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Saharuddin
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INDONESIA
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 30 Documents
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Factors Associated with the Incidence of Gastritis Among Students at Universitas Graha Edukasi Makassar Sri Resky Mustafa; Rindani Claurita Toban; Masea M Dumgair; Reskiawati Azis; Saharuddin Mustafa; Yudiarsi Eppang
Journal Kiara : Nursing and Midwifery Vol. 2 No. 1 (2025): Edisi March - August 2025
Publisher : Kiara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66453/jknm.v2i1.51

Abstract

Background: Gastritis is an inflammation of the gastric mucosa caused by irritation or infection and commonly affects young adults, including university students. Lifestyle changes, poor sleep quality, and anxiety are considered contributing factors to the incidence of gastritis among students. Objective: To determine the factors associated with the incidence of gastritis among students at Universitas Graha Edukasi Makassar in 2025. Methods: This study employed an analytical design with a cross-sectional approach. A total of 37 respondents were selected using simple random sampling from Nursing and Midwifery undergraduate students. The instruments included a gastritis questionnaire, the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels. Data were analyzed using the Chi-Square test with a significance level of 0.05. Results: The prevalence of gastritis was 62.2%. Respondents with good sleep quality accounted for 62.2%, while 37.8% had poor sleep quality. Anxiety levels were categorized as mild (16.2%), moderate (70.3%), and severe (13.5%). A significant relationship was found between sleep quality and gastritis incidence (p = 0.000 < 0.05). However, no significant relationship was found between anxiety and gastritis incidence (p = 0.778 > 0.05).
Latihan Range of Motion sebagai Intervensi Keperawatan dalam Peningkatan Kekuatan Otot Pasien Stroke: Literature Review Oktaviani; Akbar Nur; Rita Ningsih; Sumarli; Irwan
Journal Kiara : Nursing and Midwifery Vol. 2 No. 1 (2025): Edisi March - August 2025
Publisher : Kiara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66453/jknm.v2i1.52

Abstract

Latar Belakang: Stroke merupakan gangguan neurologis akibat gangguan suplai darah ke otak yang sering menimbulkan hemiparesis dan penurunan kekuatan otot. Rehabilitasi dini melalui latihan Range of Motion (ROM) menjadi salah satu intervensi non-farmakologis yang direkomendasikan untuk mencegah komplikasi dan meningkatkan fungsi motorik pasien. Tujuan: Menelaah dan menganalisis bukti ilmiah mengenai efektivitas latihan ROM terhadap peningkatan kekuatan otot pada pasien stroke. Metode: Penelitian ini merupakan literature review dengan penelusuran artikel pada database elektronik seperti PubMed, Scopus, ProQuest, CINAHL, dan ScienceDirect menggunakan kata kunci: stroke, range of motion, dan muscle strength. Kriteria inklusi meliputi artikel tahun 2016–2020, desain quasi-eksperimental, systematic review, dan studi observasional yang menilai kekuatan otot sebelum dan sesudah intervensi ROM. Sebanyak 15 artikel memenuhi kriteria dan dianalisis secara deskriptif. Hasil: Sebagian besar studi (n=10) menggunakan desain quasi-eksperimental dan menunjukkan peningkatan signifikan kekuatan otot setelah latihan ROM (p<0,05). Sebanyak 11 artikel membahas ROM aktif dan 4 artikel ROM pasif. Latihan dilakukan 2 kali sehari selama 15–35 menit dengan durasi intervensi minimal 4 minggu. Instrumen yang umum digunakan adalah Manual Muscle Testing (MMT) dan handgrip dynamometer. Kesimpulan: Latihan ROM, baik aktif maupun pasif, efektif meningkatkan kekuatan otot pada pasien stroke dan direkomendasikan sebagai bagian dari program rehabilitasi keperawatan berbasis bukti.
Community Empowerment in Hypertension Control Through Health Education and Community-Based Early Treatment Fakhrun Nisa; Fardi; Sudirman
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66453/jknm.vi.56

Abstract

Hypertension is one of the non-communicable diseases that remains a major public health problem because it can lead to serious complications such as heart disease and stroke. Low public awareness and limited knowledge about risk factors and prevention of hypertension causes many cases to remain undetected at an early stage. This community service activity aims to improve community knowledge and awareness in controlling hypertension through community-based health education and blood pressure screening. The method used consisted of preparation, implementation, and evaluation stages. The activity involved 30 participants who had a history of hypertension. The intervention included health education about hypertension, blood pressure examinations, and health consultations for participants with high blood pressure. The results showed an increase in community knowledge after health education, where the proportion of participants with good knowledge increased from 20% to 70%. In addition, participants showed greater awareness of regularly checking their blood pressure and adopting healthier lifestyles. This activity indicates that community-based health education and screening are effective strategies to increase public awareness in hypertension control.
Application of Drawing Therapy in Reducing Auditory Hallucination Symptoms in Patients with Schizophrenia in the Working Area of UPTD Puskesmas Wabula: A Case Study Sri Resky Mustafa; Putri Wulandari; Fitri Wijayati
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Background: Auditory hallucinations are one of the most common positive symptoms of schizophrenia and significantly interfere with patients’ social functioning and daily activities. In addition to pharmacological treatment, non-pharmacological interventions such as drawing therapy may serve as effective supportive approaches by providing emotional expression and cognitive distraction. Objective: This study aimed to determine the effectiveness of drawing therapy in reducing auditory hallucination symptoms in a patient with schizophrenia in the working area of UPTD Puskesmas Wabula. Methods: A descriptive case study design was employed involving one patient diagnosed with schizophrenia experiencing active auditory hallucinations. The intervention consisted of drawing therapy conducted once daily for three consecutive days, with each session lasting 30 minutes. The severity of auditory hallucinations was assessed before and after the intervention using the Psychotic Symptom Rating Scales (PSYRATS). Data were analyzed descriptively by comparing pre- and post-intervention scores and clinical observations. Results: The findings demonstrated a reduction in the intensity and frequency of auditory hallucinations following the intervention. The patient exhibited improved emotional stability, better concentration, decreased responsiveness to hallucinatory voices, and enhanced self-control. Conclusion: Drawing therapy appears to be an effective complementary non-pharmacological intervention in reducing auditory hallucination symptoms in patients with schizophrenia. This intervention may be considered as supportive nursing care in community and primary healthcare settings.
Factors Associated with the Incidence of Hypertension at RSUD Daya Makassar Rindani Claurita Toban; Wiga Wamir; Rusli Taher; M. Alfian Rajab; Sri Resky Mustafa; Saharuddin Mustafa
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Background: Hypertension is one of the non-communicable diseases that represents a major cause of morbidity and mortality worldwide. The prevalence of hypertension continues to increase and is influenced by various factors, both modifiable and non-modifiable. This study aims to determine the factors associated with the incidence of hypertension. Objective: To analyze the relationship between age, gender, and stress level and the incidence of hypertension at RSUD Daya. Methods: This study employed a quantitative design with an observational analytic cross-sectional approach. The population consisted of 116 patients who visited RSUD Daya, with a sample of 30 respondents determined using the Slovin formula. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. Results: The results showed a significant relationship between age and the incidence of hypertension (p = 0.033), gender and the incidence of hypertension (p = 0.025), and stress level and the incidence of hypertension (p = 0.005). Older respondents had a higher risk of developing hypertension. Women showed a higher proportion of hypertension compared to men. Additionally, respondents with severe stress levels had a higher likelihood of experiencing hypertension compared to those with mild stress
Application of the SAHAR Model in Emergency Nursing Management of Pulmonary Edema: A Case Report Saharuddin; Sirojudin
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Background: Structured clinical decision-making is essential in the emergency management of cardiogenic pulmonary edema, yet practical application of frameworks like the SAHAR model remains unreported. Objective: This case study describes the application of the SAHAR model in emergency nursing care for an elderly patient with cardiogenic pulmonary edema. Methods: A qualitative case study was conducted at an emergency department in Indonesia. Data were collected through patient assessment, nursing intervention, and outcome evaluation. The nursing process was analyzed using the six SAHAR themes. Results: The patient presented with chest pain, severe dyspnea, hypertension, tachypnea, hypoxemia, bilateral crackles, jugular vein distention, and peripheral edema. The SAHAR model guided the nurse to prioritize airway, breathing, and circulation; implement semi-Fowler positioning, oxygen therapy, furosemide, ISDN, and fluid monitoring; and achieve clinical improvement within the evaluation period. Discussion: The structured decision-making process enabled rapid recognition of cardiogenic pulmonary edema, appropriate prioritization of life-threatening conditions, and timely evidence-based interventions aligned with pathophysiology. The SAHAR model provides a practical framework for emergency nursing in cardiogenic pulmonary edema. Further multicenter studies are warranted
SAHAR Model-Based Nursing Care for Peritonitis and Acute Kidney Injury: A Critical Care Case Study Muh Salman Al Farisi; Saharuddin
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Background: Structured clinical decision-making is critical in peritonitis with acute kidney injury (AKI), yet application of the SAHAR model in intensive care remains unreported. Objective: To describe the application of the SAHAR model in nursing care for a patient with peritonitis and AKI Methods: A qualitative case study was conducted in an Indonesian hospital. Data were collected through nursing assessment, monitoring, record review, and outcome evaluation, then analyzed using the six SAHAR themes. Results: The SAHAR model guided cue recognition (hypoxemia, hyperkalemia, hemodynamic instability) and prioritization of three nursing diagnoses: impaired gas exchange, risk of shock, and acute pain. Interventions included oxygen therapy, strict fluid balance monitoring, fentanyl analgesia, and electrolyte correction. After 3×24 hours, the patient showed partial clinical improvement, with stable hemodynamics, reduced respiratory rate, and a decreased pain score. Discussion: The SAHAR model's structured approach enabled systematic clinical judgment and timely prioritization of life-threatening conditions. These findings align with previous research on decision-making frameworks in emergency and critical care nursing, demonstrating the model's potential to enhance patient safety and care quality in complex cases such as peritonitis with AKI
Integration of Digital Health in Nursing Practice for the Prevention and Management of Diabetic Foot Wounds: A Scoping Review Fakhrun Nisa; Inriani; Aminah
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Diabetic foot ulcers (DFUs) are serious complications of diabetes mellitus that require continuous monitoring, early detection, patient education, and coordinated management. Digital health technologies offer opportunities to strengthen nursing practice and improve continuity of care. This review aimed to map the evidence regarding the integration of digital health into nursing practice for the prevention and management of DFUs. A scoping review was conducted following the Joanna Briggs Institute methodology and reported according to the PRISMA-ScR guidelines. Literature searches were conducted in PubMed/MEDLINE, Scopus, Web of Science, CINAHL, ScienceDirect, ProQuest, and the Cochrane Library, with additional grey literature from Google Scholar. Studies published in English between 2015 and 2026 were considered. From 1,290 identified articles, 35 studies met the eligibility criteria and were included in the synthesis. The identified technologies included telemedicine and telenursing, mobile health (mHealth), digital wound imaging, remote monitoring, wearable devices, and artificial intelligence. These technologies supported early detection, wound assessment and monitoring, patient education, self-care, communication, and continuity of nursing care. Reported outcomes included improved foot-care knowledge and behavior, self-management, access to care, wound monitoring, and potential prevention of amputation. However, evidence remained heterogeneous, with challenges related to infrastructure, cost, digital literacy, interoperability, data security, and user acceptance. Digital health has considerable potential to strengthen nurse-led, patient-centered care for DFUs. Further research is needed to evaluate long-term effectiveness, cost-effectiveness, safety, nursing outcomes, and sustainable implementation across diverse healthcare settings
The Effect of Rubber Ball Grip Exercises on Changes in Muscle Strength In Mrs. “S,” A Patient With Non-Hemorrhagic Stroke in The Lovebird Room of Bhayangkara Hospital Makassar RIdwan; Tri Damayanty Syamsul
Journal Kiara : Nursing and Midwifery Vol. 3 No. 1 (2026): Edisi March - August 2026
Publisher : Kiara Group

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Abstract

Non-Hemorhagic stroke is a stroke caused by thrombosis or embolism that causes blockage of blood vessels in the brain, which reduces the supply of glouse and oxygen to the brain, and causes cell or tissue death. This stroke is divided into two, namely ischemic or non-hemorrhagicstroke and hemorrhagic stroke is blockage of blood clots and which is caused by narrowing of an artery or several arteries leading to the brain or due to embolism. Non-Hemorrhagic stroke tends to occur in the elderly, Data obtained from medical record data from the Bhayangkara Hospital Makassar with the number of inpatients in 2023 as many as 113 people, and the number of outpatients as many as 3,906 people. The data collection technigues used were observation interviews, physical examinations, documentation with research sebjects directed at nursing problems of physical Mobility Disorders in Non-Hemorrhagic Stroke Patients. By implementing Rubber Ball Grip Exercise on Mrs “S” to increase muscle streght in Non-Hemorrhagic stroke patients in the Lovebird Room of Bhayangkara Hospital Makassar for three days the results showed that the patient’s musle strength before the implementation
The Problem of Inefective Breastfeeding in Patient Mrs. “S” with Normal Postpartum Patients in The Nurir Room, Bhayangkara Hospital, Makassar Lala; Firmansyah
Journal Kiara : Nursing and Midwifery Vol. 2 No. 2 (2026): Edisi September 2025 - February 2026
Publisher : Kiara Group

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Abstract

Pregnancy is a natural thing which is a physiological process. According to the World Health Organization in 2021 reported data on exclusive breastfeeding globally, only around 44%. The World Health Organization recommends that to maintain the health of babies and mothers, namely by providing breast milk for at least 6 months. Based on data from the Medical Records of Bhayangkara Hospital Makassar in the case of Normal Postpartum in 2024, it was reported that the number of inpatients with normal postpartum was 270 (96.67%) cases and the number of outpatients was 9 cases (3.33%). Overall, there were 270 cases of Normal Postpartum patients (Medical Records of Bhayangkara Hospital Makassar, 2024). The Marmet technique is a method with massage and stimulation so that breast milk flow is optimal. The purpose of this study was to determine the effect of applying the Marmet Technique on normal postpartum patients to overcome the problem of ineffective breastfeeding, especially in patient NY "S" in the Nuri Room of Bhayangkara Hospital Makassar. The aim was to determine the effect of the Marmet Technique on Mrs. "S" to overcome the problem of ineffective breastfeeding in normal postpartum patients at Bhayangkara Hospital Makassar. This research method describes 4 effective methods for collecting data, namely, Interview, Observation, Physical Examination and Documentation methods. The results obtained from the Application of the Marmet Technique to the patient Mrs. "S" with normal Postpartum in the Nuri Room of Bhayangkara Hospital Makassar for 3 days found that the nursing problem of Ineffective Breastfeeding decreased because breast milk did not come out, after the Marmet Technique Action from the first to the third day the results of breast milk increased. The conclusion of the research results After the regular application of the Marmet Technique, it was proven that the problem of ineffective breastfeeding had increased in Mrs. "S" because it could produce effective breast milk.

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