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Kisi Berkelanjutan: Sains Medis dan Kesehatan
Published by PT Karya Inovasi Berkelanjutan
ISSN : 30629063     EISSN : 30629063     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Kisi Berkelanjutan merupakan akronim dari Karya Inovasi Berkelanjutan, Sains Medis dan Kesehatan, dengan cakupan terbitan pada keilmuan medis, kesehatan, dan termasuk juga biomedis. Jurnal diidentifikasi sebagai Jurnal Akses Terbuka demi penyebarluasan ilmu pengetahuan yang merata. Kisi Berkelanjutan Sains Medis dan Kesehatan menerbitkan hasil penelitian, pengabdian masyarakat, dan inovasi pembelajaran, dengan terlebih dahulu mendapatkan telaah oleh peer reviewer dan penyuntingan editor. Artikel kemudian dimasukkan ke dalam edisi dan volume dari terbitan; yang terdapat 4 (empat) edisi pada 1 (satu) volume dalam 1 (satu) tahun. KISI Berkelanjutan Sains Medis dan Kesehatan menerbitkan Edisi Khusus dan berkaitan dengan tema tertentu dari Kegiatan Seminar Ilmiah.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 57 Documents
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Motivasi Belajar Mahasiswa pada Mata Kuliah Manajemen Keperawatan menggunakan Metode Student Centered Learning: Penelitian Kuasi Eksperimen Rejeki, Yunita Fitri; Wahyudin, Tantowi Purnama; Erawan, Annisa Nur
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 3 (2025): Juli-September
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Introduction and MethodsThe Student-Centered Learning (SCL) method is a learning approach that positions students as active participants in the learning process. This study aimed to examine the effect of implementing the SCL method in the Nursing Management course in the Undergraduate Nursing Program. A quasi-experimental design with a one-group pretest–posttest design was employed, involving 144 students as respondents. The respondents were divided into five groups across different levels. During the Nursing Management course, each group received learning through SCL methods based on role-play and simulation in accordance with the course topics. In the first week, a pretest using a learning motivation questionnaire was administered to assess the respondents’ initial conditions. After the completion of the course series, a posttest using the same instrument was conducted in the final week to measure changes in learning motivation. Data were collected using a validated questionnaire and analyzed through frequency distribution. ResultsThe findings revealed that the majority of respondents were female (76.39%) and perceived the implementation of the SCL method as fairly effective in enhancing understanding, skills, and active participation in the learning process. Conclusion and RecommendationsThese findings are consistent with previous studies indicating that the SCL method can improve learning independence, critical thinking skills, and students’ communication abilities. However, challenges remain in its implementation, particularly concerning the readiness of lecturers and students to manage time and learning resources. Therefore, the SCL method can be considered a relevant learning strategy to enhance the quality of nursing education, although continuous support in the form of training and periodic evaluation is necessary.
Prokrastinasi dalam Pelaksanaan Small Group Discussion Mahasiswa Tingkat II Program Studi Sarjana Keperawatan STIKes Dharma Husada Erawan, Annisa Nur; Airin, Zalfa Novita; Rejeki, Yunita Fitri
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 3 (2025): Juli-September
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Introduction and Methods Small Group Discussion (SGD) is a student-centered learning method that emphasizes collaborative group work. The implementation of SGD in various higher education institutions shows varying levels of preference for different SGD models, as well as diverse levels of procrastination. Therefore, evaluation of SGD implementation is necessary to ensure its alignment with students’ needs and the applied curriculum. This study aimed to identify procrastination in the implementation of Small Group Discussion (SGD) among second-year undergraduate nursing students at STIKes Dharma Husada. This research employed a descriptive quantitative method with a total sample of 60 respondents, selected using a total sampling technique. The instrument used was a procrastination questionnaire for the implementation of SGD at STIKes Dharma Husada, adapted from Ferrari. Results Based on the frequency distribution, the study revealed that procrastination among second-year undergraduate nursing students at STIKes Dharma Husada (99.3%) was predominantly at a moderate level. Across four sub-variables of procrastination, the findings were as follows: Perceived Time was at a low level (65.2%), Intention–Action was at a moderate level (64.9%), Emotional Distress was at a moderate level (100%), and Perceived Ability was at a moderate level (57.9%). Conclusion and Recommendations Procrastination was observed across four stages. The most influential aspect affecting SGD was emotional distress (100%), while the least influential aspects were perceived time, intention–action, and perceived ability. Based on these findings, it is recommended that students enhance their time management skills and make sustained efforts to achieve better academic performance.
Edukasi Pencegahan Preeklamsia pada Ibu Hamil Sarita, Sultina; Arsulfa, Arsulfa; Syahrianti, Syahrianti; Yulita, Hendra; Dolofu, Muliati; Resyana, Hesti
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 4 (2025): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Preeclampsia remains one of the leading causes of maternal morbidity and mortality in Indonesia. Preventive efforts can be implemented through educational interventions aimed at increasing awareness of the early signs of preeclampsia. This activity aimed to improve pregnant women’s knowledge of preeclampsia through health education conducted in the form of counseling sessions, interactive discussions, leaflet distribution, and knowledge evaluation using pre-test and post-test assessments. The activity was carried out in the working area of Abeli Community Health Center, Abeli District, Kendari City, involving 15 pregnant women as participants. The program stages included coordination with health center staff, assessment of vital signs (blood pressure and body weight), completion of pre-test questionnaires, delivery of educational materials, distribution of informational leaflets, interactive discussions, and evaluation through post-test questionnaires. The results demonstrated an increase in participants’ knowledge regarding the signs and symptoms of preeclampsia after participating in the educational activity. The practical implication of this program is that health education combined with basic health screening serves as a preventive strategy to enhance pregnant women’s awareness of the signs and symptoms of preeclampsia and encourages regular antenatal care visits through community-based services such as Posyandu. It is important to note that recent evidence indicates that the identification of preeclampsia is no longer based solely on the classical triad of hypertension, edema, and proteinuria, but rather emphasizes early indicators such as elevated blood pressure assessed through mean arterial pressure and increased body mass index. These assessments can be conducted from the preconception period through routine antenatal care visits. Contribution to the Sustainable Development Goals (SDGs) This educational program on preeclampsia prevention among pregnant women contributes to Sustainable Development Goal (SDG) 3: Ensure healthy lives and promote well-being for all at all ages. Specifically, it supports Target 3.1, which aims to reduce the global maternal mortality ratio through effective prevention and early detection of pregnancy-related complications. By improving pregnant women’s knowledge of the early signs and risk factors of preeclampsia through health education and basic health screening, this program strengthens preventive maternal health services and promotes timely antenatal care utilization. Ultimately, the intervention supports the enhancement of maternal health awareness and contributes to safer pregnancy outcomes at the community level.
Studi Kasus Keperawatan Terapi Bercerita pada Pasien Skizofrenia Rawat Jalan dengan Risiko Perilaku Kekerasan Hikmawati, Hikmawati; Razak, Rasniati; Wijayati, Fitri
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 4 (2025): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Schizophrenia is a severe and systemic brain disorder that causes disturbances in psychotic behavior, concrete thinking, information processing, interpersonal relationships, and problem-solving abilities. Individuals with a risk of violent behavior are those who have the potential to harm themselves, others, or the environment physically, emotionally, sexually, or verbally due to an inability to control anger in a constructive manner. This nursing care aimed to apply storytelling therapy to improve self-control in patients with a risk of violent behavior at the UPTD Community Health Center of South Lasalimu District, Buton Regency. This study employed a descriptive case study design involving one outpatient schizophrenia patient with the primary nursing problem of risk of violent behavior who received storytelling therapy. The results of the case study demonstrated that the implementation of storytelling therapy contributed to an improvement in the patient’s self-control, as indicated by a reduction in the self-control score from 4 to 1. Self-control improvement in patient Tn. A was achieved through the provision of storytelling therapy conducted over 12 sessions. Based on the findings of this case study, it is recommended that nurses apply storytelling therapy as part of psychiatric nursing care for patients with a risk of violent behavior. Contribution to the Sustainable Development Goals (SDGs) This case study examines the application of storytelling therapy as a nonpharmacological nursing intervention to improve self-control in outpatient schizophrenia patients with a risk of violent behavior. The article contributes to Sustainable Development Goal (SDG) 3: Ensure healthy lives and promote well-being for all at all ages. Specifically, it supports Target 3.4, which aims to promote mental health and well-being through effective prevention and treatment strategies for mental disorders. By highlighting the role of therapeutic communication and psychosocial nursing interventions in managing violent behavior risk, this study underscores the importance of accessible, community-based mental health care in improving patient outcomes and overall well-being.
Penerapan Asuhan Keperawatan Fisioterapi Dada untuk Peningkatan Bersihan Jalan Nafas pada Ny. S dengan Tuberkulosis Paru Muna, Nasir; Masni, Masni; Dali, Dali
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 4 (2025): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Pulmonary tuberculosis is a contagious infectious disease caused by Mycobacterium tuberculosis and is often associated with increased sputum production. The accumulation of thick and difficult-to-expectorate secretions may lead to a nursing problem known as ineffective airway clearance. This case study aims to describe the implementation of chest physiotherapy in improving airway clearance in a patient with pulmonary tuberculosis. The subject of this case study was a female patient, Mrs. S, diagnosed with pulmonary tuberculosis who experienced ineffective airway clearance. Nursing care was provided through the application of chest physiotherapy as the primary intervention, administered twice daily in the morning and evening for three consecutive days. Evaluation was conducted by assessing changes in respiratory signs and symptoms before and after the intervention. The results of the case study showed an improvement in the patient’s respiratory condition following routine chest physiotherapy. Prior to the intervention, the patient had a respiratory rate of 28 breaths per minute, the presence of additional breath sounds (rhonchi), an irregular breathing pattern, and an inability to cough effectively. After the intervention, the respiratory rate decreased to 22 breaths per minute, rhonchi were reduced, the breathing pattern became regular, and the patient was able to perform effective coughing to expectorate secretions. These findings indicate that chest physiotherapy can help improve airway clearance in patients with pulmonary tuberculosis. This case study concludes that chest physiotherapy may be used as an effective nursing intervention in the management of ineffective airway clearance in patients with pulmonary tuberculosis. Contribution to the Sustainable Development Goals (SDGs) This study focuses on the implementation of chest physiotherapy as a nursing intervention to improve airway clearance in patients with pulmonary tuberculosis. The article contributes to Sustainable Development Goal (SDG) 3: Ensure healthy lives and promote well-being for all at all ages, by supporting efforts to improve the quality of care and clinical outcomes for individuals affected by infectious respiratory diseases. Specifically, this study aligns with Target 3.3, which aims to end the epidemics of tuberculosis and other communicable diseases, and Target 3.8, which emphasizes achieving universal health coverage through access to quality essential health-care services. By demonstrating the effectiveness of chest physiotherapy in managing ineffective airway clearance, this study provides evidence-based nursing practices that can enhance patient recovery, reduce respiratory complications, and support comprehensive tuberculosis care within health service settings.
Edukasi dan Implementasi Senam Kegel untuk Mencegah Prolapsus Uteri pada Masa Klimakterium dan Menopaus Saraswati, Endah; Aisa, Sitti; Sarita, Sultina
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 4 (2025): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

The climacteric and menopausal periods represent transitional phases in women characterized by a decline in estrogen levels, which increases the risk of uterine prolapse due to weakening of the pelvic floor muscles. One preventive effort that can be undertaken is Kegel exercise. This community service activity aimed to improve the knowledge and skills of women during the climacteric and menopausal periods in performing Kegel exercises as an effort to prevent uterine prolapse. The activity was conducted in September 2022 in Batugong Village, Lalonggasumeeto District, Konawe Regency, involving 40 female participants. The implementation method consisted of a preparation stage, education and implementation of Kegel exercises, and evaluation. Knowledge was measured using pre-test and post-test, while participants’ skills were evaluated after the educational intervention. The results showed an improvement in participants’ knowledge from poor to good among all participants after the education. In addition, the majority of participants demonstrated good ability in performing Kegel exercises. These findings indicate that education and implementation of Kegel exercises are effective in improving women’s knowledge and skills and have the potential to serve as a promotive and preventive intervention to prevent uterine prolapse during the climacteric and menopausal periods.
Penilaian Edukasi Bidan dan Kepatuhan Ibu Hamil melakukan Antenatal Care terhadap Pencegahan Preeklampsia Sarita, Sultina; Nirmawati, Nirmawati; Nasrawati, Nasrawati
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 3 No 1 (2026): Januari-Maret
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Introduction and Method Preeclampsia is a pregnancy complication that can lead to maternal and fetal morbidity and mortality. This condition is characterized by an increase in blood pressure accompanied by proteinuria occurring after 20 weeks of gestation. This study was a quantitative observational study with a cross-sectional design. The population consisted of 107 third-trimester pregnant women in the working area of BLUD UPTD Puskesmas Perumnas, Kendari City. A sample of 52 respondents was selected. Data was collected using questionnaires and analyzed using the Chi-square test. Result Among the 52 respondents, midwife education assessment was predominantly in the "poor" category (23 respondents; 44.2%), maternal adherence to Antenatal Care (ANC) was mostly "non-adherent" (29 respondents; 55.8%), and preeclampsia prevention efforts were largely in the "not performing" category (30 respondents; 57.7%). Data analysis revealed a significant relationship between midwife education assessment and preeclampsia prevention efforts (Χ2 = 8.649 > Χ2 table = 5.99 p = 0.013 ≤ 0.05). Furthermore, a significant relationship was found between maternal adherence to ANC and preeclampsia prevention efforts (Χ2 = 5.882 > Χ2 table = 3.841 p = 0.016 ≤ 0.05). Conclusion and Recommendation There is a significant relationship between midwife education assessment and maternal adherence to ANC with preeclampsia prevention efforts in the working area of BLUD UPTD Puskesmas Perumnas, Kendari City. Midwives are encouraged to enhance their health education delivery by utilizing accessible and simplified language, particularly regarding preeclampsia prevention. Furthermore, future studies should incorporate additional variables—such as family support, educational attainment, and access to digital health platforms (e.g., pregnancy-related mobile applications)—which may significantly influence adherence levels and the overall effectiveness of preeclampsia prevention efforts.  Contribution to the Sustainable Development Goals (SDGs) This research directly contributes to SDG 3 (good health and well-being), specifically target 3.1, which aims to reduce the maternal mortality ratio. These findings support national health priorities by strengthening the role of primary healthcare (Puskesmas) in early preeclampsia detection and management by optimizing midwife-led education and maternal adherence to antenatal care.

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