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Fitri Afdhal
Program Studi D-III Keperawatan, Universitas Kader Bangsa, Palembang, Indonesia

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Factors associated with exclusive breastfeeding success among breastfeeding mothers in Ogan Komering Ulu Regency, Indonesia: A cross-sectional study Ranida Arsi; Ulva Rachmawati; Fitri Afdhal
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.689

Abstract

Background: Exclusive breastfeeding is an essential intervention for improving infant health, growth, and development. Despite its well-established benefits, the coverage of exclusive breastfeeding in several regions of Indonesia remains below target, including in the working area of Puskesmas Peninjauan, Ogan Komering Ulu Regency. The success of exclusive breastfeeding is influenced by multiple maternal and environmental factors, including maternal knowledge, family support, parity, and pregnancy interval. Objective: This study aimed to analyze the factors associated with the success of exclusive breastfeeding among breastfeeding mothers in the working area of Puskesmas Peninjauan, Ogan Komering Ulu Regency. Methods: This study employed an analytical quantitative design with a cross-sectional approach. The study was conducted from June to July 2025 and involved all mothers with infants aged 7–12 months in the working area of Puskesmas Peninjauan, with a total of 61 respondents selected using total sampling. Data were collected using a checklist form and structured questionnaires covering maternal knowledge, family support, parity, pregnancy interval, and exclusive breastfeeding success. Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% significance level (α = 0.05). Results: Most respondents were aged 21–30 years (52.5%), had completed senior high school (37.7%), and were homemakers (88.5%). A total of 91.8% of mothers successfully practiced exclusive breastfeeding. Bivariate analysis showed that family support was significantly associated with exclusive breastfeeding success (p = 0.002), whereas maternal knowledge (p = 0.353), parity (p = 0.215), and pregnancy interval (p = 0.052) were not significantly associated. Conclusion: Family support was the most influential factor associated with the success of exclusive breastfeeding. Strengthening the involvement of husbands and family members in breastfeeding education and lactation support should be integrated into maternal and child health services to improve exclusive breastfeeding outcomes.  
Nursing management of oral rehydration therapy in pediatric patients with gastroenteritis and hypovolemia at a general hospital: A case study Helda Apriliana; Fitri Afdhal; Muhammad Romadhon; Ria Wulandari
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.532

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Background: Gastroenteritis is an inflammation of the stomach and small intestine caused by bacterial or viral infection, characterized by symptoms such as defecation more than three times per day. This condition often leads to nursing problems including impaired skin integrity, discomfort or pain, hyperthermia, and, most commonly, fluid volume deficit (hypovolemia). Oral rehydration therapy (ORT) plays an essential role in preventing hypovolemic complications, particularly dehydration ranging from mild to severe. ORT not only restores the balance of sodium and potassium concentrations in the body but also accelerates the recovery process. Objective: This study aimed to provide nursing care and to evaluate the effectiveness of oral rehydration therapy in children with gastroenteritis and hypovolemia in a general hospital. Methods: A case study approach was applied to explore nursing care management for pediatric patients with gastroenteritis and hypovolemia receiving oral rehydration therapy. The study compared two pediatric clients aged 1–5 years, admitted in July 2024 with gastroenteritis and hypovolemia. Data were collected through informed consent forms, interviews, observations, physical examinations, pediatric nursing assessment formats, and documentation. The case study was conducted over three consecutive days in a general hospital setting. Results: After three days of nursing interventions, with the primary diagnosis of hypovolemia related to active fluid loss, the administration of oral rehydration therapy demonstrated effective outcomes. Nursing care interventions— including observation, therapeutic actions, education, and collaboration—led to the resolution of the problem on the third day of care. Conclusion: This case study highlights the comparison of nursing care in two pediatric clients with gastroenteritis and hypovolemia undergoing oral rehydration therapy, showing that the intervention effectively resolved the problem within three days. Continued parental education was provided as part of the follow-up care.