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Journal Kiara Nursing and Midwifery
Published by Kiara Group
ISSN : 30637600     EISSN : 30637600     DOI : https://doi.org/10.1234/jknm.v1i1
Core Subject : Health, Social,
Health Professions Public Health Social Sciences
The Kiara Journal is a journal that initiates in the health sector, especially nursing and midwifery
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 23 Documents
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Relationship between Family Role and Patient Motivation with Adherence to Treatment in Hypertension Patients at Binanga Health Center, Mamuju District Yuliana D; Nur, Akbar; Nurbasita; Ikhsan Ibrahim; Suaib; Sitti Aminah
Journal Kiara : Nursing and Midwifery Vol. 1 No. 2 (2025): Vol. 1, No. 2, Februari (2025)
Publisher : Journal Kiara : Nursing and Midwifery

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Abstract

Hipertensi merupakan salah satu penyakit tidak menular yang menjadi penyebab kematian dini secara global. Prevalensi hipertensi terus meningkat, terutama di negara berkembang seperti Indonesia, akibat faktor gaya hidup yang tidak sehat. Penelitian ini bertujuan untuk menganalisis hubungan antara peran keluarga dan motivasi pasien dengan kepatuhan berobat pada pasien hipertensi di Puskesmas Binanga, Kecamatan Mamuju. Desain penelitian menggunakan metode kuantitatif dengan pendekatan cross-sectional. Data diperoleh melalui wawancara dan kuesioner yang disebarkan kepada pasien hipertensi rawat jalan. Hasil penelitian menunjukkan bahwa peran keluarga berpengaruh signifikan terhadap kepatuhan berobat pasien hipertensi. Pasien yang mendapat dukungan keluarga lebih cenderung mematuhi jadwal pemeriksaan rutin dibandingkan dengan pasien yang tidak didukung keluarganya. Selain itu, motivasi pasien juga berperan penting dalam menentukan kepatuhan pengobatan. Pasien dengan tingkat motivasi tinggi lebih berkomitmen dalam menjalani terapi dan kontrol kesehatan secara rutin. Oleh karena itu, dukungan keluarga dan peningkatan motivasi pasien perlu diperhatikan dalam intervensi kesehatan guna meningkatkan kepatuhan pengobatan dan mencegah komplikasi akibat hipertensi.
Eye Health Screening in School-Age Children During Online Learning Riri Novayelinda; Oswati Hasanah
Journal Kiara : Nursing and Midwifery Vol. 1 No. 2 (2025): Vol. 1, No. 2, Februari (2025)
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Abstract

The "school from home" policy during the COVID-19 pandemic a few years ago led to increased interaction between children and gadgets. Prolonged and intense gadget use among children can result in complaints that, if left unaddressed, may cause vision problems. To prevent permanent eye damage, it is essential to conduct vision screening for school-aged children to identify potential issues. This study was conducted in 2020 using a simple descriptive method with accidental sampling, involving 50 children aged 8–13 years as research respondents. Vision screening using the PEEK Acuity application revealed that 52% (26 children) had abnormal visual acuity. Additionally, 46% (23 children) reported symptoms of dry eye, such as frequent eye rubbing. Furthermore, 72% of the children used gadgets for more than 2 hours per day. The study concludes that nearly half of the children had undetected visual acuity issues. Regular eye examinations for school-aged children are recommended to identify eye problems as early as possible.
Pengaruh “Senam Ergonomik” Terhadap Penurunan Tekanan Darah pada Lansia yang mengalami Hipertensi ichaAisyah, Aisyah; Immawanti; Pattola; Imran Yaman; St. Hawa
Journal Kiara : Nursing and Midwifery Vol. 2 No. 1 (2025): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Abstract

Hipertensi adalah kondisi ketika tekanan darah sistolik lebih dari 140 mmHg dan tekanan darah diastolik lebih dari 90 mmHg. Salah satu upaya untuk mengatasi hipertensi dengan pengobatan non farmakologi, salah satunya dengan melakukan senam ergonomik. Senam Ergonomik adalah rangakain gerakan yang dapat mengembalikan posisi dan kelenturan system saraf dan aliran darah yang dikombinasi dengan teknik pernapasan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh senam ergonomik terhadap penurunan tekanan darah pada lansia penderita hipertensi di Lingkungan Tanangan. Jenis penelitian ini adalah penelitian Pra-Eksperimental dengan One Gruop Pre Test Design. Tehnik sampel yang digunakan adalah Purposive Sampling dan di dapatkan 18 responden. Pemberian intervensi selama 25 menit sekali setiap hari selama 5 hari berturut-turut. Hasil penelitian menunjukkan nilai rata-rata tekanan darah sistolik sebelum melakukan senam ergonomik 154,94 mmHg dan sesudah melakukan senam ergonomik nilai rata-rata tekanan darah sistolik menjadi 125,22 mmHg. Ditemukan juga Tekanan darah responden sebelum senam ergonomik sebagian besar pada hipertensi ringan dan sedang dan setelah melakukan senam ergonomik tekanan darah responden berada pada tekanan normal dan normal tinggi dan tidak ada lagi hipertensi ringan dan sedang. Hasil uji statistik setelah menggunakan uji Wilcoxom Signed Rank menunjukkan nilai p=0,0001 sehingga dapat simpulkan ada pengaruh senam ergonomik terhadap penurunan tekanan darah lansia. Diharapkan pendampingan atau pelatihan dari tenaga kesehatan atau instruktur senam yang kompeten serta dukungan dari pemerintah setempat dan keluarga lansia dalam menyediakan fasilitas, sarana, dan motivasi bagi para lansia agar tetap aktif mengikuti kegiatan senam, salah satunya senam ergonomic
The Enhancing Maternal Confidence Through Controlled Childbirth: A Holistic Community-Based Approach in Beru-Beru Village: Enhancing Maternal Confidence Through Controlled Childbirth Aya, Nurhidaya; Dwi Ghita; Susi Rabuana
Journal Kiara : Nursing and Midwifery Vol. 2 No. 1 (2025): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
Publisher : Journal Kiara : Nursing and Midwifery

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Abstract

Physical and psychological readiness of pregnant women plays a crucial role in ensuring a smooth delivery process and a positive childbirth experience. However, in Beru-Beru Village, Kalukku District, low levels of readiness are still observed, influenced by limited knowledge, socio-cultural factors, and traditional beliefs. This activity aimed to improve maternal knowledge and physical as well as psychological readiness through health education using leaflet-based media. The implementation method included a pre-test, delivery of educational material, discussion, post-test, and subsequent monitoring and evaluation. The program involved 32 participants, including expectant mothers, pregnant women, community health volunteers, and family members. The results showed a significant increase in knowledge, from 40.6% of participants with good knowledge in the pre-test to 93.8% in the post-test, representing a 53.2% improvement. Leaflet-based education proved effective in enhancing understanding and readiness for childbirth. This program is expected to serve as a sustainable intervention model to reduce delivery complications, increase maternal confidence, and promote a positive childbirth experience.
Early Detection And Health Education Initiatives At The Agriculture Office Of Kendari City Mustafa, Sri Resky; Julianti Isma Sari Usma; Desty Triyaswati; Ahmat Rediansyah Putra
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Abstract

Non-Communicable Diseases (NCDs) such as hypertension, diabetes, and overweight often go undetected among employees due to the absence of routine health checks and a heavy workload. This community service program aimed to conduct early detection of NCD risk factors and provide targeted health education for employees of the Fisheries Office of Kendari City. A total of 45 employees participated in health screening activities, including blood pressure measurement, body mass index assessment, and random blood glucose testing, followed by individualized face-to-face health education. The results showed that 49% of participants had hypertension, 46.8% were categorized as overweight, and 92.8% had normal blood glucose levels, with 3.6% classified as prediabetic and 3.6% diabetic. These findings highlight the need for continuous interventions promoting healthy lifestyle behaviors, stress management, and regular health monitoring. This program successfully increased employee awareness of their health status and emphasized the importance of preventing NCDs, contributing to a healthier and more productive work environment.
Progressive Muscle Relaxation in Managing Anxiety During Third-Trimester Pregnancy in the Banabungi Community Health Center Area: A Case Study Mustafa, Sri Resky; Wildayani; Saranani, Muhaimin
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Abstract

Background: Anxiety during the third trimester of pregnancy, if left unmanaged, can adversely affect both maternal and fetal outcomes. Elevated anxiety levels may prolong labor due to increased uterine muscle tension and stress hormone secretion, leading to ineffective contractions. Moreover, maternal anxiety is associated with fatigue, sleep disturbances, infection, preterm birth, low birth weight, prolonged labor, and impaired mental and motor development in children. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention that may help reduce muscle tension and psychological stress during pregnancy. Objective: This study aimed to examine the implementation of Progressive Muscle Relaxation exercises over a three-day period and their effect on anxiety levels in a third-trimester pregnant woman in Kombeli Village. Methods: A descriptive case study with a pre–post test design was conducted. The subject was Mrs. R, a 27-year-old woman in her third trimester of pregnancy, observed from May 29 to May 31, 2025. Progressive Muscle Relaxation exercises were administered once daily for 5–10 minutes. Anxiety levels were assessed using the Pregnancy-Related Anxiety Questionnaire–Revised 2 (PRAQ-R2), categorized as mild (<23), moderate (23–37), and severe (>37). Results: Following the intervention, the anxiety score decreased from 39 (severe anxiety) to 33 (moderate anxiety). Conclusion: Progressive Muscle Relaxation exercises contributed to a reduction in anxiety levels in a third-trimester pregnant woman. Although the decrease was not substantial, PMR demonstrated potential as a supportive non-pharmacological intervention for anxiety management during pregnancy.
The Effect of the Finger-Holding Relaxation Technique on Pain Reduction in a Post-Appendectomy Patient at BLUD RSUD Kabupaten Buton: A Case Study Mustafa, Sri Resky; Asdar, Nur Alifiah Ramadhani; Nurjannah
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Background: Postoperative pain remains a frequent clinical problem following appendectomy and may interfere with recovery. Complementary non-pharmacological interventions are increasingly used to support pain management. The finger-holding relaxation technique is a simple relaxation method that may reduce pain perception. Objective: To describe the effect of the finger-holding relaxation technique on pain intensity in a post-appendectomy patient. Methods: This case study involved a 21-year-old patient experiencing acute pain after appendectomy. The finger-holding relaxation technique was administered once daily for three consecutive days. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS). Results: A gradual decrease in pain intensity was observed following the implementation of the finger-holding relaxation technique over the three-day intervention period. Conclusion: The finger-holding relaxation technique may be considered an effective complementary nursing intervention for reducing postoperative pain in post-appendectomy patients.
Implementation of the Semi-Fowler Position to Improve Airway Clearance in Preschool Children with Acute Upper Respiratory Tract Infection (URTI) at Buton Regional Hospital: A Case Study Mustafa, Sri Resky; Wali, Sarti; Nurjannah
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Background: Acute Respiratory Infection (ARI) is a disease affecting the respiratory system caused by microorganisms. This condition can lead to airway obstruction, resulting in increased sputum accumulation in the bronchi and alveoli, as well as shortness of breath. If not promptly managed, ARI may progress to hypoxia. One nursing intervention to improve airway clearance is airway management through the semi-Fowler position. Objective: This study aimed to identify the improvement of airway clearance in a child with ARI who received airway management intervention. Methods: This study employed a descriptive design in the form of a case study involving one pediatric patient diagnosed with ARI. The instruments used included nursing care documentation sheets, a standard operating procedure (SOP) for semi-Fowler positioning, and observation sheets. The intervention was conducted for three days, twice daily (morning and afternoon), with a duration of 15 minutes per session. Results: After the implementation of the semi-Fowler position and the administration of warm fluids, the patient showed improvement, indicated by a respiratory rate of 26 breaths per minute, reduced wheezing sounds, a more regular breathing pattern, and the ability to expectorate sputum. Conclusion: The application of the semi-Fowler position effectively improved airway clearance in a child with Acute Respiratory Infection
The Association Between Social Media Use Intensity and Sleep Quality Among University Students at Universitas Graha Edukasi Makassar Mustafa, Sri Resky; Toban, Rindani Claurita; Malfino, Yakobus Ning; Rajab, M. Alfian; Yunus, Suwardha; Mustafa, Saharuddin
Journal Kiara : Nursing and Midwifery Vol. 2 No. 1 (2025): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Background: The development of digital technology and increased internet access have led to a significant rise in social media use among university students. Excessive intensity of social media use, especially at night, can affect sleep patterns and sleep quality. Insufficient sleep duration and poor sleep quality may have negative impacts on concentration, academic achievement, as well as students’ physical and mental health. Objective: To determine the relationship between the intensity of social media use and sleep quality among students at Universitas Graha Edukasi Makassar. Methods: This study employed a quantitative design with a cross-sectional approach. The research sample consisted of active students selected using purposive sampling techniques. Data were collected through a social media usage intensity questionnaire and the Pittsburgh Sleep Quality Index (PSQI) instrument to measure respondents’ sleep quality. Data analysis was conducted using univariate and bivariate methods with the chi-square test at a significance level of 0.05. Results: Most respondents had a high intensity of social media use and poor sleep quality. Bivariate analysis showed a significant relationship between the intensity of social media use and students’ sleep quality (p < 0.05). Students with high social media usage intensity tended to have poorer sleep quality compared to those with low to moderate levels of social media use.
The Relationship Between Family Support and Anxiety Levels of Preoperative Patients at Daya Regional General Hospital, Makassar City Mustafa, Sri Resky; Toban, Rindani Claurita; Kapsiang, Ardo Gustap; Rajab, M. Alfian; Taher, Rusli; Mustafa, Saharuddin
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Journal Kiara : Nursing and Midwifery - Advancing Sustainability Future Nursing
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Background: Family support refers to the attitudes, actions, and acceptance shown by family members toward a sick individual. Family members perceive supportive individuals as those who are always ready to provide help and assistance when needed. Anxiety is a part of human life characterized by feelings of fear or deep and persistent worry. Objective: This study aimed to determine the relationship between family support and the anxiety levels of preoperative patients at Daya Regional General Hospital, Makassar City. Methods: This study used a quantitative method with a cross-sectional approach. The study population consisted of 926 individuals, with a sample of 30 respondents selected using accidental sampling technique. Results: The Chi-Square test results showed a p-value < 0.05, indicating that there is a relationship between family support and the anxiety levels of preoperative patients at Daya Regional General Hospital, Makassar City.

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