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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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Resilience among nurses working in maternity wards in Bangladesh: A qualitative study Sharma, Aarav; Patel, Priya; Mehta, Rohan
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.v6i4.590

Abstract

Background: Nurses working in maternity wards in Bangladesh face complex clinical and emotional challenges due to maternal complications, high patient loads, and limited resources. Resilience has been recognized as a critical factor in helping nurses cope with stress, adapt to demanding environments, and sustain compassionate care. Objective: This study aimed to explore and describe the experiences of resilience among nurses working in maternity wards in Bangladesh. Methods: A qualitative interpretive descriptive design was employed, guided by Thorne’s framework. Purposive sampling recruited eight registered nurses from maternity units, including labor and delivery, postnatal, and maternal high-dependency wards, in tertiary hospitals. Semi-structured individual interviews were conducted between October 2020 and January 2021, lasting 30–90 minutes, and were audio recorded. Data were analyzed inductively to identify themes reflecting resilience experiences. Trustworthiness was ensured using COREQ guidelines. Results: Three overarching themes emerged: (1) The transition period, reflecting anxiety and lack of preparedness during the early stages of maternity nursing; (2) Gaining trust of mothers, families, and colleagues, highlighting the challenges of acceptance, communication, and professional recognition; and (3) Having a positive mindset, emphasizing psychological resilience, optimism, and self-care practices that enabled nurses to cope with workplace stress. Conclusion: Resilience among maternity nurses in Bangladesh is developed through a dynamic interplay of personal adaptation, social support, and psychological coping strategies. Strengthening structured mentorship, fostering supportive workplace cultures, and integrating resilience training into professional development are crucial to enhance maternal care quality and reduce burnout among maternity nurses.
Analysis of medication compliance in elderly hypertension in the Benu-Benua community health center: A cross-sectional study Sulasry, Sulasry; Zainuddin, Asnia; Fristiohady, Adryan
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.v6i4.591

Abstract

Background: Hypertension in the elderly increases the risk of stroke, heart disease, and kidney failure, while adherence to pharmacological therapy remains a major issue requiring attention. Objective: This study aimed to analyze factors associated with antihypertensive medication adherence among elderly patients in the working area of the BLUD UPTD Benu-Benua Community Health Center. Methods: A cross-sectional design was employed involving a total of 67 hypertensive elderly respondents, determined using the Slovin formula (margin of error 10%) from a total population of 207 elderly individuals and selected through random sampling. Data were collected from November to December 2024 using a structured questionnaire that had been tested for validity and reliability (α = 0.685–0.922). Data analysis was conducted bivariately using the Chi-Square test with continuity correction and multivariately using binary logistic regression. Results: The results showed that medication adherence was higher among elderly individuals with good knowledge (76.9%) compared to those with poor knowledge (29.3%; p = 0.000), positive attitude (80.6%) compared to negative attitude (19.4%; p = 0.000), good motivation (63.6%) compared to low motivation (32.4%; p = 0.020), good family support (61.0%) compared to poor support (26.9%; p = 0.014), and good health worker support (64.1%) compared to poor support (25.0%; p = 0.004). Multivariate analysis showed that only the attitude variable significantly influenced medication adherence (p = 0.009 < 0.05; OR = 7.881; 95% CI = 1.678–37.021). Elderly individuals with positive attitudes were 7.881 times more likely to adhere to medication compared to those with negative attitudes. Attitude was the most dominant factor influencing antihypertensive medication adherence. Conclusion: These findings highlight the importance of educational interventions and family support to improve treatment adherence among elderly individuals with hypertension.
Exploring the supportive care needs for people with chronic kidney failure undergoing hemodyalisis: A qualitative study Al Harbi, Fahd; Bin Khalid, Layla; Al Qadhi, Aisha
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.v6i4.596

Abstract

Background: Chronic kidney failure requiring hemodialysis is a growing health burden in Saudi Arabia, with significant physical, psychological, social, and cultural implications. While clinical outcomes are well-documented, patients’ supportive care needs remain underexplored. Objective: This study aimed to explore the supportive care needs of individuals with chronic kidney failure undergoing hemodialysis in Saudi Arabia. Methods: A qualitative descriptive design was applied. Sixteen patients receiving maintenance hemodialysis for at least six months were purposively recruited. Data were collected through semi-structured, in-depth interviews and analyzed using Braun and Clarke’s six-step thematic framework. Results: Four overarching themes emerged: (1) the impact of fatigue and the need for fatigue self-management, (2) the necessity of family and social support, (3) the importance of psychological and emotional support from healthcare professionals, and (4) changes in role performance and the need for adaptation. Patients reported profound physical exhaustion, psychosocial distress, dependence on family, and disruption of daily roles. Empathy, cultural sensitivity, and supportive interventions were identified as critical to improving patient well-being. Conclusion: Hemodialysis patients in Saudi Arabia face multidimensional supportive care needs that extend beyond clinical management. Addressing fatigue, enhancing family and social involvement, fostering psychological support, and facilitating adaptation to role changes are essential to delivering holistic, patient-centered care. Culturally sensitive strategies should be integrated into routine practice to optimize quality of life and health outcomes.
The combination of Slow Deep Breathing (SDB) and Progressive Muscle Relaxation (PMR) to reduce blood pressure in hypertension patients: A case study Ar-Razy, Achmad Fikri Zakaria; Rohmah, Anis Ika Nur
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.v6i4.598

Abstract

Background: Hypertension is a major global health problem and one of the leading causes of death worldwide. Known as a silent killer, hypertension often shows no clear symptoms but can cause serious complications if not properly managed. Non-pharmacological relaxation techniques such as Slow Deep Breathing and Progressive Muscle Relaxation are effective in lowering blood pressure by reducing stress and muscle tension. Objective: This study aimed to determine the effectiveness of the combination of Slow Deep Breathing and Progressive Muscle Relaxation therapy in reducing blood pressure among hypertensive patients. Methods: This research used an indicative case study approach involving one 48-year-old respondent with hypertension living in Sukoanyar Village, Pakis District, Malang Regency. Inclusion criteria included participants aged 30–60 years, diagnosed with hypertension, without respiratory disorders or physical limitations. Exclusion criteria included participants with physical abnormalities that interfered with the exercise intervention or inability to perform relaxation and breathing exercises. The intervention was conducted once daily for approximately 15 minutes over five consecutive days. Blood pressure was measured before and after the intervention. Results: There was a gradual decrease in blood pressure from the first to the fifth day, with an initial measurement of 178/105 mmHg decreasing to 158/87 mmHg after five days of intervention. Conclusion: The combination therapy of Slow Deep Breathing and Progressive Muscle Relaxation was proven effective in reducing blood pressure in hypertensive patients. This intervention is simple, safe, and can be performed independently at home to support blood pressure control. However, due to the short duration of intervention, the results are indicative and do not reflect the long-term therapeutic effect.
The relationship between service quality and patient satisfaction in internal medicine outpatient care: A cross-sectional study Alfrian, Brico; Tjokro, Silvia Haniwijaya; Kristiani, Rina Budi; 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.v6i4.599

Abstract

Background: Service quality is a critical determinant of patient satisfaction and plays an essential role in shaping patient experiences in outpatient care settings. Ensuring high-quality services is a priority for hospitals, particularly in internal medicine clinics where patient volumes and clinical needs are substantial. Objective: This study aimed to analyze the relationship between healthcare service quality and patient satisfaction among outpatients at the Internal Medicine Clinic of Husada Utama Hospital Surabaya. Methods: This cross-sectional quantitative study involved 49 respondents selected through probability sampling from a total outpatient population of 24,262 visits. Data were collected using structured questionnaires, interviews, observations, and documentation, and were analyzed using descriptive statistics and Spearman’s rank correlation with a significance level of p < 0.05. Results: Most respondents perceived service quality as adequate (67.3%) and reported patient satisfaction at an adequate level as well (61.2%). The Spearman correlation test indicated a moderate, positive, and significant association between service quality and patient satisfaction (ρ = 0.632, p = 0.000), suggesting that higher service quality contributed to increased satisfaction. Conclusion: Service quality demonstrated a significant contribution to patient satisfaction in the Internal Medicine Clinic, highlighting the need for continuous improvement in service responsiveness, empathy, reliability, and physical facilities. The hospital is encouraged to enhance communication skills among staff, streamline service processes, optimize waiting room facilities, and implement regular evaluation mechanisms to strengthen patient-centered care and sustain long-term patient trust.
The effect of warm water compresses with cinnamon (cinnamomum) powder on pain scales of gout arthritis in the elderly: A pre-experimental study Putri, Della Friska; Romadhon, Muhammad; Mardiono, Sasono; Arsi, Ranida
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.v6i4.610

Abstract

Background: Joint pain is a common complaint experienced by many people, especially the elderly. One of the non-pharmacological methods that can be used to reduce pain is warm water compress therapy using cinnamon powder (Cinnamomum). This compress provides a warming effect that can decrease muscle spasms, improve blood circulation, and help suppress the inflammatory response in the joint area. Objective: This study aimed to determine the effect of a warm water compress with cinnamon powder (Cinnamomum) on changes in the pain scale of gout arthritis among the elderly at Bukit Selabu Sekayu Public Health Center. Methods This research used a pre-experimental design with a One Group Pre-Test Post-Test approach. The sample consisted of 35 elderly respondents, selected through total sampling. The research instruments included the Standard Operating Procedure (SOP) for administering the warm water compress with cinnamon powder and an observation sheet using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon Signed Rank Test. Results : The findings showed that the mean pain score before the intervention was 4.63 (moderate pain category), and after the warm water compress with cinnamon powder was applied, it decreased to 1.97 (mild pain category). The statistical test obtained a p-value = 0.000 (p < 0.05), indicating a significant difference between pre- and post-intervention. A 2.66-point reduction on the NRS was considered clinically meaningful, showing that this therapy effectively reduced joint pain in the elderly. Conclusion: The application of a warm water compress with cinnamon powder (Cinnamomum) was proven to be statistically and clinically effective in reducing joint pain levels among elderly patients with gout arthritis. This therapy can serve as a safe and practical non-pharmacological alternative that can be applied in primary health care services.
Translation and validation of the Indonesian version of the Family Support Scale (FSS) for elderly Kurniawan, Didi; Sahar, Junaiti; Rekawati, Etty; Sartika, Ratu Ayu Dewi
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.v6i4.611

Abstract

Abstract Background: Family support is a crucial determinant of elderly wellbeing, influencing emotional stability, independence, and overall quality of life. The Family Support Scale (FSS) is widely used internationally to measure perceived family support; however, no standardized Indonesian version has been available for elderly populations. Objective: This study aimed to translate, culturally adapt, and evaluate the validity and reliability of the Family Support Scale (FSS) for Older People into the Indonesian language for use among the elderly. Methods: A methodological design was applied using a standardized back-translation procedure encompassing forward translation, synthesis, blind back-translation, and expert harmonization. Fifty elderly respondents aged ≥60 years in Pekanbaru were recruited to assess the instrument’s psychometric properties. Construct validity was evaluated through corrected item–total correlation, while reliability was measured using Cronbach’s Alpha. Results: All 20 items demonstrated acceptable corrected item–total correlation values (>0.30), indicating good construct validity. Reliability testing yielded a Cronbach’s Alpha of 0.949, reflecting excellent internal consistency. The translation and cultural adaptation process successfully preserved semantic, cultural, and conceptual equivalence with the original instrument. Conclusion: The Indonesian version of the FSS is valid and reliable for assessing perceived family support among the elderly in Indonesia. The instrument is suitable for use in clinical practice, community health assessments, and elderly-focused research. Future studies should include larger and more diverse samples and incorporate exploratory and confirmatory factor analyses to further strengthen the construct structure.
Factors associated with leukorrhea symptoms among female adolescents in high school: A cross-sectional study Heriani, Heriani
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.v6i4.623

Abstract

Background: Leukorrhea is a common reproductive health issue among female adolescents, yet many students lack adequate knowledge and appropriate hygiene practices needed to prevent pathological symptoms. Objective: This study aimed to identify factors associated with leukorrhea symptoms among female adolescents in high school. Methods: A cross-sectional analytical survey was conducted among 56 female students selected using simple random sampling from Grade 12 at SMA Negeri 1 OKU in 2024. Data were collected using a structured questionnaire assessing leukorrhea symptoms, knowledge level, age category, and personal hygiene behavior. Descriptive statistics and Chi-square tests were used to examine associations between variables, with a significance level of p < 0.05. Results: The prevalence of pathological leukorrhea was 30.4%. Knowledge, age, and personal hygiene behavior were significantly associated with leukorrhea symptoms. Adolescents with low knowledge were more likely to experience pathological leukorrhea (p = 0.002). Early adolescents demonstrated a higher prevalence of pathological symptoms compared with late adolescents (p = 0.000). Poor hygiene behavior was also significantly associated with increased leukorrhea symptoms (p = 0.019). Conclusion: Knowledge level, age category, and hygiene behavior are key determinants of leukorrhea symptoms among female adolescents. School-based reproductive health interventions should be strengthened to improve adolescent knowledge and hygiene practices to reduce the risk of pathological leukorrhea.
The correlation of knowledge and attitude on clean and healthy living practices in junior high school adolescents: A cross-sectional study Wiwiet Susan Amelia; Harto, Toto
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.v6i4.626

Abstract

Background: Clean and Healthy Living Practices (PHBS) are essential for preventing communicable diseases among adolescents, yet many junior high school students continue to demonstrate inconsistent hygiene behaviors despite exposure to school-based health programs. Objective: This study aimed to examine the correlation between knowledge and attitude with PHBS behaviors among adolescents in a junior high school setting. Methods: A cross-sectional design was employed, involving 39 students selected through total sampling. Data were collected using structured questionnaires measuring knowledge, attitude, and PHBS behaviors. Descriptive statistics were used to present frequency distributions, while Chi-Square tests examined the relationship between variables. Results: Most adolescents demonstrated poor knowledge (48.7%) and moderate attitudes toward PHBS. PHBS behaviors were mostly in the fair (46.2%) and poor (48.7%) categories. Cross-tabulation showed that adolescents with good or very good knowledge did not necessarily demonstrate better PHBS behaviors. Statistical analysis indicated no significant correlation between knowledge and PHBS (p = 0.74). Attitude also showed no significant association with PHBS. Conclusion: Knowledge and attitude were not significantly related to PHBS behavior among adolescents, suggesting that cognitive and affective factors alone are insufficient to shape consistent hygiene practices. Multi-level interventions involving schools, families, and communities are needed to strengthen adolescent PHBS behaviors.
Nursing management of ineffective airway clearance through effective cough technique in chronic obstructive pulmonary disease: A case study Marlina, Serli; Epin, Epin; KK, Indra Frana Jaya; Yunianti, Fifi; Jamal, Jamal; Diana, Diana
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.v6i4.629

Abstract

Background: Ineffective airway clearance is a common complication among patients with Chronic Obstructive Pulmonary Disease (COPD), requiring structured nursing interventions such as the effective cough technique to optimize secretion mobilization. Objective: This case study aimed to describe the nursing management of ineffective airway clearance using the effective cough technique in adult COPD patients. Methods: A descriptive case study was conducted on two adult COPD patients experiencing ineffective airway clearance at RSUD Siti Fatimah. Data were collected through interviews, physical examination, direct observation, and nursing documentation over a three-day intervention period. The effective cough technique was implemented 2–3 sessions per day. Data were analyzed using descriptive analysis, comparing pre- and post-intervention respiratory parameters (RR, SpO₂, sputum characteristics) and narratively reviewing qualitative responses to evaluate clinical improvement. Results: Both patients initially exhibited dyspnea, ineffective coughing, wheezing, and difficulty expectorating thick sputum. Progressive improvements were observed across three days, demonstrated by increased sputum expulsion, decreased respiratory rate, disappearance of wheezing, improved oxygen saturation, and enhanced patient comfort. By day three, both patients were able to perform effective coughing independently and showed normalized respiratory patterns. Conclusion: The effective cough technique is a safe and clinically beneficial non-pharmacological intervention that improves airway clearance and respiratory function in COPD patients. Regular guidance, proper positioning, hydration, and continuous monitoring strengthen intervention outcomes and support patient self-management in airway clearance.

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