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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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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.
The Effect of Patient Condition Information Education on the Anxiety of Families of Critically Ill Patients in the ICU Elisa Indriani; Erna Safariyah; Mustofa Saepul Alamsah; Azhar Zulkarnain Alamsyah
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.v12i1.1914

Abstract

Background: Anxiety in families of critically ill patients in the ICU often arises due to a lack of information about the patient's condition. Purpose: To determine the effect of education about the patient's condition on the anxiety levels of families of critically ill patients in the ICU at RSUD Jampang Kulon. Method: A quasi-experimental study with a pretest-posttest control group design. A total of 46 family members were divided into intervention and control groups, each consisting of 23 participants. Anxiety was measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after the education. The intervention group received structured education, while the control group received standard information. Analysis technique: Data were analyzed using the Wilcoxon and Mann-Whitney tests to examine differences in anxiety levels within and between groups. Results: There was a significant decrease in anxiety scores in the intervention group (p=0.001), whereas the control group showed no significant changes. Most family members in the intervention group shifted from moderate to mild anxiety after the education. Conclusion: Education about the patient's condition effectively reduces anxiety in families of critically ill patients in the ICU at RSUD Jampang Kulon and is recommended as a standard procedure in ICU care.
The Relationship, Scientific Evidence, and Clinical Implications Between Obesity and Psoriasis: A Literature Review Eka Lustikawati; Dwi Sarwani Sri Rejeki; Siwi Pramatama
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.v12i1.1916

Abstract

Background: Obesity and psoriasis are chronic diseases often found together. Obesity not only increases the risk of developing psoriasis but also worsens its clinical severity. Objective: This study aims to systematically review the association between obesity and psoriasis and examine their clinical implications. Methods: A systematic literature review was conducted following PRISMA guidelines. Literature searches were performed using Google Scholar, PubMed, and ScienceDirect. From 19,150 articles identified, 10 studies were selected based on inclusion and exclusion criteria. Results: The findings show a positive correlation between higher body mass index (BMI) and increased severity of psoriasis, measured by PASI (Psoriasis Area and Severity Index), BSA (Body Surface Area), and DLQI (Dermatology Life Quality Index). This relationship is mediated by the role of adipokines, pro-inflammatory cytokines, and the activation of the Th17 immune pathway. Genetic predisposition and unhealthy lifestyles further contribute to the association. Conclusion: Obesity is an important factor that worsens psoriasis severity. Comprehensive clinical management should integrate weight control and lifestyle interventions to improve treatment outcomes for patients with psoriasis.
Profile of Medication Error Incidents in the Prescribing and Transcribing Phases of Outpatients at the Pharmacy Installation of Tidore Islands City Muhammad Subhan A Sibadu; Nur Arizka Bahrudin; Muhammad Zulfian A Disi; Muh Danial Fajri; Liasari Armaijn
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.v12i1.1925

Abstract

Background: Medication error is one of the most common types of medical errors and can significantly impact patient safety. Such errors may occur at various stages of the medication process,including prescribing, transcribing, dispensing, and administering drugs to patients.Objective: To identify the profile of medication error incidents during the prescribing and transcribing phases in outpatients at the Pharmacy Installation of the Regional General Hospital (RSD) of Tidore Islands City. Method: This study used a descriptive observational design with a cross-sectional approach, focusing on outpatient prescriptions during the period of October to December 2024.Results: A total of 600 prescriptions (23.3%) were found to contain medication errors. In the prescribing phase, 200 prescriptions (7.77%) had errors, mainly due to the absence of the doctor's registration number (SIP) (7.77%) and the patient's body weight (2.33%). In the transcribing phase, 400 prescriptions (15.5%) contained errors, including incorrect dosage (8.94%), route of administration (0.04%), and drug units (14.57%). Conclusion: Medication errors occurred more frequently in the transcribing phase than in the prescribing phase. These findings are expected to serve as a basis for improving the completeness of prescription writing to prevent medication errors and enhance patient safety at the Pharmacy Installation of RSD Tidore Islands City.
The Effect of Motion Graphic Animation Videos on the Level of Final Exam Anxiety of Grade XII Students at MAN 3 Cijantung Erma Amelia Rahayu; Peni Cahyati; Ridwan Kustiawan; Dudi Hartono
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.v12i1.1932

Abstract

Background: A negative emotional response to real or imagined threats accompanied by personal experiences such as stress, fear, and feelings of uneasiness is called anxiety. Adolescents aged ten to twelve most often experience anxiety disorders. Objectives: The purpose of this study was to determine how motion graphic animation videos affect students' anxiety levels before the final exam of class XII at MAN 3 Cijantung. Methods: This research method is quasi-experiment with pre-test post-test with control design and non-probability sampling technique with 36 students in class XII. Results: The results of the study in the intervention group and control group experienced significant changes in the mean score and anxiety level. In the intervention group before treatment was 37.89 and decreased to 22.17 with a minimum score of 12 or no anxiety (p-value 0.001). In the control group, the mean score was 31.21 to 29.06 with a minimum score of 19 (p-value 0.047). Conclusions: The conclusion of this study is the p-value analysis test of 0.007 (p-value <0.05) which shows that the provision of animated videos is more effective in overcoming anxiety disorders. Distraction using this animated video can be used as an alternative way that can be used to overcome anxiety.
Evaluation of the Islamic Boarding School Health Post Program (Poskestren) Based on the CIPP (Context, Input, Process, Product) Theory: A Scoping Review Aldiella Ayu Prasetya Astuti; Rery Afianto; Renaldi Renaldi; Muthmainnah Muthmainnah; Muji Sulistyowati; Aprillia Nurhayati
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.v12i1.1940

Abstract

Background: Indonesia hosts 39,551 Islamic boarding schools (pesantren) with approximately 4.9 million students, many of which experience limited access to health services. The Islamic Boarding School Health Post (Poskestren) program was designed to strengthen promotive and preventive health services in pesantren, yet systematic evaluation of its implementation remains limited. Objective: This study analyzes the implementation of the Poskestren program in Indonesia using the Context, Input, Process, and Product (CIPP) evaluation model. Methods: A scoping review was conducted using Google Scholar with the keyword “implementation of pesantren health post (Poskestren).” Inclusion criteria comprised full-text, open-access articles published between 2020 and 2025 that explicitly evaluated Poskestren. Six relevant articles met the criteria and were synthesized. Results: The Poskestren program demonstrates strategic relevance and potential benefits for student health; however, multiple implementation gaps persist. CIPP-based analysis and comparison with the Minister of Health Regulation No. 1 of 2013 indicate that standards are not fully achieved. Major constraints include inadequate health facilities, limited medical equipment, insufficient training and competency of health cadres, weak supervision mechanisms, and low student participation in health activities. Conclusion: Poskestren is a vital school-based health initiative, but its effectiveness depends on improved resource allocation, structured cadre capacity building, stronger coordination, and comprehensive monitoring and evaluation systems to improve health outcomes among pesantren students.
Determinants of Low Exclusive Breastfeeding Coverage in Indonesia Nirna Dwi Anggraini; Ghaisani Putri Budhiharto; Azzahra Putri Nurkholis; Rouzatul Fitri; Chahya Kharin Herbawani
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.v12i1.1941

Abstract

Background: Exclusive breastfeeding (EBF) coverage in Indonesia has not yet reached the national target of 80%, despite a gradual increase from 73.79% in 2023 to 74.73% in 2024. Several determinants contribute to this condition, including maternal employment, educational level, socio-cultural beliefs, and delayed early initiation of breastfeeding (IMD). Suboptimal EBF practices increase the risk of stunting, hinder optimal growth and development, and reduce overall child health outcomes. Objective: This study aims to identify key factors associated with low EBF coverage in Indonesia and to formulate evidence-based strategies for improvement by considering demographic, socio-economic, cultural, and occupational challenges, particularly among working mothers. Methods: An integrative literature review was conducted by analyzing 11 peer-reviewed articles retrieved from the GARUDA, Springer, DOAJ, and ScienceDirect databases. Inclusion criteria were open-access articles published between 2021 and 2025 using quantitative or qualitative research designs. Thematic analysis was applied to synthesize determinants influencing EBF coverage. Results: The review identified maternal education, employment status, family support, IMD implementation, place of delivery, and access to breastfeeding counseling as major determinants of EBF practices. Conclusion: EBF coverage in Indonesia is shaped by multifactorial influences, highlighting the need for integrated educational, familial, and policy-based interventions.
Macronutrient Intake Patterns and Their Association with Adolescent Nutritional Status in Surakarta, Indonesia Elsa Fara Islamiyah; Firmansyah Firmansyah; Dyah Intan Puspitasari
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.v12i1.1947

Abstract

Background: Adolescence is a critical period for growth and development, during which adequate macronutrient intake plays a key role in achieving optimal nutritional status. In urban settings like Surakarta, Indonesia, dietary behaviors may vary due to socioeconomic diversity. Objective: This study aimed to examine the association between energy and protein intake and the nutritional status of adolescents in Surakarta. Methods: A cross-sectional study was conducted involving 94 adolescents aged 15–18 years. Macronutrient intake was assessed using 24-hour dietary recall, while nutritional status was measured using Body Mass Index-for-age Z-scores (BAZ). Data were analyzed using descriptive and inferential statistics with a significance level of p < 0.05. Results: The mean energy intake was 1376.07 ± 508.24 kcal and protein intake was 51.58 ± 22.63 grams. The mean BAZ score was –0.0395 ± 1.3157, indicating generally normal nutritional status. However, statistical analysis showed no significant relationship between either energy (p = 0.678) or protein intake (p = 0.642) and nutritional status. Conclusion: Although most adolescents had normal nutritional status, no significant association was found between energy or protein intake and BAZ. These findings highlight the need to explore other dietary and lifestyle factors influencing adolescent nutrition in urban Indonesian settings.

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