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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 390 Documents
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Factors associated with exclusive breastfeeding among mothers of infants aged 7–12 months in Bandar Lampung, Indonesia: A cross-sectional study Renata Sheilawati; Rilyani Rilyani; Riska Wandini
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.801

Abstract

Background: Exclusive breastfeeding is an important maternal and child health practice, but coverage can vary markedly within the same administrative area. Pinang Jaya Public Health Center reported lower coverage than the Bandar Lampung city estimate, indicating a need for local evidence. Objective: To identify maternal and contextual factors associated with exclusive breastfeeding among mothers of infants aged 7–12 months in the working area of Pinang Jaya Public Health Center, Bandar Lampung, Indonesia. Methods: This cross-sectional study included all 40 eligible mothers registered in the health-center working area in November 2025. Knowledge was measured with 20 dichotomous items (score 0–20; good = 15–20). Attitude was measured with six five-point Likert items (score 6–30; positive = 23–30), and sociocultural support was measured with ten five-point Likert items (score 10–50; supportive = 38–50). Exclusive breastfeeding was determined using a structured infant-feeding history and checked against maternal and child health records when feeding information was available. Continuity-corrected Chi-square tests were used when expected cell counts were adequate; Fisher’s exact test was used for maternal age because the minimum expected count was 2.85. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for the odds of exclusive breastfeeding. Results: Exclusive breastfeeding was reported by 21 mothers (52.5%). Significant associations were observed for good knowledge (OR = 11.900; 95% CI = 2.674–52.959; p = 0.002), being unemployed compared with employed (OR = 16.800; 95% CI = 3.417–82.603; p < 0.001), high education (OR = 8.960; 95% CI = 2.140–37.522; p = 0.005), positive attitude (OR = 10.667; 95% CI = 2.308–49.306; p = 0.003), and supportive sociocultural conditions (OR = 10.667; 95% CI = 2.308–49.306; p = 0.003). Maternal age and parity were not significantly associated with exclusive breastfeeding. Conclusion: Knowledge, employment status, education, attitude, and sociocultural support were associated with exclusive breastfeeding in this small health-center population.
Comfort-oriented nursing interventions to improve quality of life in hemodialysis patients: A systematic review Abiyyu Faqih Dhiyaus Suud Ahmad; Enny Mulyatsih; Dwi Retno Sulistyaningsih
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.802

Abstract

Background: Patients undergoing hemodialysis frequently experience fatigue, pain, muscle cramps, and reduced functional capacity, which adversely affect their quality of life. Non-pharmacological nursing interventions using a comfort-oriented approach are believed to improve patients’ physical comfort and functional status. However, the available recent evidence remains heterogeneous and has not been systematically synthesized. Objective: This study aimed to review and synthesize recent evidence regarding the effectiveness of comfort-oriented nursing interventions in improving physical comfort, functional capacity, and quality of life among patients undergoing hemodialysis. Methods: A systematic review was conducted by searching Scopus, PubMed, ScienceDirect, Google Scholar, and relevant research registries for studies published between 2020 and April 2026. Eligible studies included randomized controlled trials, quasi-experimental studies, observational studies, and qualitative studies reporting outcomes related to comfort, functional capacity, and quality of life among adult patients undergoing hemodialysis. Methodological quality was assessed using the Cochrane Risk of Bias Tool, Newcastle–Ottawa Scale, and Critical Appraisal Skills Programme checklists. Data were extracted and narratively synthesized to describe intervention effects, underlying mechanisms, and heterogeneity across the findings. Results: Of the 801 records identified, 10 studies met the inclusion criteria. The interventions demonstrated improvements in physical comfort, muscle strength, mobility, and quality of life. Multicomponent and technology-based interventions also improved patient engagement, treatment adherence, and nutritional markers. Heterogeneity in study populations, intervention duration, and study designs affected the strength of the evidence. Nevertheless, consistent patterns indicated that nurse-delivered interventions provided beneficial outcomes within dialysis care settings. Conclusion: Comfort-oriented nursing interventions appear to be safe, feasible, and effective in improving physical comfort, functional capacity, and quality of life among patients undergoing hemodialysis. The findings support the integration of physical exercise, relaxation techniques, and multicomponent strategies into routine dialysis nursing care.
Nursing interventions in the prevention of postpartum hemorrhage: A systematic review Jenoveva Soares; Nopi Nur Khasanah; Sri Wahyuni
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.805

Abstract

Background: Postpartum hemorrhage (PPH) remains a major cause of preventable maternal morbidity and mortality. Nursing and midwifery interventions may contribute to risk recognition, early response, clinical monitoring, and professional preparedness; however, the available evidence is methodologically diverse. Objective: To synthesize eight eligible publications on nursing and midwifery contributions to postpartum hemorrhage (PPH) prevention and early management, including primary intervention evidence and contextual or conceptual evidence, and to examine their relevance to Wiedenbach's Need for Help theory. Methods: This systematic review was reported in accordance with PRISMA 2020. PubMed, ProQuest, SAGE Journals, and ClinicalKey for Nursing were searched for English-language publications from January 2015 to December 2025. The search identified 5,397 records, 56 full-text reports were assessed, and eight publications were included: four primary intervention studies and four contextual or conceptual publications. Design-appropriate Joanna Briggs Institute appraisal criteria were used, and findings were synthesized narratively in separate evidence strata. Results: The eight included publications comprised one randomized clinical trial, one non-randomized controlled study, two one-group pretest-posttest studies, one qualitative evidence synthesis, one integrative review, one narrative review, and one conceptual paper. Primary clinical studies reported reductions in blood-loss scores or nursing risk events, while educational studies reported improved knowledge or competency. Contextual sources highlighted physiological care strategies, objective monitoring, communication, resource readiness, and barriers to timely recognition. None of the publications directly tested Wiedenbach's theory. Conclusion: Nursing and midwifery interventions show potential to strengthen PPH prevention and early management.      
Nutrition-related parenting practices and child nutritional status in urban and rural settings: A systematic review Komariah Komariah; Nopi Nur Khasanah; Sri Wahyuni; Herry Susanto; Sri Tutik Rahayu
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.811

Abstract

Background: Nutrition-related parenting practices operate within social and geographic environments that shape food availability, caregiving resources, and access to preventive services. Evidence linking these practices to child nutritional status across urban and rural settings remains fragmented and methodologically heterogeneous. Objective: To synthesize evidence on the association between nutrition-related parenting or caregiving practices and nutritional status among children aged 0–12 years, and to examine whether the association differs between urban and rural settings. Methods: This systematic review followed PRISMA 2020 and the Synthesis Without Meta-analysis (SWiM) framework. The last search was conducted on 31 May 2026 in Scopus, PubMed/MEDLINE, SAGE Journals, and ClinicalKey for Nursing for English-language studies published from January 2015 to May 2026.   Results: Eight cross-sectional studies involving 6,062 children or caregiver–child pairs were included; two were secondary analyses of population-based surveys. Three studies were rated low risk of bias and five moderate risk. Rural children consistently had a higher burden of stunting or underweight in comparative studies, but urban–rural differences in feeding practices did not uniformly account for this gap. Delayed complementary feeding and bottle feeding were associated with malnutrition in one Indian study. Grandparenting was associated with malnutrition in rural, but not urban, Chinese children. In other studies, feeding domains showed weak or non-significant associations after adjustment, while child illness, birth weight, maternal nutritional status, household socioeconomic conditions, and service use were more consistent correlates. Conclusion: Nutrition-related parenting practices are relevant to child nutritional status, but their effects are contingent on household resources, child health, and place of residence. The evidence does not support treating urban–rural residence or parenting practice as an isolated causal determinant.
Effects of intradialytic exercise on physical and psychological outcomes in patients undergoing hemodialysis: A systematic review Indra Frana Jaya KK; Novi Yanti S; Ayu Prawesti Priambodo
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.815

Abstract

Background: Patients undergoing maintenance hemodialysis frequently experience physical and psychological problems, including fatigue, reduced functional capacity, muscle weakness, anxiety, stress, depression, and a decline in quality of life. These conditions are influenced by chronic kidney disease, long-term hemodialysis, limitations in physical activity, and dependence on dialysis therapy. Intradialytic exercise, defined as physical exercise performed during a hemodialysis session, is a nonpharmacological intervention with the potential to improve patients' physical and psychological conditions. Objective: To evaluate the effectiveness of intradialytic exercise on physical and psychological outcomes in patients undergoing hemodialysis. Methods: This systematic review was conducted in accordance with the PRISMA guidelines and was registered in PROSPERO under registration number CRD420261386106. Literature searches were conducted in PubMed, ScienceDirect, Scopus, Web of Science, and CINAHL. Articles published from 2020 to 2026 were searched, with the final search conducted in May 2026. The included studies were quantitative studies, primarily randomized controlled trials, quasi-experimental studies, or other intervention studies that evaluated exercise performed during hemodialysis and reported physical and/or psychological outcomes. Study selection, data extraction, and quality assessment were performed independently by the reviewers. A total of 18 studies met the inclusion criteria and were analyzed in this systematic review. Results: The synthesis showed that intradialytic exercise had positive effects on physical outcomes, including improvements in functional capacity, muscle strength, activity tolerance, and physical performance, as well as reductions in fatigue. Several studies also reported improvements in psychological outcomes, including reductions in anxiety, stress, and depression and improvements in quality of life. Conclusion: Intradialytic exercise may be an effective nonpharmacological intervention for improving physical and psychological outcomes in patients undergoing hemodialysis, while taking into account each patient's clinical condition, safety, and individual capabilities.
Preliminary effects of a red ginger–honey drink on symptoms of acute respiratory infection in toddlers: A quasi-experimental study Ferri Arya Ardiyanto; Setiawati Setiawati; Linawati Novikasari
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.856

Abstract

Background: Acute respiratory infection (ARI) is a common cause of illness in children younger than five years. Red ginger and honey have anti-inflammatory, antimicrobial, antioxidant, and demulcent properties that may relieve respiratory symptoms, although pediatric evidence remains limited. Objective: To evaluate changes in body temperature, respiratory rate, cough frequency, and peripheral oxygen saturation among toddlers receiving usual care with or without an adjunctive red ginger–honey drink. Methods: A quasi-experimental nonequivalent pretest–posttest control-group study was conducted at the Labuhan Ratu Community Health Center, Bandar Lampung, in 2026. Thirty toddlers with physician-diagnosed ARI were selected purposively and allocated to an intervention group (n = 15) or a control group (n = 15). Both groups continued physician-prescribed care; the intervention group additionally received a drink prepared from 5–10 g of fresh red ginger in 150–200 mL of water plus 10 g of honey twice daily for five days. Paired-samples t tests and Wilcoxon signed-rank tests evaluated within-group changes. Results: Body temperature did not change significantly in either group (intervention p = .913; control p = .275). Respiratory rate decreased in both groups (both p = .001), cough frequency decreased in both groups (both p < .001), and oxygen saturation increased in both groups (intervention p = .002; control p = .013). The reduction in cough frequency was descriptively greater in the intervention group (mean change 8.267) than in the control group (mean change 7.200). Conclusion: Clinical improvement occurred in both groups. The red ginger–honey drink may have adjunctive potential, particularly for cough relief, but superiority over usual care cannot be established from within-group tests alone. Larger studies using randomized allocation, baseline comparability assessment, and direct between-group analyses are required.
Nurses ethical dilemmas in responding to requests to withdraw life-sustaining treatment: A qualitative study from bioethical and Maqashid Al-Shariah perspectives Lulu Azizah Zahro; Alyya Dwiyulianti Pratiwi; Lugita Julian Pamungkas; Nabila Komarudin; R Intania Putri Az Zahra; Tedi Supriyadi; Akhmad Faozi
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.865

Abstract

Background: Ethical dilemmas surrounding the limitation of life-sustaining treatment in patients experiencing medical futility remain complex because they involve clinical, ethical, legal, and religious considerations. Nurses frequently encounter these situations because of their close involvement with patients and families during end-of-life care. Purpose: This study aimed to explore nurses’ ethical dilemmas in responding to the limitation of life-sustaining treatment from bioethical and maqashid al-Shari’ah perspectives. Methods: This descriptive qualitative study used purposive sampling. Eleven participants, comprising seven nursing professionals and four religious leaders from Sumedang and Bandung, Indonesia, were recruited. Data were collected through in-depth, semi-structured interviews and analyzed using the Miles and Huberman interactive analysis model. Results: Four major themes emerged: (1) limitations of nurses’ authority in decision-making; (2) nurses’ roles as patient advocates and communication mediators; (3) integration of bioethical principles and maqashid al-Shari’ah in treatment limitation under conditions of medical futility; and (4) transformation of nursing care toward palliative and spiritual approaches. Participants emphasized that nurses do not have independent authority to discontinue life-sustaining treatment but play essential roles in advocacy, communication, comfort care, and spiritual support. Treatment-limitation decisions were understood as multidisciplinary clinical decisions guided by bioethical principles and the concept of hifz al-nafs. Conclusions: Ethical dilemmas related to treatment limitation in medical futility require an integrative approach combining clinical, ethical, legal, and spiritual considerations. The findings highlight the importance of collaboration among healthcare professionals, families, and religious leaders in supporting ethical, patient-centered end-of-life care.
Improving reproductive health self-efficacy among female adolescents through audiovisual based education: A pre-experimental study Alim Hidayat; Eko Mardiyaningsih
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.880

Abstract

Background: Adolescent girls need reproductive health education that not only provides accurate information but also strengthens confidence in making healthy decisions. School-based audiovisual education may offer an engaging and developmentally appropriate strategy to improve reproductive health self-efficacy among junior high school female. Objective: This study aimed to examine differences in self-efficacy among female adolescents before and after receiving PERSADA, an audiovisual-based reproductive health education intervention. Methods: This quantitative study used a pre-experimental one group pretest posttest design. A total of 161 female students from grades VIII and IX at a junior high school located in the Semarang regency were selected through purposive sampling from a population of 269 students. Self-efficacy was measured using a questionnaire administered before and after the intervention. Data were analyzed using descriptive statistics and the paired sample t-test. Results: The mean self-efficacy score increased from 61.37 before the intervention to 67.32 after the intervention, with a mean difference of 5.95 points. The minimum score increased from 48 to 56, while the maximum score increased from 76 to 79. The standard deviation decreased from 7.921 to 5.664, indicating more homogeneous post intervention scores. The paired sample t-test showed p = 0.000, indicating a statistically significant difference in self-efficacy before and after PERSADA. Conclusion: PERSADA was associated with a significant improvement in reproductive health self-efficacy among female adolescents These findings suggest that audiovisual-based reproductive health education can be used as a practical school-based health promotion strategy to strengthen adolescents’ confidence in understanding and maintaining reproductive health.
Changes in self-care following a family-based care intervention among patients with type 2 diabetes mellitus: A one-group pretest–posttest study Chika Tiara Oktaviana; Ismonah Ismonah; Dwi Yogo Budi Prabowo
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.823

Abstract

Background: Self-care is a fundamental component of diabetes management; however, many patients with type 2 diabetes mellitus demonstrate inadequate self-care practices. Family support plays an important role in promoting adherence to medication, dietary management, physical activity, blood glucose monitoring, and foot care, thereby supporting diabetes self-management. Objective: This study aimed to evaluate changes in self-care following a family-based care intervention among patients with type 2 diabetes mellitus. Methods: A quantitative pre-experimental study using a one-group pretest–posttest design was conducted among 30 patients with type 2 diabetes mellitus recruited through purposive sampling at Mijen Primary Health Center, Semarang, Indonesia. Participants received a two-week family-based care intervention consisting of structured family education during the first week and family monitoring during the second week. Self-care was assessed before the intervention and immediately after the intervention using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Data were analyzed using the Wilcoxon signed-rank test. Results: Most participants were aged 56–65 years (53.3%), female (56.7%), and had completed elementary school education (40.0%). Before the intervention, most participants were categorized as having fair self-care (53.3%), whereas after the intervention, most were categorized as having good self-care (63.3%). Wilcoxon signed-rank test showed a statistically significant difference between pretest and posttest self-care scores (Z = −4.963, p < 0.001). Conclusion: Participants demonstrated higher self-care scores following the family-based care intervention than before the intervention. These findings provide preliminary evidence that involving family members may support self-care among patients with type 2 diabetes mellitus in primary healthcare settings. Further controlled studies with larger samples and longer follow-up periods are needed to confirm the effectiveness of this intervention.
Changes in low back pain intensity following red ginger warm compresses among pregnant women in the third trimester: A pre-experimental study Popi Lya Destari; Risqina Putri; Afrilia Fazrina; Afni Yan Syah; Che Azunie Che Abdullah
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.847

Abstract

Background: Pregnancy is a natural process experienced by every woman, during pregnancy the mother can experience various complaints, one of which is back pain, especially in the third trimester. If not addressed, back pain can disrupt daily activities and reduce the quality of life of pregnant women. One non-pharmacological intervention to reduce back pain is the red ginger warm compress therapy. Red ginger contains essential oils that are warm, thus increasing blood flow, helping muscle relaxation, and reducing pain. Objective: This study aims to determine the effectiveness of giving a red ginger warm compress in reducing back pain in pregnant women in the third trimester. Methods: This study is a quasi-experimental study using a one-group pretest-posttest design, with a sample of 32 pregnant women in the third trimester. Sampling used non-probability sampling with purposive sampling technique. The research instrument includes an observation sheet using the Numeric Rating Scale (NRS) for pain. Results: The results show a significant decrease in back pain scores among pregnant women p<0,001, with baseline back pain scores of 4,56±1,900 and after therapy 2,47±1,344. Conclusion: The results of this study indicate that red ginger warm compress therapy is effective in reducing back pain intensity among pregnant women in the third trimester. Therefore, red ginger warm compress therapy can be recommended as a non-pharmacological intervention to help alleviate back pain intensity in this population.

Page 39 of 39 | Total Record : 390

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