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Ade Fitriani
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Department of Publication Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia. 46262
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Kab. ciamis,
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INDONESIA
KIAN Journal
Published by Yayasan Inspirasi El Burhani
ISSN : -     EISSN : 29643910     DOI : https://doi.org/10.56359/kian.v2i1
Core Subject : Health,
Nursing
KIAN Journal is an electronic journal published by Inspirasi El Burhani Foundation, Ciamis, Jawa Barat, Indonesia. KIAN Journal is an open-access and scientific peer-reviewed journal published annually (March and September). Jurnal KIAN accepts related writings: Surgical medical nursing, Emergency nursing, Mental nursing, Maternity nursing and children, Community nursing, family and elderly Nursing management. Jurnal KIAN also accepts all writings with various disciplines of science with the terms of the core points remaining in the path and scope of the world of nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 35 Documents
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Implementation of Modern Wound Care Hydrogel Dressing in Patients with Diabetic Ulcers Haerani, Salsya; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.554

Abstract

Background: Diabetes mellitus is a chronic metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy, which causes wounds to be difficult to heal and increases the risk of amputation. One method of wound management that has proven effective in accelerating the healing of diabetic ulcers is the use of modern hydrogel dressings. Hydrogel functions as a moist dressing that is able to maintain optimal moisture in the wound area, accelerate the process of autolysis of necrotic tissue, and stimulate the growth of granulation tissue. With a moist and protected wound environment, the process of tissue regeneration is more effective and infection can be minimized. Objective: This case study is to evaluate the effectiveness of using modern hydrogel dressing as a moist dressing in accelerating wound healing in patients with diabetic ulcers through a nursing care approach. Methods: This research is a case study with a descriptive method, using a nursing care approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The patient's house is located in the Sinar Mawar Neighborhood Hamlet, RT.001 RW.008, Cigembor Village, Ciamis District. Nursing diagnoses refer to (SDKI), interventions based on (SIKI), and evaluation based on (SLKI), and all documentation is compiled using the SOAPIER method. Results: Interventions were carried out on one patient with grade 4 diabetic ulcers. Wound care using hydrogel as a moist dressing was performed for 3 visits. Wound evaluation was carried out using the Bates-Jensen Wound Assessment Tool as well as real-time blood sugar (GDS) checks. Results showed a decrease in wound score from 45 to 38, and a decrease in GDS from 518 mg/dl to 269 mg/dl. There were significant changes in the wound tissue, such as the reduction of slough tissue and the formation of healthy granulation tissue. Conclusion: The use of modern hydrogel dressing as a moist dressing in accelerating diabetic ulcer wound healing. This implementation can be an option for modern non-pharmacological wound care therapy that can be applied at home with a holistic nursing approach.
Implementation of Nutrition Education Toward Controlling Blood Glucose Levels of Diabates Mellitus (DM) Patients Azahra, Tarisa; Fitriani, Ade; Hidayat, Nur
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.555

Abstract

Background: Diabetes mellitus (DM) is a metabolic disorder with multiple etiologies characterized by blood sugar levels exceeding normal limits. The prevalence of DM continues to increase globally, nationally, and locally, including in the working area of the Cigembor Community Health Center, Ciamis Regency. The primary issue identified is non-compliance with dietary recommendations due to low nutritional literacy and the absence of effective and sustained education. The intervention implemented is structured nutritional education aimed at fostering healthy eating behaviors to control blood glucose levels and prevent complications. Objective: This study aims to implement the nursing process with a focus on the structured, continuous, and patient-centered implementation of nutrition education in controlling blood glucose levels in DM patients. Method: This study used a descriptive method with a case study design through a nursing care approach, starting from assessment, formulating diagnoses, planning, implementing nutrition education to control blood glucose levels in patients with diabetes mellitus, and evaluation. Results: After three days of education, it was found that patients with diabetes mellitus who complained of dizziness, fatigue, decreased appetite, and high blood glucose levels were diagnosed with unstable blood glucose levels, with a focus on the implementation of nutrition education. Evaluation results showed a decrease in blood glucose levels to 213 mg/dL, improved appetite, and reduced complaints of dizziness. Conclusion: The implementation of nutrition education has proven effective in controlling blood glucose levels and improving patients' nutritional status.
Implementation of Aloe Vera for Wound Care in Post Op Amputation Patients with Diabetes Mellitus Yuniar, Tarisa; Fitriani, Ade; Lismayanti, Lilis
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.556

Abstract

Introduction: Diabetes mellitus is a chronic metabolic disease that can cause serious complications such as impaired wound healing. One of the severe complications is amputation, which requires optimal wound care to prevent infection and accelerate tissue regeneration. Aloe vera is known to have anti-inflammatory, antibacterial, and stimulating tissue regeneration effects. Objective: This study aims to implement the use of aloe vera gel in wound care in postoperative amputation patients with diabetes mellitus. Method: The study used a descriptive case study approach that focused on the nursing care process and the use of aloe vera gel as a nonpharmacological therapy in wound care. Result: After administering aloe vera gel for 3 meetings, the results showed that the wound looked more moist, increased hydration, sufficient exudate, and complete epithelialization without signs of infection. This intervention is effective in addressing skin/tissue integrity disorders. Conclusion: Aloe vera gel is proven to be effective in helping the wound healing process in postoperative amputation patients with diabetes mellitus and can be an alternative nursing implementation.
Literature Review: Cyberbullying in Addolescence Marpatmawati, Idhfi; Yuningsih, Aneng; Rismawan, Wawan; Milda Hidayat, Nandita
KIAN JOURNAL Vol 3 No 2 (2024): KIAN JOURNAL (September 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i2.612

Abstract

Introduction: Cyberbullying is a growing phenomenon with the increasing use of digital technology and social media among adolescents. This phenomenon can affect adolescents' mental and emotional well-being, even having long-term impacts on their psychological health. This study aims to reveal the prevalence, risk factors, and psychological impact of cyberbullying among adolescents. Objective: This study aims to explore the prevalence, risk factors, and psychological impact of cyberbullying among adolescents, with a focus on the relationship between cyberbullying and mental health outcomes such as depression, anxiety, and suicidal ideation. Method: This study used a literature search design with articles searched through three search engines: Ebsco, Proquest, and Google Scholar. The articles used were research conducted within the last five years (2020-2025), using the keywords "cyberbullying," "adolescence," and "effects." A total of 594 articles were found, which were then narrowed down to nine articles that met the inclusion criteria. Result: This study found that the prevalence of cyberbullying among adolescents globally ranges from 13.99% to 57.5%. Key risk factors include personal characteristics such as age, gender, and online behavior. The most common psychological impacts include decreased happiness, increased anxiety, depression, and an increased risk of suicide, especially for those who experience cyberbullying alongside traditional bullying. Conclusion: Cyberbullying has a significant impact on adolescent mental health, particularly in the form of psychological disorders such as depression and anxiety. Therefore, preventive efforts involving parents, schools, and the community are crucial to mitigate the negative impact of this phenomenon. Emotional education and strong parent-child relationships can help prevent cyberbullying.
The Impact of Stress and Physical Activity on Premenstrual Syndrome Among Junior High School Female Students Najamuddin, Nur Isriani; Nasir, Ramdani; Wahab, Masyitah; Nurfadhila, Nurfadhila
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.626

Abstract

Background: Premenstrual syndrome (PMS) is a collection of physical, emotional, and behavioral symptoms that occur during the luteal phase of the menstrual cycle and often disrupt daily activities. Stress and physical activity are among the factors that may influence the occurrence and severity of PMS. Objective: This study aimed to determine the relationship between stress levels and physical activity with premenstrual syndrome among adolescent girls aged 12–15 years at SMP Negeri 4 Polewali. Methods: This research employed a quantitative analytic design with a cross-sectional approach. The population included all female students aged 12–15 years at SMP Negeri 4 Polewali. A total of [insert sample size] respondents were selected using proportional stratified random sampling. Data on stress levels were measured using the Perceived Stress Scale (PSS), physical activity levels were assessed using the International Physical Activity Questionnaire (IPAQ), and PMS was evaluated using the Premenstrual Syndrome Questionnaire (PMSQ). Data were analyzed using the Chi-square test to determine the relationship between variables. Results: The results showed a significant relationship between stress levels and PMS incidence (p < 0.05), where students with high stress levels were more likely to experience PMS. Physical activity also showed a significant relationship with PMS (p < 0.05), with low physical activity being associated with higher PMS incidence. Conclusion: There is a significant association between stress levels and physical activity with the occurrence of PMS among adolescent girls at SMP Negeri 4 Polewali. These findings suggest the importance of stress management and regular physical activity as preventive strategies for PMS in adolescents.
The Relationship between Knowledge and Attitudes of Reproductive Organs Among Students Rhousnaka, Dika; Putri, Helda Herdiani; Meilani, Lita Rizki; Aisy, Nada Rahadatul; Azhara, Putri Anissa
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.522

Abstract

Background: Adolescence is a critical developmental phase involving physical and psychological changes, particularly in reproductive health. However, many adolescents lack adequate knowledge and hold negative attitudes due to limited education, cultural taboos, and discomfort discussing reproductive issues. These gaps may lead to poor hygiene practices and increased health risks. Objective: This study aims to analyze the relationship between students’ level of knowledge and their attitudes toward reproductive organ hygiene. Method: A cross-sectional study was conducted at SMPN 1 Ciamis between March 10–15, 2025, involving 33 female students. Data were collected using a structured questionnaire consisting of 25 true/false items for knowledge and 25 Likert-scale items for attitudes. Instrument validity was assessed using Pearson correlation, while reliability was tested using Cronbach’s Alpha (knowledge = 0.619; attitude = 0.514). Data were analyzed using descriptive statistics and Chi-square test (p < 0.05). Result: The majority of respondents had moderate to good knowledge of reproductive organ hygiene. However, the Chi-square analysis revealed no significant correlation between knowledge and attitudes (p = 0.897). Students with higher knowledge did not consistently show more positive attitudes. Conclusion: The findings indicate that knowledge alone is insufficient to shape students’ attitudes toward reproductive health. Educational programs should integrate emotional, cultural, and social components to effectively influence adolescent attitudes and behaviors. A comprehensive, participatory approach is essential to support healthier adolescent development.
The Effectiveness Of Ruqyah Therapy With Al-Qur'an Recitation in Controlling Auditory Hallucinations Due to Paranoid Schizophrenia in The Tanjung Room Of The Banjar City Regional Public Hospital Rahmatulloh, Rian; Suhanda, Suhanda; El Haque, Iif Taufiq
KIAN JOURNAL Vol 4 No 1 (2025): KIAN JOURNAL (March 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i1.562

Abstract

Introduction: Schizophrenia is a serious mental disorder that requires special attention. Approximately 1% of the global population has experienced schizophrenia at some point in their lives. According to the 2023 Indonesian Health Survey (SKI), the prevalence of mental disorders in Indonesia reaches 630,827 individuals (Ministry of Health of the Republic of Indonesia, 2023). One of the most common symptoms in individuals with schizophrenia is hallucination, particularly auditory hallucinations. In West Java Province, the prevalence of schizophrenia cases is recorded as the highest among other mental disorders, at 5.2% according to data from the Health Office Objective: This case study aims for patients to be able to demonstrate and implement nursing care for individuals with auditory hallucinations through the application of Ruqyah therapy with recitation. Method: This study employs a descriptive analysis method with a research approach focused on cases of patients experiencing auditory hallucinations. Result: During the assessment phase, it was found that the patient often talked and laughed to themselves, which indicated auditory hallucinations. The nursing diagnosis established was sensory perception disturbance: auditory hallucinations. The interventions and implementations provided focused on strategies for managing sensory perception disturbances, with the primary intervention being the administration of Ruqyah therapy with recitation.
Implementation Of Autogenic Relaxation Techniques to Reduce Pain Scale in Patients With Abdominal Colic Fauziyyah, Aziizah Nuur; Fitriani, Ade; Purwati, Ayu Endang
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.563

Abstract

Background: Abdominal colic brings up symptoms of pain that arise and disappear that can interfere with patient comfort, abdominal colic pain is usually accompanied by changes in pulse because the pain is very painful, and causes patients to pay less attention to the conditions around them because patients focus mainly on pain. Therefore, it takes effective treatment to overcome this pain, one of which is non-pharmacological techniques, researchers use autogenic relaxation techniques. Autogenic relaxation technique is a relaxation technique that comes from oneself using short sentences to make the mind calm and comfortable, it can also be called hypnosis to divert pain. Objective: This study is to implement autogenic relaxation techniques to overcome pain. Methods: This case study uses a descriptive method that aims to explore the problem, provide an overview of the case study and analyze more deeply about nursing care by implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic. Results: After implementing autogenic relaxation techniques to reduce the pain scale in patients with abdominal colic for 3 days in the Dahlia room BLUD RSU Kota Banjar, it was proven effective to reduce the pain scale from a scale of 8 to 2, overcome pain, patients said the pain decreased, and seen from the grimace facial expression decreased. Conclusion: the implementation of autogenic relaxation techniques has proven to be effective and very influential to overcome the problem of acute pain in patients with abdominal colic, so that it can be used as nursing care for these patients.
Case Study: Implementation of Video-Based Education to Improve Medication Adherence in Child L with Tuberculosis in Panumbangan Nugraha, Ilham; Firmansyah, Andan; Supriadi, Dedi
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.567

Abstract

Introduction: Tuberculosis (TB) is a contagious infectious disease that remains a global health problem, especially in developing countries like Indonesia. Adherence to TB treatment is crucial for therapeutic success, particularly in children who often face challenges in taking medication regularly. One effort to improve adherence is through education using audiovisual media. Objective: To determine the effect of video-based education on medication adherence in children diagnosed with pulmonary tuberculosis. Method: This study used a descriptive case study approach involving one school-aged child with pulmonary TB who exhibited non-adherence. The intervention consisted of video education accessed via YouTube for three consecutive days. Data collection methods included interviews, observation, physical examination, and nursing documentation. Result: After three days of video education intervention, the child’s adherence improved. Initially, the child resisted medication and frequently became upset, but after watching the educational video with their parents, the child began to take the medication willingly. Conclusion: Video-based education is effective in improving medication adherence in children with TB. Educational videos can serve as an engaging and accessible alternative for health promotion, easily accepted by both children and their families.
Effectiveness Of Pillow Hitting Technique In Controlling Anger In Patients At Risk Of Violent Behavior With Schizophrenia Tiara ningrum, Putri azizah; Suhanda , Suhanda; Gunawan, Asep
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.568

Abstract

Introduction: Schizophrenia is a serious mental disorder that can cause disturbances in thinking, emotions, and behavior, including the emergence of violent behavior due to an individual's inability to manage emotions, especially anger. One non-pharmacological approach that can be used to help control anger is pillow-hitting therapy. Objective: This study aims to determine the effectiveness of pillow hitting therapy in controlling anger in schizophrenia patients at risk of violent behavior. Method: The research method used a quasi-experimental design with a pretest-posttest approach and a control group. The study sample consisted of schizophrenia patients at risk for violent behavior, divided into two groups: an intervention group given pillow-hitting therapy, and a control group not given the intervention. Result: The results of the study showed a significant decrease in anger levels in the intervention group after being given therapy. Conclusion: The conclusion of this study is that pillow hitting therapy is effective in helping to control anger in schizophrenia patients at risk of violent behavior, so it can be recommended as a nursing intervention strategy in mental health services.

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