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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 335 Documents
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Environmental sanitation and risk of stunting among under-five children: A cross-sectional study Sarwoko, Sabtian
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.698

Abstract

Background: Stunting remains a major public health problem in low- and middle-income countries, including Indonesia, where environmental sanitation conditions continue to pose significant health risks. Inadequate access to safe drinking water, proper sanitation facilities, and appropriate waste management increases children’s exposure to recurrent infections that may impair linear growth during the first 1,000 days of life. Despite national efforts to accelerate stunting reduction, sanitation-related risk factors remain prevalent in rural priority districts. Objective: This study aimed to analyze the association between environmental sanitation and the risk of stunting among children under five years of age in Jayapura Subdistrict, Ogan Komering Ulu Timur Regency, Indonesia. Methods: An analytical cross-sectional study was conducted between March and July 2022 involving 280 children aged 12–59 months selected from a population of 1,026 eligible children. Data on drinking water quality, toilet use, solid waste management, and wastewater management were collected through structured interviews and direct household observations. Stunting status was determined using height-for-age Z-scores based on WHO Child Growth Standards. Data were analyzed using descriptive statistics and Fisher’s Exact Test at a 95% confidence level. Results: The prevalence of stunting was 13.6%. Poor drinking water quality, lack of toilet use, inadequate solid waste management, and improper wastewater management were significantly associated with stunting (p = 0.001). Children living in households with unsafe drinking water had a stunting prevalence of 25.6%, compared with 4.9% among those with safe water. The highest proportion of stunting (28.9%) was observed among children exposed to poor wastewater management. Conclusion: Environmental sanitation factors are significantly associated with stunting among under-five children. Strengthening access to safe water, improved sanitation facilities, and proper waste and wastewater management is essential to reduce stunting risk in rural priority areas. Integrated environmental and nutritional interventions are recommended to accelerate sustainable stunting reduction.
Integrating progressive muscle relaxation and guided imagery based on adaptation model for pain management in ovarian cancer: A nursing case study KK, Indra Frana Jaya; Nainggolan, Sutrisari Sabrina; Ningsih, Deasy Kurnia; Cahya, Febriani; Amalah, Frita Anesia; Rahayu, Rita Puji; Maharani, Shinta
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.702

Abstract

Background: Ovarian cancer frequently causes severe pain and psychological distress that negatively affect patients’ physiological and psychological well-being. Effective pain management in oncology nursing requires comprehensive strategies that combine pharmacological treatment with supportive non-pharmacological interventions. However, evidence regarding the integration of these techniques within the Roy Adaptation Model for pain management in ovarian cancer patients remains limited. Objective: This study aimed to analyze the effectiveness of integrating Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model to reduce pain and anxiety in patients with ovarian cancer through a nursing case study. Methods: This study employed a descriptive case study design conducted in the Paviliun Cemara ward at RSUD Siti Fatimah, South Sumatra Province. Three ovarian cancer patients experiencing acute pain were selected using purposive sampling based on predefined inclusion criteria. Data collection was carried out through interviews, physical examination, observation, and measurement of pain and anxiety levels using the Numeric Rating Scale (NRS) and Hamilton Anxiety Rating Scale (HARS). The intervention consisted of Progressive Muscle Relaxation and Guided Imagery sessions administered twice daily for three consecutive days. Data were analyzed descriptively by comparing changes in pain and anxiety scores before and after the intervention. Results: The findings showed a consistent reduction in pain intensity and anxiety levels among all participants after the intervention. Patient 1 experienced a decrease in pain from NRS 7 to 3 and anxiety from HARS 24 to 12. Patient 2 showed a reduction in pain from NRS 8 to 0 and anxiety from HARS 18 to 8. Patient 3 demonstrated improvement with pain decreasing from NRS 8 to 2 and anxiety from HARS 25 to 10. Improvements were also observed in physiological parameters and patient comfort levels, indicating positive adaptive responses to the intervention. Conclusion: The integration of Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model demonstrated beneficial effects in reducing pain and anxiety among patients with ovarian cancer. These findings suggest that relaxation-based nursing interventions may serve as effective complementary strategies in oncology pain management and support patient adaptation to illness.
Perceived susceptibility and vaccine hesitancy among mothers in completing basic immunization: A qualitative study Amita, Dzikra Fitria; Risdianti, Helza; Firstania, Aurellia; Zaharany, Tsania Ayu; Rajagukguk, Sartika; Khoirot, Risyda Ma'arifatul; Fajri, Dinda Nur; Gunawan, Annisa Pratiwi; Pitora, Tobi
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.705

Abstract

Background: Immunization is a highly effective public health intervention to reduce child morbidity and mortality. However, declining immunization coverage in several regions of Indonesia, including North Bengkulu Regency, reflects growing vaccine hesitancy. In Arga Makmur, concerns about post-immunization adverse events (KIPI) influence mothers’ decisions, indicating a shift in perceived susceptibility within the Health Belief Model. Objective: This study aimed to explore mothers’ perceived susceptibility related to childhood immunization and how these perceptions contribute to vaccine hesitancy in Arga Makmur, North Bengkulu. Methods: A descriptive qualitative study was conducted between October and November 2022 in the working area of the Argamakmur Community Health Center, North Bengkulu Regency, Indonesia. Nine mothers of children with incomplete immunization status were selected using purposive sampling. Data were collected through semi-structured in-depth interviews, audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s six-phase thematic analysis. Results: Four major themes emerged from the analysis: (1) fear that injections could cause illness in children, (2) suspicion regarding the safety of vaccines and medications, (3) perceptions that children were physically weak or unfit to receive immunization, and (4) fatalistic beliefs reflected in surrender to divine destiny. Mothers tended to perceive the risks associated with vaccination as more immediate and threatening than the risks posed by vaccine-preventable infectious diseases. These perceptions were reinforced by misinformation, social narratives, and personal observations of post-immunization reactions. Conclusion: Vaccine hesitancy among mothers in Arga Makmur is strongly associated with a shift in perceived susceptibility—from concern about infectious diseases toward fear of vaccine-related risks. Addressing this imbalance requires effective risk communication, strengthening trust in healthcare providers, counteracting misinformation, and implementing culturally and religiously sensitive health promotion strategies to improve immunization acceptance.
The Relationship between locus of control based on King’s theory of goal attainment and nurses’ performance in hospitals: A cross-sectional study Dinah, Nur Eka Djihan; Setyowati, Wahyu Endang; Abdurrouf, Muh
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.710

Abstract

Background: Nurses’ performance is a central determinant of hospital service quality, patient safety, and continuity of care. In demanding clinical environments, performance is influenced not only by organizational conditions but also by psychological factors, including locus of control. Within the perspective of King’s Theory of Goal Attainment, locus of control is relevant because nurses’ beliefs about personal control may shape communication, responsibility, decision making, and the achievement of care goals. Objective: This study aimed to examine the relationship between locus of control based on King’s Theory of Goal Attainment and nurses’ performance in hospitals. Methods: This study employed a quantitative correlational design with a cross-sectional approach. The study was conducted at Weda Hospital, Central Halmahera Regency, North Maluku, Indonesia, in September 2025. The population consisted of 145 nurses working in the Male Internal Medicine Ward and Neurology Ward. A total of 117 respondents were selected using simple random sampling. Locus of control was measured using a 16-item questionnaire, while nurses’ performance was assessed using a 15-item questionnaire. Data were analyzed using univariate statistics, cross-tabulation, and Pearson correlation analysis. Results: Most respondents were aged 36–45 years (29.9%), female (72.6%), held a bachelor’s degree (66.7%), and had 21–30 years of work experience (32.5%). Internal locus of control was the most common category (45.3%), while low nurses’ performance was slightly more frequent (37.6%) than high performance (35.9%). Cross-tabulation showed that nurses with external locus of control were predominantly in the low-performance category (60.5%), whereas those with internal locus of control were predominantly in the high-performance category (52.8%). Pearson correlation analysis revealed a statistically significant positive relationship between locus of control and nurses’ performance (r = 0.479; p < 0.001; 95% CI: 0.32–0.62). Conclusion: Locus of control was significantly associated with nurses’ performance in the hospital setting. Nurses with stronger internal control beliefs tended to demonstrate better performance. These findings suggest that strengthening nurses’ personal agency, responsibility, and goal-oriented professional attitudes may contribute to improving nursing performance and the quality of hospital care.
Association between physical housing conditions and pulmonary tuberculosis incidence: A cross-sectional study Meliyanti, Fera
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.714

Abstract

Background: Environmental determinants, particularly physical housing conditions, play an important role in facilitating the transmission of airborne infectious diseases such as tuberculosis. Poor ventilation, overcrowded living conditions, inadequate lighting, and substandard housing structures may increase the risk of pulmonary tuberculosis transmission within households and communities. Objective: This study aimed to analyze the association between physical housing conditions and the incidence of pulmonary tuberculosis in the working area of UPTD Puskesmas Pengaringan, Ogan Komering Ulu Regency, Indonesia. Methods: This study employed a descriptive analytical approach using a cross-sectional design. The study was conducted from October to December 2025 among suspected pulmonary tuberculosis patients attending UPTD Puskesmas Pengaringan. The study population consisted of 115 suspected tuberculosis patients, and a sample of 89 respondents was determined using the Slovin formula with a 5% margin of error. Participants were selected using purposive sampling based on predefined inclusion and exclusion criteria. Data were collected through structured interviews and direct observational measurements of housing conditions. Data analysis included univariate analysis to describe variable distributions and bivariate analysis using the Chi-square test with a significance level of α = 0.05 to examine associations between housing conditions and pulmonary tuberculosis incidence. Results: The results showed that 17 respondents (19.1%) were diagnosed with pulmonary tuberculosis. Bivariate analysis demonstrated significant associations between physical housing conditions and pulmonary tuberculosis incidence, including ventilation area (p = 0.026), residential density (p = 0.047), floor type (p = 0.021), and household lighting (p = 0.011). Respondents living in houses with inadequate ventilation, overcrowded conditions, inappropriate floor materials, and insufficient lighting had a higher proportion of pulmonary tuberculosis cases compared with those living in houses that met health standards. Conclusion: Physical housing conditions are significantly associated with pulmonary tuberculosis incidence in the study area. Improvements in household environmental conditions, including adequate ventilation, appropriate housing density, suitable floor materials, and sufficient lighting, are essential components of community-based tuberculosis prevention strategies.

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