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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 433 Documents
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The Influence of Hospital Management Information System Utilization and Facilities on Health Worker Performance at Rumkitalmar Ewa Pangalila in Supporting Marine Soldier Combat Readiness Hengky Pebrianton; Komaruddin Komaruddin; Muhammad Irfan Ilmi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/w21z2j60

Abstract

Background : The performance of health workers at Rumkitalmar Ewa Pangalila has not been optimal due to challenges in the utilization of technology and limitations in physical facilities that support hospital operations. Effective implementation of the Hospital Management Information System (SIMRS) and adequate facilities are essential to improve operational efficiency and healthcare service quality. Objective : This study aims to analyze the effect of the Hospital Management Information System (SIMRS) and physical facilities on the performance of health workers at Rumkitalmar Ewa Pangalila. Specifically, it examines the individual and simultaneous influence of SIMRS (X1) and facilities (X2) on health worker performance (Y). Methods : This study employed a quantitative research design with a positivistic approach. A simple random sampling technique was used to select 37 respondents. Data were collected through questionnaires that underwent validity and reliability testing. The data were analyzed using multiple linear regression and classical assumption tests to determine the relationships among variables. Results : The findings revealed that SIMRS had a positive and significant effect on health worker performance (t = 4.736; p < 0.05). Facilities also showed a positive and significant influence on performance (t = 3.278; p < 0.05). Simultaneously, SIMRS and facilities significantly affected health worker performance (F = 41.681; p < 0.05). The coefficient of determination (R²) was 0.710, indicating that 71% of the variation in health worker performance could be explained by SIMRS utilization and facilities. Conclusion : The study concludes that optimizing the use of SIMRS and improving hospital physical facilities are crucial for enhancing health worker performance. These improvements can increase operational efficiency and healthcare service quality, ultimately supporting the physical and mental readiness of marine soldiers. Therefore, continuous training for health personnel and the improvement and upgrading of hospital facilities are recommended.
The Impact of Endurance and Strength Training on Quality of Life in Patients with Heart Failure: A Scoping Review Sugianto Mukmin; Novia Nurinta Jayanti Saragih; Hilmia Fahma; Jihan Zatalini Nurhadi; M Soleh Rodian; Agustiawan Agustiawan
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ydyjar44

Abstract

Background: Heart failure (HF) is a progressive condition associated with impaired functional capacity and reduced quality of life (QoL). In addition to pharmacological therapy, exercise-based interventions, including endurance and strength training, have been proposed as effective non-pharmacological strategies to improve outcomes. Objectives: This scoping review aimed to map the existing evidence on the impact of endurance and strength training on QoL in patients with HF, identify intervention characteristics, and highlight gaps for future research. Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane, and supplementary sources for studies published between January 2015 and September 2025. Eligible studies included randomized controlled trials, secondary analyses, and intervention reviews reporting QoL outcomes. Screening followed PRISMA-ScR guidelines, and data were extracted on study design, sample size, intervention type, and QoL measures. Results: Out of 1,060 identified records, six studies met inclusion criteria. Interventions included aerobic, resistance, and functional training programs. Most studies reported improvements in QoL, although results varied by exercise modality, patient characteristics, and measurement tools. Conclusions: Endurance and strength training appear to be safe and beneficial strategies to enhance QoL in HF patients. Standardization of protocols and long-term studies are needed to optimize clinical application.
Increasing Antibiotic Resistance Cases: The Role of Medical Students in Rational Drug Use Practices Miftahul Akhyar Latief
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/fv285944

Abstract

Background: Antibiotic resistance is one of the greatest global health threats of the 21st century, largely driven by irrational antibiotic use in communities and health-care settings. Objective: This study aimed to analyze the role of medical students in promoting rational antibiotic use and contributing to antibiotic resistance prevention efforts. Methods: This study used a descriptive qualitative approach with purposive sampling involving 15 medical students. Data were collected through in-depth interviews and participant observation, then analyzed using thematic analysis to identify key themes related to students’ knowledge, attitudes, and practices regarding antibiotic use. Results: Most students demonstrated good conceptual understanding of antibiotic resistance, including its biological mechanisms and public health consequences. However, a gap remained between theoretical knowledge and clinical application. Student behavior was influenced by internal factors, such as knowledge, motivation, and professional ethics, as well as external factors, including clinical supervisors, academic culture, patient expectations, and institutional policies. Medical students also acted as agents of change through public education, community outreach, digital campaigns, and service-based learning activities. Conclusion: Medical education should strengthen integration between theory, clinical practice, antimicrobial stewardship, and community service to develop future physicians who are competent, ethical, and actively involved in preventing antibiotic resistance more effectively.
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.

Page 42 of 44 | Total Record : 433

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