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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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Communication competence of undergraduate healthcare students in Thailand: A cross-sectional study Chaiyaphum, Nattapong; Woranuch, Supansa; Khant, Aung Min
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.595

Abstract

Background: Effective communication is a cornerstone of patient-centered healthcare, directly influencing treatment adherence, patient satisfaction, and safety outcomes. In Thailand, where cultural diversity and family involvement play vital roles in healthcare, inadequate communication remains a persistent challenge affecting patient well-being. Strengthening communication competence among undergraduate healthcare students is crucial for preparing future professionals to deliver safe, empathetic, and culturally sensitive care. Objective: This study aimed to assess the communication competence of undergraduate healthcare students in Thailand and to examine whether demographic factors influence these skills. Methods: A cross-sectional quantitative design was employed. Data were collected from 212 undergraduate healthcare students enrolled in medicine, nursing, pharmacy, dentistry, and allied health programs at three major public universities in Thailand. The validated Self-Efficacy 12 (SE-12) questionnaire was used to measure students’ self-perceived communication competence. Data were analyzed using descriptive statistics and chi-square tests to identify associations between communication competence and demographic characteristics. Results: Among respondents, 55.2% demonstrated good communication competence, while 44.8% exhibited poor competence. No statistically significant associations were found between communication competence and gender, age, year of study, or faculty affiliation (p > 0.05). These findings suggest that sociodemographic characteristics do not significantly influence communication abilities among healthcare students. Conclusion: Nearly half of Thailand’s undergraduate healthcare students demonstrated limited communication competence, highlighting a critical need for targeted educational interventions. Integrating structured, experiential, and culturally grounded communication training into healthcare curricula is essential to enhance competence, improve patient safety, and promote high-quality, patient-centered care.
Translation and validation of the Indonesian version of Richard Campbell Sleep Questionnaire (RCSQ) in intensive care unit patients Nurhayati, Nunung; Waluyo, Agung; Kariasa, I Made; Asih, Sali Rahadi; Pujasari, Hening; Hayat, Bahrul
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.620

Abstract

Background: Sleep quality is a critical determinant of recovery outcomes among patients admitted to intensive care units (ICUs); however, accurate sleep assessment remains challenging due to environmental disturbances and intensive medical interventions. The Richards–Campbell Sleep Questionnaire (RCSQ) is widely used to assess subjective sleep quality, yet evidence regarding its psychometric performance in Indonesian ICU settings remains limited. Objective: The purpose of this study was to evaluate the validity and reliability of RCSQ in the ICU and assess the extent to which this instrument can accurately reflect the patient's sleep experience in the ICU. Methods: A methodological cross-sectional study was conducted involving 11 adult ICU patients recruited using a total sampling technique. Data were collected between April and May 2025 using the Indonesian version of the RCSQ. Construct validity was assessed using item–total correlation analysis, while internal consistency was evaluated using Cronbach’s alpha coefficient. Descriptive statistics were used to summarize participants’ demographic characteristics. Results: All RCSQ items demonstrated satisfactory construct validity, with item–total correlation coefficients exceeding the critical r-value (r > 0.521) and statistical significance at p < 0.05. The instrument showed good internal consistency, with a Cronbach’s alpha value of 0.810, indicating reliable measurement of subjective sleep quality among ICU patients. Conclusion: The Indonesian version of the Richards–Campbell Sleep Questionnaire demonstrates acceptable validity and reliability for assessing subjective sleep quality in ICU patients. Nevertheless, further studies with larger and more diverse samples are recommended to confirm its robustness and to explore integration with objective sleep assessment methods in intensive care settings.
Factors associated with acute respiratory infection among under-five children at Muara Enim community health center: A cross-sectional study Yuliati, Yeti; Marita, Yulis; Meliyanti, Fera
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.v6i4.624

Abstract

Background: Acute Respiratory Infection (ARI) remains a major public health problem among under-five children and contributes significantly to morbidity and primary health care utilization. Household environmental and behavioral factors are known to increase the risk of ARI, particularly in areas with substandard housing conditions. Objective: This study aimed to analyze factors associated with Acute Respiratory Infection among under-five children in the working area of Muara Enim community Health Center. Methods: This study employed a quantitative cross-sectional design. The study population consisted of all mothers with under-five children aged 0–59 months in Kelurahan Tungkal, Muara Enim District, totaling 444 individuals. A total of 82 respondents were selected using random sampling. Data were collected through face-to-face interviews using a structured questionnaire assessing cigarette smoke exposure, mosquito coil use, housing density, and household ventilation. Data were analyzed using the Chi-square test with a significance level of 0.05. Results: The findings showed significant associations between cigarette smoke exposure (p = 0.000), mosquito coil use (p = 0.000), housing density (p = 0.000), household ventilation (p = 0.002), and the occurrence of Acute Respiratory Infection among under-five children. Children exposed to these risk factors had a higher proportion of ARI compared to those who were not exposed. Conclusion: Acute Respiratory Infection among under-five children is significantly associated with household environmental and behavioral factors. Strengthening community-based health education focusing on ARI prevention is recommended, particularly regarding smoking cessation inside the home, reduction of mosquito coil use, and improvement of healthy housing conditions. Intersectoral collaboration is essential to support sustainable household environmental improvements.
Application of pursed-lip breathing to reduce fatigue in hemodialysis patients: A nursing case study Aneja, Ririn Dwi; Fatrida, Dedi
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.630

Abstract

Background: Chronic Kidney Disease (CKD) is a serious global health problem with a rapidly increasing prevalence. The disease is characterized by a progressive and irreversible decline in kidney function. In advanced stages, patients require renal replacement therapy, such as hemodialysis. Fatigue is one of the most common and debilitating symptoms experienced by patients undergoing hemodialysis, negatively affecting daily functioning and quality of life. Objective: This study aimed to describe nursing care for a patient with CKD through the application of pursed-lip breathing to reduce fatigue levels in the Hemodialysis Unit. Methods: This study employed a nursing case study design based on the nursing process. The subject was Mrs. S, a patient with CKD undergoing routine hemodialysis. Fatigue was assessed using the Fatigue Severity Scale (FSS), with an initial score of 52, indicating fatigue. The nursing diagnosis was exhaustion related to physiological conditions (chronic disease: CKD) and long-term treatment (hemodialysis). The nursing intervention consisted of the application of pursed-lip breathing, implemented over four consecutive visits during hemodialysis sessions. Results: The evaluation demonstrated a gradual reduction in fatigue levels. The FSS score decreased from 46 on the first day, to 40 on the second day, 36 on the third day, and reached 30 on the fourth day, indicating no fatigue. In addition, the patient verbalized improved energy recovery, increased strength, reduced feelings of fatigue and lethargy, and improved appetite, consistent with the expected nursing outcomes. Conclusion: The application of pursed-lip breathing as a nursing intervention was associated with a reduction in fatigue levels in a patient undergoing hemodialysis. This technique may be incorporated into routine nursing care to help manage fatigue and support quality of life among patients with CKD. Patients are encouraged to practice pursed-lip breathing regularly, particularly when experiencing fatigue during hemodialysis.
Factors associated with Open Defecation Free (ODF) status among rural communities: A cross-sectional study Marita, Yulis; Heryanto, Eko
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.v6i4.635

Abstract

Background: Open defecation remains a persistent public health challenge in many rural communities, particularly where behavioral, socioeconomic, and environmental barriers limit the adoption of safe sanitation practices. Despite national efforts to promote Community-Led Total Sanitation (CLTS), several villages in Indonesia—including Bangun Harjo—continue to experience gaps in Open Defecation Free (ODF) achievement. Objective: This study aimed to examine the factors associated with ODF status among households in a rural Indonesian community, focusing on knowledge, income, environmental proximity to rivers, and family support. Methods: A cross-sectional study was conducted among 232 household heads selected through proportional random sampling. Data were collected using a structured questionnaire and analyzed using univariate and chi-square bivariate tests to determine associations between independent variables and ODF status. Results: The findings showed that 63.8% of households had achieved ODF status, while 36.2% continued practicing open defecation. Knowledge demonstrated a significant association with ODF status, where households with good knowledge were more likely to adopt safe sanitation practices (p < 0.001). Income was also significantly associated with ODF status, with higher-income households more capable of constructing and maintaining latrines (p < 0.001). Environmental distance showed strong influence, as households near rivers were more likely to practice open defecation (p < 0.001). Family support similarly contributed to increased ODF achievement, indicating the importance of household dynamics in sustaining sanitation behavior (p < 0.001). Conclusion: ODF achievement in rural settings is shaped by interconnected factors, including knowledge levels, economic capacity, environmental accessibility, and family support. These determinants highlight the need for integrated and context-specific sanitation strategies.
Effect of health belief model–based education on the prevention of pathological vaginal discharge: A pre-experimental study Astriana, Willy; Zahra, Tamela; Wulandari, Putri
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.v6i4.637

Abstract

Background: Pathological vaginal discharge remains a prevalent reproductive health problem among young women and is often associated with inadequate preventive behaviors and limited health literacy. Educational interventions grounded in behavioral theory are needed to improve awareness and promote effective prevention strategies among female students. Objective: This study aimed to examine the effect of Health Belief Model–based education on the prevention of pathological vaginal discharge among female students. Methods: A quantitative pre-experimental study using a one-group pretest–posttest design was conducted among 60 female students at STIKes Al-Ma’arif Baturaja, selected through accidental sampling. The educational intervention was delivered using Health Belief Model–based leaflets focusing on perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action. Data were collected before and after the intervention using validated questionnaires. Statistical analysis was performed using the Wilcoxon Signed Rank Test with SPSS software. Results: The findings demonstrated significant improvements in preventive behaviors and Health Belief Model components following the educational intervention. The Wilcoxon Signed Rank Test revealed a statistically significant difference between pretest and posttest scores (Z = −16.098; p = 0.003), indicating that Health Belief Model–based education effectively enhanced pathological vaginal discharge prevention among participants. Conclusion: Health Belief Model–based education significantly improves preventive behaviors related to pathological vaginal discharge among female students. Theory-driven educational interventions represent an effective approach for reproductive health promotion in academic settings.
Cognitive function and stress as determinants of independence among older adults in institutional care: A cross-sectional study Nailah, Intan Hana; Akhmad Faozi; Delli Yuliana Rahmat
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.v6i4.640

Abstract

Background: The global increase in the older adult population is accompanied by complex health challenges, including cognitive decline, elevated stress levels, and decreased independence in activities of daily living. In Indonesia, approximately 12.7% of older adults experience dependency in basic activities, influenced by factors such as chronic disease, depression, low physical activity, limited social support, and cognitive impairment, which collectively accelerate functional decline. Objective: This study aimed to examine the relationship between cognitive function and stress levels with independence among older adults residing at Griya Lansia Ciparay. Methods: A quantitative study with a cross-sectional design was conducted involving 61 older adults selected through purposive sampling based on predefined inclusion criteria. Cognitive function was assessed using the Mini-Mental State Examination (MMSE), stress levels were measured with the Perceived Stress Scale (PSS-10), and independence was evaluated using the Barthel Index. Data were analyzed using univariate analysis to describe variable distributions and bivariate analysis employing the Spearman Rho correlation test. Results: The findings revealed a statistically significant relationship between cognitive function and stress levels with independence among older adults (p = 0.001). Older adults with better cognitive function and lower stress levels demonstrated higher levels of independence in performing daily activities. Conclusion: Cognitive function and stress levels are significantly associated with independence among older adults. Strategies aimed at preserving cognitive abilities and managing psychological stress are essential to maintain functional independence and improve quality of life in the elderly population, particularly in institutional care settings.
Role of conflict management in preventing burnout due to work conflicts among nurses : A qualitative study Nisa, Neng Lina Rohmatun; Sutresna, Iyos; Ridwan, Heri
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.641

Abstract

Background: Workplace conflict is an inevitable phenomenon in nursing practice and, when unresolved, may contribute to burnout among nurses, particularly in primary healthcare settings. Burnout negatively affects nurses’ well-being, work performance, and quality of care, highlighting the importance of effective conflict management strategies at the organizational level. Objective: This study aimed to explore nurses’ experiences of workplace conflict and to examine the role of conflict management in preventing burnout among nurses at Puskesmas Cimalaka. Methods: A qualitative study with a phenomenological approach was conducted. Six participants, consisting of four staff nurses and two nurse-in-charge personnel, were recruited using snowball sampling. Data were collected through in-depth interviews and contextual observations. Verbatim transcripts were analyzed thematically to identify patterns, themes, and meanings related to workplace conflict, burnout, and conflict resolution strategies. Results: All participants reported experiencing workplace conflict, which was generally mild and work-related, including miscommunication, task distribution issues, tardiness, and scheduling conflicts. Five participants experienced signs and symptoms of burnout, primarily emotional exhaustion and temporary psychological strain. Conflict resolution involved peer-assisted approaches and supervisor-mediated interventions. Effective strategies identified were compromise and collaboration, which contributed to timely conflict resolution, improved communication, a more comfortable work environment, increased motivation, perceptions of fairness, and reduced risk of burnout. Conclusion: Workplace conflict among nurses at Puskesmas Cimalaka is common but manageable. Proactive, fair, and collaborative conflict management strategies play a critical role in mitigating the risk of burnout. Strengthening institutional conflict management mechanisms and addressing structural factors such as workload are essential to sustain nurses’ well-being in primary healthcare settings
Nursing care using roy’s adaptation model–based mirror therapy for physical mobility impairment in stroke patients: A case study Saputra, Agusdiman; Susanti, Mira; Pratiwi, Siti Hardiyanti; KK, Indra Frana Jaya; Kastina, Kastina; Regina, Regina
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.v6i4.643

Abstract

Background: Stroke is a common neurological disorder that requires prompt and appropriate management to prevent functional impairment. Non-pharmacological nursing interventions play an important role in supporting motor recovery, one of which is Mirror Therapy, which facilitates motor relearning through visual feedback mechanisms. Objective: This study aimed to implement nursing care for stroke patients through the application of Mirror Therapy based on Roy’s Adaptation Model. Methods: A descriptive study with a case study approach was conducted involving three stroke patients at RSUD Siti Fatimah. The intervention consisted of Mirror Therapy exercises integrated with Roy’s Adaptation Model. Data collection techniques included nursing assessment, observation, physical examination, and documentation. Nursing diagnoses were established based on the Indonesian Nursing Diagnosis Standards (SDKI), and interventions were implemented using the Indonesian Nursing Intervention Standards (SIKI) and evaluated with the Indonesian Nursing Outcome Standards (SLKI). Results: Initial assessments of all three patients revealed complaints of unilateral extremity weakness and dizziness. The identified nursing diagnoses included impaired physical mobility and risk of ineffective cerebral perfusion. After three days of Mirror Therapy intervention, all patients demonstrated improvement in extremity muscle strength scores. These findings indicate a positive functional response to the intervention. Conclusion: Mirror Therapy based on Roy’s Adaptation Model is effective in improving extremity muscle strength and addressing impaired physical mobility in patients with non-hemorrhagic stroke. This intervention can be considered a valuable non-pharmacological nursing approach to support motor recovery in stroke patients.
The effect of warm compress therapy on labor pain during the active phase of the first stage of labor: A pre-experimental study Aini, Apriyanti; Lamdayani, Rinda; Apriyanto, Apriyanto
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.645

Abstract

Background: Labor pain during the active phase of the first stage of labor is a significant physiological and psychological challenge for women and may influence labor progression and childbirth experience. Non-pharmacological interventions are increasingly recommended to support maternal comfort and promote physiological labor. Warm compress therapy has been widely applied during the second stage of labor; however, evidence regarding its effectiveness during the active phase of the first stage of labor remains limited. Objective: This study aimed to examine the effect of warm compress therapy on labor pain during the active phase of the first stage of labor. Methods: This study employed a quantitative approach using a pre-experimental one-group pretest–posttest design. The study was conducted at PMB Erni Artiqoh, Bumi Makmur Village, involving 20 laboring women selected through total sampling. Labor pain intensity was measured using a numerical rating scale before and after the application of warm compress therapy. The intervention consisted of warm compress application at a temperature of 38–45°C for approximately 20 minutes during the active phase of labor. Data were analyzed using univariate analysis and the Wilcoxon signed-rank test. Results: The results showed a clear reduction in labor pain intensity following the intervention. Before the intervention, most participants reported severe pain levels, while after warm compress therapy, pain scores shifted to mild-to-moderate levels. The Wilcoxon signed-rank test demonstrated a statistically significant difference in labor pain intensity before and after the intervention (p = 0.001), indicating that warm compress therapy effectively reduced labor pain during the active phase of the first stage of labor. Conclusion: Warm compress therapy was found to be effective in reducing labor pain during the active phase of the first stage of labor. This non-invasive, low-cost intervention can be safely integrated into routine midwifery care to enhance maternal comfort during childbirth.

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