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Implementation of spiritual education and the speos method using the BEST for moms e-book in mothers with ineffective breastfeeding: A nursing case study Eni Folendra Rosa; Meilina Estiani; Suparno Suparno; Rita Kamalia; Rosdiana Rosdiana
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.v7i2.760

Background: Ineffective breastfeeding remains a common postpartum nursing problem and may be manifested by insufficient milk production, poor infant latch, low breastfeeding frequency, infant dissatisfaction after feeding, and maternal anxiety. Mothers with ineffective breastfeeding require an intervention that addresses not only physiological milk production but also maternal knowledge, confidence, emotional readiness, and spiritual meaning. Spiritual breastfeeding education combined with the Stimulation of Endorphin, Oxytocin, and Suggestive massage method and digital learning media may offer a holistic approach to support breastfeeding success. Objective: This study aimed to describe the application of spiritual breastfeeding education and the SPEOS method using the BEST for Moms e-book among mothers with ineffective breastfeeding. Methods: This study used a descriptive case study design with a nursing care approach. The study was conducted in Tanjung Baru Village, Baturaja Timur, and involved two Muslim breastfeeding mothers with infants aged 0–1 month who experienced ineffective breastfeeding and were able to access the e-book. The intervention was delivered in eight visits over four weeks and included spiritual breastfeeding education, endorphin massage stimulation, oxytocin massage, suggestive techniques, and guided use of the BEST for Moms e-book. Data were collected using an ineffective breastfeeding assessment format, a spiritual breastfeeding education questionnaire, an intervention checklist, the Breastfeeding Self-Efficacy Scale–Short Form, and standard operating procedures for the intervention. Data were analyzed descriptively by comparing breastfeeding indicators before and after the intervention. Results: Both mothers showed improvement after the intervention. Breastfeeding self-efficacy increased from 51 to 59 in the first case and from 55 to 67 in the second case. Breastfeeding frequency and infant urination frequency increased from fewer than eight times per day to more than eight times within 24 hours in both cases. Maternal anxiety decreased, maternal confidence improved, infant latch and breastfeeding position became more appropriate, and infants appeared calmer after breastfeeding. Ineffective breastfeeding was resolved on day seven in the first case and on day six in the second case. Conclusion: Spiritual breastfeeding education and the SPEOS method using the BEST for Moms e-book may improve breastfeeding effectiveness, maternal self-efficacy, and infant feeding adequacy among mothers with ineffective breastfeeding.

Implementation of brain gym and puzzle therapy and changes in cognitive function among elderly people with dementia in primary health care: A descriptive case study Lisdahayati Lisdahayati; I Gusti Ayu Putu Desy Rohana; Saprianto Saprianto; Gunardi Pome; Umar Hasan Martadinata; Eldi Fajriansyah
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.v7i2.773

Background: Dementia is a progressive decline in cognitive function that affects memory, thinking, behavior, and activities of daily living, particularly among older adults. The increasing proportion of the elderly population has contributed to the rising burden of cognitive impairment, emphasizing the need for accessible non-pharmacological interventions in primary healthcare settings. Brain gym and puzzle therapy are cognitive stimulation approaches that may support cognitive function among older adults with mild cognitive impairment. Objective: This study aimed to describe changes in cognitive function among older adults before and after the implementation of brain gym and puzzle therapy. Methods: A descriptive case study was conducted in the working area of Tanjung Agung Primary Health Center, Ogan Komering Ulu Regency. Two older adults were selected using purposive sampling based on the inclusion criteria: aged 60 years or older, having mild cognitive impairment based on Mini-Mental State Examination scores, and willingness to participate in the entire intervention program. The intervention was delivered by a nurse with family members acting as caregivers over four weeks. Each session was conducted daily for 30–45 minutes, consisting of 10–15 minutes of brain gym followed by 20–30 minutes of puzzle therapy. Cognitive function was assessed before and after the intervention using the Mini-Mental State Examination and the Short Portable Mental Status Questionnaire. Data were analyzed descriptively. Results: The Mini-Mental State Examination scores increased from 18 to 24 in participant 1 and from 17 to 23 in participant 2. The Short Portable Mental Status Questionnaire error scores decreased from 5 to 3 and from 6 to 3, respectively. Additional improvements were observed in the participants’ ability to follow instructions, active participation, and speed of puzzle completion. Conclusion: Brain gym and puzzle therapy may contribute to improved cognitive function among older adults with mild cognitive impairment. These interventions can be considered as feasible non-pharmacological nursing strategies in gerontological care within primary healthcare settings.

Determinants of stunting among children under five years: A systematic review Fatmalina Febry; Hasyim Kadri; Trisnawarman Trisnawarman; Icon Harizon; Muhammad Hasan Azhari; Adinda Syafhira
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.v7i2.780

Background: Stunting remains a major chronic nutritional problem among children under five years and reflects long-term growth failure caused by biological, maternal, socioeconomic, environmental, and child-related determinants. Although many observational studies have examined factors associated with stunting, the evidence remains dispersed across different countries, populations, and methodological designs. A systematic synthesis is therefore needed to identify recurring determinants and clarify the strength of available evidence. Objective: This systematic review aimed to identify and synthesize determinants associated with stunting among children under five years of age based on recent observational studies. Methods: A systematic review was conducted following the PRISMA 2020 reporting guideline. Literature searches were performed in PubMed, ScienceDirect, and Google Scholar for articles published between 2021 and 2026. The search combined keywords and Boolean operators related to stunting, determinants, risk factors, associated factors, and children under five. 15 studies were included in the final synthesis. Study quality was assessed using the Joanna Briggs Institute critical appraisal tools. Data were synthesized narratively and grouped into maternal, socioeconomic, environmental, and child-related determinants. Results: The most consistently reported determinants were low maternal education, poor maternal nutritional status, short maternal stature, low household income, household food insecurity, poor sanitation, limited access to clean water, low birth weight, lack of exclusive breastfeeding, and inadequate complementary feeding practices. Most included studies demonstrated moderate methodological quality, although limitations remained in confounding control, sampling procedures, and causal interpretation. Conclusion: Stunting among children under five is associated with recurring and interrelated determinants across multiple domains. Because most studies were observational and meta-analysis was not performed, findings should be interpreted as recurring associations rather than definitive causal evidence. Future longitudinal and intervention studies are needed.

Relationship between knowledge level and reproductive health behavior among adolescent girls: A cross-sectional study Berta Afriani; Oca Mawadah
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.v7i2.786

Background: Adolescent reproductive health is an important aspect of adolescent girls' development because it relates to their ability to understand bodily changes, maintain reproductive hygiene, and make responsible health decisions. Adequate knowledge is needed to prevent risky behavior, reproductive tract infections, and misinformation commonly obtained from peers and digital media. Objective: This study aimed to analyze the relationship between knowledge level and reproductive health behavior among adolescent girls at SMA Sentosa Bhakti OKU. Methods: This study used an analytical quantitative design with a cross-sectional approach. The population consisted of all 30 female grade XII students at SMA Sentosa Bhakti OKU, and the sample was selected using total sampling. The independent variable was reproductive health knowledge, while the dependent variable was reproductive health behavior. Data were collected using questionnaires and analyzed using univariate and bivariate analyses. The bivariate analysis used the Chi-square test with an expected-count assessment; if the assumption was not met, the Fisher-Freeman-Halton Exact Test was used as an alternative. Results: Most respondents had a high level of knowledge (13 respondents; 43.3%), followed by moderate knowledge (7 respondents; 23.3%) and low knowledge (10 respondents; 33.3%). Reproductive health behavior was mostly categorized as good (12 respondents; 40.0%), sufficient (8 respondents; 26.7%), and poor (10 respondents; 33.3%). The analysis showed a significant relationship between knowledge level and reproductive health behavior among adolescent girls (p = 0.003). Conclusion: Knowledge level was significantly associated with reproductive health behavior among adolescent girls. Schools, school health units, and community health centers should strengthen structured, adolescent-friendly, and sustainable reproductive health education.

Relationship between husband support, maternal knowledge, and pregnancy exercise participation among pregnant women: A cross-sectional study Ramayani Ramayani; Tamela Zahra; Siti Yuriah
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.v7i2.799

Background: Pregnancy exercise is a safe form of physical activity during pregnancy and contributes to maternal physical and psychological readiness for childbirth. However, pregnant women’s participation in pregnancy exercise may be influenced by several factors, including husband support and maternal knowledge regarding its benefits. A preliminary study at TPMB Bdn. Roslina, S.Keb indicated that several pregnant women had limited knowledge of pregnancy exercise and lacked adequate support from their husbands . Objective: This study aimed to analyze the relationship between husband support, maternal knowledge, and pregnancy exercise participation among pregnant women. Methods: This study employed a cross-sectional design. The sample consisted of 50 pregnant women in the second and third trimesters selected using accidental sampling. Data were collected through direct interviews using questionnaires measuring husband support and maternal knowledge of pregnancy exercise. Univariate and bivariate analyses were conducted using the Chi-square test with SPSS . Results: Of the 50 respondents, 33 pregnant women (66.0%) participated in pregnancy exercise, 29 respondents (58.0%) received husband support, and 31 respondents (62.0%) had good knowledge of pregnancy exercise. Bivariate analysis showed a significant relationship between husband support and pregnancy exercise participation (p < 0.001). Maternal knowledge was also significantly associated with pregnancy exercise participation (p < 0.001). Conclusion: Husband support and maternal knowledge were significantly associated with pregnancy exercise participation among pregnant women. Strengthening husband involvement and health education delivered by midwives may improve pregnant women’s participation in pregnancy exercise programs.

Ultra processed food consumption and childhood obesity in food-insecure settings: A systematic review Windi Indah Fajar Ningsih; Wilma Hannie Daniel; Rhipiduri Rivanica; Roza Holilah; Fatmalina Febry; Rizma Adlia Syakurah
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.v7i2.818

Background: Childhood obesity continues to rise globally among populations with food insecurity. Children’s reliance on ultra-processed foods (UPFs) is driven by their high energy density, affordability, and widespread accessibility. This condition contributes to the emerging paradox of the coexistence of food insecurity and childhood obesity associated with UPF consumption. Objective: This systematic review aims to systematically evaluate the association between ultra-processed food (UPF) consumption and the risk of obesity among children living in food-insecure settings. Methods: A systematic literature review was conducted using four electronic databases: ScienceDirect, PubMed, Cochrane Library, and Europe PMC, covering publications from 2016 to 2026. It was conducted from 7th April to 10th April. A total of 109 articles were identified through the initial search process, and 10 studies that met the predefined PICO framework and inclusion criteria were included in the final synthesis. Risk of bias was assessed using appraisal tools appropriate to each study design. Results: The included studies demonstrated that high consumption of ultra-processed foods (UPFs) was associated with an increased risk of overweight and obesity, poorer diet quality, and unhealthy feeding practices among children. Food insecurity was also linked to a greater likelihood of UPF consumption, lower dietary diversity, and reduced intake of fruits and vegetables. Conclusion: UPF consumption contributes to the increasing prevalence of childhood obesity in food-insecure settings. Food insecurity promotes poor-quality dietary choices and dependence on inexpensive processed foods, highlighting the need for policies aimed at improving access to healthy foods and enhancing education regarding UPF consumption among vulnerable populations.

Overview of nursing problems in patients undergoing hemodialysis using Virginia Henderson's nursing theory approach: A descriptive study Aniska Indah Fari; Veroneka Yosefpa Windahandayani
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.v7i2.821

Background: Patients undergoing hemodialysis often experience complex nursing problems involving physiological, psychological, social, and spiritual dimensions. A comprehensive nursing assessment is therefore essential to identify patients’ basic needs and guide holistic care. Virginia Henderson’s nursing theory provides a relevant framework for assessing 14 fundamental human needs among patients with chronic kidney disease receiving hemodialysis. Objective: This study aimed to describe nursing problems among patients undergoing hemodialysis using Virginia Henderson’s nursing theory approach. Methods: This study employed a quantitative descriptive design. The study was conducted in the Hemodialysis Unit of RSUD Siti Fatimah Az-Zahrah Palembang from June to July 2025. A total sampling technique was used, involving 35 patients who met the inclusion criteria, namely undergoing routine hemodialysis twice weekly, having received hemodialysis for more than three months, and using an arteriovenous fistula. Data were collected through interviews, physical examination, and nursing documentation review using an observation sheet based on Virginia Henderson’s 14 basic human needs. Nursing problems were identified according to the Indonesian Nursing Diagnosis Standards. Data were analyzed descriptively and presented as frequencies and percentages. Results: The mean age of respondents was 52.17 years, with a standard deviation of 11.947. Most respondents were female (51.4%), and 40% had undergone hemodialysis for more than 24 months. The most prevalent nursing problem was hypervolemia, found in all respondents (100%), followed by ineffective breathing pattern (80%), fatigue (80%), impaired urinary elimination (72%), ineffective role performance (23%), hopelessness (20%), ineffective health management (17%), and disturbed sleep pattern (17%). No nursing problem was identified in relation to worship according to personal belief. Conclusion: Patients undergoing hemodialysis experience multiple nursing problems, predominantly related to fluid balance, respiratory function, fatigue, elimination, and psychosocial role performance. Virginia Henderson’s nursing theory offers a comprehensive framework for identifying basic human needs and strengthening holistic, patient-centered nursing care in hemodialysis units.

Nursing students’ experiences of case-based learning in medical-surgical nursing courses: A phenomenological qualitative Devia Putri Lenggogeni; Hema Malini; Esthika Ariany Maisa; Bunga Permata Wenny; Mahathir Mahathir
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.v7i2.849

Background: Case-Based Learning (CBL) method is interactive and utilizes actual or realistic scenarios to promote authentic learning. It is an interactive, student-centred exploration that begins with illustrating real-life situations. CBL combines a constructivist and experiential approach, developing professional skills such as problem-solving, clinical reasoning, and knowledge of theory. Objective: This study aimed to explore students' experiences in using CBL learning method in medical-surgical nursing courses at Faculty of Nursing, Universitas Andalas. Methods: This study used a descriptive phenomenological qualitative design. Twenty-three fifth-semester nursing students enrolled in medical-surgical nursing courses using CBL were selected through purposive sampling. Data were collected in July 2022 through three focus group discussions lasting 60–90 minutes, guided by semi-structured questions on students’ perceptions, benefits, challenges, and suggestions for CBL implementation. Audio recordings were transcribed verbatim and analyzed using the Stevick-Colaizzi-Keen phenomenological method. Trustworthiness was ensured through credibility, transferability, dependability, and confirmability. Results: Based on the results of the thematic analysis, several themes were found, including (1) CBL learning method develops analytical thinking students (2) Using cases in CBL learning method improves the quality of learning (3) Inappropriate standard of implementation CBL learning methods. Conclusion: This study showed some benefits of using CBL learning method. Based on the results, it is necessary to optimize the implementation of CBL in medical-surgical nursing courses and develop it in other courses in Faculty of Nursing, Universitas Andalas.

Comparison of the effectiveness of beetroot juice (beta vulgaris l.) and date palm extract (phoenix dactylifera) on increasing hemoglobin levels among adolescent girls with anemia: A quasi-experimental study Shindi Shafitri; Setiawati Setiawati; Umi Romayati Keswara
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.v7i2.850

Background: Anemia is a common health problem among adolescent girls and may reduce concentration, physical fitness, learning capacity, and future reproductive health. Beetroot juice and date palm extract are potential non-pharmacological nutritional interventions for increasing hemoglobin levels. However, comparative evidence between these two interventions among adolescent girls with anemia remains limited. Objective: This study aimed to compare the effectiveness of beetroot juice and date palm extract in increasing hemoglobin levels among adolescent girls with anemia at SMA Negeri 14 Bandar Lampung in 2026. Methods: This quantitative study used a quasi-experimental two-group pretest-posttest design and was reported in accordance with relevant TREND guideline items for non-randomized intervention studies. Thirty adolescent girls with anemia were selected through purposive sampling from 196 grade XI female students and allocated into two equal intervention groups. The beetroot juice group received 250 mL of beetroot juice once daily for seven consecutive days, while the date palm extract group received one tablespoon of date palm extract twice daily for seven consecutive days. Hemoglobin levels were measured before and after intervention using the EasyTouch GCHb device. Data were analyzed using the Wilcoxon signed-rank test, Mann-Whitney U test, and effect size estimation. Results: The mean hemoglobin level increased from 10.827 to 12.980 g/dL in the beetroot juice group, with a mean difference of 2.153 g/dL, and from 10.687 to 11.540 g/dL in the date palm extract group, with a mean difference of 0.853 g/dL. The Wilcoxon test showed significant increases in both groups (p = 0.001), with a large effect size in the beetroot juice group (r = 0.89) and date palm extract group (r = 0.89). The Mann-Whitney U test showed a significant difference in hemoglobin improvement between groups (p = 0.001), with a large between-group effect size (r = 0.68; Cliff’s delta = 0.80). Conclusion: Beetroot juice and date palm extract were associated with increased hemoglobin levels among adolescent girls with anemia, with a greater increase observed in the beetroot juice group. The interventions may be considered complementary food-based nutrition education strategies rather than substitutes for iron supplementation programs.

Factors associated with dengue hemorrhagic fever prevention practices: A cross-sectional study Toto Harto; Roni Ferdi; Desta Rahmawati
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.v7i2.863

Background: Dengue Hemorrhagic Fever (DHF) remains an important public health problem in tropical regions, including Indonesia. Community prevention practices are essential because dengue transmission is closely related to household behavior, mosquito breeding sites, and routine vector control activities. This study examined knowledge, attitude, and selected environmental factors as determinants of DHF prevention practices in Laya Village. Methods: This study used a quantitative analytic design with a cross-sectional approach. The population consisted of 359 households in Laya Village. A total of 78 respondents were selected using the Slovin formula and proportional allocation across five neighborhood clusters. Data were collected using structured questionnaires measuring knowledge, attitude, environmental factors, and DHF prevention practices. Environmental factors included the presence of discarded items, the habit of hanging clothes, and the use of mosquito repellents. Data were analyzed using univariate analysis and the Chi-square test. Results: Most respondents had good knowledge (61.5%), good attitudes (52.6%), good management of discarded items (76.9%), good practice regarding hanging clothes (56.4%), and good use of mosquito repellents (83.3%). However, DHF prevention practices were mostly categorized as poor (51.3%), followed by adequate (42.3%) and good (6.4%). Bivariate analysis showed a significant relationship between knowledge and DHF prevention practices (p = 0.008). Attitude (p = 0.065), presence of discarded items (p = 0.119), habit of hanging clothes (p = 0.546), and use of mosquito repellents (p = 0.304) were not significantly associated with DHF prevention practices. Conclusion: Knowledge was significantly associated with DHF prevention practices, while attitude and the three environmental indicators were not significantly associated. Continuous health education, community empowerment, and routine mosquito breeding site control are needed to strengthen DHF prevention at the household and community levels.

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Contact Name
M. Agung Abar

Contact Email
magungakbar24@gmail.com

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+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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Abstract

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