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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 320 Documents
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Analysis of factors affecting employee performance at Tugu Mulyo Community Health Center: A cross-sectional study Trida, Ayu Anggia; Murni, Nani Sari; Randana, M Prima Cakra
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.v6i3.486

Abstract

Background Employee performance at primary healthcare facilities is crucial for meeting the Minimum Service Standards. At Tugu Mulyo Health Center, several programs failed to meet national targets, allegedly due to poor staff performance. Objective This study aimed to analyze the factors influencing employee performance at Tugu Mulyo Health Center, Ogan Komering Ilir Regency. Methods A quantitative analytic study with a cross-sectional design was conducted involving all 74 health workers using total sampling. Data were collected via validated structured questionnaires covering variables such as competence, motivation, work experience, compensation, workload, and performance. Bivariate analysis was performed using Chi-square tests, and multivariate analysis applied logistic regression to identify dominant factors. Results Bivariate analysis found that only the competency variable had a statistically significant relationship with performance (p = 0.030). Multivariate logistic regression confirmed competency as the dominant factor (OR = 0.311; 95% CI: 0.118–0.819; p = 0.018), explaining 10.2% of the variance in employee performance (pseudo R² = 0.102). Other variables such as motivation, compensation, work experience, and workload were not significantly associated with performance. Conclusion Competency is the dominant factor affecting health worker performance at Tugu Mulyo Health Center. Improving employee competency is critical for achieving optimal performance.
Analysis of factors affecting tuberculosis treatment adherence at Lesung Batu Community Health Center: A cross-sectional study Sari, Puspita Kurnia; Harokan, Ali; Suryani, Lilis
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.v6i3.487

Abstract

Background Tuberculosis (TB) remains a major global health problem with high rates of morbidity and mortality, particularly in developing countries like Indonesia. One of the main challenges in TB control is the low treatment adherence among patients undergoing long-term therapy. Objective This study aimed to analyze the factors influencing tuberculosis medication adherence among patients at Lesung Batu Community Health Center.. Methods A quantitative cross-sectional study was conducted from May 8 to 27, 2025, involving 56 TB patients registered at the Lesung Batu Health Center. Total sampling was used. Data were collected using a structured questionnaire based on the Morisky Medication Adherence Scale (MMAS-8) and analyzed using Chi-square and multivariate logistic regression. Results Only 51.8% of respondents were adherent to TB medication. Bivariate analysis showed that gender (p=0.01), distance to health facilities (p=0.01), and family support (p=0.00) had significant associations with adherence. Multivariate analysis revealed family support as the most dominant factor (OR=0.16, 95% CI=0.05–0.51), indicating that patients without family support were 6.25 times more likely to be non-adherent. Conclusion Family support, proximity to health services, and male gender significantly influenced TB medication adherence. Interventions should focus on increasing family involvement and improving access to care for patients in remote areas. Primary healthcare providers are advised to implement community-based strategies that include home visits, family counseling, and cross-sectoral collaboration to enhance adherence and improve treatment outcomes.
Analysis of factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center: A cross-sectional study Sari, Ferra Puspa; Harokan, Ali; Zaman, Chairil
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.v6i3.490

Abstract

Background Anemia in pregnancy remains a major global health concern, significantly affecting maternal and fetal outcomes. In Indonesia, particularly in Muara Enim, the prevalence of anemia among pregnant women has been increasing annually. Iron tablets are a key intervention for anemia prevention, yet adherence remains low. Objective This study aimed to analyze the factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center. Methods This study employed a quantitative approach with an analytical survey design using a cross-sectional method. The research was conducted from April 24 to May 14, 2025, at Muara Enim Community Health Center. A total of 93 pregnant women were selected as respondents using purposive sampling from a population. Data were collected through structured interviews using a validated questionnaire comprising demographic characteristics and variables such as knowledge, attitude, economic status, husband support, and adherence to iron tablet consumption. Data were analyzed for descriptive statistics, bivariate analysis using Chi-square tests, and multivariate analysis through binary logistic regression to identify the most dominant influencing factor. Results The results showed that only 40.9% of respondents adhered to iron tablet consumption. Bivariate analysis revealed significant associations between adherence and knowledge (p=0.00), economic status (p=0.02), and husband support (p=0.04). Multivariate logistic regression identified husband support as the most dominant factor (OR=0.34; 95% CI: 0.13–0.88), indicating that women without husband support were 0.34 times less likely to adhere to iron tablet consumption. Conclusion Knowledge, economic status, and husband support significantly affect adherence to iron tablet consumption among pregnant women. However, husband support emerged as the most influential factor. It is recommended that antenatal education programs actively involve husbands to enhance support systems and improve adherence. Community-based interventions and cross-sector collaborations should be strengthened, especially for pregnant women with low socioeconomic status or limited family support
Analysis of community perceptions of families of patients with mental disorders at Lesung Batu Community Health Center: A cross-sectional study Lenarki, Yogi Permana Putra; Harokan, Ali; Zaman, Chairil
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.v6i3.492

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.
Student behavior toward the implementation of smoke-free area policy in health higher education institutions: A descriptive study Oktavia, Lina; Harto, Toto
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.v6i3.523

Abstract

Background Smoke-Free Area (SFA) policies are an essential public health intervention aimed at reducing tobacco exposure and promoting a healthy environment, particularly in higher education institutions. However, compliance remains a challenge, even in health-focused universities where students are expected to model healthy behavior. Objective This study aims to analyze student behavior toward the implementation of the Smoke-Free Area (SFA) policy in a health higher education institution. Methods A descriptive quantitative study was conducted among 32 male students at STIKes Al-Maarif Baturaja using a total sampling technique. A structured questionnaire was used to assess students’ knowledge, attitude, and practice regarding the SFA policy. Data were analyzed using univariate descriptive statistics. Results The findings revealed that while most students demonstrated a positive attitude toward the SFA policy (62.5%), only 28.1% had good knowledge and 18.8% showed favorable practices. The majority exhibited moderate levels of knowledge (37.5%) and practice (50%), with 34.4% showing poor knowledge and 31.2% demonstrating poor adherence in practice. Students were aware of the health risks of smoking and supported policy enforcement, but lacked sufficient knowledge of policy implementation and institutional mechanisms. Conclusion There is a notable gap between students' positive attitudes and their actual practices and knowledge regarding the SFA policy. This misalignment indicates that students are not yet fully engaged as active change agents in promoting a smoke-free campus. It is crucial for institutions to strengthen educational efforts, provide clear policy communication, and engage students in policy enforcement mechanisms. Integrating SFA values into academic and extracurricular activities may foster better awareness and behavioral alignment among health students.
Burnout experiences among nurses in Oman: A qualitative study Al Busaidi, Ahmed; Harthy, Fatima; Al Maawali, Salim; Al Zajali, Muna
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.v6i3.508

Abstract

Background Burnout among healthcare workers, especially nurses, is a growing concern globally, driven by emotional strain, limited autonomy, and organizational challenges. While quantitative studies have identified burnout prevalence, little is known about how nurses in Oman experience and interpret the causes of burnout in their work environments. Objective This study aimed to explore the contributing factors to burnout among nurses in public healthcare facilities in Oman and to gain a deeper understanding of their lived experiences within the healthcare system. Methods A qualitative descriptive design was employed between October 2024 and February 2025. Ten nurses were purposively selected from public hospitals and primary healthcare centers across different regions in Oman. Data were collected through semi-structured, in-depth interviews and analyzed using thematic analysis. Lincoln and Guba’s criteria were applied to ensure trustworthiness. Results Two main themes emerged: (1) emotional and physical burden of undervaluation and its impact on professional satisfaction, and (2) constraints on autonomy and opportunities for empowerment. Nurses reported experiences of fatigue, lack of recognition, restricted decision-making power, inequitable access to training, and marginalization in interdisciplinary settings. Conclusion Burnout among nurses in Oman is shaped by emotional exhaustion, limited autonomy, and systemic inequities. These findings underscore the need for institutional reforms that promote professional recognition, expand development opportunities, and foster supportive workplace cultures. Addressing these challenges is crucial for sustaining the nursing workforce and enhancing care quality.
Analysis of factors associated with the incidence of anemia in adolescent girls at the Muara Enim Health Center: A cross-sectional study Destiana, Cici; Harokan, Ali; Zaman, Chairil
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.v6i3.491

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 factors affecting the incidence of hypertension in the productive age group at the Muara Beliti community health center: A cross-sectional study Indrasari, Mislia; Harokan, Ali; Suryani, Lilis
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.v6i3.494

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; Harokan, Ali; Gustina, Erna; Suryanti, Dewi
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.v6i3.496

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.
Foot massage among diabetes patients: A concept analysis using Walker and Avant’s method Cruz, Maria Kristina Dela; Manuel, Jose Reyes; Chiyapan, Anurak
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.v6i3.509

Abstract

Background Foot massage is increasingly used as a complementary therapy in diabetes care, particularly for patients suffering from diabetic peripheral neuropathy. Despite its widespread use, the concept remains theoretically underdeveloped, inconsistently defined, and variably applied in nursing practice. Objective This study aimed to clarify the concept of foot massage among diabetes patients through a structured concept analysis using Walker and Avant’s eight-step method. Methods A concept analysis was conducted following the Walker and Avant framework. Literature was reviewed from databases including PubMed, Scopus, CINAHL, and Google Scholar using keywords related to foot massage, diabetes, and non-pharmacological interventions. The defining attributes, antecedents, consequences, model cases, and empirical referents of the concept were identified and analyzed. Results Five defining attributes emerged: (1) manual stimulation of the feet, (2) therapeutic intention, (3) relief of physical and psychological symptoms, (4) enhancement of circulation, and (5) facilitation of self-care awareness. Antecedents included the presence of diabetic neuropathy and patient willingness to engage in complementary care. Consequences ranged from pain reduction and improved circulation to increased self-care adherence. Empirical referents included pain scores, circulation metrics, and patient-reported outcomes. Conclusion Foot massage among diabetes patients is a multidimensional therapeutic concept that holds significant value in holistic nursing care. This analysis provides a theoretical foundation for its application in practice, research, and nursing education, emphasizing its potential to enhance comfort, self-management, and quality of life in diabetic care.

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