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All Journal Lentera Perawat
Arie Wahyudi
STIK Bina Husada, Palembang, Indonesia

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Factors associated with a composite outcome measure of the Motor Gigi innovation at community health center: A cross-sectional study Nia Trisna; Arie Wahyudi; Lilis Suryani
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.893

Abstract

Background: The Motor Gigi innovation is a child-friendly dental reminder system combining control cards, miniature motorcycle stickers, and educational videos to encourage scheduled follow-up visits. This study examined factors associated with the composite outcomes of the Motor Gigi innovation among children receiving dental care. Methods: A cross-sectional study was conducted at Pajar Bulan Community Health Center, Muara Enim Regency, Indonesia, from February to June 2026. A total of 104 child–parent dyads were recruited. Data on oral hygiene behavior, parental knowledge, family support, dental follow-up compliance, and Motor Gigi composite outcomes were collected using questionnaires, interviews, clinical observation sheets, control cards, and clinic registers. Associations were analyzed using the Chi-square or Fisher’s exact test, followed by multiple logistic regression. Results: Of the 104 participants, 57.7% had favorable composite outcomes, 95.2% demonstrated good oral hygiene behavior, 95.2% had parents with good knowledge, 93.3% received adequate family support, and 96.2% complied with scheduled follow-up visits. Oral hygiene behavior (p = 0.007), parental knowledge (p = 0.007), family support (p = 0.003), and dental follow-up compliance (p = 0.013) were significantly associated with the Motor Gigi composite outcome. Child sex was not significantly associated with the outcome (p = 0.938). The multivariable model produced unstable estimates because of sparse data and complete separation; therefore, no independent dominant factor could be identified. Conclusion: Oral hygiene behavior, parental knowledge, family support, and dental follow-up compliance were associated with the Motor Gigi composite outcome. However, these findings should be interpreted cautiously because the predictors partially overlapped with the composite outcome and the cross-sectional design precluded causal inference. Future studies should use independent outcome measures, larger samples, and longitudinal or quasi-experimental designs.
Hospital foodservice attributes associated with inpatient satisfaction: A cross-sectional study Maya Arisandi; Arie Wahyudi; Gema Asiani
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.987

Abstract

Background: Hospital foodservice contributes to nutritional care and patient experience. Local complaints concerning food presentation, utensil cleanliness, menu variety, meal temperature, and staff interactions indicated a need to examine which service attributes were associated with inpatient satisfaction. Objective: To examine associations between seven hospital foodservice attributes and inpatient satisfaction. Methods: This analytical cross-sectional study was conducted from 6 to 13 April 2026. Ninety-nine inpatients who had been hospitalized for at least two days were recruited by quota sampling and interviewed using a structured SERVQUAL-informed questionnaire. Service-attribute scores and satisfaction scores were dichotomized at their respective sample medians. Dissatisfaction was the modeled outcome. Associations were estimated using chi-square tests, crude odds ratios (ORs), and multivariable logistic regression with adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results: Sixty-eight participants (68.7%) were satisfied. All seven service attributes were associated with dissatisfaction in bivariable analyses (p<0.05). In the final multivariable model, poor food presentation (AOR=35.159; 95% CI: 6.101-202.604), poor utensil cleanliness (AOR=48.325; 95% CI: 5.342-437.185), inadequate menu variety (AOR=9.500; 95% CI: 1.486-60.755), and poor food safety and hygiene (AOR=8.780; 95% CI: 1.599-48.224) remained associated with dissatisfaction. Utensil cleanliness had the largest AOR; however, the wide CIs indicate low precision. Conclusion: Perceived foodservice attributes were associated with inpatient satisfaction, but the cross-sectional design does not establish causality. The magnitude of the adjusted estimates should be interpreted cautiously because the sample was small, quota sampling was used, and the model may be unstableequired.