KIAN JOURNAL

Case Study: Implementation of Video-Based Education to Improve Medication Adherence in Child L with Tuberculosis in Panumbangan

2025-07-21T13:38:23+08:00

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.

The Relationship between Knowledge and Attitudes of Reproductive Organs Among Students

2025-07-21T13:35:18+08:00

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.

Effect of Warm Compress on Neck Pain Scale Reduction in CKD Patients with Hypertension

2025-07-30T14:34:52+08:00

Introduction: Hypertension can result in kidney failure if not treated promptly and is frequently a chronic condition. Common symptoms include headaches, dizziness, and neck pain. Applying warm compresses to the neck may help alleviate pain for patients with hypertension.

Objective: This study aims to evaluate the effectiveness of warm compresses in reducing pain levels among chronic kidney disease (CKD) patients with hypertension in Sulaiman Room 6 at Roemani Muhammadiyah Semarang Hospital.

Methods: This research is a descriptive study with a case study approach method. The subject used was 1 person with the criteria of hypertensive patients with systolic blood pressure ≥ 140 mmHg and diastolic ≥ 90 mmHg, composmentis, pain scale 4-6, and no neck injuries.

Results: The results indicated that the pain level in the neck before applying the warm compress was moderate, rated on a scale of 5. After using a warm compress for three sessions of 15 minutes each, the pain level decreased to a scale of 2, which is classified as mild.

Conclusion: The application of warm compresses on the neck effectively reduces the head pain scale of hypertensive patients.

Implementation Of Autogenic Relaxation Techniques to Reduce Pain Scale in Patients With Abdominal Colic

2025-07-21T15:12:03+08:00

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.

Effectiveness Of Pillow Hitting Technique In Controlling Anger In Patients At Risk Of Violent Behavior With Schizophrenia

2025-07-21T16:39:36+08:00

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.