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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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Relationship between knowledge, education, and support of health workers on mosquito nest eradication behavior in Kedaton community health center: A cross-sectional study Sumantri, Apria Wilinda
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.478

Abstract

Background: Dengue fever (DF) remains a major global health problem with a high prevalence in Indonesia. The behavior of mosquito breeding site eradication (known as PSN) is the primary strategy for dengue prevention; however, it is influenced by factors such as knowledge, education, and support from healthcare workers. Objective: This study aimed to analyze the relationship between knowledge, education, and healthcare worker support and mosquito breeding site eradication (PSN) behavior in the working area of UPTD Kedaton Public Health Center in 2025. Methods: A quantitative descriptive study with a cross-sectional approach was employed. The sample consisted of 50 heads of households in RT 01 RW 01, Kedaton Village, selected using a total sampling technique. Data were collected using a structured questionnaire and checklist to assess independent variables (knowledge, education, and healthcare worker support) and the dependent variable (PSN behavior). Data were analyzed using the Chi-Square test with a significance level of 0.05. Results: The majority of respondents demonstrated negative PSN behavior (58%), had poor knowledge (54%), and possessed a low level of education (56%). The Chi-Square test revealed a significant association between knowledge (p = 0.000), education (p = 0.001), and healthcare worker support (p = 0.000) with PSN behavior. Respondents with good knowledge, higher education, and strong support from healthcare workers tended to exhibit positive PSN behavior. Conclusion: Knowledge, education, and healthcare worker support play crucial roles in improving community PSN behavior. Continuous health education interventions and the strengthening of healthcare workers’ roles are essential strategies to reduce dengue incidence in endemic communities.
Analysis of factors affecting the incidence of tuberculosis in Social community health center, Palembang: A cross-sectional study Yusalin, Yusalin; Priyatno, Akhmad Dwi; Gustina, Erma
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.543

Abstract

Background: Pulmonary tuberculosis (TB) is influenced by both environmental and behavioral factors. The number of pulmonary TB cases in the working area of the UPTD Palembang Social Health Centre during 2022–2024 has fluctuated and remains below the expected target. This situation indicates the need for a comprehensive analysis to identify factors influencing the occurrence and transmission of TB, considering environmental and individual characteristics. Objective: This study aimed to analyze the relationship between individual characteristics, behavioral factors, and environmental conditions with the incidence of pulmonary tuberculosis. Methods: This study employed a quantitative approach with a cross-sectional design. The population consisted of all patients visiting the DOTS Poly at UPTD Puskesmas Sosial in 2024, totaling 433 individuals. Using purposive sampling, 81 respondents were selected. Data were collected from May to June 2025 and analyzed through univariate frequency distribution, bivariate chi-square tests, and multivariate multiple logistic regression. Results: The results showed that age (p = 0.278) and education (p = 0.732) were not significantly related to pulmonary TB incidence. However, gender (p = 0.002; OR = 10.410), smoking habits (p = 0.002; OR = 11.778), ventilation (p = 0.001; OR = 51.750), and humidity (p = 0.001; OR = 14.233) were significantly associated. Among these, smoking habits were the most dominant factor influencing TB incidence. Conclusion: There is a significant relationship between gender, smoking habits, ventilation, and humidity with the incidence of pulmonary tuberculosis. Smoking habits emerged as the most dominant risk factor. Health campaigns, counseling, and education about pulmonary TB prevention should be strengthened, especially targeting high-risk groups and promoting healthy living environments.
The role of village midwives in health services: A narrative review Arinta, Pinta; Sudrajat, Hendra
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.550

Abstract

Background: Maternal mortality in Indonesia remains relatively high, making the strengthening of maternal and child health services at the community level a national priority. Village midwives play a strategic role as the frontline providers in primary health care; however, the effectiveness of their role is influenced by multiple factors. Objective: This article aims to comprehensively examine the role of village midwives in health service delivery and the factors influencing their performance. Methods: This study employed a narrative review design. Articles were retrieved from PubMed, Scopus, Google Scholar, and national journal portals. Eligible publications were written in English or Indonesian between 1992 and 2024 and discussed the roles, competencies, performance, organizational support, leadership, and challenges of village midwives. Relevant studies were analyzed narratively and grouped according to thematic categories. Results: Four main themes were identified that influence the role of village midwives: (1) maternal and child health service roles; (2) competence and performance; (3) organizational support and leadership; and (4) structural challenges in remote areas. Village midwives have been shown to enhance access to maternal and neonatal health services; however, they continue to face barriers such as low incentives, inadequate facilities, limited supervision, and a lack of continuous training. Organizational support, supportive leadership, and educational investment were found to improve midwives’ performance and retention. Conclusion: Strengthening the role of village midwives requires a comprehensive approach involving continuous education, needs-based training, mentoring, organizational support, and affirmative policies, particularly for remote areas. These efforts are expected to significantly contribute to reducing maternal and neonatal mortality rates and strengthening primary health care services.
Analysis of factors affecting water pollution in the Jeruju river tributary in Palembang city: A cross-sectional study Utami, Barikah; Wahyudi, Arie; Randana, Muhammad Prima Cakra
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.551

Abstract

Background: River water pollution is an increasing environmental problem in urban areas, including Palembang City. Based on 2024 monitoring data, the water quality of the Jeruju tributary indicated elevated levels of BOD and COD exceeding quality standards due to domestic and industrial waste. This condition poses a threat to public health and aquatic ecosystem balance. Objective: This study aimed to analyze the factors influencing river water pollution in the Jeruju tributary of Palembang City in 2025. Methods: This research employed an analytical survey design with a cross-sectional approach involving 99 respondents living around the Jeruju tributary. Samples were selected using a simple random sampling technique. Data were collected through a structured questionnaire and analyzed using Chi-Square tests and multivariate logistic regression. Results: The findings revealed that all independent variables were significantly associated with river water pollution (p < 0.05). The three dominant influencing factors were environmental sanitation (p = 0.072; Exp(B) = 0.279), drainage and water management (p = 0.084; Exp(B) = 0.267), and community participation (p = 0.124; Exp(B) = 0.200). Conclusion: River water pollution in the Jeruju tributary is influenced by environmental and behavioral factors. Improved sanitation, enhanced drainage systems, and active community participation play key roles in reducing pollution risk. Local governments and communities should collaborate to strengthen waste management systems, promote environmental education, and implement community-based policies to ensure sustainable river water quality.
Analysis of factors affecting the quality of health service satisfaction in schizophrenic patients at outpatient mental health in Ernaldi Bahar hospital: A cross-sectional study Elfitriany, Titin; Priyatno, Akhmad Dwi; Zaman, Chairil
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.552

Abstract

Background: Quality healthcare services in hospital settings must comply with established standards to ensure patient safety and satisfaction. Noncompliance with these standards may lead to dissatisfaction and potential malpractice. However, there is limited research assessing patient satisfaction with the quality of healthcare services among schizophrenic patients at the outpatient mental health unit of Ernaldi Bahar Hospital, South Sumatra Province. Objective: This study aimed to analyze the factors affecting patient satisfaction with the quality of healthcare services among schizophrenia patients at the outpatient mental health clinic of Ernaldi Bahar Hospital. Methods: This quantitative research employed a cross-sectional design. The study population comprised 7,463 patients who visited the outpatient mental health unit of Ernaldi Bahar Hospital between January and March 2025. Using purposive sampling, 100 respondents were selected. Data were collected in May 2025 through a structured questionnaire and analyzed using univariate, bivariate, and multivariate logistic regression tests. Results: The results revealed that several variables were significantly associated with patient satisfaction: education level (p = 0.068; OR = 0.462; 95% CI: 0.200–1.067), tangibles (p = 0.034; OR = 2.428; 95% CI: 1.062–5.552), assurance (p = 0.000; OR = 5.802; 95% CI: 2.076–16.217), and responsiveness (p = 0.098; OR = 2.595; 95% CI: 0.817–8.243). The dominant influencing factors were assurance and responsiveness, indicating that patients valued the reliability and promptness of service. Conclusion: There is a significant relationship between education level, tangibles, assurance, and responsiveness with patient satisfaction among schizophrenic patients receiving outpatient care. Assurance and responsiveness were the most dominant predictors of satisfaction. Enhancing responsiveness—particularly in promptly addressing patient complaints, requests, and emotional needs—alongside maintaining assurance through professional competence and empathy, can improve overall service quality and satisfaction.
Application of progressive muscle relaxation therapy to reduce anxiety in clients with hypertension: A case study Fitria, Lailatul; Dewi, Erti Ikhtiarini; Deviantony, Fitrio; Kusumaningsih, Amalia
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.562

Abstract

Background: Hypertension is frequently associated with psychological disorders, particularly anxiety, which may worsen physiological responses and lead to decreased quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention proven to reduce anxiety and enhance psychological and physiological stability among clients with chronic diseases. Objective: This case study aimed to evaluate the effectiveness of PMR therapy in reducing anxiety levels in a hypertensive client. Methods: A single-case study design using a nursing care approach was implemented on a client diagnosed with stage 2 hypertension and moderate anxiety based on the Hamilton Anxiety Rating Scale (HARS). PMR therapy was performed once daily for five consecutive days, supported by assessments through interviews, observation, vital sign monitoring, and HARS evaluation. Results: The client demonstrated a decrease in anxiety level from moderate (HARS score: 17) to mild (HARS score: 13) after five therapy sessions. Additional improvements were noted in sleep duration, perceived relaxation, and blood pressure stability. The client became able to independently perform PMR beginning on day three. Conclusion: Progressive Muscle Relaxation therapy demonstrated a positive impact on reducing anxiety among hypertensive clients when practiced consistently and systematically. PMR may be recommended as a complementary nursing intervention in community settings to improve psychological well-being and prevent hypertension-related complications. Further studies using larger sample sizes are recommended to strengthen generalizability.
Application of FAST in patient with ischemic stroke and risk for ineffective cerebral perfusion: A nursing case study Chasanah, Nur Fitria Ulfa; Sutawardana, Jon Hafan; Rondhianto, Rondhianto; Mustakim, Mustakim
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.573

Abstract

Background: Stroke is a neurological disorder frequently associated with reduced cerebral perfusion and impaired consciousness. While conventional interventions are widely implemented, their effectiveness may be enhanced by evidence-based approaches such as Familiar Auditory Sensory Training (FAST), a non-pharmacological intervention that utilizes meaningful auditory stimuli to activate neural pathways and support consciousness recovery. Objective: This study aims to evaluate the effectiveness of FAST in addressing the nursing problem of risk for ineffective cerebral tissue perfusion in an ischemic stroke patient. Methods: A case study was conducted involving a 73-year-old male patient in a soporous state. FAST was administered over three consecutive days, three times daily, with each session lasting 10 minutes. Data were collected through direct observation and Glasgow Coma Scale (GCS) measurements before and after each session. Patient outcomes were evaluated using the Nursing Outcomes Classification (NOC), focusing on indicators including consciousness level, blood pressure, and agitation. Results: The patient’s level of consciousness improved from sopor (6) to somnolence (9). Improvements were also noted in blood pressure, heart rate, and respiratory rate, although an increase in restlessness was observed. FAST supported cerebral responsiveness and cognitive function recovery, contributing to the resolution of the nursing problem: risk for ineffective cerebral tissue perfusion. Conclusion: FAST can be utilized as a therapeutic nursing intervention to enhance hemodynamic stability in patients with decreased consciousness
Implementation of the quality family village program in East Ogan Komering Ulu regency: A qualitative study Lestari, Nanik; Murni, Nani Sari; Randana, Muhammad Prima Cakra
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.583

Abstract

Background: The Quality Family Village Program (Kampung KB) is a strategic initiative of the Indonesian government aimed at improving family welfare at the village level through the integration of population, family planning, and family development programs. However, in East Ogan Komering Ulu (OKU) Regency, the program faces several challenges, including limited resources, suboptimal sustainability, and inconsistent implementation across administrative levels. Objective: This study aimed to explore the implementation of the Kampung KB program in Kerujon Village, Semendawai Suku III District, East OKU Regency in 2025. Methods: A qualitative case study design was employed. Data were collected through in-depth interviews, field observations, and document review involving 16 informants representing village, sub-district, and district stakeholders. Data were analyzed using the Miles and Huberman interactive model, which includes data reduction, data display, and conclusion drawing/verification. Results: Four major themes were identified: (1) communication, (2) resources, (3) implementer disposition, and (4) bureaucratic structure. Although implementers demonstrated strong commitment to the program, several barriers persisted, such as ineffective communication flow between administrative levels, inadequate human and material resources, weak intersectoral coordination, and low community participation. These issues hinder program optimization at the local level. Conclusion: The implementation of the Kampung KB program in Kerujon Village has progressed but remains suboptimal due to communication barriers, resource constraints, and limited organizational support. Strengthening strategic communication, enhancing resource capacity, and improving bureaucratic responsiveness are essential to advance program effectiveness. Local government should prioritize cadre training, establish structured communication mechanisms across levels, and increase community engagement in all phases of program planning, implementation, and evaluation.
Relationship between knowledge level and medication adherence on blood pressure in elderly hypertension patients in Muara Enim community health center: A cross-sectional study Anggraeni, Surti; Jamila, Jamila; Nurfadila, Lutfi; Noviana, Marta Anggun; Agustina, Eci
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.585

Abstract

Background: Hypertension is a global health problem with a high prevalence, particularly among the elderly, and carries a significant risk of serious complications. Adequate knowledge and adherence to antihypertensive medication are essential factors in controlling blood pressure. Objective: To determine the relationship between the level of knowledge and medication adherence with blood pressure among elderly patients with hypertension in the working area of Muara Enim Primary Health Center in 2024. Methods: This study employed a quantitative analytic design with a cross-sectional approach. A total of 30 elderly women with hypertension were selected using purposive sampling based on inclusion criteria. Data on knowledge and adherence were collected using a structured questionnaire, while blood pressure was measured using an aneroid sphygmomanometer. Data were analyzed using univariate and bivariate methods, with the independent t-test applied at a significance level of p < 0.05. Results: Of the total respondents, 43.3% had good knowledge and 56.7% had poor knowledge. Medication adherence was evenly distributed, with 50% adherent and 50% non-adherent. The mean systolic blood pressure was 165.33 mmHg (SD 11.25) and diastolic was 95.87 mmHg (SD 5.96). Knowledge was significantly associated with diastolic blood pressure (p = 0.025) but not with systolic blood pressure (p = 0.098). Adherence was significantly associated with lower systolic (p = 0.011) and diastolic blood pressure (p = 0.010). Conclusion: Medication adherence has a more consistent influence on blood pressure control than knowledge level. Hypertension management programs for the elderly should prioritize improving adherence, supported by continuous education integrated with family and community support.
Analysis of health service quality and its association with patient satisfaction in hospital: A cross-sectional study Cahyo, Danisyah; Kurniawan, Afif; Iswati, Iswati; Erindia, Firnanda
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.589

Abstract

Background: Patient satisfaction is a core indicator of healthcare performance and a major determinant of service utilization, trust, and loyalty. The quality of healthcare services is influenced by multiple dimensions, and the SERVQUAL (RATER) framework is widely used to assess patient perceptions of service quality. Evidence from Indonesian maternal and child hospitals remains limited, particularly regarding the role of tangible and interpersonal service attributes. Objective: This study aimed to analyze the association between health service quality based on RATER dimensions and patient satisfaction at RSIA IBI Surabaya. Methods: A quantitative analytic study with a cross-sectional design was conducted among 60 respondents selected using purposive sampling. Data were collected using a structured questionnaire with a four-point Likert scale and analyzed using Spearman Rank correlation to examine the relationship between each RATER dimension and satisfaction levels. Ethical principles were maintained through informed consent, anonymity, and voluntary participation. Results: Most respondents perceived the quality of healthcare services as high across the RATER dimensions, dominated by empathy (65.0%) and tangibles (60.0%). Patient satisfaction was also mostly high (83.3%). All dimensions demonstrated statistically significant correlations with satisfaction (p < 0.05), where tangibles (r = 0.615) and responsiveness (r = 0.592) were identified as the strongest predictors. Conclusion: Health service quality strongly influences patient satisfaction, particularly through physical facilities and responsiveness. Hospitals should prioritize improvements in facility readiness, timely service delivery, and patient-centered communication to enhance satisfaction and loyalty. Future studies involving larger and multicenter populations are recommended to strengthen external validity.

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