Journal Kiara : Nursing and Midwifery

Community Empowerment in Hypertension Control Through Health Education and Community-Based Early Treatment

Fakhrun Nisa — 2026-08-23

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 — 2026-08-23

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 — 2026-08-23

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 — 2026-08-23

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 — 2026-08-23

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