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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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Lived experiences of women with type 2 diabetes in Uzbekistan: A descriptive phenomenological study Yuldashev, Dilshodbek; Karimova, Nargiza; Nursultanov, Aidos; Zhanabekova, Aigerim
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.v6i3.510

Abstract

Background Type 2 diabetes mellitus (T2DM) presents significant challenges beyond glycemic control, particularly for women in culturally conservative societies. In Uzbekistan, women with diabetes often face psychological burdens, social stigma, and role conflict, yet little is known about their lived experiences. Objective This study aimed to explore the lived experiences of women with type 2 diabetes in Uzbekistan and to understand how they interpret and cope with the condition within their cultural and social environments. Methods A qualitative descriptive phenomenological approach was used. Sixteen women diagnosed with T2DM for at least one year were recruited purposively from outpatient clinics in Tashkent and Samarkand. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s method. Lincoln and Guba’s trustworthiness criteria guided the rigor of the study. Results Four major themes emerged: (1) altered perception of life with diabetes, (2) psychosocial challenges and emotional burden, (3) coping strategies and spiritual resilience, and (4) disruption of family roles and responsibilities. Participants described diabetes as a constant and invisible burden, exacerbated by stigma, misunderstanding, and gendered expectations. Despite these challenges, many women relied on spirituality and structured routines to regain control and meaning. Conclusion Women with T2DM in Uzbekistan experience diabetes as a complex emotional and social phenomenon. Addressing their needs requires culturally sensitive interventions that integrate psychosocial support, family involvement, and gender-responsive health education.
A phenomenological study on factors influencing women of childbearing age in the use of intrauterine devices at Gumawang Community Health Center Lanida, Bella Putri; Murni, Nani Sari; Suryani, Lilis; Yusnilasari, Yusnilasari
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.v6i3.521

Abstract

Background: The Intrauterine Device (IUD) is one of the most effective long-acting reversible contraceptives, yet its utilization remains low in Indonesia, including at Gumawang Community Health Center, Ogan Komering Ulu Timur District. Predisposing factors such as knowledge, beliefs, and cultural perceptions are believed to contribute to the low uptake of IUDs. Objective: This study aimed to analyze the factors influencing IUD use among women of reproductive age. Methods: A qualitative study with a phenomenological approach was conducted to explore participants’ experiences and perceptions. Data were collected through in-depth interviews and focus group discussions (FGDs) involving 17 informants, including IUD acceptors, non-IUD acceptors, unmet need groups, health workers, and family planning program officers. Data analysis employed reduction, data presentation, and conclusion drawing, supported by source triangulation to ensure trustworthiness. Results: Three major themes emerged: (1) knowledge—variations in understanding IUD definition, duration, benefits, and side effects; (2) beliefs—dominated by fear, shame, and mixed religious views; and (3) culture—community myths and narratives surrounding IUD safety that shape perceptions negatively. These findings demonstrate that misinformation and limited exposure strongly influence decision-making regarding IUD adoption. Conclusion: Knowledge, beliefs, and cultural perceptions significantly affect women’s decisions to use IUDs. Strengthening health education, counseling, and partnerships with community and religious leaders is essential to counter misinformation and improve IUD acceptance.
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.
Analysis of patient satisfaction with electronic medical record services at general hospital: A cross-sectional study Aristian, Muhamad Tito; Murni, Nani Sari; 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.v6i3.536

Abstract

Background Patient satisfaction is a critical indicator for evaluating the quality of healthcare services, including electronic medical record (EMR) services in hospitals. As one of the main healthcare providers in Ogan Komering Ilir Regency, Tugu Jaya Regional General Hospital has not yet provided specific data regarding patient satisfaction in its registration unit. Objective This study aimed to analyze factors associated with patient satisfaction with electronic medical record services in the registration unit. Methods A quantitative study with a cross-sectional design was conducted. The study population consisted of all patients registered at the hospital registration unit between January and April 2025. A total of 93 respondents were selected using purposive sampling based on inclusion and exclusion criteria. Data were collected through a structured questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate analysis, bivariate analysis with Chi-square test, and multivariate analysis with multiple logistic regression. Results The findings indicated that education, tangibles, empathy, and assurance were significantly associated with patient satisfaction (p<0.05). Multivariate analysis revealed that tangibles (OR=3.93; 95% CI: 1.44–10.74) and assurance (OR=3.61; 95% CI: 1.15–11.31) were the dominant predictors of patient dissatisfaction. Conclusion Patient satisfaction with electronic medical record services in the registration unit of general hospital was significantly influenced by the dimensions of tangibles, empathy, and assurance, with tangibles identified as the dominant factor. Efforts to improve patient satisfaction should prioritize enhancing physical facilities, fostering empathetic attitudes, and strengthening trust through professional and reliable services.
Implementation of tandem walking and balance exercise combination for fall prevention among older adults with balance disorders : A case study Lisdahayati, Lisdahayati; Pome, Gunardi; Saprianto, Saprianto; Martadinata, Umar Hasan; Rustiati, Nelly; Sukmawati, Ratna
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.v6i3.565

Abstract

Background: The aging process leads to a progressive decline in physiological function, including muscle strength and body balance, which increases the risk of falls among older adults. Falls are one of the leading causes of injury-related morbidity and mortality in the elderly, significantly reducing quality of life.. Objective: This study aimed to implement a combination of tandem walking and balance exercises as an intervention to prevent falls in older adults with balance impairments at the Tanjung Agung Community Health Center. Methods: A descriptive case study design with a nursing process approach was applied. Two elderly participants with moderate fall risk, as assessed by the Berg Balance Scale (BBS), were included. The intervention consisted of tandem walking and balance exercise sessions twice weekly for four weeks. Balance outcomes were measured pre- and post-intervention using the BBS, complemented by structured interviews and direct observation.. Results: Both participants demonstrated improvement in balance performance. The BBS score of Participant 1 increased from 40 to 51, shifting from moderate to low fall risk. Participant 2 improved from 39 to 46, reflecting enhanced postural stability, though still within moderate risk. Both reported greater confidence and stability during standing and walking, with reduced reliance on external support. Conclusion: The combination of tandem walking and balance exercises was effective in improving static and dynamic balance while reducing fall risk in older adults with balance disorders. This intervention is recommended as a practical fall-prevention strategy in community and primary healthcare settings.
Analysis of service satisfaction factors in the internal medicine polyclinic of a general hospital: A cross-sectional study Wiladatika; 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.v6i3.522

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 Akli, Nur; Harokan, Ali; Asiani, Gema
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.v6i3.535

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.
Risk factor analysis of falls in elderly patients at the geriatric and internal medicine clinics of a general hospital: A cross-sectional study Puspa, Riana; Murni, Nani Sari; 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.v6i3.540

Abstract

Background: Increasing life expectancy has led to a larger elderly population vulnerable to health problems, particularly fall risk. Falls in older adults can result in injury, disability, and death, thus requiring comprehensive risk analysis. Objective: This study aimed to analyze risk factors associated with falls among elderly patients in the Geriatric and Internal Medicine Clinics of a General Hospital. Methods: A cross-sectional quantitative study was conducted among 85 elderly respondents at Dr. Rivai Abdullah General Hospital, Banyuasin. Data were collected using structured questionnaires, environmental observation, and medical records. Data analysis consisted of univariate, bivariate using Chi-Square test, and multivariate logistic regression. Results: Multivariate analysis revealed that independence level was the most dominant factor significantly associated with fall risk (p=0.000; OR=0.176; 95% CI=0.069–0.450). Non-independent elderly had a 73.9% probability of experiencing falls. Other factors such as age, gender, education, comorbidities, environment, and polypharmacy showed no significant association (p>0.05). Conclusion: Independence level is the main determinant influencing fall risk in elderly patients. Fall prevention strategies should focus on promoting independence through physical exercise, occupational therapy, family support, and interprofessional interventions. Further studies should explore psychosocial, lifestyle, and nutritional factors.
Correlation of various risk management factors for risk control at general hospital: A cross-sectional study Marlangen, Retno; Murni, Nani Sari; Gustina, Erma
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.v6i3.541

Abstract

Background: Hospitals are high-risk workplaces requiring effective risk management to protect healthcare workers, patients, and the environment. In Indonesia, implementing Hospital Occupational Health and Safety (K3RS) remains challenging, particularly in identifying factors that influence successful risk control. Objective: To determine the factors associated with risk management at Dr. Rivai Abdullah General Hospital in Banyuasin and to identify the most dominant factor. Methods: A quantitative study with a cross-sectional design involved 77 healthcare workers and managerial staff. Data were collected using a structured questionnaire and secondary documents, then analyzed with Spearman’s rho correlation and multiple logistic regression. Results: Significant factors associated with risk management included occupational health training (p=0.02), attitude (p=0.006), human resources availability (p=0.007), budget (p=0.010), facilities and infrastructure (p<0.001), effective communication (p<0.001), environment (p<0.001), and hospital occupational health and safety implementation (p=0.003). The most dominant factor was the environment (OR=0.016; 95%CI 0.002–0.130), explaining 35.1–48.1% of risk management variation. Conclusion: Risk management is influenced by both individual and organizational factors, with the environment as the key determinant. Hospitals should prioritize improving the work environment, strengthening K3RS programs through monitoring and evaluation, enhancing inter-unit communication, and ensuring adequate support in human resources, budget, and training.
The effectiveness of postnatal gymnastics on reducing diastasis rectus abdominis and improving knowledge in postpartum women: A case study Aisyah, Aisyah; Rosa, Eni Folendra; Lisdahayati, Lisdahayati; Rustiati, Nelly; Lestari, Rahayu Dini
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.v6i3.582

Abstract

Background: Diastasis rectus abdominis (DRA) is a common condition in postpartum women characterized by abdominal muscle separation, which may lead to functional disorders and reduced quality of life. One of the effective interventions is postpartum exercise, a simple physical activity designed to strengthen the abdominal muscles and accelerate recovery. Objective: This study aimed to describe the implementation of education and postpartum exercise to reduce DRA and increase knowledge among postpartum mothers. Methods: A descriptive case study design with a nursing care approach was applied to two multiparous postpartum mothers with DRA >2.5 cm. Interventions consisted of health education and postpartum exercise training conducted over seven consecutive days. Data were collected through interviews, observations, questionnaires, and DRA measurements using a simple caliper. Results: The findings showed a reduction in DRA size, from 2.96 cm to 2.78 cm in client I and from 2.86 cm to 2.64 cm in client II. Knowledge scores also increased significantly, with correct responses on the questionnaire improving from 4–5 to 10 out of 10 items. Conclusion: Education and postpartum exercise with a nursing care approach were proven to reduce DRA size and enhance maternal knowledge. Postpartum exercise can be recommended as a simple, cost-effective, and practical nursing intervention to support abdominal muscle recovery in postpartum mothers.

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