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Journal : Lentera Perawat

Relationship Between Nutritional Status and Environmental Factors With Acute Respiratory Infections (ARI) in Toddlers: A Cross-sectional Study Agrarina, Lusi; Saputra, Andre Utama; Arsi, Ranida; Romadhon, Muhammad
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.451

Abstract

Acute Respiratory Infection (ARI) is a leading cause of morbidity and mortality among children under five in developing countries, including Indonesia. Poor nutritional status and unhealthy living environments are suspected contributors to the high incidence of ARI. Objective to determine the relationship between nutritional status and environmental factors with the incidence of ARI among toddlers in the working area of Gardu Harapan Public Health Center, Lais District, Musi Banyuasin Regency. This study used a cross-sectional design with a quantitative approach. A total of 105 mothers with children aged 0–59 months were selected using purposive sampling. Data were collected through structured questionnaires and medical records and analyzed using the Chi-Square test. Approximately 60% of children experienced ARI. There was a significant relationship between nutritional status and ARI (p = 0.003), and between environmental factors and ARI (p = 0.003). Children with poor nutritional status and living in unhealthy environments had a higher risk of developing ARI. Nutritional status and environmental conditions are significantly associated with ARI in toddlers. Nutritional interventions and environmental improvements should be conducted simultaneously to reduce ARI incidence.
Nursing management of oral rehydration therapy in pediatric patients with gastroenteritis and hypovolemia at a general hospital: A case study Apriliana, Helda; Afdhal, Fitri; Romadhon, Muhammad; Wulandari, Ria
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

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

Abstract

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.
The effect of warm water compresses with cinnamon (cinnamomum) powder on pain scales of gout arthritis in the elderly: A pre-experimental study Putri, Della Friska; Romadhon, Muhammad; Mardiono, Sasono; Arsi, Ranida
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.610

Abstract

Background: Joint pain is a common complaint experienced by many people, especially the elderly. One of the non-pharmacological methods that can be used to reduce pain is warm water compress therapy using cinnamon powder (Cinnamomum). This compress provides a warming effect that can decrease muscle spasms, improve blood circulation, and help suppress the inflammatory response in the joint area. Objective: This study aimed to determine the effect of a warm water compress with cinnamon powder (Cinnamomum) on changes in the pain scale of gout arthritis among the elderly at Bukit Selabu Sekayu Public Health Center. Methods This research used a pre-experimental design with a One Group Pre-Test Post-Test approach. The sample consisted of 35 elderly respondents, selected through total sampling. The research instruments included the Standard Operating Procedure (SOP) for administering the warm water compress with cinnamon powder and an observation sheet using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon Signed Rank Test. Results : The findings showed that the mean pain score before the intervention was 4.63 (moderate pain category), and after the warm water compress with cinnamon powder was applied, it decreased to 1.97 (mild pain category). The statistical test obtained a p-value = 0.000 (p < 0.05), indicating a significant difference between pre- and post-intervention. A 2.66-point reduction on the NRS was considered clinically meaningful, showing that this therapy effectively reduced joint pain in the elderly. Conclusion: The application of a warm water compress with cinnamon powder (Cinnamomum) was proven to be statistically and clinically effective in reducing joint pain levels among elderly patients with gout arthritis. This therapy can serve as a safe and practical non-pharmacological alternative that can be applied in primary health care services.
Ball-grip exercise to improve fine motor function in a patient with non-hemorrhagic stroke: A nursing case study Diski, Diski; Romadhon, Muhammad; Saputra, Andre Utama; Rimbawati, Yazika
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.678

Abstract

Background: Non-hemorrhagic stroke frequently results in upper extremity motor impairment, which limits patients’ functional independence and quality of daily living. Fine motor dysfunction commonly occurs due to neuromuscular damage affecting coordination and muscle strength. Rehabilitation interventions that are simple, accessible, and feasible in nursing practice are essential to support early motor recovery. Ball-grip exercise represents a low-cost rehabilitative approach that may enhance muscle strength through repetitive hand stimulation. Objective: This study aimed to analyze the effect of ball-grip exercise on improving fine motor function in a patient with non-hemorrhagic stroke through a nursing case study approach. Methods: A descriptive case study design was conducted at Bhayangkara Moh. Hasan Hospital Palembang in June 2025. Two adult patients diagnosed with non-hemorrhagic stroke were selected using purposive sampling based on upper limb weakness, stable consciousness, communication ability, and willingness to participate. The intervention consisted of ball-grip exercise performed for 10–15 minutes twice daily over four consecutive days alongside standard pharmacological therapy. Muscle strength was assessed using Manual Muscle Testing (MMT), supported by observation, interviews, physical examination, and medical record documentation. Data were analyzed descriptively by comparing pre- and post-intervention motor function. Results: The patient receiving combined pharmacological therapy and ball-grip exercise demonstrated improvement in muscle strength from MMT score 3 to 4 within four days, accompanied by increased functional independence, particularly in holding a spoon and eating independently. Conversely, the patient receiving pharmacological therapy alone showed no significant improvement in muscle strength or fine motor function during the same observation period. These findings indicate that ball-grip exercise may accelerate fine motor recovery in patients with non-hemorrhagic stroke. Conclusion: Ball-grip exercise is a practical and feasible nursing rehabilitation intervention that may enhance fine motor recovery in non-hemorrhagic stroke patients. Integration of simple rehabilitative exercises with pharmacological therapy may optimize functional outcomes. Healthcare providers are encouraged to incorporate structured hand exercises into routine nursing care, and further research with larger samples and longer observation periods is recommended to strengthen clinical evidence.