Ali Harokan
Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang, Indonesia

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Analysis of factors associated with the incidence of anemia in adolescent girls at the Muara Enim Health Center: A cross-sectional study Cici Destiana; Ali Harokan; Chairil Zaman
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.v6i3.491

Abstract

Background Anemia among adolescent girls is a significant public health issue in Indonesia, including in Muara Enim District, with a steadily increasing prevalence. The causes of anemia are multifactorial, including knowledge, nutritional status, adherence to iron (Fe) tablet consumption, and economic status. Objective This study aims to identify the factors associated with the incidence of anemia among adolescent girls in the working area of Muara Enim Health Center, Muara Enim District, in 2025. Methods This research employed a quantitative cross-sectional design. A total of 95 respondents were purposively selected from the population of adolescent girls in the Muara Enim Public Health Center area in 2024. Data were collected using a structured questionnaire and medical records, and analyzed using univariate, bivariate (chi-square test), and multivariate (multiple logistic regression) methods. Results Most respondents experienced anemia (53.7%), had good knowledge (57.9%), normal nutritional status (97.0%), were non-adherent to Fe tablet consumption (53.7%), and came from families with income below the regional minimum wage (72.6%). Bivariate analysis showed that adherence to Fe tablet consumption (p = 0.00) and economic status (p = 0.00) were significantly associated with anemia incidence, while knowledge (p = 0.99) and nutritional status (p = 0.21) were not. Multivariate analysis identified economic status as the most dominant factor (p = 0.002; OR = 0.20), indicating that adolescent girls from families earning ≥ regional minimum wage had an 80% lower risk of anemia. Conclusion Adherence to Fe tablet consumption and economic status are key factors in preventing anemia among adolescent girls, with economic status being the most influential. Integrated interventions should focus on strengthening Fe supplementation adherence and empowering families economically to reduce anemia prevalence in this population
Analysis of community perceptions of families of patients with mental disorders at Lesung Batu Community Health Center: A cross-sectional study Yogi Permana Putra Lenarki; Ali Harokan; Chairil Zaman
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.v6i3.492

Abstract

Background Individuals with mental illness often face social stigma that not only affects them personally but also extends to their families. Public perception of families caring for persons with mental illness plays a crucial role in supporting rehabilitation efforts and social reintegration. Objective This study aimed to examine the factors associated with community perceptions toward the families of individuals with mental illness in the working area of Lesung Batu Health Center, South Sumatra, Indonesia. Methods A cross-sectional quantitative study was conducted involving 100 respondents selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square tests and multivariate logistic regression. Results The results showed that 60% of respondents had a positive perception of the families of persons with mental illness. No significant association was found with age (p = 0.83), gender (p = 1.00), or educational level (p = 0.13). However, knowledge (p = 0.00; OR = 14.14) and attitude (p = 0.00; OR = 9.3) were significantly associated with community perception. Knowledge was identified as the most dominant factor influencing public perception. Conclusion Knowledge and attitude are key determinants of community perception toward families of individuals with mental illness, while demographic factors such as age, gender, and education showed no significant impact. Community-based mental health education programs are strongly recommended to enhance knowledge, foster positive attitudes, reduce stigma, and build stronger community support for families caring for individuals with mental illness.
Analysis of factors affecting the incidence of hypertension in the productive age group at the Muara Beliti community health center: A cross-sectional study Mislia Indrasari; Ali Harokan; Lilis Suryani
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.v6i3.494

Abstract

Background Hypertension is one of the leading non-communicable diseases with increasing prevalence, including among the productive age group. Several risk factors such as age, occupation, body weight, family history, smoking habits, physical activity, and fruit and vegetable consumption are suspected to influence the incidence of hypertension. Objective This study aimed to analyze the factors affecting the incidence of hypertension among productive age individuals in the working area of Muara Beliti Public Health Center in 2025. Methods This was a quantitative study using a cross-sectional approach. A total of 93 respondents aged 16–64 years were selected using purposive sampling. Data were collected through questionnaires and medical records, then analyzed using Chi-Square and multivariate logistic regression tests. Results The results showed significant relationships between age (p=0.031), body weight (p=0.001), smoking habits (p=0.030), physical activity (p=0.016), and fruit and vegetable consumption (p=0.011) with the incidence of hypertension. No significant relationship was found between occupation and family history with hypertension. Multivariate analysis revealed that physical activity was the most dominant factor (p=0.002; OR=4.80; 95% CI=1.80–12.80). Conclusion Physical activity is the most dominant factor influencing the incidence of hypertension among the productive age population.Health interventions should prioritize increasing physical activity, promoting healthy eating habits, and controlling other risk factors to reduce the incidence of hypertension among productive age individuals.
Analysis of factors affecting the use of implantable contraceptives in couples of fertile age: A cross-sectional study Hilaliah; Ali Harokan; Erna Gustina; Dewi Suryanti
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.v6i3.496

Abstract

Background The use of contraceptive implants as a long-acting contraceptive method remains low in Indonesia, including in the working area of the Muara Enim District Extension Center. Despite its high effectiveness in preventing pregnancy, several factors may influence implant adoption among women of reproductive age, such as age, knowledge, attitude, socioeconomic status, parity, and husband’s support. Objective This study aimed to identify the factors associated with the use of contraceptive implants among reproductive-age couples in the Muara Enim District Extension Center in 2025. Methods This study applied a quantitative cross-sectional design involving 93 respondents selected through purposive sampling. Inclusion criteria were women of reproductive age residing in the study area and willing to participate, while exclusion criteria included serious illness and illiteracy. Data collection was conducted from May 2 to 17, 2025, using a validated structured questionnaire supported by medical record checks. Variables measured included age, knowledge, attitude, socioeconomic status, parity, and husband’s support, with implant use as the dependent variable. Data analysis was performed in three stages: univariate to describe frequencies, bivariate using Chi-square tests to assess associations (p < 0.05), and multivariate using logistic regression to determine dominant factors. Ethical clearance was obtained, and informed consent, anonymity, and confidentiality were ensured.. Results ge (p=0.02), attitude (p=0.005), and socioeconomic status (p=0.02) were significantly associated with implant use, while knowledge (p=1.00), parity (p=0.90), and husband’s support (p=0.18) were not. Logistic regression confirmed attitude as the most dominant predictor (p=0.003; OR=0.26). Conclusion Age, attitude, and socioeconomic status significantly influence implant use, with attitude being the strongest determinant. Health promotion should focus on shaping positive attitudes through couple-based counseling and interpersonal education, especially for younger women and low-income groups.
Analysis of service satisfaction factors in the internal medicine polyclinic of a general hospital: A cross-sectional study Wiladatika; Ali Harokan; Lilis Suryani
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.v6i3.522

Abstract

Background: Patient satisfaction is a key indicator for evaluating the quality of health care services. Various factors can influence patient satisfaction, ranging from demographic characteristics to attributes of public service delivery. However, studies on patient satisfaction in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital remain limited. Objective: This study aimed to analyze the factors associated with the level of patient satisfaction with services in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital in 2025. Methods: This research employed a quantitative analytic design with a cross-sectional approach. A total of 98 respondents were selected through purposive sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data analysis included chi-square tests for bivariate associations and multiple logistic regression for multivariate analysis with a significance level of α = 0.05. Results: The findings revealed that all service-related variables—requirements, procedures, service completion time, costs/fees, service product specifications, staff competence, staff behavior, complaint handling, and facilities and infrastructure—were significantly associated with patient satisfaction (p < 0.05). The dominant factors influencing patient satisfaction were staff competence and staff behavior, both of which were strongly related to patients’ experiences in receiving care. Conclusion: Patient satisfaction is influenced by the synergy of all service aspects; therefore, quality improvement efforts must be comprehensive, integrative, and sustainable. This study recommends that hospitals strengthen the competence of health care providers, improve facilities and infrastructure, and simplify administrative processes to enhance patient satisfaction.
Factor analysis of nurses’ satisfaction with educational installation training in hospitals: A cross-sectional study Nur Akli; Ali Harokan; Gema Asiani
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.v6i3.535

Abstract

Background: Nurse job satisfaction plays an essential role in improving the quality of nursing care and patient safety. Several factors, including leadership, work environment, promotion opportunities, training, educational installation activities, and work tenure, have been shown to influence nurses’ satisfaction. Objective: This study aimed to analyze factors associated with nurses’ satisfaction regarding educational installation training in hospitals. Methods: This research applied a quantitative cross-sectional design. The study population comprised 90 inpatient nurses at  dr. AK Gani Hospital Palembang, selected through total sampling. Data were collected using a validated and reliable structured questionnaire. Data analysis employed chi-square tests for bivariate analysis and multiple logistic regression for multivariate analysis with a 95% confidence level. Results: Bivariate analysis revealed significant factors including work tenure (p=0.000; OR=0.093), leadership (p=0.001; OR=4.984), work environment (p=0.003; OR=4.054), promotion opportunities (p=0.034; OR=2.737), training (p=0.007; OR=3.575), and educational installation activities (p=0.002; OR=4.516). Multivariate analysis identified work tenure as the most dominant factor (OR=412.585), followed by educational installation activities (OR=57.295), training (OR=27.712), work environment (OR=28.014), promotion opportunities (OR=24.429), and leadership (OR=19.420). Conclusion: Nurse satisfaction is significantly influenced by organizational factors and work experience, with work tenure serving as the strongest predictor. Hospitals should strengthen leadership, create supportive work environments, ensure fair promotion opportunities, and provide continuous training and educational installation activities to enhance nurse job satisfaction.