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31 Environmental and occupational health ABS-136

Children^s Safety Behaviour At School
Julaikah1*), Sri Yuni Tursilowati1), Rofiatun2), Nur Oktaviana3), Siti Riza Fatimah Syafrudin3)

1. Surya Global College of Health Sciences
2.YAB Physiotherapy Academy
3. Public Health Science Study Program Student, Surya Global College of Health Sciences


Abstract

Background: Children are vulnerable to potential dangers and accidents, because they have cognitive limitations and low understanding, it causes children to be less able to anticipate and overcome dangerous conditions. This is what makes children one of the victims in disaster events. Apart from disaster situations, places that have the potential to cause accidents in children can come from anywhere, including roads, homes and their surroundings, schools and their surroundings. Accidents at school are the cause of 40% of injuries to children. Activities to reduce the risk of accidents and increase safety for children have not yet been carried out in a specific and structured manner. Lack of understanding of the risks or dangers, use of unsafe equipment and the materials used also contribute to children^s safety.
Purpose: The aim of this research is to determine the determinants of safety behavior in children at elementary school.
Methods: this research used mixed methods and Convergent Parallel Design approaches as well as side by side data analysis. Researchers will collect quantitative data for the safety knowledge variable, while qualitative data for safety perceptions, safety behavior and availability of safety infrastructure. The research subjects were students and teachers, at SD Muhammadiyah Guntur Geni District Srandakan. Statistical test analysis using the Chi Square Test and logistic regression test for quantitative data.
Results: The research results showed that there were 65.57% of respondents who had good knowledge and 75.41% of respondents had good safety behavior. 44% of safety infrastructure is available in schools. 40 or 66% of respondents had a history of accidents at school such as falls, scratches and sprains.
Conclusion: Students who have good knowledge are 1.7 times more likely to have good safety behaviour.

Keywords: Safety behaviour, knowledge, children at school

Share Link | Plain Format | Corresponding Author (Julaikah Julaikah)


32 Gender equity and social inclusion in health ABS-161

Potential Of UKM Persaudaraan Setia Hati Terate As A Tool To Prevent Sexual Violence In Students At Jenderal Soedirman University
Rani Anggereani1*, Ajeng Dian Purnamasari1, Neva Widanita1

Universitas Jenderal Soedirman


Abstract

Background: The number of cases of sexual violence against men or women causes many parties to look for ways and support to avoid it. At Jenderal Soedirman University, handling is carried out through rector regulations and the formation of task forces. The process of sexual violence based on power relations makes victims unable to resist the act. So if it is demanded, one way to strengthen yourself is to have martial arts skills.

Purpose: The purpose of this study is to find out about the potential of UKM PSHT as a traditional martial arts sport that exists in the community as a tool for preventing sexual violence.

Methods: The method used is qualitative descriptive with a naturalistic approach to students who take part in UKM PSHT martial arts at Jenderal Soedirman University.

Results: The results obtained are 1) There is symbolic potential in the symbol and ideology of PSHT to protect themselves, especially sexual violence 2) There is practical self-defense that allows as a movement that can help individuals in defending themselves from sexual violence, 3) There is an easy-to-master movement to escape from the grip on the wrist.

Conclusion: UKM PSHT can be used as a tool to support people to protect themselvesnya from sexual violence.

Keywords: Sexual Violence, PSHT, Pencak Silat.

Share Link | Plain Format | Corresponding Author (Rani Anggereani)


33 Health policy, health services and health economic ABS-15

Enablers and Barriers of Telemedicine in Indonesia: A Systematic Review
Dian Anandari, Arif Kurniawan, Elviera Gamelia

Department of Public Health, Faculty of Health Sciences, Universitas Jenderal Soedirman, Central Java, Indonesia


Abstract

Background: COVID-19 pandemic changed the way people live, including in health sector. Health services utilization, which was telemedicine became more familiar during pandemic, including in Indonesia.

Purpose: This systematic review aimed to describe telemedicine utilization in Indonesia and which factors could become enablers and barriers.
Methods: Articles to be reviewed were published in 2019-2002 and selected from Science Direct, Springer, ProQuest dan EBSCOhost databases by using keywords ^telemedicine utilization health service Indonesia^. The article was a research article and used qualitative methods.

Results: Based on search results and screening process, seven articles met the criteria to be reviewed. The result of this review was that users^ (patients^) fear of COVID-19 infection in health facility could be a reason of utilizing telemedicine, but their knowledge, attitude, and skill in using the technology could become a barrier. For (health) providers, primary health service could use telemedicine to consult with specialists, but since doctors give service offline at health service and online by using telemedicine, long queue of consultation request was a barrier. Related to infrastructures, smart city development enables telemedicine utilization since government began to use technology in giving services, including in health sector, but internet connectivity became a barrier.

Conclusion: These findings suggested that telemedicine utilization to reach many people in Indonesia, especially in the area that had difficulty in accessing health facility, could be made by providing adequate internet connection. Patients also needed user-friendly technology in the form of e-health and m-health. There also should be health workers available every time patients need virtual consultations.

Keywords: Telemedicine utilization, health service, Indonesia

Share Link | Plain Format | Corresponding Author (Dian Anandari)


34 Health policy, health services and health economic ABS-86

The effects of health care system justice on health insurance beneficiaries satisfaction for primary care in Indonesia
Budi Aji, Siti Masfiah, Dian Anandari, Arih Diyaning Intiasari and Dyah Anantalia Widyastari

School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia


Abstract

The objective of this study is to investigate the effects of health care system justice on health insurance beneficiaries^ satisfaction particularly in the public primary care level. This is a cross-sectional study with 214 respondents. Sampling was conducted using probability sampling with a cluster sampling approach. Seven public primary care was selected for study sites that represent both rural and urban areas. The data were analyzed by using multiple linear regression. The study identifies the significant effects of health care system justice on patient satisfaction. Modesty, intimacy and sincerity of the health care staff services create an impressive experience among patients. Patient^s satisfaction is also influenced by procedural justice regarding services are obtained. Procedural justice positively influences the patient satisfaction with the management of complaint. It is suggested that primary care should pay more attention the communication with patients and timeliness in responding to complaints which also influence to the consumer^s satisfaction.

Keywords: Interactional justice, procedural justice, national health insurance, satisfaction, primary care

Share Link | Plain Format | Corresponding Author (Budi Aji)


35 Health policy, health services and health economic ABS-123

Contributing Factors of Child Care to Optimize The Growth of Children Under Six Years Old
Laili Rahayuwati 1*, Desy Indra Yani 1, Sri Hendrawati 2, Arlette Suzy Setiawan3, Damar Irza 4, Sherllina Rizqi Fauziah4, Myra D Oruga5, dan Don Eliseo Prisno6

1Department of Community Nursing, Faculty of Nursing, Universitas Padjadjaran, Indonesia
2Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Indonesia
3Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Indonesia
4Nursing Science Study Program, Faculty of Nursing, Universitas Padjadjaran, Indonesia
5Faculty of Management and Development Studies. University of the Philippines Open University, Philippines
6Department of Global Health and Development, London School of Public Health, United Kingdom


Abstract

Family is the primary influence on children. In particular, excellent child care in the family is assumed to impact the health status of their children. This study aimed to analyze family characteristics factors^ relationship to child care of children under six based on secondary data. The data collection instrument used a questionnaire to assess family function on children^s health development on a sample of 10,629 parents, mothers, and fathers of children under six years of age surveyed by the National Population and Family Planning Board for Indonesia. The results showed a significant relationship between family characteristics and child care, parents^ education, occupation, family^s toddlers and preschool child, and media exposure to health significantly affected family parenting patterns that impact children^s health. It is concluded that several family characteristics are related to child care, which influences the fulfilment of nutrition and exclusive breastfeeding, parenting patterns, and providing access to health services for children in the family

Keywords: Child Care, Children, Family, Growth

Share Link | Plain Format | Corresponding Author (Sherllina Rizqi Fauziah)


36 Health policy, health services and health economic ABS-125

Prevalence and Risk Factors of Urinary Tract Infection at PKU Muhammadiyah Gamping Hospital, Yogyakarta
Kusbaryanto, Ekorini Listiowati, Fatmah Aryanti Gobel, Aisyah Rosyida

Magister of hospital administration Universitas Muhammadiyah Yogyakarta


Abstract

Prevalence and Risk Factors of Urinary Tract Infection at PKU Muhammadiyah Gamping Hospital, Yogyakarta
Kusbaryanto, Ekorini Listiowati, Fatmah Aryanti Gobel, Aisyah Rosyida
Lecturer in the Yogyakarta Muhammadiyah University Hospital Administration Masters Study Program
Lecturer in the Yogyakarta Muhammadiyah University Hospital Administration Masters Study Program
Lecturer at the Faculty of Public Health at the Indonesian Muslim University
Yogyakarta Muhammadiyah University medical study program student
Corresponding Author: koesbary@yahoo.co.id
Abstract
Background: Urinary tract infection is an infectious disease that commonly occurs in society and brings many disadvantages, including longer treatment, higher treatment costs. The purpose of this study was to analyze the prevalence and risk factors for urinary tract infection (UTI) in PKU Muhammadiyah Gamping Hospital, Yogyakarta.
Methods : The research design is an analytic observational study using a cross-sectional design.
The sample in this study were patients diagnosed with Urinary Tract Infection (UTI) at the hospital from January 2019 to December 2022 and met the inclusion and exclusion criteria. The inclusion criteria were inpatients at the hospital from January 2021 to December 31, 2022 and patients diagnosed with UTIaccording to the hospital protocol. Exclusion criteria were patients diagnosed with UTI but incomplete data. Method of sample selection Sampling was conducted by Consecutive sampling. Retrieval of data from patient data stored in medical records. Ethical permit from PKU Muhammadiyah Gamping Hospital with number: 053/KEP-PKU/III/2023.
Results: The prevalence of UTI during 2 years of data collection was 65, with 16 being male and 49 female. There is a correlation between length of stay and the incidence of UTI with p = 0.019 and OR = 2.56, there is a correlation between age and UTI with p = 0.001 and OR = 7.113 and there is a correlation betweengender and UTI with p = 0.001 and OR value = 4.136. The effect of length of care, age and gender on the incidence of UTI was 31.4%.
Conclusion
The incidence of UTI is 65 cases. Factors that influence the incidence of UTI are length of stay, age and gender with a p value of 31.4%. The OR was 2.565 for length of stay, 7.113 for age and 4.136 for sex. By knowing the influential factors and the size of the OR, it is hoped that this will further increase motivation to make various efforts to emerge UTI.
Key word : Prevalence, risk factors, Urinary Tract Infection, HospitalIntroduction

Keywords: Prevalence, risk factors, Urinary Tract Infection, hospital

Share Link | Plain Format | Corresponding Author (Kusbaryanto Kusbaryanto)


37 Health policy, health services and health economic ABS-126

The Impact of the Covid-19 Pandemic on the Implementation of Maternal and Child Health (MCH) Services at Community Health Centers in the Banyumas Regency Area
Yuditha Nindya Kartika Rizqi- Arif Kurniawan- Lu^lu Nafisah

Universitas Jenderal Soedirman


Abstract

As a technical implementing unit in the health sector in the region, the public health center (PHC) is responsible for organizing public and individual health service efforts in its working area, including in providing maternal and child health services as an indicator of the status of the community^s health status. In Banyumas District, maternal and child health service programs are available at every PHC. However, these services are still inadequate to improve the health status of mothers and children. The condition of the COVID-19 pandemic in early 2020 caused several maternal and child health services not to run as previously planned. This study aims to determine the description of the implementation of maternal and child health services at the community health center in Banyumas Regency. The method used in this study is a qualitative approach with in-depth interviews related to the provision of maternal and child health services at the PHC. The results showed that Maternal and Child Health (MCH) services at the community health center in Banyumas Regency had been carried out in accordance with the existing standard operating procedures in order to achieve the service standard coverage set by the government. Even so, there are differences in the provision of MCH services before and after the Covid-19 pandemic. PHC need to condition service activities during the pandemic by adjusting regional policies and still complying with health protocols.

Keywords: Maternal and Child Health, Covid-19, Public Health Center

Share Link | Plain Format | Corresponding Author (Yuditha Nindya Kartika Rizqi)


38 Health promotion and education ABS-11

DETERMINANTS OF STUNTING INCIDENCE IN THE ISLANDS TOJO UNA-UNA REGENCYPlease Just Try to Submit This Sample Abstract
Rosmala Nur1, Jamaluddin2, Syaiful Hendra3, Rahmawati4, Rahma Dwilarasi5 dan Marselina6, Erina Thursina Rusydi7, Hilman Ahmad R8

1Department of Public Health, Faculty of Public Health, Tadulako University
2Department of Pharmacy, Faculty of Mathematics and Natural Sciences, Tadulako University
3Department of Informatic Engineering, Faculty of Engineering
4Department of Geography, Faculty of Teaching and Education, Tadulako University
5Department of Public Health, Faculty of Public Health, Tadulako University
6Department of Public Health, Faculty of Public Health, Tadulako University
7Salakan Hospital, Banggai Kepulauan Regency, Central Sulawesi Province
8Department of Computer Science, Faculty Of Mathematics and Natural Sciences Education
Universitas Pendidikan Indonesia


Abstract

Abstract
The data taken from the Indonesia Nutrition Status Survey in 2022 showed that the stunting prevalence in Central Sulawesi reached 28.2%, while Tojo Una-Una Regency ranked fifth highest in stunting prevalence in Central Sulawesi with a rate of 31.3%. This issue causes concern given that Tojo Una-Una is abundant in indigenous natural resources like seafood and moringa, which are excellent sources of protein, minerals, and vitamins with high nutritional value and can be diversified to prevent stunting in children. However, why is stunting still prevalent in the islands? This study aimed to identify the factors causing stunting through smart stunting detection in the islands.
This study employed an analytical observational approach with a cross-sectional design, conducted for 1 (one) month from February 28th to March 28th, 2023. The sample size consisted of 606 households at risk of stunting from 9 (nine) stunting locus villages, namely Ueboni, Pusungi, Bomba, Kavetan, Lembanato, Malino, Taningkola, Tanjung Pude, and Katupat. The data were analyzed using univariate and bivariate analyses with a chi-square test.
The statistical test results indicated that there was a relationship between the factors such as exposure to cigarette smoke, meal frequency, bathing frequency, food diversity, types of weaning food and exclusive breastfeeding up to 2 years with a p-value < 0.05. There is a correlation between health factors and the occurrence of stunting in the Islands Tojo Una-Una Regency.

Keywords: Determinant, stunting, the Islands in Tojo Una-una

Share Link | Plain Format | Corresponding Author (Rosmala Nur Nur)


39 Health promotion and education ABS-13

Utilizing Local Language Pop-Up Books for Health Literacy in Preventing Child Sexual Abuse in Sidrap Regency
Suriah(a*), Nasrah (a), Arif Anwar (b)

a) Department of Health Promotion and Behavior Sciences, Faculty of Public Health, Hasanuddin University
*suriah_74[at]yahoo.com
b) Department of Biostatistics, Faculty of Public Health, Hasanuddin University


Abstract

Abstract
Health literacy in preventing child sexual abuse is of paramount importance in safeguarding future generations. It is unfortunate that sexual abuse in children is often perpetrated by those closest to them. Therefore, an effective approach and appropriate media are necessary to prevent children from experiencing abuse by raising their awareness of potential dangers within their immediate environment. This study aims to assess the effectiveness of health literacy using local language pop-up book media in preventing sexual abuse in children.
This research constitutes an intervention study utilizing a quasi-experimental approach with The Non-equivalent Control Group design. The study population comprises elementary school students in Sidrap District. A total of 100 participants were selected and divided equally into the intervention and control groups, with each group consisting of 50 individuals. The sample was determined using purposive sampling technique. Data analysis was performed using the Mann-Whitney and Wilcoxon tests. The intervention group received health literacy through the utilization of pop-up book media, while the control group was provided with storybooks as their medium. The media content focused on health literacy to prevent sexual harassment, using the local language. The assessed variables included knowledge, self-awareness, and self-skills.
The results revealed significant increases in knowledge scores before and after the treatment in the intervention group, from 7.34 to 9.58 (p<0.001), and in the control group, from 7.56 to 10.74 (p<0.001). Similarly, self-awareness scores in the intervention group demonstrated a significant improvement from 7.62 to 9.76 (p<0.001), and in the control group, from 7.7 to 9.16 (p<0.001). As for self-skills, there was a notable increase in scores before and after treatment in the intervention group, from 5.82 to 6.78 (p=0.002), and in the control group, from 6.66 to 7.32 (p=0.002). It is recommended to use local language media in an effort to prevent sexual harassment in school children which can be packaged in the form of pop-up books or story books.

Keywords: Health literacy- Child sexual abuse prevention- Pop-up books, Local language media

Share Link | Plain Format | Corresponding Author (Suriah Suriah)


40 Health promotion and education ABS-30

Analysis of Fitness and Physical Activity Levels on Health-Related Quality of Life in the Elderly After the Covid-19 Pandemic
Charish Rachmatullah (a), Nia Sri Ramania (a), Kusnaedi (a), Rizka Safitri (a), Awalia Dinis Rawildati (a), Yudhi Teguh Pambudi (a)

a) School of Pharmacy, Bandung Institute of Technology
Jalan Ganesha No.10, Bandung 40132, Indonesia
*charish.rachmat[at]gmail.com


Abstract

Background: Quality of life is an important measure for evaluating a person^s health situation. Regular physical activity has been shown to help improve quality of life and mental health. But currently other studies report that physical activity levels have decreased among the elderly during the COVID-19 pandemic. Elderly people are also associated with decreased physical activity and fitness. The aim of this research is to determine the relationship and influence between fitness and health-related quality of life which is moderated by physical activity. Method: This research uses a cross sectional research design with quantitative descriptive methods. The population in this study was elderly aged 60 years and over in the city of Bandung with a sample of 200 elderly people. The fitness research instrument uses a 6-minute walking test, filling out a physical activity questionnaire using (International Physical Activity Questionnaire) and a health-related quality of life questionnaire using (Short Form-36). Results: Regression test statistics with moderating variables show that there is a significant relationship and influence between fitness and health-related quality of life which is moderated by physical activity with a sig value of 0.000 < 0.05. This test shows that the magnitude of the relationship and influence between fitness and health-related quality of life is moderated by physical activity at 93.3% while the remaining 6.7% is influenced by other factors. Conclusion: This study shows that subjects with moderate and high levels of physical activity have high fitness and high health-related quality of life. In contrast, subjects with low levels of physical activity had low fitness and low health-related quality of life. This research also shows that there is a relationship and influence between fitness and health-related quality of life which is moderated by physical activity.

Keywords: Health-Related Quality of Life, Physical Activity, Fitness

Share Link | Plain Format | Corresponding Author (Charish Rachmatullah)


41 Health promotion and education ABS-33

Effectiveness Of Resistance Exercise Program On Blood Sugar, HbA1c, Fat, and Flexibility In Patient With Diabetes Mellitus
Irana Mery Alviana (a*), Nia Sri Ramania (a), Rachmat Mauludin (a), Muhamad Fahmi Hasan (a), Naufal Dzaki Hartianto (a), Charish Rachmatullah (a)

a) School of Pharmacy, Bandung Institute of Technology
Jalan Ganesha No.10, Bandung 40132, Indonesia
*iranamery.a[at]gmail.com


Abstract

Regular exercise is an important step in the prevention and treatment of diabetes mellitus. There are several exercises recommended for people with diabetes mellitus, namely aerobic exercise, resistance training, flexibility training, and even compound exercises. The purpose of this study was to determine the effectiveness of resistance exercise on reducing blood sugar, HbA1c, fat levels, and increasing flexibility in people with diabetes mellitus. This study was a one group pretest posttest design pre experimental study with 12 elderly people with diabetes mellitus from UPT Puskesmas Puter as subjects. Subjects were given a resistance exercise intervention program for 20 minutes with a frequency of three times a week. The measurement variables in this study were blood sugar, HbA1c, fat content, and flexibility. Mean of total subjects based on age 63,00 years, body weight 67,76 kg, height 154,29 cm, and body mass index 28,40 kg/m2. The results of the Paired T Test daily blood sugar pretest and posttest with the results of the value of tcount> ttable (t value=9,26), with significance <0,05 (p value=0,000), HbA1c pretest and posttest with tcount>ttable (t value=10,34), with significance <0,05 (p value=0,000), pretest and posttest fat content with tcount>ttable (t value=12,83), with a significance <0,05 (p value=0,000), flexibility in the pretest and posttest with the results of tcount>ttable (t value=-13,67), with a significance value of <0,05 (p value=0,000), these results showed a difference between the pretest and posttest. The resistance exercise program for 20 minutes with a frequency of 3 times per week is effective in significantly reducing blood sugar levels, HbA1c, body fat and can increase body flexibility in elderly people with diabetes mellitus with a percentage decrease in blood sugar of 17,53%, HbA1c 18,81%, 7,31% fat, and increased flexibility of 19,79%. Insulin sensitivity testing and studies with longer interventions are needed and monitoring is ongoing to see longterm changes that occur

Keywords: diabetes mellitus, resistance exercise, blood sugar, hba1c, fat, flexibility

Share Link | Plain Format | Corresponding Author (Irana Mery Alviana)


42 Health promotion and education ABS-36

DIFFERENCES CARDIO RESPIRATORY FITNESS IN ADULT MEN WITH PREVIOUS ASYMPTOMATIC OR MILD SARS COV 2 (COVID 19) INFECTION
Nia Sri Ramania (a*), Muhamad Fahmi Hasan (a), Yudhi Teguh Pambudi (b), Iskandar Muda (a), Irana Mery Alviana (a), Awalia Dinis Rawildati (a), Naufal Dzaki Hartianto (a)

a) School of Pharmacy, Bandung Institute of Technology
Jalan Ganesha No.10, Bandung 40132, Indonesia
*nia.sri[at]itb.ac.id
b) Physical Education, Jenderal Soedirman University
Jalan dr. Soeparno, Banyumas 53122, Indonesia


Abstract

Purpose: The purpose of this study was to measure and compare the CRF level between adult people who suffered COVID 19 with mild symptomatic and adult people who suffered COVID 19 with asymptomatic.
Methods: Fifty adult males participated in this study. All participants were divided into two group categories, 25 were assigned to the mild symptom (MS) group and the 25 others in the asymptomatic (AS) group. All participants took a series of anthropometric tests and Rockport 1.5 mile run test. During the Rockport 1.5 mile run test, heart rate (HR) was continuously monitored using the Polar V800 GPS. Rating of perceived exertion (RPE) Borg^s CR1 0 scale was used immediately after test.
Results: The one way ANOVA statistical test results showed a significant difference (p = 0.007- ES = 0.140) between MS group and AS group. VO2max AS group, show was greater than MS Group
Conclusion: The AS group identified COVID 19 patients had a better VO2max level than the MS Group. With these results, it is increasingly clear that the role of exercise is very important to increase one^s CRF level.

Keywords: Exercise Training, Immunity, Physical Stress, Pandemic, Sport Therapy, Performance

Share Link | Plain Format | Corresponding Author (Nia Sri Ramania)


43 Health promotion and education ABS-37

Analysis Of Nutritional Status And Physical Activity Of Lungs Vital Capacity In Air Polluted Schools
Naufal Dzaki Hartianto (a*), Samsul Bahri (a), Rini Syafriani (a), Yudhi Teguh Pambudi (b), Irana Mery Alviana (a), Iskandar Muda (a), Awalia Dinis Rawildati (a)

a) School of Pharmacy, Bandung Institute of Technology
Jalan Ganesha No.10, Bandung 40132, Indonesia
*naufaldzaki545[at]gmail.com
b) Physical Education, Jenderal Soedirman University
Jalan dr. Soeparno, Banyumas 53122, Indonesia


Abstract

Air pollution is a growing problem that is happening all over the world, especially in developing countries. Air pollution is a condition where there are one or more physical, chemical and biological substances in the air whose amounts are at a dangerous point. The type of air pollution that is of concern today is fine particles with a diameter of less than 2.5mm (PM2.5). Physical activity is also associated with pollution having beneficial effects that accumulate over time over the long term reducing the risk of developing disease and death from cardiovascular and respiratory diseases, type 2 diabetes, certain types of cancer, and reducing the risk of all morbidity and nutrition related diseases with mortality (number of deaths), good nutritional status and sufficient protein intake can reduce the incidence of lung disease as well as energy and protein rich foods and snacks to increase muscle. This study uses correlational analysis using a cross sectional study. The location of data collection was carried out at SMPN 26 Bandung. The instrument uses the Physical Activity Questionnaire for Children (PAQ C) and Subjective Global Assessment (SGA). Student characteristics with mean based on body weight 45.20 kg, height 151.65 cm, and BMI 19.63 kg/m2. Lung capacity value and physical activity value FVC value 1.82 L, FEV1 value 1.85 L, and physical activity value 2.30. Value of the relationship between physical activity and lung vital capacity (FVC) correlation value (0.015), (FEV1) correlation value (0.067). The relationship between physical activity value and lung vital capacity (FVC) correlation value (0.044) (FEV1) correlation value (0.173). The conclusion from this study is that the nutritional status of students in school locations polluted by air pollution tends to be thin, furthermore the level of vital lung capacity of students in locations polluted by air pollution is lacking and has a very weak degree of relationship between physical activity and nutritional status on vital capacity lung, suggestions from researchers to students and the public to maintain nutritional intake and carry out physical activity activities with the aim of maintaining lung vital capacity capabilities for the Government or related agencies are expected to increase guidance and prevention activities related to the dangers of exposure to air pollution, especially in schools. And for further research to conduct a direct study of physical measurements related to a person^s nutritional status

Keywords: air pollution, PM2.5, physical activity, nutritional status, lung vital capacity

Share Link | Plain Format | Corresponding Author (Naufal Dzaki Hartianto)


44 Health promotion and education ABS-44

Knowledge of Mother-to-Child Transmission of HIV/AIDS and the Associated Factors among Married Women in Indonesia
Desy Nuri Fajarningtiyas (a*), Sari Kistiana (a)

a) Research Center for Population-National Research and Innovation Agency, Indonesia


Abstract

Background: The transmission of HIV/AIDS will affect not only women but also their families, including their children^s health and future. Given the quite high rates of vertical transmission as well as early infant transmission, understanding mother-to-child transmission (MTCT) of HIV/AIDS is important for women. Thus, the assessment of knowledge about the MTCT of HIV/AIDS is still demanding.

Purpose: This study aimed to examine knowledge about the MTCT of HIV/AIDS among married women in Indonesia and the factors that contribute.

Methods: This study employed a weighted sample of 35,479 married women aged 15-49 drawn from the 2017 Indonesia Demographic and Health Survey (IDHS) datasheet. Binary logistic regression for complex sample design was used to examine the associated factors of HIV/AIDS MTCT.

Results: Overall, of 58.6% the respondents had good knowledge of HIV/AIDS MTCT. More women had poor knowledge about HIV/AIDS transmission during delivery (37.8%). Women with a comprehensive knowledge of HIV/AIDS (OR: 7.27, 95% CI:6.75-7.83), aged more than 35 years (OR:1.33, 95% CI:1.19-1.47), attaining at least secondary education level (OR:1.85, 95%CI:1.71-1.99), having an educated husband (OR: 1.28, 95% CI: 1.11-1.47), coming from richer family (OR:1.41, 95% CI: 1.29-1.54), and residing in urban areas (OR: 1.23, 95% CI:1.13-1.33) tend to have better knowledge of HIV/AIDS MTCT.

Conclusion: Knowledge of HIV/AIDS, age, women and husbands^ education level, wealth index, and residence influenced the knowledge of HIV/AIDS MTCT. Enhancing comprehensive knowledge of HIV/AIDS among women and men through both formal and informal education curricula is expected to increase knowledge about MTCT of HIV/AIDS.

Keywords: knowledge of MTCT, HIV/AIDS, comprehensive knowledge, Indonesia

Share Link | Plain Format | Corresponding Author (Desy Nuri Fajarningtiyas)


45 Health promotion and education ABS-46

Development of Android-Based Application and Its Influence on Balanced Nutrition Behavior in Pregnant Women with Chronic Energy Deficiency
Nining Tunggal Sri Sunarti, Sri Sulistyowati, Ismi Dwi Astuti Nurhaeni, Retno Setyowati

Postgraduate School, Sebelas Maret University, Indonesia


Abstract

Background: Chronic energy deficiency in pregnant women is a serious problem because it can cause stunting in children. Currently, Android-based mobile technology has been used by everyone, including pregnant women, so it is important to develop an Android-based nutrition app for pregnant women.
Objective: To find out the influence of an Android-based nutritional balance application on pregnant women with chronic energy deficiency.
Methods: This study used a Quasi-experimental design with a Non Randomized Prestest-Posttest Control Group Design. Data analysis was carried out using the Mann-Whitney test. The research was conducted in Bantul, Special Region of Yogyakarta with a sample of 30 respondents in the control group and 30 respondents in the experimental group.
Results: Statistical test resulted in the Asymp. Sig. (2-tailed) of 0.000 <0.05. It showed significant behavioral differences between the experimental and control groups. These differences indicated that the Android-based nutrition app affected balanced nutrition behavior in pregnant women with chronic energy deficiency.
Conclusion: Android-based nutrition app affected balanced nutrition behavior in pregnant women with chronic energy deficiency

Keywords: Application- android- balanced nutrition- pregnant women

Share Link | Plain Format | Corresponding Author (Nining Tunggal Sri Sunarti)


46 Health promotion and education ABS-47

Personal Hygiene That Could Prevent Boarding Students From Scabies Disease
Muhammad Khotibuddin, Siti Aminah Tri Susila Estri

Universitas Muhammadiyah Yogyakarta


Abstract

Scabies transmission in boarding schools or pesantren is very high. Both direct and indirect scabies transmission depends on the personal hygiene behavior from boarding students. However, what kind of personal hygiene behaviors that need to be emphasized to prevent the transmission of scabies need to be analyzed further. This is a cross sectional study with 130 samples of students of the Madrasa Mualimin Muhammadiyah boarding school. Hygiene behavior was measured by a validated questionnaire. The incidence of scabies was measured by a history of having scabies in the last 3 months. Statistical analysis using Chi-square and Anova. There are 130 boarding students, 35 students have not had scabies, 47 students have had scabies in the last 3 months and 48 students have had scabies before the last 3 months. Personal hygiene is not related to the level of knowledge of students about scabies. Personal hygiene and scabies knowledge are not related to the incidence of scabies in the last 3 months. Analysis of the type of behavior with oneway anova showed that scabies in the last 3 months was associated with hand and nail hygiene behavior (p = 0.011), genital hygiene (p = 0.047) and towel hygiene (0.012). All three behaviors contributed the role of hygiene behavior in preventing the incidence of scabies in the last 3 months in the boarding school. Conclusion: the role of personal hygiene behavior to prevent transmission of scabies is determined by hand and nail hygiene behavior, genitalia, and towels.

Keywords: personal hygiene, scabies, boarding school

Share Link | Plain Format | Corresponding Author (Muhammad Khotibuddin)


47 Health promotion and education ABS-61

Indonesian Nursing Students Perceptions of Online Learning, A Descriptive Study
Citra Setyo Dwi Andhini, Ika Nurfajriyani, Uni Wahyuni, Lily Wahyuni Romadhon, Tantri Maulani Putri, Thia Oktiyani

Mahardika Institute of Technology and Health, Cirebon, Indonesia


Abstract

Background: Online learning is a novel approach that requires adaptation and development. The process of adapting and transitioning to online learning methods impacts various aspects of the learning components, especially among students. Negative perceptions of e-learning have been expressed by students, potentially leading to psychological pressure due to encountered challenges.
Purpose: This study aims to describe nursing students^ perceptions of online learning.
Methods: A cross-sectional approach was employed among nursing students in Indonesia. Data was collected online through a Google Form across three regions in Indonesia: Java and Sumatra, Bali and Nusa Tenggara Timur (NTT), and Maluku. Thirteen questions were used to measure respondents^ perspectives using a Likert scale.
Results: A total of 403 nursing students participated in the study, including Diploma, Bachelor^s, and Professional Nursing Program students. 46% of respondents were unsure about the benefits of online learning. 84% agreed that poor internet connectivity and scheduling difficulties (55%) were barriers. 57% of respondents believed that online learning is suitable for theoretical aspects, but strongly disagreed with using it for practical/clinical components (52%). Respondents agreed that instructors provide timely responses (52%) and feedback (75%). 37% of respondents agreed that online learning could incorporate conventional/classroom teaching methods. 36% lacked confidence in performing patient procedures after online learning and expressed uncertainty about taking exams (45%). 57% of respondents preferred a mixed teaching approach (classroom, clinical, and online).
Conclusion: Respondents consider online learning more appropriate for theoretical instruction, leading to uncertainty in applying practical skills after online learning.

Keywords: nursing student, online learning, pandemic, perception

Share Link | Plain Format | Corresponding Author (Citra Setyo Dwi Andhini)


48 Health promotion and education ABS-66

The Influence of Video Media Based Education on Mothers Knowledge about Animal Protein Source Food for Prevention Stunting Toddler
Dedah Ningrum (a*), Diding Kelana Setiadi (a), Amanda Puspanditaning Sejati (a), Roro Nur Fauziyah (b)

a) Prodi Keperawatan, Universitas Pendidikan Indonesia Kampus Sumedang, Indonesia Jl Margamukti no 93 Licin Cimalaka Sumedang * dedahningrum[at]upi.edu
b) Poltekkes kemenkes Bandung, Indonesia Jalan Pajajaran No. 56 Bandung


Abstract

Background: Based on the recapitulation of data on toddler weighing activities in Sumedang district in 2022, 8.27 percent of children under five are stunted. Stunting cases in Girimukti village, North Sumedang sub district, were 75 stunted toddlers or 16.74 percent. The government has campaigned that animal protein is important to prevent stunting, for this reason socialization is needed, especially for mothers of toddlers. Purpose: The purpose of the study was to determine the effect of video media based education on mothers knowledge about food sources of animal protein to prevent stunting in toddlers. Materials and Methods: This study used a pre experimental design and one group pretest and posttest design. The research was conducted in July 2023. The total sample was 46 mothers of toddlers living in Girimukti Village. The sampling technique used purposive sampling technique. The research instrument used a knowledge questionnaire that had been tested for validity and reliability as well as educational media in the form of animated videos and power points. The analysis used was the Wilcoxon test. Results: There was an increase in the average knowledge of mothers after being exposed to education using video media, the average value of mothers knowledge during the pretest was 70.24 and posttest was 79.04. The Wilcoxon test result is p value = 0.000. Conclusion: There is an effect of video media based education on increasing mothers knowledge about food sources of animal protein to prevent stunting in toddlers.

Keywords: health education- video media- animal protein- stunting

Share Link | Plain Format | Corresponding Author (Dedah Ningrum)


49 Health promotion and education ABS-68

FACTOR ANALYSIS OF MOTHER^S KNOWLEDGE AND ATTITUDE TO POLICY STUNTING PREVENTION IN TODDLERS IN THE WORK AREA PUSKESMAS KAWUNGANTEN KABUPATEN CILACAP
Eni Widhiyaastuti(a*), Kustanto Nugroho(b)

a) Magister of Public Health, Jenderal Soedirman University, Indonesia,
Jl. HR. Boenyamin No. 708, Purwokerto 53122, Central Java, Indonesia
*eni.widhiyaastuti[at]mhs.unsoed.ac.id
b) Cilacap Regional General Hospital
Jl. Gatot Subroto No. 28 Cilacap


Abstract

Stunting is a form of growth failure due to accumulation of insufficient nutrition that lasts a long time from pregnancy to 24 months of age. Stunting is caused by problems with nutritional intake consumed during pregnancy and toddlerhood. Mother^s knowledge and attitudes regarding health and nutrition before pregnancy, as well as during the postpartum period, limited health services and low access to nutritious food, low access to sanitation and clean water greatly influence the occurrence of stunting. The results of the 2013 Basic Health Research in Kabupaten Cilacap showed that the prevalence of stunting reached 36.3% in 2013 and 32.1% in 2018. The purpose of this study was to analyze the knowledge and attitudes of mothers towards stunting prevention policies in the work area of the Puskesmas. Kawunganten, Kabupaten Cilacap. The population in this study amounted to 162 mothers of toddlers with the sampling technique using purposive sampling. Processing techniques using univariate and bivariate analysis using the chi-square test and correlation test. The results of the univariate analysis showed that mothers with toddlers had an education level of 26% high school, 45% junior high school and 29% elementary school. Meanwhile, the results of the bivariate analysis show that there is a relationship between the behavior and attitudes of mothers towards stunting prevention policies. It is expected that for the working area of the Puskesmas Kawunganten, Kabupaten Cilacap, in implementing stunting prevention policies, primary prevention will be carried out through health promotion in providing an understanding of stunting so that there will be an increase in knowledge and changes in attitudes expected in achieving optimal health levels.

Keywords: knowledge and attitude-mothers of toddlers-stunting

Share Link | Plain Format | Corresponding Author (Eni Widhiyaastuti)


50 Health promotion and education ABS-70

Young Women^s Expectations and Anemia Prevention Behaviors-Barrierrs, Benefits and Self-Efficacy
Ni Ketut Alit Armini(a*), Natasya Putri (a), Sri Purwanti(b), Wahyuni Tri Lestari(a), Mira Triharini (a)

a*) Faculty of Nursing, Universitas Airlangga
Email: nk.alita[at]fkp.unair.ac.id
b) Nursing Staff of Universitas Airlangga Hospital


Abstract

Introduction: Female adolescents are prone to anemia due to various factors such as having menstruation every month, not regularly taking iron tablets, and unmet nutritional needs. Therefore, prevention of anemia needs to be done to prevent health problems that have a negative impact in the future. The purpose of this study was to explore the correlation of perceived expectation (benefits, barriers, self-efficacy) to anemia prevention behavior in young women. Methods: This study used a correlational descriptive design with a cross-sectional approach. This research was conducted at Public Senior High School. The samples size 150 respondents who were taken using a purposive sampling technique. The instrument used were a questionnaire to measure the variables of perceived benefits, barriers, self-efficacy, and anemia prevention behavior. Data were analysed using Spearman Rho Test with a significance level of p<0.05. Results: There were relationships between perceptions of the benefits (p=0.000, r=0.873), perceived barriers (p=0.000, r=-945), self-efficacy (p=0.000, r=0.520) with anemia prevention behavior. Conclusion: Anemia prevention behavior is influenced by perceived benefits, barriers to action, self-efficacy. It is necessary to increase anemia prevention in female adolescent through health promotion to prevent anemia with more creative and interesting methods.

Keywords: anemia- young women- perceived expectation- prevention behavior

Share Link | Plain Format | Corresponding Author (Ni Ketut Alit Armini)


51 Health promotion and education ABS-78

FACTORS RELATED TO PAP SMEAR TEST AMONG FEMALE HEALTH WORKERS BASED ON THE HEALTH BELIEF MODEL
Retnayu Pradanie, Elyta Zuliyanti Praba Diyan Rachmawati, Tiyas Kusumaningrum, Aria Aulia Nastiti, Esti Yunitasari, Khatijah Lim Abdullah

Faculty of Nursing Universitas Airlangga


Abstract

A sensitivity level of 70%-80% and a specificity level of 90% - 95% make a pap smear test more preferable than other tests to prevent cervical cancer, but there are health workers who do not do pap smear tests. Health Belief Model (HBM) theory is used to evaluate and explain the differences in individual perception toward the pap smear test. This study aimed to analyze the factors correlating with the pap smear test in health workers by HBM. This study uses a descriptive-analytic design with a cross-sectional approach. The sample was 125 people using cluster random and simple random sampling. The dependent variable was the pap smear test. The independent variables were perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data were collected by using a structured questionnaire and analyzed by using a chi-square test with a level significance of &#945-&#8804- 0,05. The results showed that the p-value for perceived susceptibility was 0.766, p=0.190 for perceived seriousness, p=0.027 for perceived benefits, p=0.007 for perceived barriers, p=0.033 for cues to action, and p=0.033 for self-efficacy. Perceived susceptibility and perceived seriousness are not associated with pap smear tests among female health workers in Surabaya, whereas perceived benefit, perceived barrier, cues to action, and self-efficacy are associated with pap smear tests among female health workers in Surabaya. It is expected to conduct research related to factors that influence perceived susceptibility and perceived seriousness in health workers to a pap smear test.

Keywords: pap smear, female health workers, health belief model, women^s health

Share Link | Plain Format | Corresponding Author (Retnayu Pradanie Pradanie)


52 Health promotion and education ABS-83

ANEMIA PREVENTION TRAINING IN ADOLESCENTS USING THE TEAM GAME TOURNAMENT METHOD
Annisa Rahma Fadhila, Izka Sofiyya Wahyurin*, Teguh Jati Prasetyo

Faculty of Health Science, Jenderal Soedirman University Indonesia
*izka.sofiyya.wahyurin[at]unsoed.ac.id


Abstract

Background: Anemia incidence in adolescents can be prevented by increasing the peers knowledge through training and consumption of iron foods variety. The Team Game Tournament (TGT) is one of a cooperative learning method. Purpose of this study was to determine the effect of training using the Team Game Tournament on anemia knowledge in PMR members at SMA Negeri 1 Purwokerto. Methods: Quasi-experimental study with one group pre-test post-test on 37 PMR members using the Team Game Tournament. Variable measured using a knowledge questionnaire and were analyzed using the Wilcoxon test. Results: Characteristics of respondents aged 15-16 years (64.9%), female (78.4%) and grade 10 (51.4%). Up to 55% were exposed to anemia education for more than equal 6 months by health center workers (45%). The Team Game Tournament affected respondents^ knowledge (p <0.05). The percentage increase in knowledge is 3,68. Conclusion: There^s a difference in anemia knowledge of PMR members before and after peer tutor training using the Team Game Tournament.

Keywords: anemia knowledge, training, team game tournament

Share Link | Plain Format | Corresponding Author (Annisa Rahma Fadhila)


53 Health promotion and education ABS-85

Use of Social Media for Stunting Prevention Education by Health Promotion Personnel at Community Health Center
Dela Aristi, Raihana Nadra Alkaff, Syifa Shaoqi Haque, Annisa Halimah, Tiara Rahmawati1, Nabila Humaida Kamila, Muhammad Baskoro

Public Health Study Program, Syarif Hidayatullah State Islamic University, Jakarta


Abstract

Background: Media plays an important role in educating the public. One of the stunting intervention frameworks implemented by the Indonesian government is a nutrition-sensitive intervention whose activities are education through the media. As technology develops, health promotion workers conduct stunting education using social media.
Purpose: The aim of this study is to determine the picture of variations and interactions with stunting educational content.
Methods: This research uses a qualitative approach, carried out from October to November 2022. Informants are health promotion workers. Data collection using in-depth interviews and observations.
Results: The results showed that as many as 91.4% of Puskesmas in South Tangerang City already have a social media digital platform in the form of Instagram, 51.4% have Facebook, and 62.85% have YouTube. As many as 22.8% of puskesmas conduct stunting education through poster media on Instagram, 8.5% through video reels media on Instagram and 2.8% through video media on YouTube. Community interaction with stunting educational content can be seen from feedback in the form of likes and comments. Likes for stunting educational content already exist but have not been maximized. Comments for stunting education content are still irrelevant to the content of the message.
Conclusion: Not all health promotion workers at the South Tangerang City Health Center use social media for stunting education. The variety of stunting educational content still needs to be increased and public interaction with stunting educational content still needs to be improved.

Keywords: Education, Stunting, Social Media

Share Link | Plain Format | Corresponding Author (Dela Aristi)


54 Health promotion and education ABS-95

AEROBIC EXERCISE PROGRAM IN DIABETES MELLITUS PATIENTS ON BLOOD SUGAR BASED ON FATMASS AND HBA1C
Iskandar Muda (a), Nia Sri Ramania (b), Rachmat Mauludin (b), Muhamad Fahmi Hasan (c), Yudhi Teguh Pambudi (b), Charish Rachmatullah

a) School of Energy, Bandung Institute of Technology
Jalan Ganesha 10, Bandung 40132, Indonesia
b) School of Energy, Bandung Institute of Technology
Jalan Ganesha 10, Bandung 40132, Indonesia
c)Physical Education, Jendral Soedirman University


Abstract

Background: Diabetes Mellitus is a chronic condition that occurs when there is an increase in glucose levels in the blood because the body cannot produce insulin or use insulin effectively. (IDF, 2017). This study will focus on analyzing the effectiveness of aerobic exercise programs. Method: The research method to be used in this study uses pre-experimental research methods, the research design used is one group pretest-postest design. Aims to find out the comparison before carrying out treatment and after carrying out treatment. The subjects of the study were diabetes mellitus patients totaling 12 people. Each subject took blood to determine the level of HbA1c blood sugar in the body and measured cognitive levels using a reaction action test (Ruller Test). Each subject also performed anthropometric tests using the Inbody tool to determine body composition and Fatmass levels. Results: In this study proved that there was a difference between the control group and the experimental group, between HbA1c, Cognitive, and Fatmass. The subjects^ HbA1c decreased significantly, the subjects^ cognitive increased significantly to their reactions and responses, and the subjects^ Fatmass decreased significantly based on statistical tests. Conclusion: This study revealed that aerobic exercise programs can reduce HbA1c levels of people with diabetes mellitus, and can improve cognitive function to the reaction action and response of subjects, also reduce fatmass levels in the body. And there is no effect on fatmass to HbA1c.

Keywords: Diabetes Mellitus, Aerobics, HbA1c

Share Link | Plain Format | Corresponding Author (Iskandar Muda)


55 Health promotion and education ABS-100

Health profile asset and health literacy in elementary school age children
Nunung Siti Sukaesih, Popi Sopiah, Sri Wulan Lindasari, Emi Lindayanti, Hikmat Pramajati, Ahmad Purnama H

Universitas Pendidikan Indonesia


Abstract

ABSTRACT
Background. The biggest health problems in school-aged children are accidents, violent behaviour, mental health, drug abuse and smoking, which are closely related to their health behaviour. This is what causes this age to receive priority in the 2016-2030 SDGs, considering that health status at this age is a reflection of health status in adulthood. Efforts to improve good health behaviour are through health literacy. Health literacy is a cognitive and social skill that influences a person^s motivation and ability to gain access to, understand and use information to promote and maintain good health.
Aims. The purpose of this study was to obtain an overview of health literacy in elementary school-age children
Method. This research is a cross-sectional study using several research instruments, namely FAS, RSES, HBSC, HLS-EU, and NVS which are self-assessments by research subjects, as well as BMI by measuring height and weight as measured directly by researchers. The number of samples in this study was 431 6th-grade students in Sumedang district using a cluster sampling technique. The cross-sectional analysis in this study used the chi-square statistical test.
Result. The research results show that there are variations in the value obtained from each of the sub-categories measured. The family^s socio-economic situation is 48.03% in the low category. The self-esteem category of 76.10% is medium. The nutritional status of participants as measured by Body Mass Index (BMI) was 65.20% underweight. In the physical activity sub-variable, 56.84% of participants carried out physical activity less than 2 hours per week while carrying out their role as students for most of them more than 2 hours per week. The sleeping habits of the majority of participants (48.72%) slept quite late, namely more than 00.00 and the majority of participants (80.28%) woke up at a maximum of 07.00. Only a small proportion (12.99%) of participants smoked. More than half of the data obtained for the health literacy subvariable with the HLS-EU instrument (54.06%) was in the problematic category and most of the measurement using NVS (70.53%) was in the limitation category.

Keywords: health literacy, health asset profile, elementary school, adolescent, school-age

Share Link | Plain Format | Corresponding Author (Nunung Siti Sukaesih)


56 Health promotion and education ABS-119

Exploring the Interplay of Motivation, Self-Efficacy, and Self-Directed Learning Readiness in Nursing Students during Blended Learning Clinical Rotations: A Preliminary Cross-Sectional Assessment Study
Totok Harjanto1*, Denisa Rahmadanti2, Made Satya Nugraha Gautama3,4, Dimas SEW Sumunar5

1Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta - Indonesia
2School of Nursing, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta - Indonesia
3Master of Nursing Program, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta - Indonesia
4Master Program in School of Nursing, College of Nursing, Taipei Medical University, Taipei - Taiwan
5Health Informatics Programme, Karolinska Institutet, Stockholm - Sweden


Abstract

Background: The integration of blended learning in nursing education can potentially enhance the quality and effectiveness of clinical rotations, a critical component of the nursing curriculum. Prior research has indicated a correlation among motivation, self-efficacy, and self-directed learning readiness (SDLR) with academic performance in online learning environments. However, there is a scarcity of research investigating the impact of these factors on the outcomes of nursing students^ clinical rotations during blended learning.

Objective: This study seeks to elucidate the relationship between motivation, self-efficacy, and SDLR in clinical nursing students engaged in blended learning.

Methods: This is a cross-sectional study with a descriptive analytical approach. The observed variables include motivation, self-efficacy, and self-directed learning readiness, each measured by the Motivated Strategies for Learning Questionnaire (MSLQ) (score range: 31-217), Online Learning Value and Self-efficacy Scale (OLVSES) (score range: 9-63), and The Self-Directed Learning Readiness Scale (SDLRS) (score range: 40-200). Descriptive correlational analysis was utilized to delineate and connect the relationships between these variables. A p-value less than 0.05 was considered statistically significant.
Results: The study included 46 clinical rotation nursing students who had completed the basic nursing practice stage. The majority were female (93.5%), with an average age of 22.3 years. The mean scores for motivation, self-efficacy, and SDLR were 163.9, 45.8, and 154.3 respectively. Pearson correlation analysis revealed a significant correlation between motivation and self-efficacy (p = .001), with a moderate relationship (r = 4.81). However, no significant relationship was found between motivation and SDLR (p = .428) or self-efficacy and SDLR (p = 4.53).

Conclusion and Implication: The findings suggest a significant correlation between motivation and self-efficacy among nursing students during blended learning clinical rotations. However, no significant relationship was observed between either motivation or self-efficacy and SDLR. This suggests that high levels of motivation and self-efficacy do not necessarily equate to readiness for independent learning during clinical rotations in a blended learning environment. These insights underscore the need for additional support and guidance from instructors and mentors to foster SDLR among nursing students during blended learning clinical rotations.

Keywords: nursing students, motivation, self-efficacy, self-directed learning readiness, blended learning, clinical rotation

Share Link | Plain Format | Corresponding Author (Totok Harjanto)


57 Health promotion and education ABS-121

STROKE RISK FACTORS IN HYPERTENSION PATIENTS
Farras Arlinda Rachmawati1- Dwi Sarwani Sri Rejeki2- Siwi Pramatama Mars Wijayanti3

University of Jendral Soedirman Purwokerto


Abstract

Abstract :Hypertension is a non-communicable disease (NCD) of concern to the World Health Organization (WHO). The prevalence of hypertension in developing countries is higher than in developed countries. Stroke is the third cause of death worldwide and the most common cause of disability in adults. Many factors cause stroke, one of which is hypertension.
aim:The aim of this systematic review is to better understand the risk factors for stroke, especially in hypertensive patients. This systematic review can also be used as a synthesis tool for empirical research so that problems related to stroke risk factors, especially in hypertensive patients, can be identified based on evidence.
Methods: The process used to conduct a systematic review involves reviewers searching multiple research reviews published in electronic databases.
Result :According to the demographics and risk factors for stroke in those aged less than 60 years, according to the findings of this study, the prevalence rate of stroke may vary for men and women (gender) in the studied group, which is significantly correlated with age. Among the adjusted risk factors for stroke, HTN, diabetes, AF, OCP consumption, and CAD were significantly correlated with age. From the several studies listed above, the risk factors for stroke in hypertensive patients influence the incidence of stroke.
conclusion:Many factors cause stroke. From the several studies listed above, the risk factors for stroke in hypertensive patients influence the incidence of stroke with varying ages. However, from all research, the highest number of people with hypertension is still in the age range of 50-60 years and above. For this reason, research related to risk factors for stroke in hypertensive patients of productive age and other factors such as control compliance and medication consumption must be further evaluated.

Keywords: Risk factor stroke- Hypertension

Share Link | Plain Format | Corresponding Author (Farras Arlinda Rachmawati)


58 Health promotion and education ABS-155

Factors Related To Covid-19 Mortality in Indonesia : A systematic Review
Imah Nur Chasanah, Dwi Sarwani Sri Rejeki, Siwi Pramatama Mars Wijayanti

Public Health Program, Jenderal Soedirman University


Abstract

Background: Indonesia has the highest Covid-19 mortality rate in Southeast Asia, and ranked second in Asia. The Covid-19 mortality was related to many factors. This study aimed to synthesize the risk factors for mortality in Covid-19 patients in Indonesia. Methods: This study used a systematic review design. Article searches were conducted through electronic journal databases, namely PUBMED and Science Direct. We followed the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta Analyzes) and used Quality Assessment Tools of Case-Control Studies by NHLBI to assess the quality of the articles. We used the keywords ^risk factors^ OR determinants AND ^Covid-19^ AND mortality OR death AND Indonesia. After going through a series of selections, 10 articles were obtained that were published in 2020-2023 and were relevant to the research objectives, and met the inclusion and exclusion criteria. Results: The 10 studies were conducted in 9 regions in Indonesia, namely Jakarta, Yogyakarta, West Java, Bali, East Nusa Tenggara, Central Sulawesi, Gorontalo, Southeast Sulawesi, and Lampung. We found various factors increase the risk of death in Covid-19 patients in Indonesia, including older age, male sex, co-morbidities, bacterial infections, and ventilator use.
Keywords: Covid-19, Risk Factors, Indonesia, Mortality

Keywords: Please Just Try to Submit This Sample Abstract

Share Link | Plain Format | Corresponding Author (Imah Nur Chasanah)


59 Maternal and child health ABS-21

Self-Efficacy Affects Intention and Attitude Toward Human Papillomavirus Vaccination Among Urban Women in Indonesia
Dora Samaria, Desmawati, Fauziah Mawaddah, Nevin Zhasmin Mizka, Raras Dwinova

Universitas Pembangunan Nasional ^Veteran^ Jakarta


Abstract

Background: Human Papilloma Virus (HPV) vaccination has been demonstrated to reduce the risk of women being transmitted by the HPV infection effectively. Self-efficacy regarding immunization has been linked to rising acceptance rates and the overall intention of women to obtain the HPV vaccine.

Purpose: This study aims to identify the effect of self-efficacy on the intentions and attitudes of women regarding the HPV vaccine, including unmarried women aged 18-26, female adolescents aged 9-17 years, and mothers with adolescents who were eligible for the HPV vaccine.

Methods: 441 respondents were selected using the consecutive sampling method. This research employed a cross-sectional design from May 2023 to July 2023 in the Working Area of the DKI Jakarta Health Center. The research instruments comprised the Self-Efficacy Scale for HPV vaccination, the Intentions to Receive the HPV Vaccine Questionnaire, and The Attitude HPV, Cervical Cancer, and Vaccine HPV Questionnaire- all declared valid and reliable. The Kruskal Wallis Test, the Tukey HSD Post Hoc Test, and the Epsilon Squared Test were performed to measure the effect of self-efficacy and the effect size found.

Results: The three types of self-efficacy were shown to be significantly related to the intention (p<0.001) and attitude (p<0.001) of women in receiving the HPV vaccine and had a relatively strong effect size (Attitude: &#949-2=0.109, p<0.001- Intention: &#949-2=0.159, p<0.001).

Conclusion: Self-efficacy has significantly affected women^s intentions and attitudes in receiving the HPV vaccine. Furthermore, self-efficacy has a relatively strong effect size for predicting women^s attitudes and intentions in clinical settings, yet, it still requires experts^ judgment. Health promotion and cross-distribution mechanisms to assist finance vaccinations are recommended. A quasi-experimental design to assess the program^s effectiveness in increasing the self-efficacy of the HPV vaccine is suggested for further study.

Keywords: Attitude, Human Papilloma Virus Vaccine, Intention, Self-Efficacy, Women

Share Link | Plain Format | Corresponding Author (Dora Samaria)


60 Maternal and child health ABS-38

NANOPARTICLES OF MORINGA OLEIFERA LEAF EXTRACT ON ENDOTHELIN 1, sFlt 1 AND BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION
Dina Indrati Dyah Sulistyowati (a) , Mardiyono MNS, PhD (b)

(a),(b) Departement of Nursing Poltekkes Kemenkes Semarang


Abstract

Background:
Hypertensive Pregnancy Disorders are one of the causes of increasing morbidity rates and maternal, fetal, and neonatal mortality rates. Management of hypertension in pregnancy can be done pharmacologically and nonpharmacological. Non pharmacological therapies, which can be used to reduce hypertension, and herbal therapies from Moringa leaves processed with nanoparticle technology sFlt 1 and Endothelin 1 are accurate predictors of preeclampsia.

Purpose: this study is to prove that nanoparticles of Moringa Oleifera extract endothelin 1, sFlt 1 levels, and blood pressure in pregnant women with hypertension

Methods: True experiment, Randomized Control Trial with pretest posttest control group design, in two groups, namely the nanoparticle group of Moringa Oleifera extract 500 mg per day during one month and the control group. We investigated 40 people respondents who were pregnant women with hypertension. Endothelin 1, sFlt 1 was measured in serum samples.

Results: As many as 40 pregnant women with hypertension showed an average age of 28.60 until 31.20 years, from the results of the study, showed that in treatment groups before and after the intervention there was a significant difference (p=0.001). Nanoparticles of Moringa Oleifera extract can decrease systolic (p=0.007), and diastole (p=0.045), it reduced sFlt 1 levels (p=0.006), endothelin 1 levels (p=0.000).

Conclusion: Nanoparticles of Moringa Oleifera extract 500 mg per day, have a significant effect on reducing levels of blood pressure, sFlt 1 and endothelin 1 levels in pregnant women with hypertension.

Keywords: nanoparticles of Moringa Oleifera leaf extract, sFlt 1, endothelin 1, blood pressure, pregnant women, hypertension.

Share Link | Plain Format | Corresponding Author (Dina Indrati Dyah Sulistyowati, Ns.Mkep.Sp.Mat)


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