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Lentera Perawat
Published by Sekolah Tinggi Ilmu Kesehatan Al-Ma'arif Baturaja
ISSN : 27222837     EISSN : 28301846     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Lentera Perawat is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, Public Health as well as with their development through interdisciplinary and multidisciplinary approach
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 10 Documents
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Search results for , issue "Vol. 7 No. 2 (2026): April - June" : 10 Documents clear
Factors associated with exclusive breastfeeding success among breastfeeding mothers in Ogan Komering Ulu Regency, Indonesia: A cross-sectional study Arsi, Ranida; Rachmawati, Ulva; Afdhal, Fitri
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.  
Factors influencing the nutritional status of adolescents during the COVID-19 pandemic: A cross-sectional study Novayelinda, Riri; Hasanah, Oswati; Hanum, Syafrida
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.v7i2.696

Abstract

Background: The COVID-19 pandemic substantially altered adolescents’ daily routines, including eating habits, physical activity, and sleep patterns, all of which may influence nutritional status. Evidence from Indonesia remains limited, particularly regarding the simultaneous contribution of these behavioral factors during periods of prolonged social restriction. Objective: This study aimed to examine the associations between dietary patterns, physical activity, sleep quality, and nutritional status among adolescents in Pekanbaru, Indonesia, during the COVID-19 pandemic. Methods: A cross-sectional study was conducted from June to November 2021 among 75 adolescents aged 15–18 years in Pekanbaru, Riau Province, Indonesia. Participants were recruited through convenience sampling using school and alumni WhatsApp groups. Data were collected online using a structured self-administered questionnaire that included a Food Frequency Questionnaire for dietary patterns, the Indonesian version of the Physical Activity Questionnaire for Adolescents (PAQ-A), and the Pediatric Daytime Sleepiness Scale (PDSS) for sleep-related problems. Nutritional status was assessed using self-reported weight and height to calculate body mass index (BMI), which was then classified into underweight, normal, and overweight categories. Descriptive statistics and chi-square tests were used for data analysis, with statistical significance set at p < 0.05. Results: Of the 75 participants, most were 17 years old (40.0%) and female (70.7%). Overall, 68.0% had normal nutritional status, 18.7% were overweight, and 13.3% were underweight. Chi-square analysis showed significant associations between dietary patterns and nutritional status (p = 0.001), sleep quality and nutritional status (p = 0.001), and physical activity and nutritional status (p = 0.001). These findings indicate that unhealthy dietary patterns, poor sleep-related functioning, and lower physical activity were associated with abnormal BMI categories among adolescents. Conclusion: Dietary patterns, physical activity, and sleep quality were significantly associated with adolescent nutritional status during the COVID-19 pandemic. These findings highlight the importance of integrated behavioral screening and adolescent health interventions targeting diet, movement, and sleep to support optimal nutritional outcomes.  
Exploring mothers’ perceptions of the role of integrated health posts (Posyandu) in stunting prevention: A qualitative study Ikasari, Filia Sofiani; Pusparina, Iis
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.v7i2.701

Abstract

Background: Stunting remains a public health problem with long-term consequences for child growth and development. Integrated Health Posts (Posyandu) play a strategic role as community-based health services in stunting prevention; however, their utilization is influenced by mothers’ perceptions of the role and function of Posyandu. Objective: This study aimed to gain an in-depth understanding of mothers’ perceptions of the role of Posyandu in stunting prevention in the working area of Martapura 1 Primary Health Center. Methods: This study employed a qualitative design with a descriptive phenomenological approach. The study was conducted in June 2025 in the working area of Martapura 1 Primary Health Center. Participants were recruited using purposive sampling, with inclusion criteria of mothers who had stunted children under five years of age. A total of 13 participants were involved until data saturation was achieved. Data were collected through in-depth interviews using semi-structured interview guidelines and analyzed through transcription, coding, categorization, and thematic analysis with the assistance of NVivo 12 software. Results: The findings identified four themes related to mothers’ perceptions of the role of Posyandu in stunting prevention in the working area of Martapura 1 Primary Health Center: (1) visit patterns; (2) Posyandu services; (3) perceived benefits of Posyandu; and (4) mothers’ expectations. Conclusion: Mothers primarily perceived Posyandu as a place for routine child growth monitoring, while its role in stunting prevention was not fully understood. These findings indicate a gap between the ideal role of Posyandu in stunting prevention and mothers’ perceptions at the community level.  
Strengthening palliative nursing care through integration of islamic educational values: An integrative review Ghozali, Imam; Yusnita, Erni
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.v7i2.706

Abstract

Background: Spiritual care is a core component in palliative nursing, but most of the literature still discusses it in a general framework and has not systematically integrated Islamic educational values as an ethical and professional foundation. Objective: Formulating a conceptual framework for strengthening palliative nursing care through the integration of Islamic educational values. Methods: The study used an integrative literature review design following the PRISMA flow. A systematic search was conducted on PubMed, Scopus, ScienceDirect, and Google Scholar for articles from January 2010–June 2025. The final search was conducted in June 2025 using a combination of the keywords “Islamic values,” “Islamic education,” “palliative nursing,” “palliative care,” and “spiritual care.” Of the 215 articles identified, 30 met the inclusion criteria after screening and full-text review. Analysis was conducted through thematic synthesis and quality assessment using the CASP and JBI checklists. Results: Four dominant core values were identified: rahmah (compassion), patience, sincerity, and trust (relief), with trust as a key determinant of professional ethics. Rahmah emerged most frequently and contributed to improved therapeutic communication, reduced anxiety, increased emotional support, and improved quality of life for terminally ill patients. The integration of these values also impacted patient satisfaction and strengthened nurse professionalism. Conclusion: The integration of Islamic educational values strengthens the ethical, spiritual, and professional dimensions of palliative nursing practice in a holistic and evidence-based manner. Further research using quantitative or mixed methods designs is needed to increase the generalizability of the findings.  
Effectiveness of health belief model-based prenatal education on anemia prevention behaviors among pregnant women: A systematic review Febriana Soares De Araujo; Herry Susanto; Sri Wahyuni
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.v7i2.716

Abstract

Background: Anemia during pregnancy remains a major public health concern because it contributes to adverse maternal and fetal outcomes and is strongly influenced by modifiable health behaviors. Prenatal education grounded in behavioral theory has gained increasing attention as a strategy to improve preventive practices, particularly in primary care and community settings. The Health Belief Model offers a relevant framework because it addresses women’s perceptions of risk, benefits, barriers, and cues to action related to anemia prevention. Objective: This systematic review aimed to evaluate the effectiveness of Health Belief Model-based prenatal education on anemia prevention behaviors among pregnant women in community health centers and other primary care settings. Methods: This study applied a systematic review design. Literature searches were conducted across major electronic databases using combinations of terms related to the Health Belief Model, prenatal education, pregnant women, anemia, iron supplementation, hemoglobin, and primary health care. The main outcomes were hemoglobin level, anemia prevalence, iron-folic acid supplementation adherence, dietary intake, and behavioral determinants. Data were extracted using a structured form and synthesized narratively. Results: Eight studies were included in the final synthesis. The findings consistently showed that Health Belief Model-based or theory-based prenatal education improved anemia prevention behaviors and related health outcomes. The strongest effects were observed in iron-folic acid supplementation adherence, hemoglobin improvement, anemia reduction, and healthier dietary practices. Several studies also reported gains in maternal knowledge, attitudes, and selected Health Belief Model constructs, especially perceived susceptibility and cues to action. Interventions that combined counseling with educational media, reminder systems, or repeated follow-up produced more consistent benefits across settings. Conclusion: Health Belief Model-based prenatal education appears to be an effective strategy for improving anemia prevention behaviors among pregnant women in community and primary care settings. Integrating theory-based educational interventions into routine antenatal services may strengthen maternal anemia prevention and support better pregnancy outcomes.  
Factors influencing family support and family burden in caring for family members with a history of violent behavior: A systematic review Andre Soares Dos Santos; Dwi Heppy Rochmawati; Wahyu Endang Setyowati
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.v7i2.717

Abstract

Background: Family caregivers play a central role in caring for relatives with severe mental illness, particularly those with a history of violent behavior. In this context, caregivers are required to provide continuous supervision, emotional support, and practical assistance, while also managing fear, stigma, and prolonged caregiving demands. These conditions may influence both family support and family burden through a complex interaction of clinical, psychosocial, and structural factors. Objective: This study aimed to systematically identify, analyze, and synthesize the factors influencing family support and family burden in caring for family members with a history of violent behavior. Methods: This study employed a systematic review design. A comprehensive literature search was conducted in PubMed, Scopus, ProQuest, SAGE Journals, and ClinicalKey for Nursing for studies published between 2015 and 2025. Quantitative, qualitative, and mixed-method studies were included if they examined determinants of family support or caregiver burden among family caregivers of individuals with severe mental illness involving aggression or a history of violent behavior. Study selection, data extraction, and methodological quality appraisal were conducted independently by two reviewers using standardized procedures and the Joanna Briggs Institute critical appraisal tools. Results: Ten studies met the inclusion criteria. The review identified three major domains influencing family support and family burden: clinical factors, psychosocial factors, and structural factors. Patient aggression, symptom severity, relapse, and poor social functioning consistently increased caregiver burden. Psychosocial factors, particularly affiliated stigma, emotional distress, gendered caregiving roles, and family relationship patterns, further intensified burden and reduced caregiving resilience. Structural barriers, including limited access to mental health services, weak care coordination, insufficient caregiver involvement in decision-making, and economic hardship, also weakened family support capacity. Intervention evidence suggested that family psychoeducation and structured support may reduce caregiver burden, although their effectiveness varied across contexts. Conclusion: Family support and family burden in the care of relatives with a history of violent behavior are shaped by interrelated clinical, psychosocial, and structural determinants. Family-centered and context-sensitive mental health interventions are needed to reduce caregiver burden and strengthen sustainable family support.  
Family caregivers’ perception and response to COVID-19 in caring for older adults with chronic diseases: A qualitative study Bahtiar Bahtiar; Nurlaila Fitriani; Dwi Nopriyanto; Ida Ayu Kade Sri Widiastuti; Arief Andriyanto; Ikbal Fradianto; Eriyono Budi Wijoyo
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.v7i2.721

Abstract

Background: The older adult is the vulnerable group to infecting COVID-19 and most of them live with their families. The family must take care of them while they face various problems during the pandemic. It will probably tend to more stress and burden so the understanding of their perception and response on dealing with older adults with chronic diseases is vital. Objective: This study explored exploring about perceptions and responses of family caregiver’s older adults with chronic diseases about COVID-19 disease. Methods: The study used qualitative descriptive phenomenology by using online semi-structured interviews with family caregivers of older adults with chronic diseases in Samarinda, Indonesia from September to November 2021. Sixteen family caregivers of older adults participated that was using purposive sampling method. The data analysis conducted by Collaizi technique and rigor process were included peer debriefing with peers, member checking of the outcome, and inquiry audit.  Results: After qualitative analysis, three main themes emerged: 1) Views of older adult families on covid-19 disease (positive and negative views on Covid-19 disease); 2) Older adult family caregiver responses in facing covid-19 vaccination of older adult with chronic diseases (negative thoughts about vaccinations, family efforts to facilitate vaccination for the older adult); 3) Families facilitate traditional medicine are an option that is of interest to the older adult to prevent and deal with covid-19 disease (opinions of the older adult to consume herbal medicine, reasons for older adult consuming herbal medicine). Conclusion: This study showed that Indonesian older adult family caregivers have various perceptions and responses to older adults with chronic diseases during the pandemic. The government needs to enhance health promotion regarding COVID-19 and vaccination. Older people commonly use herbal medicine, so information about ingredients and dose must be educated properly.  
Effectiveness of health belief model-based reproductive health education on menarche preparedness: A systematic review Sitti Nurhaisa; Sri Wahyuni; Herry Susanto
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.v7i2.723

Abstract

Background: Menarche preparedness is an important component of adolescent reproductive health because inadequate knowledge, negative perceptions, and anxiety may hinder girls’ ability to adapt to their first menstruation. Health education based on the Health Belief Model (HBM) has been increasingly used to improve adolescent readiness by addressing beliefs, perceptions, and preventive behaviors related to reproductive health. Objective: This systematic review aimed to evaluate the effectiveness of HBM-based reproductive health education on menarche preparedness among adolescent girls. Methods: Literature searches were conducted in ProQuest, Scopus, ScienceDirect, and SAGE Journals, with additional searching through grey literature and reference lists. The search covered publications from 2015 to 2025 in English and Indonesian. Eligible studies included quantitative intervention studies examining HBM-based reproductive health education in relation to menarche preparedness or closely related outcomes among adolescent girls. Data were extracted using a structured form and synthesized narratively because of heterogeneity in study design, intervention format, and outcome measures. Results: A total of 30,651 records were identified, of which 42 studies met the eligibility criteria for inclusion. The reviewed evidence consistently showed that HBM-based reproductive health education improved menstrual knowledge, increased positive attitudes, reduced anxiety, and enhanced emotional and behavioral readiness for menarche. Several studies also demonstrated improved menstrual hygiene practices and stronger preparedness when family support and culturally sensitive approaches were incorporated. Although the included studies varied in design and measurement, the overall direction of evidence indicated a beneficial effect of HBM-based educational interventions on adolescent girls’ preparedness for menarche. Conclusion: HBM-based reproductive health education is effective in improving adolescent girls’ preparedness for menarche across cognitive, emotional, and behavioral domains. The integration of theory-based, culturally appropriate, and family-supported educational strategies into school and community health programs may strengthen adolescent reproductive health outcomes.  
The mediating role of sleep quality in the relationship between workload and employees’ job stress: A systematic review Liwingston Filemon Mona; Iskim Luthfa; Muh Abdurrouf; Dwi Heppy Rochmawati
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.v7i2.727

Abstract

Background: Workload is a major occupational factor that contributes to employees’ job stress and may also impair sleep quality. Increasing evidence suggests that sleep quality is not merely an outcome of work strain, but may function as an important mechanism through which workload influences psychological well-being. However, the mediating role of sleep quality in the relationship between workload and employees’ job stress has not been systematically synthesized across occupational settings. Objective: This systematic review aimed to examine the mediating role of sleep quality in the relationship between workload and employees’ job stress and to synthesize current evidence on how sleep quality explains or modifies this association across employee populations. Methods: This study employed a systematic review design. Literature searches were conducted in Scopus, PubMed, ScienceDirect, ProQuest, and ClinicalKey for Nursing for articles published between 2015 and 2025. Studies were included if they involved employees or workers, examined workload or work-related stress, assessed sleep quality, and reported job stress-related outcomes. Study selection, data extraction, and quality appraisal were conducted systematically, and the findings were synthesized narratively because of heterogeneity in study designs, measures, and analytical approaches. Results: The search identified 2,264 records, and 12 studies were included in the final synthesis. The included studies consistently showed that higher workload or work-related stress was associated with poorer sleep quality across diverse occupational groups. Sleep quality emerged as a recurrent mediating factor linking occupational burden with adverse outcomes, including burnout, depressive symptoms, daytime dysfunction, and reduced well-being. Additional psychological mechanisms, such as rumination, anxiety, and depression, frequently strengthened this pathway, whereas physical activity, resilience, and social support appeared to buffer the negative effects. Conclusion: Sleep quality plays a significant mediating role in the relationship between workload and employees’ job stress. Interventions to reduce job stress should therefore address not only workload management, but also sleep health and related psychological factors in the workplace.  
Association between family support and activities of daily living among patients undergoing hemodialysis: A cross-sectional study Intan Kumala Sari; Dwi Soelistyoningsih; Achmad Rifa&#039;i; Abdul Qodir
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.v7i2.729

Abstract

Background: Patients with hemodialysis frequently experience physical limitations that may affect their capacity to accomplish Activities of Daily Living (ADL). This decline in independence increases patients’ dependence on others. Family support plays a crucial role in helping patients maintain independence and refine the quality of their lives during long-term treatment. Objective: This study aimed to determine the association between family support and Activities of Daily Living (ADL) among patients undergoing hemodialysis. Methods: A cross-sectional analytical correlational study was implemented at Muhammadiyah General Hospital. The participants were 50 patients with chronic kidney disease undergoing hemodialysis for at least three months, aged 18-60 years, selected through purposive sampling. Family support was assessed using the Perceived Social Support–Family (PSS-FA) instrument, while independence in activities of daily living (ADL) was measured using the Barthel Index. Descriptive statistics were used to summarize participants characteristics. The relationship between family support and ADL was analyzed using Somers' d test at the 5% significance level. Results: The evidence indicates that most respondents received high levels of family support (86%) and had relatively good levels of independence in performing ADL (68%). Statistical analysis indicated a critical association between family support and ADL among hemodialysis patients (p=0.001; r = 0.61). These findings imply that higher levels of family support contribute to improve patient independence in carrying out daily activities. Conclusion: Family support is significantly associated with the capacity of hemodialysis patients to perform Activities of Daily Living. Strengthening family involvement through family-centered nursing interventios may help improve patient independence and overall well-being during long-term hemodialysis treatment.  

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