KIAN JOURNAL

Jump Rope Play Therapy to Enhance Social Interaction in a Child with Gadget Addiction: A Case Study

Renata Syaira Hasbillah, Andan Firmansyah, Dadi Hamdani — Mon, 30 Mar 2026 00:00:00 +0800

Introduction: Excessive gadget use among school-age children has become a growing concern due to its negative impact on social and behavioral development. Children who spend prolonged periods using digital devices often exhibit reduced social engagement, limited verbal communication, emotional withdrawal, and decreased participation in peer interactions. These conditions may hinder the development of essential interpersonal skills during a critical stage of growth. Traditional play activities, such as jump rope, offer opportunities for physical movement, communication, cooperation, and social interaction, making them potential therapeutic interventions for children experiencing gadget-related social difficulties.

Objective: This study aimed to evaluate the effectiveness of jump rope play therapy in improving social interaction among children with gadget addiction.

Method: A descriptive case study design was employed involving a 10-year-old female child residing in Dayeuhmanggung Village, West Java, Indonesia. The intervention consisted of two structured jump rope play therapy sessions conducted over four consecutive days. Data were collected through semi-structured interviews with parents, direct observations using behavioral checklists, gadget usage logs, and field documentation. Behavioral changes before and after the intervention were analyzed descriptively.

Results: Following the intervention, the child demonstrated notable improvements in social behavior. Daily gadget use decreased from more than 3 hours to approximately 1.5 hours. Increased eye contact, spontaneous verbal responses, initiation of conversations, active participation in outdoor play, and greater willingness to interact with family members and peers were observed. Parents also reported enhanced sociability, improved mood, and reduced dependence on digital devices.

Conclusion: Jump rope play therapy appears to be a culturally appropriate, low-cost, and effective intervention for enhancing social interaction and reducing gadget dependency among school-age children. The findings suggest that integrating traditional play activities into community and family-based nursing interventions may support children's psychosocial development and social reintegration.

The Effect of Neck Massage Using Olive Oil on Headache Pain Intensity in Hypertensive Patients: A Case Study

Mon, 30 Mar 2026 00:00:00 +0800

Introduction: Hypertension is a major global health problem and often accompanied by subjective complaints such as headache and neck stiffness, which may reduce patients’ quality of life. Non-pharmacological nursing interventions are needed to complement pharmacological therapy in managing pain among hypertensive patients. One alternative intervention is neck massage using olive oil, which promotes muscle relaxation and improves local blood circulation.

Objective: This study aimed to describe the effectiveness of neck massage using olive oil in reducing headache intensity in patients with hypertension.

Method: This research employed a descriptive case study design involving two hypertensive patients who experienced headache in the working area of Kahuripan Primary Health Center, Tasikmalaya. The intervention consisted of neck massage using olive oil for 10 minutes once daily over three consecutive days. Pain intensity was measured before and after each session using the Numeric Rating Scale (NRS). Data were analyzed descriptively by comparing pain scores before and after the intervention.

Result: Both respondents experienced a consistent decrease in headache intensity following the intervention. The first respondent showed a total reduction of four points (from 6 to 2), while the second respondent showed a reduction of three points (from 5 to 2) over three days of treatment.

Conclusion: Neck massage using olive oil was effective in reducing headache intensity among hypertensive patients. This intervention can be recommended as a complementary non-pharmacological nursing therapy to improve patient comfort alongside standard pharmacological management.

Lego Play Therapy for Managing Excessive Gadget Use in a School-Aged Child: A Pediatric Nursing Case Study

Shabrina Tsalis Nurfauziah, Andan Firmansyah, Dedi Supriadi, Sri Utami Asmarani — Mon, 30 Mar 2026 00:00:00 +0800

Background: Excessive gadget use among school-aged children has become an increasing concern because prolonged screen exposure may interfere with cognitive, emotional, and social development. Therapeutic play has been proposed as a non-pharmacological nursing intervention to encourage healthy developmental behaviors.

Objective: To describe the implementation of Lego play therapy in managing excessive gadget use in a school-aged child through a pediatric nursing case study.

Methods: A qualitative single-case study was conducted involving a 9-year-old girl who demonstrated excessive gadget use. Nursing assessment, observation, and parental interviews were performed before and after a three-day Lego play therapy intervention. Behavioral responses, social interaction, attention span, emotional regulation, and engagement in play activities were documented descriptively.

Results: Following the intervention, the child demonstrated reduced interest in gadget use during therapy sessions, improved attention and concentration, increased verbal communication, better emotional regulation, and greater willingness to interact with family members. The intervention also encouraged creativity and active participation in constructive play.

Conclusion: This case study suggests that Lego play therapy may serve as a practical nursing intervention to redirect excessive gadget use while promoting cognitive and social engagement in school-aged children. Further studies with larger samples, standardized outcome measures, and longer follow-up periods are required to confirm these preliminary findings

Implementation of Virgin Coconut Oil Moist Dressing in Diabetic Ulcer Wound Care: A Nursing Case Study

Bella Oktavera, Ade Fitriani, Lilis Lismayanti, Ayu Endang Purwati — Mon, 30 Mar 2026 00:00:00 +0800

Introduction: Diabetic ulcers are one of the most common chronic complications of Diabetes Mellitus and are associated with delayed wound healing, increased infection risk, and lower quality of life. Maintaining an optimal moist wound environment is an essential component of diabetic ulcer management. Virgin Coconut Oil (VCO) has antimicrobial, anti-inflammatory, and moisturizing properties that may enhance wound healing.

Objective: To describe the implementation of Virgin Coconut Oil as a moist dressing in promoting diabetic ulcer wound healing through a nursing care approach.

Method: This descriptive case study involved one patient with Type 2 Diabetes Mellitus presenting with a diabetic ulcer. Nursing care was provided through assessment, diagnosis, intervention, implementation, and evaluation according to the Indonesian Nursing Standards (SDKI, SIKI, and SLKI). Virgin Coconut Oil was applied as a moist dressing during three consecutive nursing visits. Wound progress was evaluated using clinical observations based on wound moisture, redness, signs of infection, and tissue appearance.

Result: Progressive improvement was observed following three applications of VCO. The wound demonstrated improved moisture balance, reduced periwound redness, healthy granulation tissue formation, and no clinical signs of infection. These findings indicate that VCO supported the wound healing process during nursing care.

Conclusion: Virgin Coconut Oil may serve as a practical, safe, and low-cost complementary intervention for diabetic ulcer wound management. Further studies involving larger samples and controlled study designs are recommended to confirm its effectiveness.