Indonesia Conference Directory

Corresponding Author
Nurulhuda Mat Hassan

Institutions
a)Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia.

Abstract
Background: Research shows e-learning is effective in supporting clinical education. However, the method for its usage to improve basic clinical skills needs further guidance and evidence. Purpose: To evaluate the benefits of a preparatory online quiz on the performance of basic clinical skills in medical students. Methods: A multimodality online platform was created to assist students to learn basic clinical skills in an introductory clinical course. A comprehensive quiz on clinical skills was included as one of the materials. A group of 60 students, newly-entered to clinical year session in September 2017 was randomized to two groups of 30 students. One group was instructed to do the online preparatory quiz prior to the start of the course. At the end of the two weeks course, all students were evaluated individually on their basic clinical skills (BCS). T-test was applied to compare mean marks of the groups. Comparison was also made between groups which completed the quiz and the group which did not complete or attempt the quiz. Results: 26 out of 30 students attempted the online quiz, however only 21 completed it. Mean (SD) marks for BCS for attempted group was 61% (9.59) which was higher than non-attempt group marks of 57.6% (7.84), but the difference was not significant (p=0.155). However, when the students were regrouped to completed and non-completed, mean marks were 62.3% (8.65) for completed and 57.3% (8.64) for incomplete and their difference were significant (p=0.003). Conclusion: E-learning with a preparatory online quiz improved clinical skills in students with good participation in the e-learning and should be incorporated in undergraduate medical education.

Keywords
E-learning, undergraduate medical education, online quiz

Topic
Others

Link: https://ifory.id/abstract/nJjmfFPzLXNT

Corresponding Author
Bernadeth Yunitasari

Institutions
Jenderal Soedirman Of University Indonesia

Abstract
Background : Postoperative Sore Throat (POST) is a side effect of the intubation that can cause difficulty in swallowing and breathing. Late treated POST can prolong the recovery period and reduce the patients satisfaction. Cold compress and guided imagery is a non-pharmacological method that can be applied to treat pain. This study aims to determine the effectiveness of cold compress and guided imagery to reduce the pain scale of POST. Methodology : The research design used quasi experiment pre-post test with two groups design using purposive sampling with 60 respondents divided into two groups, 30 cold compress groups and 30 respondents as the guided imagery groups. Instrument using a Numeric Rating Scale (NRS). Data analysis test used paired t test and independent t test. Research result: There were significant differences between the pain scale before and after the intervention of cold compress (p 0.001) and guided imagery (p 0.001). There was not significant differences between the two groups to reduce the pain scale of POST (p 0.166). Conclusion : Cold compress and Guided imagery are both effective in reducing the pain scale of POST.

Keywords
Cold Compress, Guided Imagery, Pain, POST

Topic
Nursing

Link: https://ifory.id/abstract/BebQ9knpX6j2

Corresponding Author
FRISCA RINANDAR

Institutions
Universitas Jenderal Soedirman

Abstract
EFFECTIVENESS POSITION OF HEAD 30˚AND 45˚ WHEN SUCTION MEASURES ON HEMODYNAMIC STATUS OF STROKE PATIENTS IN NATIONAL BRAIN CENTER HOSPITAL Frisca Rinandar1 (RS Pusat Otak Nasional) Arif Setyo Upoyo2 (Universitas Jenderal Soedirman) Ridlwan Kamaluddin2(Universitas Jenderal Soedirman) Jurusan Keperawatan Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto ABSTRACT Background: Stroke is a clinical manifestation of brain dysfunction, whether focal or global, lasting, more than 24 hours or causing death. Changes in patient position are nursing actions that can affect the patients hemodynamic status. This study aims to determine the effectiveness of head position 30˚ and 45˚ when suction action on hemodynamic status of stroke patients. Methodology: This research used the design of pre and post test with two groups design. The sampling technique was purposive sampling. The sample is 34 respondents for two groups. The instrument used an observation sheet. The statistical test used paired t test and continued independently t test. Results: The results showed significant differences in oxygen saturation (p = 0.001), heart rate (p = 0.038), respiration rate (p = 0.048) and Mean Arterial Pressure (p = 0.027) at head position 30˚ and oxygen saturation values ​​( p = 0.001), heart rate (p = 0.046), respiration rate (p = 0.045) and Mean Arterial Pressure (p = 0.048) at head position 45˚. However, there was no significant difference in hemodynamic status between groups of head position 30˚ with head position 45˚ when suction action in stroke patients with oxygen saturation values ​​(p = 0.850), heart rate (p = 0.391), respiration rate (p = 0.703) and Mean Arterial Pressure (p = 0.744). Conclusions: Semifowler 30˚ and 45˚ position when suctioning is effective to maintain hemodynamic status within the normal range. Keywords: Head Position, Hemodynamic Status, Stroke

Keywords
Head Position, Hemodynamic Status, Stroke

Topic
Nursing

Link: https://ifory.id/abstract/fpZFQY7gKVAq

Corresponding Author
DWI HARTATI

Institutions
AISYIYAH YOGYAKARTA UNIVERSITY

Abstract
ABSTRACT Background: In the current global era, a health worker is demanded to provide a good quality of health services. Good quality services can be obtained through good collaboration among medical workers such as medical doctors, nurses, and pharmacists as teamwork. One effort to realize effective collaboration among health workers is early collaboration during the learning process, namely, conduct joint training among health-majoring students using Interprofessional Education Strategy. The aim of this systematic literature review is to conclude and to examine the literature in the effectiveness model of interprofessional education (IPE). Methodology: the stages of the systematic literature review that are used namely: identifying problems, determining priority problems, determining research questions, determining framework (PEOS), critical appraisal, data extraction, and mapping. Examination for relevant literature are taken from three main databases namely (Pubmed, One Search and Science Direct) Results: A total of 17 publication journals are fulfilled to the inclusion criteria. Thematic analysis is carried out to identify the main points. The researcher classifies the main points, namely the model in interprofessional education and effectiveness in inter-professional education. Conclusion: Several models in IPE that can significantly improve interprofessional collaborative performance among the participants. Additional provision for the inclusion of initial IPE, simulations, and workshops in health professional education can generally encourage better communication and collaboration between health professional students. Interprofessional education leads to increased attitudes towards interprofessional teams and inter-professional learning, as well as abilities in interprofessional teams, and confidence, knowledge, and ability to manage people with long-term conditions. Demonstrate that the provision of interventions is proven directly and effectively contribute to the development of health professionals who are ready to collaborate with other health workers in order to improve service to the patients.

Keywords
Interprofessional Education, Model, Effective

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/bNQfLDBKxa6v

Corresponding Author
Muhammad Wahyu Arga

Institutions
1Postgraduate Program of Yogyakarta State University, Indonesia

Abstract
Background: Teacher is one of the organizers of education in schools, teacher organizes and implements the learning process at school. Through the teacher students can receive a variety of knowledge from various subjects in the school one of which is physical education. While students are the main objects in the education process in schools, students have the right to get the opportunity to carry out learning activities and activities related to certain skills with as much time as possible from the time available. Purpose: The purpose of the study was to improve my ability to effective learning time in physical education lessons. Methods: The design of this study was a classroom action research. The sample of the study are student. T he sample in this study were 8b and 8c class, students as many as 50 children. The data were analyzed using a student study time analysis sheet Results: The result showed after going through several cycles and based on reflection from the results of the analysis of collected data, the results of classroom action research show that at the end of the cycle there is an increase in the quality of learning. Improving the quality of learning in question is an increase in the ability of teachers to manage student learning time in physical education learning. This can be seen from the increase in the percentage of the second cycle (Waiting 60%, Managed 20%, Teaching 14.9%, Activity: 5.1%) to the third cycle (Waiting 8.5%, Management 18.3%, Teaching 19.7%, Activity 53.5%) in the teaching and activity segments. Conclusion: Based on the research and the results of the analysis that has been done, it can be concluded that after the teacher tries to understand and make efforts to manage student learning time, the opportunity for students to learn and move during learning takes place for the better. Thus the process of increasing the ability of teachers to manage student learning time can increase students opportunities to learn and move during physical education learning.

Keywords
Improvement Efforts, Student Learning Time, Physical Education

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/QxpdDUG9u8yn

Corresponding Author
Carlo Bryan C. Borrico

Institutions
1System Plus College Foundation
1,2 Holy Angel University

Corresponding author: Dr. Carlo Bryan C. Borrico (borrico.Carlo[at]auf.edu.ph)

Abstract
The Philippine government tried its best to design a law for senior citizens while Filipino families took care of their senior citizen member. They designed a law that recognized the contributions of senior citizens in nation building. However, in the report of Dr. De Leon (2014), even though senior citizens have identification card as their single most important document to access their benefits and privileges, what was identified as a gap is the supply side i.e., limited availability and accessibility of health services and medicines, issues related to access of mandated senior citizen benefits. This aimed to describe the level of awareness on the rights, benefits, privileges, and health services of elderly residing in Barangay Dau. A descriptive design was used. Self-made questionnaire to capture awareness and availment of elderly rights, benefits and privileges was used. Frequency, percentage, mean, and standard deviation were used. The result revealed that all of the participants were aware of grant of twenty percent (20%) discount from all establishments and provision of express lanes for senior citizens in all commercial and government establishments and reported they availed it. However, it is noticeable that all participants are not aware of the free medical and dental services in government establishments and the monthly stipend five hundred pesos (Php500.00) for indigent senior citizens. On the other hand, out of 92.5 percent participants who were aware of the continuance of the same benefits and privileges by GSIS, SSS, PAGIBIG, only 53.3 percent availed it. Lastly, out of 98.8% participants who were aware on mandatory PhilHealth coverage, only 93.5% availed it. It is important for health administrator and health worker to strengthened their information dissemination to increase the elderly awareness and to avail their rights, benefits and privileges.

Keywords
Elderly, Aging, RA 9994

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/NdF7PxeACYaE

Corresponding Author
Carlo Bryan C. Borrico

Institutions
1,2,3,4 Holy Angel University
1System Plus College Foundation

Corresponding author: Dr. Carlo Bryan C. Borrico (borrico.Carlo[at]auf.edu.ph)

Abstract
Backgound: Because of stress and challenges to fulfill institutional goals, nurse academic managers may perceive their work as not job satisfying and intrinsically motivating. A lack of motivation may results in apathy, poor health and well-being, and a sense of powerlessness which lead to poor job performance. Purpose: This study aimed to determine the relationship of nurse academic manager-s emotional intelligence, adversity quotient® and work motivation, and to determine the predictive ability of emotional intelligence and adversity quotient® to work motivation. Methods: A correlational, cross-sectional research design was used to determine the relationship of nurse academic manager-s emotional intelligence, adversity quotient® and work motivation, and to determine the predictive ability of emotional intelligence and adversity quotient® to work motivation. Results: A total of 55 nurse academic managers participated from any the twenty (20) universities/schools with a nursing program, duly selected by purposive sampling. The instrument utilized instruments of four parts, (1) Demographic; (2) Emotional Intelligence Questionnaire; (3) Adversity Response Profile®; and (4) Work Extrinsic and Intrinsic Motivation Scale. Multiple Regression was used to test the predictive ability of trait emotional intelligence and adversity quotient® towork motivation. Conclusions: The findings showed that emotional intelligence had significant negative regression weights while adversity quotient® had a significant positive weight), an indication that only adversity quotient® did significantly predict work motivation. However, out of the four subscales of adversity quotient®, only factors control, r =.361 p <.01 and origin and ownership, r =.320 p <.05 were found to predict work motivation.

Keywords
Emotional Intelligence, Adversity Quotient, Work Motivation, Nurse Academic Manager

Topic
Others

Link: https://ifory.id/abstract/p8nfZgdKa46U

Corresponding Author
maryam Shabany

Institutions
TUMS

Abstract
Background: Emotional intelligence (EI) and depression are important issues that can affect the quality of nurse-s work. Emotional intelligence is also an indicator of mental and physical health condition. Objectives: This study was designed to evaluate emotional intelligence and depression of hospital nurses working at Tehran University of Medical Sciences in Iran. Methods: In this cross sectional study, 113 hospital nurses of TUMS at different wards were enrolled. They filled the Persian version of the baron emotional quotient inventory (EQ-i) and beck depression inventory (BDI). Results: Mean age of participants was 25 years and 58% were male. Mean BDI and EI scores except independence and responsibility were not significantly different between male and female cases. Mean EI and its subscales were similar in different wards except emotional self-awareness. The correlation coefficient between BDI and total EI was r = 0.2 and P = 0.008, and the correlation coefficient between age and total EI was r = -0.2, P = 0.02. Conclusions: According to the results, depression evaluation and emotional intelligence improvement should be considered in Iranian nurses, who work at university associated hospitals

Keywords
Depression, Emotional Intelligence, Nurses, Iran

Topic
Nursing

Link: https://ifory.id/abstract/JueAZ9aVbqRz

Corresponding Author
nur azma amin

Institutions
1Universiti Kuala Lumpur Institute of Medical Science Technology, Malaysia
2Faculty of Health Sciences, Universiti Teknologi MARA., Malaysia
3Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia

Abstract
Introduction: Back pain is common health problems among general populations including students. Students are exposed to physically and emotionally high demanding daily activities, therefore, higher the risk to develop back musculoskeletal disorders. Objective: To estimate the 12-month prevalence of self-reported musculoskeletal symptoms in the back area and the associated risk factors. Methods: A self-administered questionnaire survey was carried out on 390 students. The Standardized Nordic Musculoskeletal Questionnaire (SNMQ) was used to identify the annual prevalence of WRMSDs. Perceived emotional distress was assessed using the short version of Depression, Anxiety and Stress (DASS21). In addition, socio-demographic and educational profiles of the participants were also included. Factors associated with back MSDs were identified using chi square analyses and further by logistic regression. Results: A total of 348 students (89.23%) completing the survey. 63.79% of the students self-reported having symptoms of MSD at any part of back for the past 12 months. Of these, lower back (83.56%) were the most frequently reported as compared to the upper back (81.98%). The multivariate analyses showed anxious or stressful students had significantly elevated risk of back pain Conclusion: The findings indicated that MSDs is relatively high among students. However, students in good term of emotional health had reduced the risk of back MSD. Thus, it is recommended that emotional wellbeing program shall be introduced to the student in future.

Keywords
back pain, university student, stress, anxiety

Topic
Environmental and Occupational Health

Link: https://ifory.id/abstract/j6X8rQnW2Mz4

Corresponding Author
Aria Gusti

Institutions
(1)Faculty of Public Health, Andalas University.
*ariagusti[at]ph.unand.ac.id

Abstract
Objectives: The development of broiler farm sector contributed to the air pollution in the form of odor due to the formation of hydrogen sulfide gas (H2S). Purpose: This study aims to analyze the level of risk of H2S exposure in the community near broiler farms PT.Ciomas Padang. Methods: The study used Environmental Health Risk Assesment (EHRA) method. Population consists of 160 people and 66 sample respondents with accidental sampling technique. Four point air samples taken on the settlement around broiler farms PT. Ciomas used gas sampler impinger. Results: Four point air samples were lower than odor threshold (0.02 ppm or 0,027 mg/m3) , H2S concentration was 0,015 mg/m3, 0,018 mg/m3, 0,022 mg/m3 and 0,023 mg/m3. The calculation of the largest realtime intake and lifetime intake found at location C. The average realtime intake value was 0,00135 mg/kg/day and intake lifetime was 0,00406 mg/kg/day. RQ value of realtime and lifetime, obtained all point of measurement has RQ>1 which means that H2S exposure is unsafe and risk management is necessary. Conclusion: The required risk management by limiting safe concentration and limiting the duration of exposure. Other efforts that can be done is by adding lime and prebiotic on chicken manure to reduce the release of H2S gas and cleaning the dirt under the cage once a week.

Keywords
EHRA, H2S, Farm, Community

Topic
Environmental and Occupational Health

Link: https://ifory.id/abstract/N792juKwcZCL

Corresponding Author
Masita Wulandari Suryoputri

Institutions
1) Departement of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University
2) Faculty of Pharmacy, Gadjah Mada University
3) Academic Hospital, Gadjah Mada University

Abstract
Epilepsy is a neurological condition characterized by recurrent seizures recurrence. Most cases of epilepsy in children at age 1-6 years (46,5%), 6-10 years (29,1%), 10-18 years (16,28%) and 0-1 years (8,14%). The high prevalence of epilepsy children can lead to many use of antiepileptic drugs, is one of the antiepileptic drug valproic acid. Valproic acid is a drug with a narrow therapeutic index therapeutic range of 50-100 mg/L. The use of children aged < 2 years are at greater risk of toxic to the pancreas and liver. That requires monitoring and dose adjustments to prevent toxic effects. Monitoring TDM (Therapeutic Drug Monitoring) can be done through a review of pharmacokinetics to estimate the therapeutic dose levels of the drug by the patient. So known drug levels in the blood and associated with therapeutic results obtained. This study is a retrospective study with a descriptive analysis of the observational design. Research subject is a child epilepsy patients with valproic acid monotherapy period January 2009 - December 2013 aged 2-14 years, men and women who are hospitalized. The results observed therapy is seizure-free duration (< 6 months and ≥ 6 months). The results of this study were 24 patients (48%) corresponding to the therapeutic range (50-100 mg/L) and 26 patients (52%) were not in accordance with the therapeutic range (<50 mg/L or >100 mg/L). Clinical outcomes was assessed based on the duration of seizure free patients showed 37 patients (74%) gave good outcome and 13 patients (26%) gave a por outcome.

Keywords
Epilepsy, valproic acid, dose evaluation, estimate levels, outcome clinic.

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/jwFWLJzAdchC

Corresponding Author
Indro Haryono

Institutions
Universitas Negeri Jakarta

Abstract
Background: This research is to evaluate the program carried out by coaching student education and training centers (PPLOP) in Central Java. Purpose: This study aimed to determine evaluation on the students- sports training and development center (PPLOP) program in Central Java Methods: Evaluation research with quantitative and qualitative approaches. The evaluation program was carried out to determine the achievement of predetermined targets and then make decision on those programs. This evaluation study used the CIPP evaluation model (context, input, process, and product). Results: The total score of the result in the context evaluation was 789 (77.35%) of the maximum score of 1020 with good interpretation. The total score of the result in the input evaluation was 1509 (61.34%) of the maximum score of 2460 with good interpretation. The total score of the result of the process evaluation was 1202 (80.13%) from the maximum score of 1500 with very good interpretation. The total score of the result in the product evaluation was 426 (88.75%) of the maximum score of 480 with very good interpretation. The recommendations for the evaluation include: 1) Continuing the PPLOP program in Central Java; 2) Improving stakeholders- coordination to support the implementation of PPLOP Central Java program; 3) Maintaining the quality standard of facilities needed in the training and competition; 4) Government should give more funding support so that the process of training in PPLOP program can run more optimally. Conclusion: This study shows that the CIPP model used in evaluating PPLOP Central Java has been going well. As for a number of criteria that have not gone well, namely in funding that has not run optimally, the exercise of pocket books for athletes is not yet available. In the competition, not all sports included in the PPLOP participate in the PPLOP championship to entered PPLOP in the agenda to be included in the PPLOP championship, in the implementation of the academic program there needs to be a policy related to the specific curriculum for athletes, in the implementation of athletes and coaches welfare programs, and an increase in the amount and process of disbursing athletes pocket money to trainers on time.

Keywords
evaluation, training, and development

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/Q9YVpcv2F6JU

Corresponding Author
Eni Rahmawati

Institutions
Pediatric Nursing Department, Faculty of Health Science,Jenderal Soedirman University

Abstract
BACKGROUND: Neonatal jaundice is a clinical condition in infants characterized by yellow staining of the skin and sclera due to the accumulation of excess unconjugated bilirubin. This is the leading cause of death in life in 60% -80% of newborns. We aimed to investigate the effects of exercise on neonates with jaundice who were undergoing phototherapy. METHODS: In this quasi eksperimental study, through quota sampling, 34 full term neonates with jaundice admitted for phototherapy were selected. Subjects were assigned to exercise and control group. Exercise was offered by using baby oil about 15-20 minutes on extremities twice a day for 3 days and the control group did not received any exercise. Statistics analysis used independent t test and mann whitney test. Demographic and clinical characteristics, vital sign, the defecation frequency, total feeding amount and body weight collected and compared between two groups. RESULTS: On the third day, the exercise group showed significantly higher defecation frequency (p=0.000) and not significant for vital sign (heart rate p=0.583; temperature p=0.807; respiration rate p=0.029), enteral feeding (p=0.202) and body weight (p=0.181) compared with the control group. CONCLUSION: Exercise could help to increase defecation frequency in neonates receiving phototherapy for jaundice.

Keywords
hiperbilirubin, exercise, neonates, phototherapy

Topic
Nursing

Link: https://ifory.id/abstract/hx6ZQyKPjaXn

Corresponding Author
Erwin Setyo Kriswanto

Institutions
*Yogyakarta State University, Yogyakarta, Indonesia
**Surabaya State University, Surabaya, Indonesia

Abstract
Exercise is a form of physical exercise that can improve physical fitness if done with the right frequency and intensity. Regular and measured exercise requires various training programs, such as interval training, circuit training, continuous training, combination exercise, or weight exercise, each of which has measurable exercise ratio to individual needs. Regular and measured exercise will result in increased work of the respiratory system, cardiovascular system, strengthen skeletal muscles and endurance. The purpose of this research is to analyze the effect of exercise ratio 1:2 on changes of anaerobic threshold and lactic acid levels in students of Physical Education, Health, and Recreation Study Program, Sport Education Department, Faculty of Sport Sciences, Universitas Negeri Yogyakarta (PJKR FIK UNY). The research method was by quasi-experimental. Research design used pretest-posttest group design, with quantitative research type. Data collection for the variables studied was done by test instrument (1) anaerobic threshold test using Fitmate version 2.2, Wellness Technology a Division of Cosmed and treadmill, (2) lactic acid level test using Accutrend Plus. Research results indicate that there is significant effect between exercise ratio 1:2 on anaerobic threshold and lactic acid level changes of PJKR FIK UNY students

Keywords
exercise ratio, anaerobic threshold, lactate acid level

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/Fmk3fnB7rwZD

Corresponding Author
Jea Joel Dungca

Institutions
Holy Angel University

Abstract
EXPERIENCE OF FAMILY MEMBERS AS PRIMARY CAREGIVERS TO CHILDREN WITH CONGENITAL ANOMALY Jea Joel Mendoza-Dungca, M.S.N., R.N. Doctoral Student, Graduate School, Holy Angel University, Sto. Rosario, Angeles City, Pampanga Background: Congenital anomaly is a condition affecting 1 in 33 infants every year. Having a baby born with anomaly does not only affect the patient himself but more so his family. Purpose: The aim of the study was to explore the experiences of families that act as a primary caregiver to children with any type of congenital anomaly. Methods: A phenomenological-heuristic research design was used in the study. Six informants willingly participated in the study under an informal, semi-structured interview with the main question “What is it like to care for a child with congenital anomaly?” duly selected thru purposive sampling. Results: The study revealed 7 main themes: Dealing with Tough Life, Money Talks: Sustaining your Child-s Needs, Family Affair: Helping One Another in Times of Crisis, Slaves of Our Emotions: Different Reactions to a Child with Congenital Anomaly, Intended Trials: God Challenging Your Conviction, Side Effects: The Negative Outcomes of having a Family Member with Congenital Anomaly and Confounded by Child-s Condition: Parents Dealing with their Child-s Special Needs. The study reflected the entirety of the participant-s experiences. These families needed attention same ways like their child. In conclusion, this phenomenon is tragic for the family, but with enough holistic support, early diagnosis and profound attention given to them, much can be done for the family. Conclusions: Caring for a child with birth defect is an unending process and takes a lifetime to be dealt with. Improving the efforts in diminishing such birth defect like pre-natal diagnosis and new born screening is essential to equip families with more knowledge and be financially prepared.

Keywords
congenital anomaly, phenomenological, heuristic

Topic
Others

Link: https://ifory.id/abstract/3jCegVwL2v7W

Corresponding Author
JERRY VILLARUEL MANLAPAZ, RN, EdD, PhD

Institutions
1Colegio de Sta. Lourdes of Leyte Foundation, Inc. Philippines
2Senior High School, University of Santo Tomas, Manila, Philippines

Abstract
Background: Schistosomiasis or bilharzia is a slow, progressive disease currently infecting over 200 million people worldwide and results in approximately 25 million disability-adjusted life years lost. It is a chronic wasting disease that is not only a public health concern but also a socio-economic problem and it is one of the most important tropical diseases in the Philippines. Twelve regions in the country are endemic for Schistosomiasis, affecting 28 of the 79 provinces, with 1,152 endemic villages in 169 municipalities. Purpose: The main purpose of the study was to identify and describe the experiences of the adult clients diagnosed with Schistosomiasis. Methods: The study utilized a qualitative Hermeneutic phenomenological research design. Using a semi structured interview guide questionnaire, a total of 10 adult clients diagnosed with Schistosomiasis were purposively selected and interviewed. Data were analyzed using Colaizzi-s phenomenological method in data analysis. Results: Four (4) themes and eight (8) categories emerged from the study: theme 1 dimensions of health with categories, work related and physical symptoms, theme 2 disequilibrium with categories feeling apprehension, financial difficulties, and social stigma, theme 3 ways of coping with categories consultations and taking of prescribed medicines and family support, and theme 4 faith in God. Conclusion: The participants experienced various signs and symptoms from being sick with Schistosomiasis. Aside from this, they also felt apprehension and isolation. The participants employed various strategies to improve their health and well-being that enabled them to manage the different signs and symptoms associated with the disease. The participants also recounted the changes in their lives before and after getting sick and how they coped with Schistosomiasis.

Keywords
Schistosomiasis, adult clients, experiences

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/kXYHC9cq7ean

Corresponding Author
Mekar Dwi Anggraeni

Institutions
1)Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman
*mekar.dwi[at]gmail.com

Abstract
Background: The most stunting cases occur in developing countries. Nutrition during first 1000 days of infants life becoming the most important stunting influencing factor. Exclusive breastfeeding may prevent stunting however, the supplemental food is common provided for the infants before six months of infants age in Indonesia. Purpose: This study was aimed to explore the early supplemental food introduction among Indonesian mothers. Methods: This was an ethnographic study and involved tweenty six participants who met the inclusion criteria. The data were collected using focus group discussion, indepth interviews, observations, and field notes. The data were analyzed using a thematic analysis method. Results: The study results revealed that the majority of participants breastfeed their infants, however they provide early supplemental food beside breastmilk. Early supplemental food introduction was affected by the mothers knowledge about exclusive breastfeeeding and cultural beliefs. Five main themes of early supplemental food introduction were 1) Early supplemental food introduction is common among Indonesian mothers, 2) Perceive early supplemental food is good for the infant, 3) The sooner the better, 4) The supplemental food types, and 5) Grandmother know best. Conclusion: The majority of Indonesian mothers provide early supplemental food for their infants. A culturally sensitive health education is needed to prevent early supplemental food introduction in order to increase the exclusive breastfeeding practice among the Javanese community. The program should involve the grandmother as the key person in the early supplemental food introduction.

Keywords
Early supplemental food, Infant, Indonesia, Stunting

Topic
Nursing

Link: https://ifory.id/abstract/4NPTUf3cqdAx

Corresponding Author
Nur Islami Mohd Fahmi Teng

Institutions
Universiti Teknologi MARA

Abstract
Sunnah eating practices has the element of healthy eating practices. The Sunnah which refers to the practices of the prophet Muhammad should be followed by Muslim worldwide. Nevertheless, most Muslim has the problem of overweight and obese including the Muslim in Malaysia. Less was known on Sunnah eating practices as previous studies were focusing more on Sunnah foods. To design appropriate, faith-based intervention on Sunnah eating practices, the facilitators and barriers towards it should be assessed. The aim of this study is to explore the facilitators and barriers to Sunnah eating practices among overweight middle-aged Muslim women. A total of 22 participants (age 52.45±4.68 years) in Klang Valley were recruited through purposive sampling design and were interviewed face-to-face using an in-depth semi-structured interview guide. Data collected were analysed using thematic content analysis. The major facilitators of Sunnah eating practices are health status, awareness, observe Sunnah practice and culture. Meanwhile, the major barriers are time constraints, outside foods, preferences and culture. Overall, the facilitators and barriers to Sunnah eating practices were much influenced by several factors including family, environment and education. This study provides the deeper look into what are the facilitating factors and barriers for Muslim people to implement Sunnah eating practice and insights for health professionals to design a relevent faith-based intervention.

Keywords
facilitators, barriers, sunnah eating practice, overweight

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/hGyATX83bLEN

Corresponding Author
Desak Nyoman Sithi

Institutions
Prodi S1 Keperawatan Fakultas Ilmu Kesehatan UPN”Veteran” Jakarta

Abstract
Background: Incident of Patient Safety is a significant cause of patient morbidity in hospital. In general reporting system of Incident of patient safety in this hospital is not good enough, indicate by no data reporting related to incident of patient safety. In fact, is too much complaint related to unsafe care, especially for patient fall, infection and medication error. The purposed of this study is to investigate “Factors Contributing to patient safety Incident within implementing patient safety goals. Method: This study used descriptive and analytical design with a cross sectional approach, and concurrent mix quantitative and qualitative method by open question, to completely information is needed. The population of this research are nurses, who work on inpatient setting with 94 sample sizes. The quantitative data collection analyzes by Univariate, Bivariate and Multivariate, while qualitative data, analyze by content analysis. Result: the prevalence of incident of patient safety was high rate, the chart review study found that incident of patient safety in Depok City Hospital is 47.9%, while confirm by content analysis data is higher up to 64.8%. Moreover, factor that contribute to incident of patient safety are: staff factor, Task Factor, Communication factor and medical equipment factor is the mean factor with (PV <0.05). While Work Environment factor, Organization factor, Training and Education factor, and team factor are not contributing to incident of patient safety. Conclusion: Prevalence of incident of patient safety is the high rate. Factor that contribute to incident of patient safety in this hospital are: Staff factor, Task factor, Communication factor and medical Equipment factor.

Keywords
Contributory, incident of patient safety, implementation, goals.

Topic
Nursing

Link: https://ifory.id/abstract/XmNk2xTDP4pM

Corresponding Author
Arih Diyaning Intiasari

Institutions
1Public Health Program, Faculty of Health, Universitas Jenderal Soedirman
2Public Health Department, Faculty of Medicine, Universitas Gadjah Mada

Abstract
The participants expansion of BPJS Kesehatan, especially for participants of the informal sector (PBPU) are faced with several problems, one of the problem was late payments of contribution payments per month by participants who have already registered. Data from BPJS Kesehatan Purwokerto showed if approximately 57.84% of the participants had experienced late payments in contribution in 2015. The purpose of this study was to find out the factors which have effect of late payments in paying the contribution of BPJS Kesehatan to the participants PBPU in Banyumas. This study was a quantitative research by case control approach. Based on the result of multivariate analysis of twelve independent variables were only four variables that had effect of late payments in paying the contributions of BPJS Kesehatan with values of CI 95%, which are variable age <35 years (p- value = 0.000), the economic status (quintile 1) (p-value = 0.000), number of family members ≥ 5 person (p-value = 0.011), and the value of CI 90% are married status (p-value = 0.059). Improving socialization of regulations and consequences of late payments of BPJS Kesehatan, increasing participants awareness of the importance have healthcare insurance continuously and give priority to the basic health needs at the household expenses are efforts that could be done to reduce the number of late payments in the premium payments of BPJS Kesehatan to the participants of informal sector community

Keywords
Participants of PBPU, late payments, premium payments of BPJS Kesehatan

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/p8vRVnKZ67Ct

Corresponding Author
Wahyu Ernawati

Institutions
Aisyiyah University of Yogyakarta
Jl. Siliwangi (Ring Road West) No. 63 Mlangi, Nogotirto, Gamping, Sleman,
Yogyakarta. 55292.Telepon: (0274) 4469199 Fax .: (0274) 4469204
Wahyuernawati584[at]yahoo.co.id

Abstract
Background: Globally, approximately 515,000 women die from pregnancy related complications each year. According to WHO, about 90-95% Maternal and infant mortality remains a huge public health problem in developing countries. One of the strategies to minimise the risks of both maternal and infant mortality is access to and utilisation of antenatal care (ANC) services. The World Health Organization (WHO) recommends antenatal care (ANC) as an important approach for the care of pregnant women. Method: Apprasial studies program using Critical Appraisal Skills Program (CASP) and methods of synthesis using a modification PEOS data sources obtained from PubMed, Sincedirect, and ProQuest. Results: Accessibility factors such as lack of transport, high transport costs and long distances to health care facilities, health care workers- attitudes, type and quality of services provided, family support, and social pregnancy. Conclusion: Pregnant women are expected to routinely check their condition at least 4 times of the standard visit (K4) during pregnancy

Keywords
Antenatal Care Visits, Factors, and Pregnancy

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/xhbQfBMLRed2

Corresponding Author
Juanda Syafitasari

Institutions
Aisyiyah University of Yogyakarta
Jl. Siliwangi (Ring Road West) No. 63 Mlangi, Nogotirto, Gamping, Sleman,
Yogyakarta. 55292.Telepon: (0274) 4469199 Fax : (0274) 4469204
juandaanindya[at]gmail.com

Abstract
Background : Antenatal iron supplementation is a cost effective way of reducing iron deficiency anaemia. Poor adherence to iron supplements has limited its effectiveness in reducing maternal anaemia as evidenced by the high burden of iron deficiency anemia . Purpose: The purpose of this study was to determine factors associated with adherence to iron supplementation. Methods : Appraisal studies using Joanna Briggs Institute (JBI), and methods of synthesis using a modification PEOS data sources obtained from PubMed and science direct. Results: The results of five journals that met the inclusion criteria obtained factors that influenced adherence of pregnant women to consume iron supplements namely age, education, employment, knowledge, socio-economic, and ANC visit. Conclusion: Promoting early and frequent ANC, enhancing the quality of ANC counseling and promoting the knowledge of women on anemia are essential strategies for improving the utilization of iron supplements.

Keywords
Compliance, factors, consumption, iron supplements, and pregnancy.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/MhjeJcuZk6yQ

Corresponding Author
Novia Nazirun

Institutions
a) Universitas Islam Riau, Jl. Kharudin Nasution, Pekanbaru, Indonesia

Abstract
This study aims to determine the factors associated with the incidence of low birth weight (LBW) in the Arifin Achmad Pekanbaru Hospital in 2015. This type of research is quantitative analytic with the type of study case study design non mmatching. Pupulasi is all babies born at Arifin Achmad Pekanbaru Hospital in 2015. Cases are babies born with a weight <2500 and controls are babies born over> 2500 gr. The sample was 1,680 people, namely the case of 182 infants and control of 182 infants taken by random sampling. Data analysis was carried out in univariate, bivariate and multivariate. The results of this study found that the most related variables were maternal education (OR: 1,693; 95% CI: 1108-2,586), birth distance (OR: 1,586: 95% CI: 1,027-2,450) and anemia (OR: 1,540: CI 95%: 1,002-2,368). From these results it can be concluded that there is a relationship between maternal education, birth distance and anemia with the occurrence of late. Health workers and related agencies are more active in providing IEC counseling and mothers are more active in finding information about LBW.

Keywords
Low Birth Weight Genesis

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/r6p8hzygKftE

Corresponding Author
Mujahadatuljannah Mujahadatuljannah

Institutions
1* Student of Magister Midwifery, ‘Aisyiyah University of Yogyakarta , Indonesia
2 Lecturer of Magister Midwifery, ‘Aisyiyah University of Yogyakarta , Indonesia
3Lecturer of Magister Midwifery, ‘Aisyiyah University of Yogyakarta, Indonesia

‘Aisyiyah University of Yogyakarta
mujahadatuljannah[at]gmail.com

Abstract
Background: Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 and an incidence 266,000 cases of death. Cancer no longer focuses only how long a patient can survive but also how health related quality of life patient. Quality of life is useful for overcoming the symptoms of cancer optimally because can be an additional information in monitoring, evaluating the effectiveness of treatments provided and patients response to cancer and treatment carried out. The quality of life among cervical cancer survivors is related to various factors. Purpose: This study aims to determine the factors associated with quality of life among cervical cancer survivors. Method: This study uses a systematic literature review method by searching 2 databases; PubMed and Sciencedirect. Articles published in English from 2008-2018 were searched. Results: The results of this review show factors associated with quality of life among cervical cancer survivors include the type of treatment (surgery, radiation with/without chemotherapy), stage of cervical cancer (early stage or advanced stage), duration/time of treatment (short or long term treatment), comorbidity (have less or more), self-esteem, age (younger or older), education (high or low), health insurance, economic status (income), social support and family support. Conclusion: We have identified factors that contribute significantly to good quality of life include patients who received only surgery, early stage of cervical cancer, long term treatment, less comorbidity, higher self-esteem, younger age, higher education, having health insurance, higher household income, good social support and good family support.

Keywords
factor; quality of life; cervical cancer; survivors

Topic
Health Technology and Medical Treatment

Link: https://ifory.id/abstract/zCjNyK6FkufT

Corresponding Author
Wastu Adi Mulyono

Institutions
Deparment of Nursing, Faculty of Health and Sciences, Jenderal Soedirman University

Abstract
Background: Patients spiritual need have been reported lack of supporting from nurses. The nurses subjective respond toward the spiritual issue has been suspected to contribute to the inadequacy of spiritual care. Therefore, a study to investigate nurses- perceptions of the spiritual issue is needed; unfortunately, there is no valid tool available in Bahasa Indonesia. Purposes: This study was to test whether the SSCRS Bahasa Indonesia version similar to the original or it was not. Method: A cross-sectional study was conducted to investigate 131 pre-registered nurses undergoing an internship program in several hospitals (Program Ners) in Central Java. A Confirmatory Factor Analysis was utilized to examine the one and two factors structure of SSCRS. Following then, the reliability of SSCRS-Bahasa Indonesia was tested use Cronbach-s Alpha coefficient. Results: The Results of CMNI/DF, CFI, TLI, RMSEA for each model factors as below: Model 1 Original: 1.43, 0.875,0.844,0.875; Model 2, single factor 17 items: 2.225, 0.420, 0.38125, 0.097; Model 3, single Factor 15 items: 1.924, 0.728, 0.683, 0.84; Model 4 two factor model 15 items:1.851, 0.753, 0.78, 0.081. Conclusion: The SSCRS BI version had a different factor construct. The two-factor model with 15 items was identified better compare to the 17 items. However, the Cronbach-s Alpha coefficient was below the acceptable cut point, but its MIIC was acceptable.

Keywords
education, nurse competency, pscychometric, spirituality, spiritual care

Topic
Nursing

Link: https://ifory.id/abstract/XUQnRxKCMPEW

Corresponding Author
Mohamad Romli

Institutions
a) Student of Nursing Departement,
Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, b)Lecturer of female health Program, Nursing Departement, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, c) Lecturer of female health Program, Nursing Departement, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

Abstract
Background: Visual Inspection with Acetic Acid (VIA) is one method of examining cervical cancer with a simple technique with high sensitivity. Cervical cancer in Indonesia ranks first in the cause of death, so this disease gets the number one of female killer disease from cancer. There are 27 cases of pre-cancerous lesions in 2017 at Purbolinggo Health Centre, East Lampung. Objective: This study is to determine the factors that influence the examination of VIA on eligible women couple of Indonesian health card owners at Purbolinggo Health Centre. Method: This study used quantitative research with Cross Sectional design using purposive sampling technique. There were 54 people as sample. The analysis used was univariate, bivariate analysis with Chi-Square test, multivariate with logistic regression. Results: The study showed that there was no cultural relationship with VIA examination (p value = 0.083, OR = 1,289), there was a knowledge relationship with VIA examination (p value = 0,000, OR = 0.194), there was an attitude relationship with VIA examination (p value = 0,000, OR = 22,203), there was a relationship between family support and VIA examination (p value = 0.006, OR = 3.692), and there was also a relationship between information access and VIA examination (p value = 0.035, OR = 8.526). Conclusion: Attitude is a factor that influences the examination of VIA of women on eligible women couple of Indonesian health card owners at Purbolinggo Health Centre

Keywords
Information Access; Culture; Visual Inspection with Acetic Acid

Topic
Nursing

Link: https://ifory.id/abstract/tvauz2WMrKAR

Corresponding Author
Shinta Alifiana Rahmawati

Institutions
Aisyiyah University Yogyakarta

Abstract
Background: Breastfeeding has short and long-term benefits on the health of children and mothers. Breastfeeding mothers have a low risk of breast cancer, ovarian cancer and hypertension. Children who are given breastfeeding have a lower risk of increasing systolic blood pressure, obesity, gastrointestinal infections, and endogenous eczema. From an international perspective, breastfeeding is important to increase the chances of childrens survival. Breastfeeding also provides emotional bonds, security, and conditions that benefit children in terms of personal and psychosocial development. Method: This Systematic Literature Review uses the PubMed, Science Direct, and Proquest databases with a period of 2008-2018. Using the Critical Appraisal Skills Program (CASP) and the synthesis method using modified PEOS (Population, Exposure, Objectives, Study design). Of the 1115 articles identified, this study analyzed 6 articles that met the inclusion criteria. Results: Based on 6 qualitative design articles that have been analyzed, the results show that the factors that influence the decision making of mothers in giving exclusive breastfeeding include good knowledge about exclusive breastfeeding. Husbands support, husband who provides support or motivation for exclusive breastfeeding will provide happiness for the mother during breastfeeding. Support from family members, family support is a supporting factor which in principle is an activity both emotional and psychological given to breastfeeding mothers in giving exclusive breastfeeding. Friend support, workplace support, socio-cultural influences and support from health workers. In addition to supporting factors there are also obstacles in giving exclusive breastfeeding including low self-esteem, breast milk only comes out a little, pain during breastfeeding, lack of support for breastfeeding. Conclusion: There are several factors that can influence the decision making of mothers in giving exclusive breastfeeding such as knowledge factors, husbands support, family member support, friend support, workplace support, socio-cultural influences and support from health workers.

Keywords
Decision Making, Exclusive Breastfeeding, Woman Empowerment

Topic
Others

Link: https://ifory.id/abstract/FjBLYVaA7TEu

Corresponding Author
Budiharjo Budiharjo

Institutions
(a) Student Master of Health Promotion in Diponegoro University Semarang
(b) Lecturers in Health Promotion Masters in Diponegoro University Semarang

Abstract
Background: Breast cancer is one of the deadliest diseases. The incidence of breast cancer in Indonesia is 11% of all cancer events. Data in RSUD Soewondo Kendal noted that caesarean sufferers increase every year. In 2014, there were 547 patients with ca mamae outpatient and 6 people inpatient care, in 2015 there were 681 outpatients and 3 inpatients, in 2016 there were 609 outpatients and 4 people inpatient care. The cause of breast cancer can not be known with certainty, but handling breast cancer cases can be done by the BSE method. Purpose: The purpose of this study was to analyze the factors that influence the behavior of young women about conscious examination in early detection of breast cancer in RSUD Soewondo Kendal. Methods: The design of this study was a cross sectional design. The population of this study is young women who have a mother with a history of breast cancer in RSUD Soewondo Kendal. The research sample amounted to 30 people taken using a purposive sampling technique. The collection of research data using a questionnaire. Data analysis was carried out through 3 stages, namely univariate, bivariate and multivariate. Results: The results showed that the factors that had a significant relationship with conscious behavior were age (p = 0.023), knowledge (p = 0.016) and family support (p = 0.024). While the most influential variable on my awareness is the family support variable with an OR value of 12,627 (95% CI: 2,567 - 62,120). Conclusion: It is suggested that families can provide support to young women to improve health related to breast cancer and early detection of breast cancer through BSE.

Keywords
Breast cancer, BSE, Adolescent girls

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/6nZmqU8WrR3K

Corresponding Author
Abdul Wakhid

Institutions
Universitas Ngudi Waluyo

Abstract
Background: Family resilience is built to reduce the incidence of trauma, depression, loss and crisis experienced by families and family members. Apart from the importance of the concept of family resilience, there has not been an adequate focus on all aspects of this concept in the discipline of nursing. Objective: This paper reports an analysis of the concept of family resilience. Methods: This concept analysis approach applies the theories of Walker and Avant. Results: Family resilience attributes include (1) ability to absorb (2) adaptability (3) ability to change (4) welfare promotion (5) achieve function (6) empower resources in the family. These attributes are influenced by antecedents of crises, experiences, disasters, damage, loss of danger exposure, support and communication. In addition, family resilience has a significant impact on positive beliefs, health protection, family planning and resilience programs, building coping and adherence capacity of family members. Conclusion: building family resilience in preventing post-disaster psychosocial problems is the main goal of disaster management on a psychosocial perspective. This analysis provides a new perspective for nurses by helping them understand all components in the concept of family resilience.

Keywords
family resilience, concept anaysis

Topic
Nursing

Link: https://ifory.id/abstract/gwW7MQ9eLUyj

Corresponding Author
Aini Yusra

Institutions
Poltekkes Kemenkes Padang
Fakultas Ilmu keperawatan Universitas Indonesia

Abstract
Background: The increase of diabetes epidemic, particularly type 2 diabetes in adults has occurred in the past three decades. This phenomenon happened especially in the developing countries. Patients- adherence is necessary in order to properly implement self-care management and help prevent prolonged hyperglycemia that can lead to complications. Families can provide supports to patients, which will have a good impact toward their adherence. Purpose: This study aims to analyze the relationship between family supports with the adherence of type 2 diabetes patients in diabetes management so that it can improve glycemic control. Methods: Three databases of Pubmed, Ebscho and Wiley were used to obtain relevant articles. Article searches using key words "type 2 diabetes", "family support", adherence and "compliance". The PRISMA method and PICO concept were used to determine which study was worth to be reviewed, and it was obtained 15 selected studies to be identified in the period from January 2008 – December 2018. The studies discuss about the forms of family support and their impact on the adherence and glycemic control of the patients. The designs of the 15 studies were 2 Qualitative Studies, 8 Quasi Experiments, 4 Mixed-method Studies and 1 Systematic Review. Results: The overall systematic review found that family supports improved the health of type 2 diabetes patients. Higher level of supports remained a strong factor for the success of the self-care management. Conclusion: This systematic review found that family supports can improve the health of type 2 diabetes. Further studies need to provide details of adherence and family support components that will have an impact on self management of type 2 diabetes patients. Furthermore, family knowledge and skills need to be improved in order to be a good health supporter for the patients, especially patients of type 2 diabetes.

Keywords
Keyword: type 2 diabetes, family support, adherence, compliance.

Topic
Nursing

Link: https://ifory.id/abstract/E2kDKFrLuAYb