Journal Kiara : Nursing and Midwifery

Early Detection And Health Education Initiatives At The Agriculture Office Of Kendari City

Sri Resky Mustafa — 2025-12-29

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.

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

Sri Resky Mustafa — 2026-02-28

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

Progressive Muscle Relaxation in Managing Anxiety During Third-Trimester Pregnancy in the Banabungi Community Health Center Area: A Case Study

Sri Resky Mustafa — 2026-01-05

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 Relationship Between Family Support and Anxiety Levels of Preoperative Patients at Daya Regional General Hospital, Makassar City

Sri Resky Mustafa — 2026-02-28

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.

The Effect of the Finger-Holding Relaxation Technique on Pain Reduction in a Post-Appendectomy Patient at BLUD RSUD Kabupaten Buton: A Case Study

Sri Resky Mustafa — 2026-01-05

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.