Journal of Comprehensive Medical-Surgical Nursing

Prevalence and Characteristics of Kinesiophobia Among Postoperative Extremity Fracture Patients: A Descriptive Study at a Referral Hospital

Mulia Hakam — 2026-06-02

Introduction: Patient complaints after extremity fracture surgical procedures can lead to pain and an irrational fear of movement (Kinesiophobia) is a highly prevalent yet frequently unrecognized psychological complication in orthopedic nursing practice

Aim: This study aimed to describe the profile of kinesiophobia in postoperative extremity fracture patients according to demographic and clinical characteristics

Method: A quantitative descriptive design with a cross-sectional approach was applied to 51 respondents recruited via total sampling in the surgical inpatient ward hospital in Jember. Kinesiophobia was measured using the Tampa Scale of Kinesiophobia (TSK-17), with a score ≥ 37 classified as high kinesiophobia. Data were analyzed using univariate analysis and presented through descriptive cross-tabulation.

Result: Results demonstrated that 72.5% of respondents experienced high kinesiophobia. The highest proportions were observed in female respondents (100%), oldest-old patients (100%), homemakers (100%), primary school graduates (100%), radius fractures (100%), and femur fractures (84.6%). Groups with dominant low kinesiophobia included males (43.7%), unemployed respondents (58.3%), and ulna fractures (80.0%).

Conclusion: These findings underscore the necessity of routine TSK-17 screening and prioritized non-pharmacological interventions targeting female, elderly, and lower extremity fracture patients in postoperative orthopedic nursing care.

Assessment of Knowledge Level about Amblyopia among Adolescents with Refractive Errors in Jember

Andrian Dwi Yuliorofi — 2026-06-20

Introduction: Adolescent eye health is often overlooked, despite the long-term impact of conditions such as amblyopia if left undetected. Amblyopia is a visual disorder that occurs when one eye fails to achieve normal visual acuity, despite the absence of structural abnormalities. This condition is commonly associated with uncorrected refractive errors and may progress without noticeable symptoms. Adolescents with amblyopia may remain unaware of the problem due to gradual visual adaptation.

Aim: This study aimed to assess the level of knowledge about amblyopia among adolescents with refractive errors.

Method: A descriptive quantitative method with a cross-sectional design was used. A total of 53 adolescents aged 10–17 years were selected using purposive sampling at the Eye Polyclinic of Dr. Soebandi Regional Hospital, Jember. Data were collected through a structured, validated questionnaire.

Result: Results showed that the majority of respondents (62.3%) had low knowledge levels, while only a small proportion (11.3%) demonstrated high understanding. Limited awareness of risk factors and consequences of amblyopia emerged as a key finding.

Conclusion: Adolescents with refractive disorders exhibited insufficient knowledge of amblyopia, particularly regarding its general concepts, causes, and complications, underscoring the need for targeted eye health education to enhance awareness, facilitate early detection, and prevent long-term visual impairment.

Implementation of Slow Deep Breathing After Implant Removal Surgery: A Case Study

Novia Narulia Sari — 2026-06-19

Introduction: Postoperative pain is a common problem following implant removal surgery and may interfere with recovery. Uncontrolled pain can increase blood pressure, pulse rate, and decrease patient comfort. Slow deep breathing is a non-pharmacological intervention that promotes relaxation and helps reduce pain perception

Method: A descriptive case study was conducted on one day-0 postoperative implant removal patient experiencing moderate pain. Slow deep breathing was administered twice daily for three days, with each session lasting 15 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS).

Result: Pain intensity decreased from NRS 6 (moderate pain) on the first day to NRS 2 (mild pain) on the third day

Conclusion: Slow deep breathing helped reduce postoperative pain intensity, as evidenced by a decrease in pain score from NRS 6 (moderate pain) to NRS 2 (mild pain) after three days of intervention. This technique may be used as a simple, safe, and complementary nursing intervention for postoperative pain management.