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Association between family support and activities of daily living among patients undergoing hemodialysis: A cross-sectional study Intan Kumala Sari; Dwi Soelistyoningsih; Achmad Rifa'i; Abdul Qodir
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.729

Background: Patients with hemodialysis frequently experience physical limitations that may affect their capacity to accomplish Activities of Daily Living (ADL). This decline in independence increases patients’ dependence on others. Family support plays a crucial role in helping patients maintain independence and refine the quality of their lives during long-term treatment. Objective: This study aimed to determine the association between family support and Activities of Daily Living (ADL) among patients undergoing hemodialysis. Methods: A cross-sectional analytical correlational study was implemented at Muhammadiyah General Hospital. The participants were 50 patients with chronic kidney disease undergoing hemodialysis for at least three months, aged 18-60 years, selected through purposive sampling. Family support was assessed using the Perceived Social Support–Family (PSS-FA) instrument, while independence in activities of daily living (ADL) was measured using the Barthel Index. Descriptive statistics were used to summarize participants characteristics. The relationship between family support and ADL was analyzed using Somers' d test at the 5% significance level. Results: The evidence indicates that most respondents received high levels of family support (86%) and had relatively good levels of independence in performing ADL (68%). Statistical analysis indicated a critical association between family support and ADL among hemodialysis patients (p=0.001; r = 0.61). These findings imply that higher levels of family support contribute to improve patient independence in carrying out daily activities. Conclusion: Family support is significantly associated with the capacity of hemodialysis patients to perform Activities of Daily Living. Strengthening family involvement through family-centered nursing interventios may help improve patient independence and overall well-being during long-term hemodialysis treatment.

Exploring cancer patients’ experiences of end-of-life care in hospital settings: A qualitative study Kwame Mensah; Amina Okafor; Samuel Ndlovu
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.682

Background: Cancer patients in the advanced stages of illness often receive end-of-life care in hospital settings where intensive medical interventions, complex decision-making, and limited family involvement may influence their physical, emotional, and existential experiences. Hospital-based end-of-life care presents unique challenges, particularly in contexts where palliative care integration is limited and care delivery is shaped by institutional priorities. Understanding patients’ lived experiences is essential to inform patient-centered and dignity-preserving end-of-life care practices. Objective: This study aimed to explore cancer patients’ experiences of end-of-life care in hospital settings. Methods: A qualitative phenomenological design was employed to capture the lived experiences of adult cancer patients receiving end-of-life care in hospital settings in Africa. Purposive sampling was used to recruit participants who met the inclusion criteria. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis. Strategies to ensure trustworthiness included member checking, reflexive journaling, peer debriefing, and the development of an audit trail. Results: Three main themes emerged from the analysis: experiencing physical and emotional vulnerability at the end of life, navigating relationships and communication in hospital-based end-of-life care, and seeking dignity and meaning during the final stage of life. Participants described persistent physical symptoms and emotional distress as central aspects of their end-of-life experiences. Limited communication and dependence on healthcare professionals shaped patients’ sense of control and security. Participants also emphasized the importance of dignity, respectful care, and opportunities for reflection on life and death during hospitalization. Conclusion: Cancer patients experience end-of-life care in hospital settings as a complex and deeply personal process influenced by symptom burden, communication quality, family involvement, and dignity-preserving practices. Hospital-based end-of-life care should prioritize holistic, patient-centered approaches that address physical, emotional, and existential needs.

Exploring older adults' experiences of community-based exercise programs in community nursing interventions: A qualitative study Qory Tifani Rahmatika; Ronal Surya Aditya; Muhammad Putra Ramadhan; Achmad Masfi
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.730

Background: The increasing number of older adults is a challenge for public health systems, especially in low- and middle-income countries, because the aging process is often accompanied by a decline in physical function and quality of life in the elderly. Although various studies have shown that community nursing interventions through physical exercise programs have been proven effective, an in-depth understanding of how older adults interpret and directly experience their involvement in these programs is still limited. Objective: This study aims to explore the experiences of older adults who participated in a community-based physical exercise program in Malang City using a qualitative phenomenological approach. Methods: A qualitative phenomenological study was conducted among 24 older adults living in Malang City, Indonesia, who participated in a six-week community-based exercise program. Participants were recruited using purposive sampling. Data were collected through individual, face-to-face, semi-structured interviews conducted in participants’ homes after completion of the intervention. Interviews lasted 30–60 minutes, were audio-recorded with consent, transcribed verbatim, and analyzed manually using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies, including member checking, field notes, audit trails, and independent coding by two researchers. Results: the data was analyzed thematically and produced four main themes: (i) Rediscovering Physical Capability and Body Confidence, (ii) Exercise as a Meaningful and Enjoyable Social Experience, (iii) Growing Awareness of Health and Self-Care, and (iv) The Community Nurse as a Catalyst for Engagement and Safety. Conclusion: These findings of this study highlight that community nurses play a role not only as instructors but also as facilitators capable of fostering motivation, self-confidence, and sustained participation in older adults through an individual-centered approach. Therefore, nurse-initiated community-based physical exercise programs should be considered for more systematic integration into public health policies as part of strategies to support healthy and sustainable aging.

Effectiveness of combined ar-rahman murottal therapy and lavender aromatherapy for family anxiety reduction in intensive care unit waiting rooms: A systematic review Sukran Suyanto; Ahmad Ikhlasul Amal; Erna Melastuti; Indah Sri Wahyuningsih
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.733

Background: Family members who wait for patients in intensive care units frequently experience anxiety due to uncertainty, emotional burden, and fear related to critical illness. Non-pharmacological interventions such as Qur’anic murottal therapy and lavender aromatherapy have been increasingly explored because both approaches may promote relaxation, emotional comfort, and psychological stability in stressful clinical situations. However, evidence regarding their combined effectiveness for reducing anxiety among families in ICU waiting rooms remains limited and scattered across different clinical contexts. Objective: This systematic review aimed to examine the effectiveness of combined Ar-Rahman murottal therapy and lavender aromatherapy for reducing anxiety among family members in intensive care unit waiting rooms. Methods: This study used a systematic review design and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. Literature searches were conducted in ClinicalKey for Nursing, SAGE Journals, ProQuest, and Google Scholar using combinations of keywords related to murottal therapy, lavender aromatherapy, anxiety, ICU, and family health. Studies published in English or Indonesian within the last 10 years were considered. Experimental and quasi-experimental studies were included, while irrelevant studies, methodologically weak articles, grey literature, and studies outside the review focus were excluded. Study selection, quality appraisal, and data extraction were conducted independently by two reviewers. Of 1,942 records initially identified, 12 full-text articles were assessed, 2 were excluded because of high risk of bias, and 10 studies were included in the final synthesis. Results: The included studies showed that the combination of Ar-Rahman murottal therapy and lavender aromatherapy was associated with reduced anxiety across several clinical contexts. The strongest evidence came from studies involving family members in ICU waiting rooms, where the combined intervention significantly reduced anxiety levels. Indirect evidence from preoperative, inpatient, and waiting-room populations supported the anxiolytic potential of both therapies. Overall, the findings suggested a consistent positive direction of effect, although the evidence remained heterogeneous in terms of population, setting, intervention duration, and measurement instruments. Conclusion: Combined Ar-Rahman murottal therapy and lavender aromatherapy appears to be a promising complementary intervention for reducing anxiety among family members in ICU waiting rooms. Nevertheless, further rigorous studies focusing specifically on ICU family populations are needed to strengthen the evidence base and support wider implementation in family-centered critical care nursing.

Association between gadget use and physical and mental health among adolescents: A cross-sectional study Novita Elisabeth Daeli; Sanny Frisca; Aprida Manurung
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.752

Background: Gadget use has become increasingly common among adolescents and is closely integrated into learning, communication, entertainment, and daily activities. Although gadgets provide educational and social benefits, excessive or problematic use may contribute to physical complaints, including eye strain, hearing problems, and musculoskeletal pain, as well as mental health problems such as depressive symptoms. However, empirical evidence regarding the association between gadget use and adolescent physical and mental health remains limited. Objective: This study aimed to examine the association between gadget use and physical and mental health among adolescents. Methods: A cross-sectional analytic survey was conducted among students at a state vocational high school in Palembang City, Indonesia. A total sampling technique was used, resulting in 50 respondents. Gadget use was measured using an adapted Mobile Phone Problematic Use Scale, while physical health was assessed based on eye health, hearing health, and pain-related complaints. Mental health was measured using the 6-item Kutcher Adolescent Depression Scale. Data were analyzed using univariate analysis and Kendall’s tau correlation test, with a significance level of 0.05. Results: Most respondents were middle adolescents aged 16–18 years (90%) and male (68%). The majority were classified as at-risk gadget users (90%). More than half of the respondents had moderate physical health problems (56%), and most respondents were categorized as having depressive symptoms (90%). Bivariate analysis showed no significant association between gadget use and physical health among adolescents (r = 0.055; p = 0.687). Similarly, no significant association was found between gadget use and mental health (r = 0.228; p = 0.106). Conclusion: Gadget use was not significantly associated with physical or mental health among adolescents in this study. These findings suggest that adolescent physical and mental health may be influenced by multiple factors beyond gadget use, including lifestyle, social environment, family factors, academic stress, and individual coping mechanisms. Further studies with larger samples and more comprehensive assessment of confounding variables are recommended.

Parent-adolescent communication and adolescent mental health outcomes: A systematic review Dewa Ayu Sri Saraswati; Zakiyah Mujahidah; Oom Komalasari
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.767

Background: Parent-adolescent communication is an essential family process that may influence adolescent mental health outcomes, particularly during a developmental period marked by emotional, social, and behavioral transitions. Poor communication within the family may increase adolescents’ vulnerability to depression, anxiety, emotional difficulties, behavioral problems, suicidal ideation, and low psychological well-being. Objective: This systematic review aimed to synthesize current evidence on the relationship between parent-adolescent communication and adolescent mental health outcomes. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guideline. Literature searches were conducted in Scopus, ProQuest, PubMed, and SAGE Journals, with the final search completed in March 2026. Eligible studies were primary empirical articles published between 2015 and 2026 in English or Indonesian, involving adolescents aged 10–19 years or samples predominantly composed of adolescents. Study selection, quality appraisal, and data extraction were conducted independently by two reviewers, with disagreements resolved through discussion or consultation with a third reviewer. The Joanna Briggs Institute Critical Appraisal Checklists were used to assess methodological quality. A narrative synthesis was performed because of heterogeneity in study designs, populations, communication measures, and mental health outcomes. Results: Of 10,803 records initially identified, 10 studies were included in the final synthesis. The evidence showed that positive, open, consistent, and culturally sensitive parent-adolescent communication was associated with better adolescent mental health outcomes. Poor communication was linked to higher depressive symptoms, anxiety, emotional distress, behavioral problems, family conflict, and reduced treatment engagement. Communication also supported emotional disclosure, help-seeking behavior, parental care management during suicidal crises, and engagement in family-centered mental health interventions. Cultural context, digital exposure, parental mental health literacy, and structural barriers influenced the quality of communication. Conclusion: Parent-adolescent communication is a key protective factor for adolescent mental health. Family-centered prevention and clinical interventions should strengthen parental listening, emotional validation, mental health literacy, crisis response, and culturally responsive communication.

Structured exercise interventions for reducing anxiety in older adults across settings and health conditions: A systematic review Anisa Rizki Fadhilah; Aditya Denny Pratama
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.744

Background: Anxiety is a common psychological problem among older adults and is often not optimally managed. Pharmacological treatment may be limited by side effects and tolerability concerns in later life. Structured exercise interventions have been proposed as feasible non-pharmacological approaches, but evidence focused specifically on anxiety reduction across different older adult populations remains fragmented. Objective: To synthesize evidence on the effectiveness of structured exercise interventions in reducing anxiety among adults aged 60 years and older across different settings and health conditions. Methods: A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. PubMed, ScienceDirect, CrossRef, Scopus, and Google Scholar were searched for studies published from 2015 to 2025, with the final search conducted on April 8, 2026. Randomized controlled trials and quasi-experimental studies involving structured exercise and validated anxiety measures were included. Study quality was appraised using Joanna Briggs Institute (JBI) tools and findings were synthesized narratively. Results: Eleven studies were included. Most studies reported reductions in anxiety after aerobic exercise, resistance training, multimodal programs, or home-based routines. Effects were reported among healthy/community-dwelling older adults, nursing home residents, and participants with chronic conditions, including those with cancer and Parkinson’s disease. Interventions lasting 6-12 weeks with 2-4 sessions per week were most frequently linked with improved anxiety outcomes. Despite heterogeneity in designs and instruments, results were generally consistent in direction. Conclusions: Structured exercise interventions are generally associated with reduced anxiety in older adults across multiple settings and health conditions. Further high-quality studies are needed to clarify the most effective exercise prescription and the long-term sustainability of benefits.

Caregiver burden and coping strategies among family caregivers of patients with chronic kidney disease undergoing hemodialysis: A descriptive study Shinta Nur Haliza; Hendy Lesmana; Ayuk Cucuk Iskandar
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.749

Background: Chronic kidney disease is a progressive condition requiring long-term hemodialysis therapy and affects not only patients but also family caregivers involved in daily care. Continuous caregiving demands may lead to physical, emotional, social, financial, and care-related burdens, requiring adaptive coping strategies to sustain caregiving roles. Objective: This study aimed to identify caregiver burden and coping strategies among family caregivers of patients with chronic kidney disease undergoing hemodialysis. Methods: This descriptive quantitative study was conducted at Regional Hospital in Tarakan from December 2025 to February 2026. A total of 133 family caregivers of patients with chronic kidney disease undergoing hemodialysis were recruited using a total sampling technique based on predetermined inclusion and exclusion criteria. The Zarit Burden Interview was used to assess caregiver burden, while the Brief COPE was used to measure coping strategies. Data were analyzed using univariate analysis with Jamovi and presented as frequency distributions, percentages, medians, minimum values, and maximum values. Results: Most respondents were adults, female, housewives, had a monthly family income of IDR 1,000,000–3,000,000, and were the patients’ children. The majority of caregivers experienced mild burden, accounting for 84 respondents (63.2%). The most dominant coping strategy was emotion-focused coping, with a median score of 24, a minimum score of 13, and a maximum score of 34. The most frequently used coping subscales were positive reframing, acceptance, and religion, each with a median score of 8. Conclusion: Most family caregivers of patients with chronic kidney disease undergoing hemodialysis experienced mild caregiver burden and tended to use emotion-focused coping as their primary strategy. Regular caregiver burden screening, education on adaptive coping strategies, and psychosocial support should be strengthened within hemodialysis care services.

Effect of basic life support education using lecture and demonstration methods on teachers’ knowledge and skills in managing drowning incidents: A pra-experimental study Agung Julian Pangestu; Linawati Novikasari; Riska Wandini; Setiawati Setiawati
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.754

Background: Drowning is a time-critical emergency that can rapidly lead to respiratory failure, hypoxic injury, cardiac arrest, and death when immediate assistance is not provided. Teachers in coastal and flood-prone school environments may act as first responders because they are often the nearest adults when drowning incidents occur among students. However, teachers frequently have limited formal exposure to Basic Life Support and drowning management procedures. Objective: This study aimed to determine the effect of Basic Life Support education using lecture and demonstration methods on teachers’ knowledge and skills in managing drowning incidents. Methods: This study employed a quantitative pre-experimental design with a one-group pre-test and post-test approach. The study involved 20 teachers from the Muhammadiyah Panjang Foundation, Bandar Lampung, selected using total sampling. The intervention consisted of one structured 120-minute educational session using lecture, mannequin-based demonstration, guided practice, and feedback. Teachers’ knowledge was measured before and after the intervention using a structured questionnaire, while skills were assessed after the intervention using a standard operating procedure-based observation checklist. Descriptive statistics were used to summarize respondent characteristics, knowledge scores, and post-intervention skill performance. The Wilcoxon signed-rank test was used to examine differences in knowledge scores before and after the intervention. Results: Most respondents were female (80.0%) and aged 21–30 years (75.0%). All respondents had no previous experience in handling drowning victims or performing Basic Life Support. The mean knowledge score increased from 5.85 ± 1.140 before the intervention to 15.80 ± 0.410 after the intervention. The Wilcoxon signed-rank test showed a significant improvement in knowledge scores after the intervention (Z = -3.965; p < 0.001). The mean post-intervention skill score was 14.80 ± 0.523, indicating good practical performance after training. Conclusion: Basic Life Support education using lecture and demonstration methods significantly improved teachers’ knowledge and supported good post-intervention skills in managing drowning incidents. Schools in high-risk areas should integrate structured Basic Life Support training into routine emergency preparedness programs.

Patient family satisfaction and affective anger among families of hemodialysis patients in Lampung general hospital: A cross-sectional study Nabilla Puji Lestarie; Prima Dian Furqoni; Triyoso Triyoso; Dian Asih Rianty
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.759

Background: Hemodialysis care creates repeated interactions between healthcare providers, patients, and family members. Families who accompany patients during hemodialysis often evaluate the quality of services while also experiencing emotional tension related to caregiving demands. However, limited evidence has examined the relationship between patient family satisfaction and affective anger among families of hemodialysis patients. Objective: This study aimed to examine the relationship between patient family satisfaction and affective anger among families of patients undergoing hemodialysis at Lampung General Hospital. Methods: This study used an analytical cross-sectional design. The study was conducted in the hemodialysis unit in Bandar Lampung. A total of 179 adult family members of patients undergoing hemodialysis were selected using purposive sampling. Patient family satisfaction was measured using an adapted SERVQUAL-based questionnaire focusing on responsiveness and reliability, while affective anger was assessed using the emotional burden subscale of the Cognitive Behavioural Assessment. Data were analyzed using descriptive statistics and the Spearman Rank correlation test because the data were not normally distributed. Results: Most respondents reported being somewhat satisfied with hemodialysis services (50.8%), followed by satisfied (29.6%), dissatisfied (10.1%), very dissatisfied (8.4%), and very satisfied (1.1%). Affective anger was mostly categorized as low (37.4%), followed by moderate (28.5%), very low (16.8%), high (10.1%), and very high (7.3%). The Spearman Rank correlation test showed a strong, significant, and negative relationship between patient family satisfaction and affective anger (rs = -0.693; p < 0.001). Higher family satisfaction was associated with lower affective anger among family members. Conclusion: Patient family satisfaction was strongly and negatively associated with affective anger among families of hemodialysis patients. Hemodialysis units should strengthen family-centered care through responsive communication, reliable service processes, structured information delivery, and early identification of family emotional distress.

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Contact Name
M. Agung Abar

Contact Email
magungakbar24@gmail.com

Phone
+6281377994124

Journal Mail Official
lenteraperawat@stikesalmaarif.ac.id

Editorial Address
Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location
Kab. ogan komering ulu,

Sumatera selatan

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name M. Agung Abar

Contact Email magungakbar24@gmail.com

Phone +6281377994124

Journal Mail Official lenteraperawat@stikesalmaarif.ac.id

Editorial Address Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location Kab. ogan komering ulu, Sumatera selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
M. Agung Abar

Contact Email
magungakbar24@gmail.com

Phone
+6281377994124

Journal Mail Official
lenteraperawat@stikesalmaarif.ac.id

Editorial Address
Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location
Kab. ogan komering ulu,

Sumatera selatan

INDONESIA