 0.422). These findings suggest that smoking intensity, rather than food type, plays a more dominant role in glucose dysregulation among fishermen. Conclusion: Increased smoking activity is significantly correlated with higher random blood glucose levels, emphasizing the urgent need for smoking cessation interventions to reduce diabetes risk in this high-risk occupational group.

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