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61	Maternal and child health	ABS-41
RELATIONSHIP BETWEEN EATING BEHAVIOR WITH NUTRITIONAL STATUS AND BODY IMAGE OF ADOLESCENTS Praba Diyan Rachmawati (*), Laily Hidayati, Dela Putri Lestari, Yuni Sufyanti Arief, Eka Mishbahatul M.Has, Ilya Krisnana Faculty of Nursing, Universitas Airlangga Abstract Introduction: In adolescent, balanced nutrition is necessary for growth and development as well as to prevent nutritional problems. However, adolescent body image can be compromised when adolescents feel that they are too thin or too fat. One of the factors that determine the nutritional status and body image of adolescents is eating behavior. The purpose of this study was to analyze the relationship between eating behavior with nutritional status and body image of adolescents in Mojokerto. Methods: The design of this study was a cross-sectional study with a population of adolescents in high schools in Mojokerto. The sample size was 100 adolescents using cluster random sampling and meeting the inclusion criteria. The independent variable was eating behavior. The dependent variable were nutritional status and body image. Data were collected using AFHC and MBSRQ-AS questionnaires, digital scales, microtoise, and observation sheets. Data analysis used the Spearman rho test with a significance level of <0.05. Results: Most adolescents had good eating habits (76%), good nutritional status (57%), and positive body image (61%). The results showed that there was a significant relationship between eating behavior and nutritional status (p=0.000 and r=0.648), eating behavior and body image (p=0.000 and r=0.559), and nutritional status and body image (p=0.000 and r=0.439). Discussion: The better eating behavior will result in better nutritional status and more positive body image. The better nutritional status will result a more positive body image. It is hoped that future researchers can conduct research in a wider scope to get more diverse results. Keywords: adolescents, eating behavior, nutritional status, body image Share Link | Plain Format | Corresponding Author (Praba Diyan Rachmawati)

62	Maternal and child health	ABS-42
Knowledge and Practices of Infant and Young Children Feeding (IYCF) And Their Relationship with Nutritional Status Among Under Two-Year-Old Children in Sambas District Ilmia Fahmi1,2, Pramesthi Widya H1,3, Judhiastuty Februhartanty4, Indriya Laras P4, Evi Ermayani4, Daniel Sahanggamu4,5 1 Department of Nutrition, Faculty of Medicine, Universitas Indonesia 2 Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya 3 Nutrition Science Study Program, Faculty of Health Sciences, Universitas Jenderal Soedirman 4 Southeast Asia Ministry of Education Organization Regional Center of Food and Nutrition (SEAMEO RECFON) 5 FHI360 Abstract Studies have acknowledged the importance of caregiver^s characteristics (such as age, education level, etc.) on nutritional status of under 2-year-old children. In addition, the concept of first 1000 days of life addresses the role of infant and young children feeding (IYCF) practices on the child^s nutrition. The objective of this study was to assess caregiver^s knowledge and practices on IYCF and its relationship with nutritional status of children under 2-year-old in Sambas district West Kalimantan province. Design of this study was cross sectional which enrolled 520 caregivers with 6-23 months old children. The data was collected in April - May 2016. Data analysis used univariate and bivariate analyses using chi-square test with p-value less than 0.05 considered as statistically significant. Overall, caregiver of the children was mother (95.8%) and 55.8% of the caregivers had good knowledge. The prevalence of children with underweight, wasting and stunting are 28.8%, 16.9% and 32.7% respectively. Proportion of children ever breastfed was 94.8%, continued breastfeeding 12-23 months 79.4%, and dietary diversity score &#8805-5 food groups was 22.5%. Caregiver^s knowledge was significantly associated with early initiation breastfeeding and minimum dietary diversity (p-value less than 0.05). Caregivers with poor knowledge were likely to have children with poor nutritional status (WHZ and WAZ), have dietary diversity less than 5 food groups, and didn^t give eggs and/or flesh foods to their children. In conclusion, caregiver^s knowledge and IYCF practices were significantly associated with nutritional status. Additional skill along with training in proper caring practices to non-working caregivers is recommended to improve non-working caregivers^ economic status also their caring practices. Keywords: children under-two, IYCF knowledge, IYCF practices, nutritional status Share Link | Plain Format | Corresponding Author (Ilmia Fahmi)

63	Maternal and child health	ABS-48
Factors Associated With Postpartum Fatigue Based on Theory of Maternal Role Attaintment Aria Aulia Nastiti, Erna Dwi Wahyuni, Resky Amelia Savitri, Mira Triharini, Simriti Kana Mani, Nursalam Faculty of Nursing, Universitas Airlangga, Indonesia Abstract Introduction: Physical and psychological changes during the postpartum period including hormonal changes and the start of child-rearing tasks that are new and different to the mother so that they can cause stress and fatigue. Factors related to postpartum fatigue need to be identified as a reference for providing appropriate interventions. The aim of this study is that to analyze factors related to postpartum fatigue based on Mercer^s theory of maternal role attainment. Methods: This study used a correlational design with a cross-sectional approach which involved a sample of 102 postpartum mothers by using a purposive sampling technique. Furthermore, the independent variable was the mother-father relationship, family support and stress levels. Meanwhile the dependent variable was postpartum fatigue. The instruments used were Questionnaire Relationship Assessment Scale (RAS), Sources of Social Support Scale (SSSS), Depression Anxiety Stress Scale (DASS) 42, and Postpartum Fatigue Scale (PFS). In this study the analysis used the Spearman^s Rho test with a significance level of 0.05. Results: The results show that there is a relationship between mother and father and postpartum fatigue (p=0.000), family support and postpartum fatigue (p=0.000), and stress level and postpartum fatigue (p=0.000). Discussion and conclusion: The higher the mother-father relationship and family support so that the lower the chance of postpartum fatigue. Meanwhile, the higher the stress level so that the higher the chance of postpartum fatigue. Keywords: postpartum fatigue, mother-father relationship, family support, stress level, maternal health Share Link | Plain Format | Corresponding Author (Aria Aulia Nastiti)

64	Maternal and child health	ABS-51
Social Support and Breastfeeding Self-Efficacy in Pregnant Women: A Correlation Yuni Astuti, Cikal Bulan Tisna, Triana Dewi Universitas Muhammadiyah Yogyakarta Abstract Background: The woman is already prepared for breastfeeding when she remains pregnant. A pregnant woman^s self-efficacy influences the success of breastfeeding. To increase breastfeeding success, it is necessary to identify breastfeeding trust in expectant mothers and social support. Purpose: This study investigates the correlation of social support on prenatal breastfeeding self-efficacy. Methods: The study design used a cross-sectional study with 100 pregnant women. The data collected used a prenatal breastfeeding self-efficacy (PBSE) and social support questionnaire. Statistical analyses were conducted using the Spearman-Rangk test. Results: This study showed that 100% of the breastfeeding self-efficacy pregnant women^s had a high level of satisfaction. The result indicates that social support was associated with breastfeeding self-efficacy (p<0,05). Conclusion: There is a correlation between social support and breastfeeding self-efficacy in pregnant women. Support for breastfeeding must be initiated during pregnancy. The mother^s confidence in breastfeeding increases with assistance from her family, partners, and healthcare professionals. Keywords: breastfeeding self-efficacy, social support, pregnant women Share Link | Plain Format | Corresponding Author (Yuni Astuti)

65	Maternal and child health	ABS-52
PERCEIVED BENEFITS AND BARRIERS IN THE STUNTING PREVENTION BEHAVIOR AMONG FATHER IN COASTAL AREA OF SURABAYA Ilya Krisnana1, Eka Mishbahatul MHAS1, Praba Diyan Rachmawati1, Rofiatul Muktamaroh1, Wahyuni Tri Lestari1, Qori Ila Saidah2 1. Faculty of Nursing Universitas Airlangga, Surabaya Indonesia 2. STIKES Hang Tuah Surabaya, Indonesia Abstract The abundant diversity of food is still reversed by the high incidence of stunting in toddlers, especially in the coastal areas of Surabaya. Providing and processing healthy food menus properly and correctly are the obligation of parents. Therefore, it is necessary to involve the role of parents, especially fathers in preventing stunting in toddlers. The purpose of this study was to explain the relationship between perceived benefits and perceived obstacles with father^s behavior in preventing stunting in toddlers in the coastal area of Surabaya. This study used a correlation design with a cross-sectional approach. The population is all fathers who have toddlers in the coastal area of Surabaya. 313 father were taken as a sample by using cluster random sampling. The independent variables in the research are perceived benefits and perceived obstacles. The dependent variable in this study is stunting prevention behavior with a food diversity and eating frequency. Data were collected using a questionnaire and analyzed using the Spearman rho test with a degree of significance &#945- = 0.05. The results showed that perceived benefits were associated with food diversity (p=0.000), perceived benefits were not associated with eating frequency (p=0.397), perceived barriers were not associated with food diversity (p=0.197), and perceived barriers were not associated with food frequency eat (p=0.820). The higher perceptions of benefit, the better father behavior in preventing stunting especIally food diversity in toddler at the coast of Surabaya Keywords: perceived benefits, perceived obstacles, stunting prevention, father, toddlers Share Link | Plain Format | Corresponding Author (Ilya Krisnana)

66	Maternal and child health	ABS-54
The Effect of AECAS Android-Based Educational Intervention on Increasing Mothers^ Self-Efficacy in Caring for Stunted Children Ika Nurfajriyani, Nonok Karlina, Citra Setyo Dwi Andhini, Nur Amri Husna, Endah Sari Purbaningsih ITEKES Mahardika Cirebon Abstract Background: In 2020, 149.2 million children under five experienced stunting. The prevalence in Indonesia is 31.8% of children experiencing stunting. Mothers^ self-efficacy in caring for stunted children is influenced by the knowledge they have. Interventions using the AECAS application are expected to increase mothers^ self-efficacy in caring for stunted children, including preparing appropriate nutrition, feeding, monitoring nutritional status, and preventing complications. Objective: This study analyzes the effect of the AECAS android-based application educational intervention on mothers^ self-efficacy in caring for stunted children Method: This is quantitative research with a quasi-experimental approach. The sample in this study was 68 mothers who had stunted children aged 0-59 months. Mothers^ self-efficacy in caring for stunted children was evaluated before and after the intervention with a self-efficacy questionnaire of magnitude, strength, and generality components. This research was conducted in Cirebon on 1-31 August 2022. Results: Data were analyzed using paired t-tests. The research results showed that after the AECAS educational intervention and follow-up were carried out three times for two weeks, respondents^ self-efficacy increased (p-value 0.000 < 0.05). Conclusion: There was a significant increase mothers^ self-efficacy in caring for stunted children after educational intervention with the AECAS Android-based application. Factors related to increasing maternal self-efficacy are education and employment levels. Keywords: Stunted- Self-Efficacy- Educational Application Share Link | Plain Format | Corresponding Author (Ika Nurfajriyani)

67	Maternal and child health	ABS-57
The Effect Of Surah Ar-Rahman Therapy Through Audio On Pain Intensity In Post Operated Sectio Caesarea Patients Rosalia Rahayu, Yanti Susan, Thia Oktiany, Pipit Indra Lestari, Ani Nurhaeni, Nur Uyaenah ITEKES Mahardika, Terusan Sekar Kemuning 199, Cirebon Indonesia Abstract Background : All post-sectio caesarea patients will feel pain when the anesthetic effect has disappeared, spinal anesthesia which is commonly used for sectio caesarea operations will disappear after 2 hours postoperatively. One actions to reduce non-pharmacological pain that can be done to reduce pain in patients is listening murrotal. The benefits of reciting the Qur^an in reducing pain intensity are due to the relaxing effect that results from the melodious and beautiful Al-Qur^an which can increase endorphins that can provide a relaxing effect to physical, mental and emotional conditions. Purpose : The purpose of this study was to investigate the effect of listening Surah Ar Rahman therapy on pain intensity in post operated sectio caesarea patients. Methods : The design of this study was the pretest-posttest group design by measuring pain intensity before and after listening to Al-Qur^an surah Ar-Rohman for 15 minutes. The sample of this study was 58 patients. Results : The results showed that p value is 0.000 that means there is a therapeutic effect of listening Al-Qur^an surah Ar-Rahman through audio media on pain intensity in postoperative Sectio Caesarea patients before being given Al-Qur^an listening therapy which most of them experienced severe pain then after being given Al-Qur^an listening therapy mostly experienced in mild pain. Conclusion : The conclusion is there^s an effect of Al-Qur^an spesifically Surah Ar Rahman listening therapy on the pain intensity of postoperative sectio caesarea patients. Keywords: Surah Ar-Rahman, Pain Intensity, Post Operated Sectio Caesarea Patients Share Link | Plain Format | Corresponding Author (Rosalia Rahayu)

68	Maternal and child health	ABS-59
Spiritual Music Relaxation for Pregnant Mother with Preeclampsia in Puskesmas Gajahan Surakarta Endang Sri Wahyuni (a*), Lely Firrahmawati (a), Irvina Nurul Mahmudah(b) , Ai Rahmawati(b) , Juleha Duwi Handayani(b) , Anindya Kusuma Wardani Widharna(b) , Renata Fina Antika Cahyani (c) a) Department of Midwifery, Faculty of Health Sciences Universitas Aisyiyah Surakarta, Indonesia b) Student Department of Midwifery, Faculty of Health Sciences Universitas Aisyiyah Surakarta, Indonesia c) Student Departement of Information Technology Systems, Faculty of Sciences and Technology Universitas Aisyiyah Surakarta, Indonesia Abstract Background: Preeclampsia is the main cause of maternal death in Indonesia. The maternal mortality rate in Indonesia is still high, namely 305 per 100,000 live births, with 25% of them being caused by preeclampsia. Music is a blend of material and spiritual elements, which are composed of physical and spiritual elements. Spiritual music combines the sounds of nature (water gurgling, wind, birdsong), piano instruments, and the sound of dhikr, or internal dhikr, which forms a spiritual substance. Relaxation techniques that involve belief are believed to reduce anxiety and can lower blood pressure. This study aims to describe the spiritual relaxation effects of music on pregnant women with preeclampsia at the Gajahan Health Center in Surakarta. Methods: The research was conducted with a Pre-Experimental Design and One-Group Pretest-Posttest Design. Researchers conducted an initial test (pretest) before treatment, and measurements were taken again after treatment (posttest). The subjects of this study were pregnant women who were diagnosed with preeclampsia at the Gajahan Health Center in Surakarta. Music spiritual relaxation therapy is carried out every day for 7 days using audio guides, as well as assistance from the research team. Results: The average blood pressure of pre-eclampsia pregnant women before the spiritual relaxation music therapy treatment was 145/84 mmHg. The average blood pressure of pre-eclampsia pregnant women after spiritual relaxation music therapy treatment is 129/79. The average HARS scale for pregnant women with pre-eclampsia before treatment was 12, and after treatment was 7,8. The response of pre-eclampsia pregnant women before being treated was fear and anxiety, after the spiritual music therapy relaxation treatment, the mother stated that she felt relaxed, calm, and comfortable. Conclusion: The blood pressure of pregnant women with preeclampsia decreased after doing music spiritual relaxation therapy. Keywords: Spiritual music- Relaxation- Pregnant- Preeclampsia Share Link | Plain Format | Corresponding Author (Endang Sri Wahyuni)

69	Maternal and child health	ABS-73
Factors Of Child Care And Stunting Incidence In The Work Area Of The Labuan Public Health Center Donggala District Rosmala Nur and Hasanah Departement of Public Health, Faculty of Public Health, Tadulako University, Indonesia Abstract Abstract Stunting status in children is a public health problem in Indonesia. Stunting is a developmental disorder experienced by children due to malnutrition, repeated infections and inadequate psychosocial stimulation. Several factors cause stunting, namely the practice of giving colostrum and exclusive breastfeeding, consumption patterns of children, infectious diseases, access and availability of food as well as sanitation and environmental health The purpose of this study was to determine the level of knowledge, attitude and behavior of child care and to determine the relationship between child care (colostrum, exclusive breastfeeding, breastfeeding for up to 2 years and complementary feeding with stunting in the Work Area of the Labuan Health Center, Donggala Regency. This type of research is quantitative with a cross-sectional approach. The sample in this study was 50 people in Labuan Toposo Village. The sampling technique used purposive sampling and analyzed using the Chi Square test. The results showed that respondents with high knowledge were 44%, good attitudes were 42% and positive behavior were 34% towards child care and showed that there was a relationship between child care, namely giving colostrum (p=0.002), exclusive breastfeeding (p=0.014), 2 years of breastfeeding (p=0.022) and complementary feeding (p=0.001) with the incidence of stunting in the working area of the Labuan Health Center, Labuan District, Donggala Regency. In conclusion, there is a significant relationship between child care (colostrum giving, exclusive breastfeeding, 2 years breastfeeding and solids) and stunting Keywords: Child care, Stunting Share Link | Plain Format | Corresponding Author (Hasanah Hasanah)

70	Maternal and child health	ABS-80
The Implementation of Integrated Antenatal Care (ANC) in Primary Health Centers in Semarang during the COVID-19 Pandemic Suryani Yuliyanti- Aulia Putri Amartiwi- Aflikh Nailiya Azari- Abdul Jalil- Rahmi- Turi Setyawati Department of Public Health, Faculty of Medicine, Universitas Islam Sultan Agung Jl. Kaligawe Raya Km 4, Genuk Semarang, Indonesia Abstract Background: During the COVID-19 pandemic, (Antenatal care) ANC visits at several health facilities decreased, and it is worsened by a limited health provider and service time, potentially an obstacle to integrated ANC implementation. ANC is essential for pregnant women in addition to preventing complications of pregnancy and childbirth. Objectives: To determine the impact of COVID-19 on antenatal care provision at Primary Health Care (PHC/Puskesmas) facilities and identify relevant factors. Methods: The study was conducted between May and June 2021 at two PHCs in Semarang. The research method was cross-sectional, and the data was collected from the electronic medical record system. Fischer^s exact test and Chi-Square were used for data analysis. Additionally, we conducted interviews with the PHC staff to identify factors that influence ANC visits. Results: During the COVID-19 pandemic, the implementation of the integrated antenatal program at the two PHCs in Semarang remained consistent with the period before the pandemic. However, there some changes observed in the prescription of Fe tablets, which increased from 55% to 70% in the two PHCs. Additionally, a decline was observed in the number of new patients (from 22.5% to 17.5%), the number of Hb examinations (from 52.5% to 35%), the incidence of anemia, and consultations with doctors (from 10% to 2.5%). The reduction in ANC visits during the COVID-19 pandemic was in accordance with the regulation implemented to limit the number of patients and the duration of health services. Conclusions: Special attention is needed to the impact of reduced adherence to integrated ANC during and following the COVID-19 pandemic, especially on the growth and development of infants born during this time. Keywords: Achievement of ANC Target Management, COVID-19 Pandemic Share Link | Plain Format | Corresponding Author (Suryani Yuliyanti)

71	Maternal and child health	ABS-93
Premenstrual Syndrome and Emotional Eating in Teenage Girls: A Relationship between Stress Levels Ni Ketut Alit Armini1, Zherina Zinedine Zidane2, Arina Qona^ah3, Aria Aulia Nastiti1, Kristiawati1* 1Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Indonesia 2Professional Nursing Program, Faculty of Nursing, Universitas Airlangga, Indonesia 3Department of Advance Nursing, Faculty of Nursing, Universitas Airlangga, Indonesia Abstract Introduction: Teenagers feel a lot of stress because of the demands of lessons, conflicts with peers, and conflicts with parents. Stress is a cause of emotional eating and premenstrual syndrome in teenage girl which can affect their daily activities, their lifestyle, and their psychology. Purpose: The purpose of this study was to analyze the relationship between stress levels and the incidence of emotional eating and premenstrual syndrome in teenage girl. Methods: Correlational research design with a cross-sectional approach was used. Respondents were 123 teenage girl of class XI Senior High School in Surabaya who were selected based on established criteria. The independent variable was stress level and the dependent variables were emotional eating and premenstrual syndrome. The instruments were the Depression Anxiety Stress Scale Youth version (DASS-Y), Eating and Appraisal Due to Emotions and Stress (EADES), and The Shortened Premenstrual Assessment Form (SPAF) in the form of a Likert scale. Analysis used the Spearman Rho statistical test with a significance level of &#945- = 0.05. Results: Research showed a correlation between stress levels and emotional eating (p = 0.008- r = 0.239). There was a correlation between stress levels and premenstrual syndrome (p = 0.000- r = 0.661). Discussion: Teenage girl with high levels of stress will experience more emotional eating and more severe premenstrual syndrome. This will affect daily activities at school. Teenage girl needs to find information about stress management, healthy lifestyles, and how to prevent premenstrual syndrome. Keywords: Teenage girl, stress, emotional eating, premenstrual syndrome Share Link | Plain Format | Corresponding Author (Kristiawati Kristiawati)

72	Maternal and child health	ABS-103
EFFECTIVENESS OF ELECTRICAL MUSCLE STIMULATION INTERVENTION ON RECOVERY OF RECTUS ABDOMINIS DIASTASIS IN POSTPARTUM WOMEN Hemi Fitriani (a), Setyowati (b), Yati Afiyati (c), Raldi Artono Koestoer (d) (a) Nursing Science Program at Jenderal Achmad Yani University (b) Department of Maternity Nursing, University of Indonesia (c) Department of Maternity Nursing, University of Indonesia (d) Faculty of Mechanical Engineering, University of Indonesia Abstract Abstract Background: Much research has been done on the effect of electrical muscle stimulation (EMS) on rectus abdominis diastasis, but it needs to be clarified how this intervention is given and its effectiveness. Purpose: This systematic review aims to identify the effectiveness of EMS in recovering rectus abdominis diastasis in postpartum mothers. Methods: The formulation of systematic review questions uses the PICO framework: Postpartum Women, Electrical Muscle Stimulation (EMS), No comparison or other intervention, and Diastasis Rectus Abdominis Muscle OR Inter-Rectus Distance. Literature is sourced from eight databases, including Scopus, PubMed, EMBASE, MEDLINE, Sage Journals, Crossref, ProQuest, and Science Direct, with the keywords Electrical muscle stimulation, Diastasis Rectus Abdominis OR Inter Rectus distance, Postpartum OR Postnatal. The search obtained 1,297 articles, then screened all articles based on inclusion and exclusion criteria using the Covidence application, which finally got six articles. Identification and screening of articles are documented in the PRISMA flowchart. The six articles met the critical appraisal of the JBI RCT with a score range of 76.9% - 100%. Results: The six articles in this systematic review were published in 2017 - 2022 and used a randomized controlled trial method. Three hundred fifty-nine postpartum mothers were involved in the six studies, divided into intervention and control groups. The results of the six studies stated that electrical muscle stimulation (EMS) intervention was proven to significantly reduce DRA in postpartum mothers, compared to average recovery, recovery accompanied by abdominal muscle training, and Kinesio taping interventions. Recovery of diastasis rectus abdominis has been shown to improve the quality of life for postpartum mothers. Conclusion: The six articles state that EMS has been proven effective in accelerating the recovery process of diastasis rectus abdominis and improving quality of life. Keywords: Diastasis rectus abdominis, electrical muscle stimulation, inter-rectus distance, postpartum women Share Link | Plain Format | Corresponding Author (Hemi Fitriani)

73	Maternal and child health	ABS-117
Perbandingan Usia Perkembangan Gigi Antara Anak Talasemia Mayor dengan Anak Non Talasemia Menggunakan Metode Demirjian Nadya Elsa Cahyaningrum, Ali Taqwim, Siwi Pramatama Mars W, Suratman Universitas Jenderal Soedirman Abstract Talasemia mayor merupakan talasemia yang terjadi karena adanya kelainan pada dua gen yang menyebabkan penyandang tidak dapat memproduksi rantai globin. Gejala utama talasemia mayor berupa anemia disertai dengan salah satu gejela lainnya adalah gangguan pertumbuhan dan perkembangan gigi. Salah satu metode yang dapat digunakan untuk menilai tingkat perkembangan gigi adalah penentuan usia perkembangan gigi dengan metode Demirjian.Tujuan dari penelitian ini untuk mengetahui perbandingan usia perkembangan gigi anak talasemia mayor dengan anak non talasemia menggunakan metode Demirjian. Penelitian ini berjenis deskriptif observasional dengan metode cross sectional. Populasi dalam penelitian ini adalah anak talasemia mayor di RSUD Banyumas dan anak non talasemia di Panti Asuhan Al-Amin Dipo Soedarmo, sempel penelitian dipilih dengen menggunakan teknik purposive sampling sejumlah 48 anak dengan 24 anak talasemia dan 24 anak non talasemia. Penilaian usia perkembangan gigi dilakukan terhadap 7 gigi di regio kiri bawah dari 48 gambaran radiografi panoramik sampel. Analisis dilakukan dengan menggunakan uji independent t-test untuk mengetahui tingkat perbedaan usia perkembangan gigi dari kedua kelompok. Hasil analisis data didapatkan nilai p=0.007 (<0,05) yang berarti terdapat perbedaan yang bermakna antar kedua kelompok dengan nilai rata-rata usia perkembangan gigi kelompok anak talasemia mayor dan non talasemia secara beturut-turut sebesar 12,7262 dan 13,9604 serta rerata selesih usia kronologis dan usia perkembangan gigi dari kedua kelompok adalah -0,9391 pada anak talasemia dan 0,2691 pada anak non talasemia. Simpulan dari penelitian ini adalah perkembangan gigi pada anak talasemia mayor lebih lambat dibandingkan anak non talasemia. Keywords: Usia gigi, metode demirjian, talasemia mayor Share Link | Plain Format | Corresponding Author (Nadya Elsa Cahyaningrum)

74	Maternal and child health	ABS-124
Intestinal Parasitic Infections in Elementary School-Age Children After Covid-19 Pandemic Hanna Mutiara(1*), Betta Kurniawan(1), and Anggraeni Janar Wulan(2) 1Department Parasitology, Medical Faculty, University of Lampung, Indonesia *hanna.mutiara[at]fk.unila.ac.id 2Department Anatomy, Medical Faculty, University of Lampung, Indonesia Abstract Background: COVID-19 is a respiratory disease caused by SARS-CoV-2. Since its detection in Wuhan, it has spread and become a pandemic. This situation has forced people to change their behavior, such as wearing masks and washing hands frequently. It is expected that these measures will not only impact preventing the transmission of COVID-19 but also prevent the occurrence of other infectious diseases, such as intestinal protozoa infection which transmitted by the fecal-oral route. These infection can cause digestive disorders and malabsorption of nutrients, which is particularly risky in children. Intestinal parasite infection is still a health problem, especially in developing countries. Purpose: The study aims to assess the prevalence of intestinal protozoa infection in elementary school children in Lampung Province, Indonesia after Covid-19 pandemic. Methods: The study was designed as cross-sectional, conducted from December 2022 to March 2023. The subjects were selected through total sampling from 262 students attending public elementary schools, aged 6-12 years old. Fresh stool samples were collected and examined using direct methods, concentration, and modified acid-fast techniques. Results: Out of the 262 subjects, 110 children (41.98%) did not provide a stool specimen, so they were excluded. Among the 151 children (58.02%) who participated, 96 (63.16%) were infected. Of those infected, 62 (64.58%) had a single intestinal protozoa infection, and 34 (35.42%) had multiple infections. Conclusion: The results indicate that the prevalence of intestinal protozoan infection is still high among the subjects. Therefore, it is necessary to increase environmental sanitation, personal hygiene, and health education regarding potential risk factors. Keywords: children, infection, intestinal, parasite, protozoa Share Link | Plain Format | Corresponding Author (Hanna Mutiara)

75	Maternal and child health	ABS-174
Restrictive Repetitive Behavior In Children With Autism Spectrum Disorders: A Systematic Review Desiyani Nani, Saryono, Dian Ramawati, Hikmi Muharromah Pratiwi4 Nursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman Abstract Background: Restrictive and repetitive behavior (RRB) is indicated by bounded and restricted interests, activities, sensory sensitivities, and stereotypical and repetitive motor movements of limited interest. RRB is most strongly associated with autism but occurs in a number of other clinical disorders as well as in typical development. Purpose: This study aims to determine previous studies on the identification of restricted and repetitive behaviors to predict autism spectrum disorders in children. Methods: This study was a systematic review study approach. Collecting articles from electronic databases including Pub Med, Science Direct, Google scholar. The articles taken are those published within the last 10 years. The keywords used in this systematic review are Restrictive Repetitive Behaviors AND Autism Spectrum Disorders^. Results: Based on the 7 selected articles, there were shown the emergence of RRB in pre-school age children is a negative prognostic indicator for the future. The effect of RRB at the age of 1-2 years and 3-5 years on cognitive function, adaptive ability and leads to ASD symptoms at the age of 8-10 years. Conclusion: Restricted and repetitive behavior (RRB) detected in a child can be used to predict autism spectrum disorder (ASD). Keywords: Restrictive-repetitive behavior, Autism spectrum disorder, stereotyping, motor, sensory Share Link | Plain Format | Corresponding Author (Desiyani Nani)

76	Maternal and child health	ABS-176
Translation of the coding system for feeding interaction (CSFIO) to Indonesia Culture 1 Haryatiningsih Purwandari, 2 Mei-Chih Huang 1. Student, International Doctoral Program in Nursing, Department of Nursing, Medical of College, NCKU, Taiwan 2. Adjunct Professor, Department of Nursing, Medical of College, NCKU and National Tainan Junior College of Nursing Abstract Identifying maternal sensitivity and maternal feeding patterns is essential to support the successful feeding of preterm infants. The CSFIO-Breastfeeding is an observational instrument from Taiwan culture to identify maternal sensitivity and feeding patterns. However, the validity and reliability test in Indonesian culture should have been reported. Therefore, this study was intended to translate and modify the CSFIO to Indonesia-version and to examine its reliability with Indonesian mothers and preterm infants. Methods: This was a translation instrument study involving a convenience sample of 30 Indonesian mothers and preterm infants from one public hospital located in Purwokerto town, Central Java Province, Indonesia. The translation process involved three phases: (1) translation and modification, (2) pilot study, and (3) reliability test. Results: For phase I, the percent agreement for infants^ cues was 92%, and the maternal behavior was 50-88.8%. For phase II, the infants^ cues percentage agreement was 100%, and the maternal behavior was 88.8-100%. For phase III, intra-rater reliability for infants^ cues was 85-88%, and mothers^ behavior was 80-85%. The inter-rater reliability/ test-retest for infants^ cues within two weeks was 82-85%, and mothers^ behavior was 80-81 %. Conclusion: The CSFIO-Breastfeeding Indonesia version is clinically feasible and reliable for assessing maternal sensitivity and maternal feeding patterns in Indonesian culture. Keywords: cues, instrument, preterm infants, translation, mothers behavior Share Link | Plain Format | Corresponding Author (haryatiningsih purwandari)

77	Mental health	ABS-56
CASE STUDY: APPLICATION OF REALITY ORIENTATION THERAPY (TOR) IN PATIENTS WITH MIND PROCESSING DISORDERS DELUSION Endah Sari Purbaningsih 1}, Muadi2}, Hasril 3), Ramli Effendi, Ika Nurfajriyani4} ITEKES Mahardika, jalan terusan sekar kemuning no 199kelurahan karya mulya, kota cirebon 45135 Abstract Background :Delusion is a false belief that is strongly or persistently maintained, but does not correspond to reality. Delusions are common in severe mental disorders and several specific forms of delusions are common in people with schizophrenia. Purpose :The purpose of this study is to provide an overview of nursing care for patients with Thought Process Disorders: Delusions at Wisma Arimbi RSJ Prof. Dr. Soerojo Magelang. Methods : The type of research used is a descriptive case study approach. Data collection methods through observation, interviews, and documentation studies. The study was conducted for 3 days with a sample of 3 patient who experienced a thought process disorder: delusion. Results :The results obtained were based on the study data of the patient experiencing disorientation to time, place, and person with signs of symptoms the patient spoke slurred, shifted concentration easily, looked confused and often paced back and forth. The action that can be given is reality orientation therapy (TOR). After performing the action for 3 consecutive days the patient is able to orient to reality. Reality orientation therapy (TOR) is an effective therapy to train patients to recognize reality Keywords: reality orientation therapy, delusion Share Link | Plain Format | Corresponding Author (Endah Sari Purbaningsih)

78	Mental health	ABS-148
A Qualitative Study Of The Management Of Depression InPregnant Women In Puskesmas Gamping II Yakayum (a*), Ova Emilia(b), Cesa Septiana Pratiwi(c) Universitas ^AisyiyahYogyakarta(a*), Universitas Gadjah Mada(b), Universitas ^Aisyiyah Yogyakarta(c) Abstract Background: Prenatal depression is a mental health concern having adverse consequences for both the mother and her infant. During pregnancy to the time of birth, there are various hormonal changes experienced by the mother- the increase in these hormones can affect psychological changes in pregnant women, including emotional disturbances in the form of anger, tension, nervousness, pathological anxiety, and depression. Objective: The study aimed at knowing the Management of Depression in Pregnant Women at Puskesmas (Primary Health Center) Gamping II. Method: This research method is qualitative with a case study approach. Informants in the study were taken using a heterogeneous purposive sampling technique- there were 9 informants consisting of 1 pregnant woman and 8 health workers. Results: The results showed that depression management care provided to pregnant women was not comprehensive because there was no post-referral care, so monitoring and evaluation were not carried out, lack of knowledge about the use of screening tools for mental health disorders, knowledge about care for mothers with depression as well as knowledge about the application of guidelines for implementing. depression in pregnant women is an obstacle in providing comprehensive care. Conclusion: Pregnancy care with depression must be supported by comprehensive health care management- comprehensive care is very important to avoid the impact caused by mental health disorders experienced by mothers during pregnancy. The existence of comprehensive services will improve the care given to the mother Keywords: Management, Depression, Pregnant Women Share Link | Plain Format | Corresponding Author (Yakayum yakayum)

79	Nursing care	ABS-18
The Relationship Between Depression, Insomnia Level and Quality of Life among Older Adults Community-Dwelling in Samarinda City, East Kalimantan Province, Indonesia Bahtiar Bahtiar (a*), Dwi Nopriyanto (a), Iskandar Muda (a) (a)Department of Nursing, Faculty of Medicine, Mulawarman University, Jl. Anggur No.88, Sidodadi, Kec. Samarinda Ulu, Kota Samarinda, Kalimantan Timur 75123 *bahtiar[at]unmul.ac.id Abstract Background: The older adults experience various changes due to the aging process. Depression and insomnia are problems often experienced by the older adults that have an impact on the quality of life. Objective: This study aims to look at the relationship between the level of depression and insomnia with the quality of life (QoL)of the older adults. Method: This study uses the quantitative descriptive method with a cross-sectional study approach. The research instrument used the Geriatric Depression Scale Short Form to assess the level of depression, the level of insomnia using the insomnia rating scale, and the QoL using the WHO-Qol Bref. The study used the Spearman Correlation Test to measure the relationship between levels of depression and insomnia and the quality of life of the elderly. Multiple linear regression is used to analyze the regression hierarchy between demographic characteristics, depression and insomnia levels, and quality of life specified in four domains (physical, psychological, social, and environmental). Results: The study was conducted on 215 older adults community-dwelling. The results showed age and gender were not associated with QoL in the physical, psychological, social, or environmental domains. The depression is not related to QoL the physical, psychological, social, or environmental domains. Insomnia was positively associated with QoL in the physical domain (r = 0.138, p = 0.04) and psychological domain (r = 0.140, p = 0.03), but insomnia was not associated with the QoL social domain (r = 0.120, p = 0.06) or environmental domain (r = 0.05, p = 0.38). Furthermore, the results of the regression hierarchy analysis found that sex and insomnia can significantly predict the QoL in the physical domain (p = 0.02). The most dominant variable affecting the quality of life in the physical domain was the level of insomnia (&#946-= 0.17). Conclusion: Depression rates did not correlate significantly with all four domains of quality of life. However, insomnia rates correlate with aspects of quality of life in the physical and psychological domains. Insomnia is the dominant variable affecting the quality of life in the physical domain. Therefore, there is a need for nursing intervention in dealing with sleep problems in the older adults so that their quality of life increases. Keywords: Depression- Insomnia- Quality of Life- Older Adult- Community-dwelling Share Link | Plain Format | Corresponding Author (Bahtiar Bahtiar)

80	Nursing care	ABS-26
Effectiveness of self care intervention electronic based for improving engagement and health outcomes in patients with Heart Failure : A systematic review and meta-analysis of Randomized Controlled Trials Ani Widiastuti1, Elly Nurachmah1, Rita Sekarsari2, Indra Budi3 1Fakultas Ilmu Keperawatan, Universitas Indonesia 2Rumah sakit Jantung dan Pembuluh Darah Harapan Kita Jakarta 3Fakultas Ilmu Komputer, Universitas Indonesia Abstract Heart failure is a chronic disease with the highest readmission duration both in Indonesia and in other countries. Increased health costs due to heart failure also continues to increase every year. The inability to take care of self care and non-adherence to treatment programs are the causes of high readmissions. This study aims to identify the effectiveness of electronic-based self-care on engagement, adherence, readmission, and quality of life in heart failure patients. The research method is a systematic review and meta-analysis of RCT (randomize control trial) research through systematic searches in 10 English-language databases, which were published from 2019 to 2023. Out of a total of 134 journals identified self-care, quality of life and readmission , There are 114 articles were eliminated because they did not match the title, and of the 20 articles whose abstract results were identified as appropriate, there were 10 research references that met the inclusion and exclusion criteria, where the articles contained self-care methods that were relevant to the variables in this systematic review. Data sources were taken from five data bases, namely PMC, Pubmed, Scopus, Elsevier, Proquest. The results of the analysis show that the self-care intervention model has increased patient engagement by increasing adherence by 0.9 points, and improved the quality of life of patients by 20%, and reduced readmissions by 8.5% in heart failure patients Keywords: Self Care, engagement, adherence, readmission, quality of life Share Link | Plain Format | Corresponding Author (Ani Widiastuti)

81	Nursing care	ABS-39
THE EFFECT OF SEXUAL EDUCATION USING SNAKE AND LADDER MEDIA ON THE KNOWLEDGE AND ATTITUDE OF SCHOOL-AGE CHILDREN IN PREVENTING SEXUAL ABUSE IN TUBAN Iqlima Dwi Kurnia, Novia Tri Handika, Yuni Sufyanti Arief, Ilya Krisnana Faculty of Nursing Universitas Airlangga Abstract Introduction: Sexual abuse of children in Indonesia is still high and society considers it taboo to provide sexual education from an early age, so children do not get sufficient knowledge and children are at risk of experiencing sexual violence. The purpose of this study is to explain the effect of sexual education using snakes and ladders media in efforts to prevent sexual abuse in elementary school children Methods: The research design used was quasy experimental pre-post test control group design. The study was conducted at an elementary school in Tuban with a sample of 92 respondents using a proportionate random sampling technique that met the inclusion criteria and 36 for the intervention group and 56 for the control group. The research instrument used was the Child Knowledge Abuse Questionnaire (CKAQ) and an attitude questionnaire. The data that has been collected is tested statistically using the Wilcoxon Rank Test and the Mann-Whitney Test with a significance value of &#945- &#8804- 0.05 Results: The results showed that snakes and ladders media increased school-age children^s knowledge (p=0.000) and attitudes (p=0.000) in preventing sexual abuse Conclusion: Sexual education delivered through the medium of snakes and ladders can help increase children^s knowledge and attitudes in an effort to prevent sexual violence. Therefore, snakes and ladders media can be used as an alternative in entertaining health education in schools for further research. Keywords: Media snakes and ladders, sexual abuse, children, knowledge, attitudes Share Link | Plain Format | Corresponding Author (Iqlima Dwi Kurnia Kurnia)

82	Nursing care	ABS-43
Comparison of Dzikr (Recitation) & Doa (Prayer) to The Blood Glucose Level of Mental Health Patients Nur Fithriyanti Imamah (a*), Redo Rusandy (a,b), Ayu Nuraini (a), Siti Khoiroh Muflihatin (a) a) Department of Bachelor of Nursing, Faculty of Nursing Sciences, Universitas Muhammadiyah Kalimantan Timur, Indonesia Jl. Ir. Juanda No. 15, Air Hitam, Samarinda Ulu, Samarinda, Kalimantan Timur 753124 * nfi573[at]umkt.ac.id b) Rumah Sakit Jiwa Daerah Atma Husada Mahakam, Samarinda, Indonesia Jl. Kakap, Sungai Dama, Samarinda Ilir, Samarinda 75115 Abstract Diabetes Mellitus was one of physical problem happened between mental disease patients. Majority of Indonesian citizens were Moslems. Recitation and supplication contain spiritual values which build the inner strength and believe related to the health condition also related to the blood glucose level. In this study, two spiritual therapies including recitation and supplication based on Islam perspectives were compared to see their effect to the blood glucose level. Out of 33 potential patients, 30 patients have been participated in this study divided for 15 patients in dzikr therapy group and 15 of them received doa therapy. The therapy given on three days in length of 10 minutes at the afternoon for each therapy. The blood glucose was measured using glucomanometer before and after intervention. The data has been analyzed used independent t-test to compare mean in between group. Majority of participants were male. The average of age was 51.73 (13.17) years in Dzikr therapy group, and 51.40 (12.00) years in Doa therapy group. The mean difference of Dzikr therapy group was 21.80 (58.60) while the mean difference in the Doa therapy group was 25.00 (30.21). The independent t-test showed mean difference between two group was 3.20 point. The result showed the T-value was .188, and P-value was .852. There was no significant difference between groups given intervention using Dzikr and Doa. Spiritual therapy was complementary helps patients to relax and increase the cognitive function. Prayers was useful to deal with chronic illness. In the prayers, patients hope for the Mercy from God. Dzikr was an easy recitation that contain of high value of believe to the God. Dzikr could stimulate hypothalamic pituitary adrenal (HPA) Axis which will impact in cortisol hormone production and finally will decrease blood glucose level. Dzikr and Doa therapy could be used as an alternative therapy. In practicing dzikr and doa, patients should in the stable condition. Keywords: Spiritual Therapy, Dzikr, Doa, Recitation, Prayer, Diabetes Mellitus Share Link | Plain Format | Corresponding Author (Nur Fithriyanti Imamah)

83	Nursing care	ABS-45
Assessing Nurses^ Perceptions of Disaster Preparedness Competencies and Resilience, and the Individual and Organizational Factors that Influence it Wiwin Winarti (*a), Laksita Barbara (a), Ronny Basirun Simatupang (a), Siti Luthfiana Hasena (a), VK Dielfanie (a) a) Department of Nursing, Universitas Pembangunan Nasional Veteran Jakarta Abstract Amidst escalating global crises, nursing competencies in disaster preparedness are of paramount importance. However, the underlying factors that influence these competencies remain under-researched, especially in the context of diverse demographics. This study sought to discern nurses^ perceptions of disaster preparedness competencies and resilience by contrasting their views based on various attributes. Using a cross-sectional framework, 390 nurses collected via total sampling were evaluated using the Disaster Preparedness Evaluation Tool (DPET) and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics, the Mann-Whitney U-test, Kruskal-Wallis H test, Spearman^s correlation analysis, and the generalized linear model were used to discern the relationships between nurses^ characteristics and their DPET and CD-RISC Scores. Although 79.7% of the participants were female, male nurses consistently achieved higher scores in both the DPET and CD-RISC assessments. ED nurses also stood out in their scores. The determinants influencing these perceptions included factors such as education (p=0.024), ICU training (p=0.026), and prior disaster exposure. Notably, each unit increase in self-regulation (SRC) corresponded to a 4.032 point hike in DPET scores. In conclusion, despite the dominance of female participants, male and ED nurses exhibited enhanced perceived competence and resilience. Crucial influencers included education, ICU training, and prior disaster exposure. The findings emphasize the importance of gender-inclusive specialized training modules and highlight the need for objective metrics in future research on disaster preparedness and resilience. Keywords: Disaster- nurses- preparedness- resilience Share Link | Plain Format | Corresponding Author (Wiwin Winarti)

84	Nursing care	ABS-50
Instrument to Evaluate Non-Technical Skill in Emergency Care Departement: A Systematic Review Zhang Yukun1,Chong Mei Chan2, Nining Puji Astuti3*, Arief Shofyan Baidhowy4 1Hospital of Zhejiang University, Hangzhou, China 2Faculty of Medicine, University of Malaya, Malaysia 3Faculty of Medicine and Health Science Satya Wacana Christian University, Salatiga, Indonesia 4Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Central Java, Indonesia Abstract Background: Non-technical skills (NTS) consist of leadership, teamwork, anticipating, recognising, understanding, decision making and situation awareness will influence the quality of clinical care. Instrument to evaluate Non-technical skill function is needed to maintenance the capability of health workers to provide complete nursing care. Purpose: The purpose of this study was to review the evaluation instruments of non-technical skill relevant to emergency care department. Methods: Any studies involving an instrument to evaluate non-technical skill in emergency care department were considered. Studies were retrieved from Pubmed, Cinahl, Web of Science, Cochrane library, ProQuest and Garuda. Original research article were included if they described non-technical skill instrument in emergency nursing care department. Result were assessed for the level of evidence and reduce risk of bias using critical appraisal tool (CASP). Results: A total of 2567 articles were screened. A total of 80 report were assessed for eligibility and 12 studies were included. A range of non-technical skill measures relevant to emergency care was identified: leadership (n=5), teamwork (n=8), personality/behaviour (n=3) and situation awareness tools (n=1). Conclusion: A variety of non-technical skill measures are available, only a few have been used in the emergency care arena. TEAM can be recommended for use to assess non-technical skill during complete nursing care. More research are needed for increase in the focused assessment of teamwork skills for a greater understanding of team performance to enhance nursing care in emergency departement care. Keywords: Emergency Departement, Instrument, Non-Technical Skill, Tools Share Link | Plain Format | Corresponding Author (Nining Puji Astuti)

85	Nursing care	ABS-53
The Level Of Independence Elderly In The Fulfillment Of Activity Daily Living - A Bibliometric Analysis Edy Soesanto1, Arief Shofyan Baidhowy1, Much N Al Jihad1, Nittiya Noysipoom 2, Nining Puji Astuti3 1 Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Central Java, Indonesia 2 Adult and Gerontological Nursing Division, Boromarajonani College. of Nursing Nopparat Vajira, Bangkok, Thailand 3Department of Nursing, Faculty of Medicine and Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia Abstract Purpose: The purpose of this study is to describe the current evidence found in the nursing literature about the level of independence of elderly people in fulfilling activities of daily living. Methods: A bibliometric analysis of published research focused on the level of independence of the elderly in fulfilling daily living activities was conducted to analyze trends in publications. Paper restricted publication 2000-2023. Focus in the fields of nursing, health science, clinical science and public health. VOSviewer was used to analyze the data, and co-authors and co-occurrence then reviewed the results. Results: There were 8,028 articles obtained from 2000 to 2022 in the health sciences and nursing research fields. In general, the country that conducted the most research on ADLs was in China, with research topics around: intervention, outcome, improvement, elderly population, prevalence, and proportion. Meanwhile in intervention research the points that are often discussed include systematic reviews, measurements, improvements, outcomes, elderly, patients. In the variable daily activity factor that has the least description is a decrease in ADL, functional disability, risk factors Conclusion: In many nations, particularly developing nations, there is still room for more research on the level of independence of the elderly. My advice for researchers to pick a topic for their future research that falls within the low category of visualization. Keywords: Bibliometric, Elderly, Level of Independence Share Link | Plain Format | Corresponding Author (Nining Puji Astuti)

86	Nursing care	ABS-55
Stabilization of Blood Pressure and Sleep Quality Through Foot Reflexology Therapy in Patients with Hypertension Arief Shofyan Baidhowy1, Dwi Nur Rahmantika Putri Safitri1, Muhammad Muhibbi2, Nining Puji Astuti3, Zhang Yukun4 1 Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia 2 Sports Study Program, Faculty Of Public Health, Universitas Muhammadiyah Semarang, Semarang, Indonesia 3 Faculty of Medicine and Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia 4Hospital of Zhejiang University, Hangzhou, China Abstract Background: Cardiovascular disease, especially hypertension is the most common disease in society, the number of hypertension increased in the last decade. One of the problems that occurs due to high blood pressure is sleep disturbance which causes physical weakness, mental fatigue, physical tension, aggression and difficulty resting and will exacerbate hypertension status. Foot reflexology therapy is one that is easy to do. Applying foot reflexology can reduce pain and improve sleep quality. Purpose: The purpose of this study was to determine the effect of foot reflexology on sleep quality and blood pressure. Methods: This research method used a quasy experimental design with a time series design approach on pre-test and post-test models with control group design. Data collection has been conducted in a week period on Nov-Des 2022 using purposive sampling. The sample of this study was 44 respondents at one region in Central Java Province who have fulfilled the inclusion criteria. The instrument used was the Pittsburgh Sleep Quality Index (PSQI). Results: The results of statistical testing using the Friedman test found that there was a significant difference in sleep quality in the intervention group after acupressure was performed (p = 0.001), whereas in the control group there was no significant difference (0.55) Conclusion: Foot reflexology shows significant changes, qualitatively the patient shows a feeling of comfort such as relaxation after being given foot reflexology. This study recommends to use combination with another holistic nursing. Keywords: Foot Reflexology, Hypertension, Quality of Sleep Share Link | Plain Format | Corresponding Author (Nining Puji Astuti)

87	Nursing care	ABS-64
ASSOCIATION OF NAUSEA, VOMITING WITH QUALITY OF LIFE IN CHEMOTHERAPY PATIENTS Nonok Karlina, Erida Fadila, Ahmad Syaripudin, Uni Wahyuni, Dea Ananda Putri Itekes Mahardika Cirebon Abstract Background: Nausea vomiting due to chemotherapy is a side effect that often occurs and gives many difficulties to cancer patients. Cancer patients undergoing chemotherapy usually put nausea and vomiting at the most worrisome side effects of chemotherapy. Objective: This study determines the relationship between the incidence of nausea and vomiting with quality of life in chemotherapy patients in cancer patients. Method: In this study it is descriptive correlational with cross sectional approach. The sample of this study was chemotherapy patients at Gunung Jati Hospital, Cirebon City. The instrument used is to use questionnaires. Data analysis using the spearmen rank test, was carried out on June 22 - July 8, 2022. Results: Data were analyzed univariately in this study with the category of severe nausea vomiting as many as 33 respondents (50.8%) and quality of life with moderate category as many as 43 respondents (66.2%) in chemotherapy patients at Gunung Jati Hospital Cirebon City. The results of this study found a weak and negative relationship with quality of life in chemotherapy patients at Gunung Jati Hospital Cirebon, p-value = 0.001- &#945- = >0.05, r = -0.387. Suggestion: for this study it is hoped that patients undergoing chemotherapy can control nausea vomiting by overcoming the effects of chemotherapy, and further improve their quality of life for the better Keywords: Nausea, Vomiting, Quality of Life, Chemotherapy Share Link | Plain Format | Corresponding Author (Nonok Karlina)

88	Nursing care	ABS-77
Preventing Hypothermia in Preterm Neonates using polyethylene plastic bag Wrap: A Review Hikmi Muharromah Pratiwi, Desiyani Nani Nursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman Abstract Background: Inadequancy of current practices of routine thermal care for heat lost prevention in preterm infant leads an additional need for a immediate hypothermia prevention following delivery and during NICU admission. Plastic bag wrapping has been proven effectively to prevent the hypothermia in preterm infants. Aim: A review aimed to investigate the effectiveness of plastic bag wrapping toward hypothermia prevention in preterm infants after birth and during NICU admission. Methods: A review was performed by searching of RCT trials using PubMed, Cochrane Library, MEDLINE, and CINAHL and published in English between January 2013 and August 2023 related to plastic bag or plastic wrap or Vinyl bag or polyethylene bag or polyethylene covering, core temperature, and hypothermia. Quasi-experimental studies and randomized controlled trials (RCTs) are included in this study Result: This study included 10 trials involving 1704 preterm infants: 5 trial reported on poststabilization temperature and incidence of hypothermia, 5 trials showed only poststabilization temperature for the outcome. Eight studies revealed that plastic bag wrapping was associated with a declined hypothermia insidences, the higher temperature on baseline and poststabilization temperature compared with routine care or other thermal care. However, two studies reported that there is no difference between intervention group and control group in preterm infant baseline and poststabilization temperature after plastic bag wrapping. Discussion: Ten trials had low to moderate risk of bias and only one study was unclear. Plastic bag wrapping could effectively prevent hypothermia in preterm infants less than 34 weeks of gestational age for one hour immediately after birth and during NICU admission. The majority of studies performed a follow up in in one to two hour after plastic bag wrapping. Mild adverse effects are reported in several studies, but they resolve immediately after plastic bag removing. Conclusion: Plastic bag is considered as an effective and safe additional intervention for preventing hypothermia in preterm infants less than 34 weeks of gestational age. However, for further study could be ensured by performing better-designed studies and longer follow up period. Keywords: Please Just Try to Submit This Sample hypothermia prevention, perinatal care, plastic wrap, premature infant, thermoregulationAbstract Share Link | Plain Format | Corresponding Author (Hikmi Muharromah Pratiwi)

89	Nursing care	ABS-87
The creation and development of innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease to accommodate urinary catheters Sawinee Chansintop ,Marianee Yama, Manna Tamsamsu,Widat Hayeealee,Rufaida Pula,Kanyanat Yuppakaranon,Arida Mayunu ,Rokeeyoh Chedeemae,Amfat Samahae,Haneef Solae,Silmee Tasar Princess of Naradhiwas University Abstract Abstract This action research aims to achieve the following objectives: 1) To create and develop an innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease to accommodate urinary catheters. 2) To study the effectiveness of an innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease to accommodate urinary catheters. 3) To examine the satisfaction level of healthcare professionals at Naradhiwas Rajanagarindra Hospital regarding the implementation of an innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease to accommodate urinary catheters. The sample of research consisted of 30 registered nurses from Naradhiwas Rajanagarindra Hospital, Narathiwat Province, who were selected using the Purposive Sampling method. The research tools employed include personal information questionnaires, assessments of the quality and effectiveness of the innovation, and satisfaction surveys. The content validity index (CVI) of the tools was determined to be 1. The Data was analyzed using descriptive statistics. The research results were as follows. 1. The innovative leg-supporter for attaching a urinary catheter was designed and developed with two leg platforms on each side. Each platform has a width of 15 centimeters, a length of 25 centimeters, and a height of 35 centimeters, providing a suitable and sturdy size. It can support patients weighing up to a maximum of 100 kilograms. The supporter has cushions on both sides to protect the knee joints from injuries. It also includes illuminating lights to clearly see the catheter tube openings on both the left and right sides. Additionally, there are cloth bags sewn in the shape of pants, covering from the feet to the upper leg area, which patients can wear to prevent exposure of their body. 2. The study of the efficiency of the innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease to accommodate urinary catheters showed that the innovation significantly improves the convenience for registered nurses and reduces the number of personnel required for catheterization. Previously, an additional person was required to hold the patient^s legs, but now only one registered nurse is required to perform the urinary catheterization. 3. Satisfaction with the use of the innovative leg-supporter for female patients with weakened muscles due to cerebrovascular disease by registered nurses at Naradhiwas Rajanagarindra Hospital is at a high level (M=4.02, SD=0.63). When considering each aspect, the highest scoring aspect is safety, which is at a high level (M=4.11, SD=0.79), followed by usability, which is also at a high level (M=4.05, SD=0.69), and efficiency in usage, which is at a high level (M=4.00, SD=0.50). The research suggestions include the development of an innovative leg-supporter for urinary catheterization that can adjust the width to fit each patient properly and improve the durability of the materials used in production. Keywords: Innovative leg-supporter for urinary catheterization, Cerebrovascular disease, Weakened muscle Share Link | Plain Format | Corresponding Author (Haneef Solae)

90	Nursing care	ABS-88
The Effect of Bilingual Animation for Comprehensive Geriatric Assessment on Knowledge and Satisfaction y AmongNursing Students of Princess of Naradhiwa University Amanee Daemayu, Ausnee Au-sen, Jirascha Andaris, Sarimi Sanga, Supeeya Sata, Tuannurulizzah Meringing, Nureesan Patan, Maimoon Doloh, Renu Daman, Sakeenah Sani, Iman Latehmuhama Faculty of Nursing, Princess of Naradhiwas University Abstract This research is intended to 1) To create and develop a bilingual and 2D Animation to Comprehensive Geriatric Assessment on Knowledge and Satisfaction of Nursing at Princess of Naradhiwas University. 2) To compare the average score before and after the use of a bilingual and 2D Animation to Comprehensive Geriatric Assessment on Knowledge and Satisfaction of Nursing at Princess of Naradhiwas University. 3) To study the level of satisfaction in using a bilingual and 2D Animation to Comprehensive Geriatric Assessment on Knowledge of Nursing at Princess of Naradhiwas University. The sample in the research is nursing students a total of 30 people took a simple random sampling. Set the sample size programmatically G*POWER By determining the influence size difference from the literature review. Set the sample size to be equal to .05 Power of test equal to 0.80 and Effect size equal to 0.60 a sample of 24 people was calculated using G*POWER program. To prevent sample loss during the study, the investigators increased the sample size by 25%. Therefore, the sample size was equal to 30 people. The qualifications were determined by the researcher as follows 1) Currently studying in the course of using the Comprehensive Geriatric Assessment 2) Students who agree to participate in the research. The tools used include General information inquiry form, Questionnaire usage data, Average knowledge score before and after using a bilingual and 2D Animation to Comprehensive Geriatric Assessment, Satisfaction data a bilingual and 2D Animation to Comprehensive Geriatric Assessment. Which passed the content integrity test (CVI) equal to 0.826 The results showed that the mean scores of Knowledge before and after using animation media were (X = 0.67, S.D = 0.15, t = -16.969, Sig = .000) and (X = 1.13, S.D = 0.05, t = -16.969, Sig = .000) respectively. The satisfaction data of animation media were (X = 3.59, S.D = 0.51). It was concluded that the 3rd year nursing students were more knowledgeable in using the bilingual and 2D Animation to Comprehensive Geriatric Assessment later than before learning the animation and satisfaction in all 3 aspects was at a high level. Keywords: Nursing students- Holistic Elderly Health Assessment Form- Animation in bilingual Share Link | Plain Format | Corresponding Author (Supeeya Sata)

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