Indonesia Conference Directory

Corresponding Author
Arianti Arianti

Institutions
School of Nursing Program Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta

Abstract
Background: Palliative care is the treatment needed by patients with life-limiting ilness (LLI). LLI patients can not be cured but can be treated with lifestyle management and spiritual management. Some spiritual disorder was found in LLI patients such as negative feeling, frustrated, angry and feel different from others, lonely entertainment, anxiety and low self esteem. Spirituality had been proved can increase of self esteem, emotional wellbeing, and give some hopes. LLI condition only affects the patient, but also the family as a caregiver. The impacts that might be experienced by the families include economic problem, stress, and depression which can lead into health problems and death. Aims: This study was conducted to determine the spirituality of the LLI patients and stress in their family care giver. Method: This crossectional study involved 40 patients and 40 family care giver. The results of this study indicate that the level of spirituality of patients LLI was more than the middle value with a score range 0-48. While the average value of three spiritual components is belief (13.5), meaning (10,7), peace (9,9). The study also showed that most of the caregivers experienced stress which caracteristized; feeling burdened (52.5%), crying without control (45%), feeling stressed (30%), and experiencing poor health condition (22.5%).

Keywords
life limiting illness, palliative care, spirituality, stress, family caregiver

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/cvy2BFQqNnJT

Corresponding Author
Erna Rochmawati

Institutions
School of Master of Nursing,
Universitas Muhammadiyah Yogyakarta
Jl. Brawijaya, Tamantirto, Kasihan, Bantul
DI Yogyakarta
Indonesia-55183

Abstract
Purpose: Cancer and its treatments can cause complex issues including physical, psychological and spiritual aspects. We aimed to examine the impact of cancer to the spirituality well-being, quality-life and depression among cancer patients in eastern part of Indonesia. Methods: Our study was conducted between January-April 2018 among a sample of 100 cancer patients (stadium III and IV) who admitted to a curative setting in the regional public hospital. All the participants filled three self-report questionnaires; the Spirituality Well Being Scale, the European Organization for Research and Treatment of Cancer Quality of Life (EORTC QOL), and the Beck Depression Inventory in addition to socio-demographic data. Pearson correlation was conducted to examine the associations between spirituality and depression, overall quality of life and quality of life domains (functional and symptoms). Result: All of the participants (n=100) are affiliated with particular religions and most of them always conduct worships. Pearson correlation showed significant positive associations between spirituality and overall QOL (p < 0.01) and individual functional quality of life domains (physical, roles, emotional, and social). Spirituality was negatively associated with symptoms domains (fatigue, pain, dyspnea, insomnia, loss of appetite and financial difficulties). Higher spirituality was associated with lower depression (p < 0.01). Conclusion: This study confirm that spirituality related with overall quality of life and depression and this reiterates the importance of developing spirituality-based intervention along with cancer care for this population.

Keywords
Keywords: cancer, depression, Indonesia, quality of life, spirituality

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/Cex3Pg4XywZc

Corresponding Author
Sitti Johri Nasela

Institutions
a Poltekkes Kemenkes Maluku, Maluku, Indonesia
*sitti16001[at]mail.unpad.ac.id
b Dept. Of Community Nursing, Faculty Of Nursing Padjadjaran University, West Java, Indonesia

Abstract
Essential hypertension is the most popular catastrophic case in Indonesia that referred from primary health services to hospitals. High number of morbidity and mortality caused by hypertension increase financial burden of the state for catastrophic diseases. The current effort of our government to prevent and control hypertension is by health promotion through KIE. However, the facts that hypertension prevention keep developing thus this would be a continuous global challenge for the professionals of health services. This is the reason why its important to investigate interventions that could increase control the blood pressure. The aim of this systematic review is to gain best literatures about health education about the prevention of hypertension based on community that have potential strength to regenerate clinical practice recommendations to improve preventive and promotive efforts for hypertension. Method of this literature review was using systematic searching of electronic databases from Google and Pubmed by following keywords : hypertension intervention strategies + journal, community based hypertension control programs that work + journal, hypertension AND community based health education, hypertension AND community-based nutrition DASH, hypertension AND community based control programs. Inclusion criterias of the study focused on community based education interventions for hypertension and has complete explanation about it whilst exclusion criteria of the study was all articles that older than the latest 10 years. 10 journals based on those criterias above chosen to proceed. Results of the study shows that all researches were done in developed countries and most of the articles were using quantitative methods. Community based health education for people with hypertension is an effort to help hypertension control programs. There are 4 (four) health interventions related to community based hypertension education program which are mass media campaign to reduce salt consumption, workshop programs through social volunteering or health activists, hypertension group education about dash and lifestyle then comprehensive hypertension prevention and promotive programs. Community based health education approaches through these interventions could be used to control the uncontrollable hypertension in the community. Multicomponent and multilevel cooperation as well as financially effective efforts to prevent, detect and managing hypertension could be gained by implementing all of these interventions.

Keywords
hypertension prevention and management, health education, community based programs

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/TEeaz4hrytbR

Corresponding Author
Nurvita Risdiana

Institutions
(a*)School of Nursing Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta, *nurvita.risdiana[at]umy.ac.id

Abstract
Lastly, the effect of modern era increasing the sedentary life style. Sedentary behaviour was lack on physical activity. It has relationship with physical inactivity. It would have an effect on Body Mass Index, Physical Fitness Level and Systolic Blood Pressure. Adolescents were an investment in the future. Therefore, preventing from the disease in the future was fundamental. Still limited study about detection in adolescent especially in Body Mass Index, Physical Fitness Level and Systolic Blood Pressure. This quantitative research used in this study with descriptive and cross-sectional approach. The participants were 60 female and male adolescents with age range between 20-23 years old which chosen by purposive sampling. The exclusion criteria were the adolescent with cardiovascular and respiration disorder. Descriptive and univariate analyses used to analyse this study. After gathered data 71,66% adolescent have normal Body Mass Index, 33,33% adolescent have excellent Physical Fitness Level and 96,67% adolescent have normal Systolic Blood Pressure. Almost of the participants have the decent Body Mass Index, Physical Fitness Level and Systolic Blood Pressure

Keywords
Body Mass Index; Physical Fitness Level; Systolic Blood Pressure

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/tpv2fcJUPuYA

Corresponding Author
Ika Tristanti

Institutions
Universitas Muhammadiyah Kudus

Abstract
Evidently 97.7% of children in Indonesia consume less vegetables and fruits but eat more snack and instant drinks. Some of those snacks sometimes contain microbes, additives and harmful substances such as formalin, borax, artificial coloring (Rhodamin B, Methanyl Yellow),flavor enhancer, artificial sweeteners which lead to several illness like typhoid (2.7%), diarrhea (4.9%), hepatitis (1.9%), etc. This study aims to describe the childrens consumption habits of snacks and beverages in Kudus Regency. This study was qualitative research with a phenomenological method. This study was conducted from July to September 2018 in Kudus Regency involving two elementary schools consisting of 12 participants. In-depth interview was conducted to students, teachers, food sellers and parents. The sampling technique used purposive sampling. Triangulation was done, among others, by digging information from students, food sellers,teachers and parents. The result of this study stated that not all children were accustomed to have breakfast and they were not carried packed meal from home. Moreover, Schools did not have healthy canteens and were not used to washing hands cleanly. In fact, the children were not used to eat vegetables and fruit everyday and brought pocket money to buy snacks and beverages at school containing lots of sweeteners, artificial coloring, preservatives, borax, and flavor enhancer and some snacks are eaten using unhealthy sauces and spices. Teachers told the students not to buy unhealthy snacks and beverages, but they kept doing that secretly. Conclusion: the children habits consuming unhealthy snacks and beverages must be immediately eradicated because it had the potential cause to nutritional disorders and health problems such as malnutrition, obesity and typhoid, sore throat, diarrhea etc.

Keywords
the children-s habit, consume, snacks,beverages

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/GkqBFL4ZfhRr

Corresponding Author
suratmi suratmi

Institutions
a) Universitas Muhammadiyah Lamongan
*nersratmi[at]yahoo.com

Abstract
Background: The first line infection control strategy in hospitals is the application of five-moment for hand hygiene. This study aims to determine the compliance of five moment for hand hygiene for professional practice nurses student. Method: This research was a quantitative descriptive study. The sampling method used simple random sampling with 60 respondents. The compliance of five moment hand hygiene was measured using an observation sheet. Data were analyzed using frequency distribution. Results: The students who washed their hand before patient contact were 10%, and 90% student werent. The students compliance of hand hygiene on 2nd moment, before doing aseptic procedure, were 25%, 75% werent obedient. The students hand hygiene behaviour in 3rd moment, after body fluid exposure, were 90%. Students who washed their hand after patient contact were 70%, and 30% werent. The students hand hygiene behaviour in 5rd moment, after contact with patient surroundings were 50%. Conclusion: The student compliance for hand hygiene is obtained at 3rd moment and non compliance is obtained at the 1st moment. The efforts to increase student compliance in five moment for hand hygiene need to be improved to support patient safety goals in hospital.

Keywords
hand hygiene; five moments; nurses students

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/dVyevNMUE6H4

Corresponding Author
diana rhismawati djupri

Institutions
sekolah tinggi ilmu kesehatan pertamedika

Abstract
Fatigue has dominant effect in the quality of life of hemodialysis patient. This study purposes to know the effect of breathing exercise and ROM exercise to the decrease of Intradialysis Level Fatigue in Hemodialysis Unit at Dr. Adjidarmo HOSPITAL Banten.The design of this study was the Pre-Experimental Design with One Group Pretest Posttest method involving the number of samples of 28 respondents, the measurement tool used was the Fatigue Severity Scale (FSS). Chi square is used as sample, with p value 0,001. The result of this study showed that there was a significant effect between breathing exercise and ROM excercise towards the decrease of fatigue level intradialysis (p value < 0,05). The result of this study showed that there was a significant effect between the confounding variables (age, education background and the length of having haemodialysis towards intradialysis fatigue). While between the confounding variables, they were gender and occupation, there was no significant effect towards intradialysis fatigue. So that the breathing exercise and ROM exercise can be used as one of the nursing intervention alternatives in reducing the level of intradialysis fatigue.

Keywords
fatigue, breathing exercise, ROM exercise, chronic renal failure, hemodialysis

Topic
International Conference on Nursing

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

Corresponding Author
Muhammad Zulkifli Paputungan

Institutions
Departemen Pusat Kajian Informasi Obat, Fakultas Farmasi, Universitas Ahmad Dahlan (a)
Rumah Sakit PKU Muhammadiyah Bantul Yogyakarta (b)
Program Studi Farmasi Klinik, Fakultas Farmasi, Universitas Ahmad Dahlan (c)

Abstract
Background: Plasma leakage is a problem that needs to be watched out for DHF patients which can lead to shock conditions and potentially cause death. Previous research on the use of methylprednisolone in adult DHF patients can significantly increase platelet counts but the evidence regarding the use of methylprednisolone in children DHF patients is still very limited. Objective : to determine the effect of giving methylprednisolone to clinical features, laboratory tests and length of stay in pediatric DHF patients at PKU Muhammadiyah Hospital, Bantul. Methods: The study design used RCT with a single blind. There were two groups, namely the intervention group was given methylprednisolone therapy and the control group was given a placebo. Bound variables measured were body temperature, trommbocytes, hematocrit and length of stay. Data analysis using the SPSS program. Result: There was no significant difference between groups on the number of platelet counts ,hematocrit and temperature variables where the p value was greater than 0.05. Whereas in the variable length of stay there are significant differences with the p value of 0.01 (p> 0.05). Conclusion: There were no significant differences in laboratory and clinical variables but there were significant differences in the variable length of stay.

Keywords
Methylprednisolone, DHF, platelets, temperature, length of stay

Topic
International Conference on Nursing

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

Corresponding Author
Dewi Hartinah

Institutions
Universitas Muhammadiyah Kudus

Abstract
Hypertension classified as cardiovascular disease is estimated to have caused 30% of deaths worldwide in 2013 and its prevalence was 37.4%. In 2015, at RA Kartini Hospital in Jepara Regency, there were a total number of cases of essential hypertension and other hypertension were 464 cases from 24,674 all cases of PTM in Publich health center and Hospitals throughout Jepara Regency. This study aimed to determine the effect of hydrotherapy on blood pressure of hypertensive patients at RA Kartini Hospital in Jepara. This study was quasi experiment research with pre-test and post-test non-equivalent control group design. The total Samples were 20 patients with hypertension taken by purposive sampling technique. Mercury sphygmomanometer research instruments and observation sheets. The test data analysis employed parametric statistics test of Paired-Samples T Test and Independent-Samples T Test. This study showed that: 1) The average systolic blood pressure before given hydrotherapy in the intervention group was 165.00 mmHg, diastolic was 101.00 mmHg. 2) The average systolic blood pressure after being given hydrotherapy in the intervention group was 151.00 mmHg, diastolic was 92.00 mmHg. 3) The average systolic blood pressure of the initial observation in the control group was 158.00 mmHg, diastolic at 100.00 mmHg. 4) The average systolic blood pressure after the final observation in the control group was 163.00 mmHg, diastolic was 95.00 mmHg. It can be concluded that there is an effect of hydrotherapy on blood pressure, with a decrease in the average systolic blood pressure of 19,000 mmHg and diastolic 4,000 mmHg with &

Keywords
Hypertension, Blood Pressure, Hydrotherapy

Topic
International Conference on Nursing

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

Corresponding Author
Rizka Himawan

Institutions
Universitas Muhammadiyah Kudus

Abstract
Background :. Hypertension is a disease that experienced by the worlds population. However, only one of three people who suffer from hypertension knowing the circumstances and only 61% on treatment. Concerns about the emergence of new problems in hypertension will cause mental emotional disorder. One of the lifestyle modifications that can cope hypertension by advocating for more relaxed. One relaxation in hypertension patients is laughter therapy. Puspose : The purpose of this study is to determine the effect of laughter theraphy to decrease blood pressure with hypertension patients in Local Government Clinic Welahan 1. Method : The method is a quasi-experimental design with pre-test and post-test. Samples of 32 respondents consist with 16 respondents intervention group and 16 respondents control group. Measure instruments used aneroid sphygmomanometer and observation sheet of laughter therapy. Data analysis used T test. Results : The results of test analysis-T signed rank test showed mean blood pressure systolic and dyastolic before treatment to intervention group are 162 mmHg and 103 mmHg, meanwhile to control group are 154 mmHg and 96 mmHg. Mean blood pressure systolic and dyastolic after treatment to intervention group are 159 mmHg and 97 mmHg, meanwhile to control group are 154 mmHg and 94 mmHg. So, there is the effect significant of laughter therapy to decrease blood pressure systolic and dyastolic with p value 0,022 and 0,036 (p value < 0,05). Conclusion: There is the effect of laughter therapy to decrease blood pressure with hypertension patients in Local Government Clinic Welahan 1.

Keywords
Hypertension, Blood Pressure, Laughter Therapy

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/7M9L8cTNPxgq

Corresponding Author
Fifin Eka Sriwahyuni

Institutions
Health Polytechnic of the Ministry of Health Semarang

Abstract
Background: Labor pain is a complex phenomenon in terms of psychological, emotional and physical, giving a detrimental effect on the mother and fetus. Acute labor pain worsens a womans mood. Primipara has a more severe level of pain that increases the incidence of caesria (SC) 22% compared to multiparas, resulting in uterine muscle not being well coordinated, triggering prolonged labor and serious side effects for the mother of intra-partum infection, uterine tears, pelvic floor muscle injury, pathological ring retraction while in the fetus results in sucedeneum headaches and fetal head molasses. Subjects and methods: This is a systematic review. The dependent variable was labor pain and the independent variable was moxibustion of LI4 SP6 and back massage (Slow Stroke Back Massage). Literary sources include Google Scholar, Proquest, and Direct Science. Key words for this research are Moxibustion, back massage and labor pain. Inclusion criteria were reviews, systematic reviews, clinical reviews and guidelines. After the review process, ten articles were included in this review. Results: moxibustion and back massage can be used as non-medical therapies to reduce labor pain in the first stage. It provides a relaxing and comforting effect. Conclusion: Interventions for moxibustion and back massage can be used as non-medical therapies to reduce labor pain in the first stage.

Keywords
non-medical, moxibustion, back massage, labor pain.

Topic
International Conference on Nursing

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

Corresponding Author
Rizaluddin Akbar

Institutions
Departement Of Bachelor Nurse, Health Science Faculty, Universitas Muhammadiyah Cirebon1*, Departement Of Bachelor Nurse, Medical And Health Science Faculty, Universitas Muhammadiyah Yogyakarta2.

Abstract
Background: The Government of Indonesia in 28 PERMENKES explains Pictorial Health Warning or Health Warnings are images and writings that provide information about the dangers of smoking. Drawings and writings Health Warnings shall have the meanings are printed together with the Tobacco Products Packaging and not a sticker attached to the Tobacco Product Packaging or replaced by the consumer with a cute sticker. Smoking behavior among adolescents need to be enhanced by utilizing the visual media image poster warning or PHW Purpose: The purpose of this study was to know effect of PHW-based poster on adolescent quit smoking behaviour hamlet Tlogo Methods: This study is a quantitative research, quasy-Experimental with pre-test and post-test control group design. Measurement of behaviors done during the pre-test and post-test for 1 month. The research was conducted from January to March 2016 in the hamlet Tlogo. Respondents consisted of 16 treatment groups were given intervention in the form of posters based on PHW and 16 people in the control group. Results: The results of Wlicoxon Signed Ranks Test showed no influence PHW-based poster with a value p = <0.414 then there is no difference in the level of smoking behavior in the intervention group and the control group. The Mann-whitnet test result on the difference in the smoking behavior of pre-tets control group and treatment group obtained the result of 0,812 and the mann-whitney test result on the defference in the smoking behavior of post-test control group and treatment group obtained the result of 0,838. Conclusion: There is no effect of PHW-based poster on adolescent smoking behavior in Tlogo Village Kasihan Bantul. The next researchears are to be expected to do a deeper analysis on factors that related to adolescent smoking behaviour

Keywords
Pictorial Health Warning, Posters, Smoking Behavior, Adolescent smokers

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/QAdMkxvZ2r76

Corresponding Author
Ratna Sari Dinaryanti

Institutions
Sekolah Tinggi Ilmu Kesehatan Pertamedika

Abstract
The most common symptoms in lung cancer are dyspnea and anxiety that cause restlessness on patient. This study aimed to identify the impact of PLB and PMR training program on the increase of oxygen saturation level and relaxation in patients with lung cancer. The study design was Quasy Experiment with pre-test and post-test without control group. The inclusion criteria were patient with lung cancer who was affected of shortness of breath, admitted for at least 6 days, and provided with oxygen therapy through nasal canulla. The exclusion criteria were patient with musculoskeletal disorder, abnormal hemoglobin level, and pleural effusion. 19 participants were involved in this study. The instruments included pulse oximetry to measure oxygen saturation and subjective and objective monitoring form to measure relaxation level. Faculty of Nursing of Universitas Indonesia had issued ethical clearance before the study was conducted. The results indicated a significant difference in oxygen saturation before and after PLB and PMR training program (p value < 0,05) and significant difference in level of relaxation before and after PLB and PMR training program (p value < 0,05). Multivariate analysis showed that age was a strong predictor of oxygen saturation. This study concluded that breathing and relaxation training program were able to promote oxygen saturation level and relaxation. Nurses are encouraged to apply these exercise for patients with lung cancer who are affected by shortness of breath. Authors suggest to apply qualitative method and provide longer time for intervention for further study.

Keywords
Therapy of PLB and PMR, Lung Cancer, Oxygen Saturation, Level of Relaxation

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/HPmUT3vpdFDj

Corresponding Author
Muhammad Iqbal

Institutions
Hospital Management

Abstract
The purpose of this study are: (1) Knowing and analyzing the influence of quality service and customer satisfaction on patient loyalty; (2) Knowing and analyzing the influence of customer quality on patient loyalty; (3) Knowing and analyzing the effect of customer satisfaction on patient loyalty at the PKU Primary Clinic Muhammadiyah Cangkringan. This study uses a quantitative approach. The research variables included quality service and patient satisfaction as independent variables, and patient loyalty as the dependent variable. Population of this study was visitors in all service units of the Pratama Clinic PKU Muhammadiyah Cangkringan in 2016 amounting to 5,283. About 100 people were obtained as samples used the Slovin technique and 4 informants were interviewed to complete quantitative data. The type of data used is primary and secondary data. Data collection techniques consist of questionnaires supported by interviews. Validity and reliability test used the Correlation Product Moment test, and Crobench Alpha. Descriptive data analysis techniques used SPSS for windows version 15.0 and Structural Equation Modeling (SEM) analysis. The results of the study indicate that Quality of service consisting of five dimensions, namely; trustworthy (responsiveness), guarantee of service quality (asurance), customer empathy (empathy) and physical evidence (tangible) and patient satisfaction that cover three dimensions: product quality meets expectations; quality of service meets expectations ; the price is as expected, simultaneously has a positive effect significantly on patient loyalty. Simultaneous and positive effects of both service quality variables and Customer Satisfaction (0.689); Quality Service (X1) has a positive effect significantly (0,928) to patient loyalty at the PKU Pratama Clinic Muhamadiyah Cangkringan; Customer satisfaction which includes dimensions: product quality meets expectations, service quality meets expectations, and prices according to expectations also provide a positive effect significantly (1,167).

Keywords
Quality Service, Patient Satisfaction, and Patient Loyalty

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/JRVB69kENXfx

Corresponding Author
Insana Maria Maria

Institutions
(1) Akper Intan Martapura
Jalan Samadi No 1 Kalimantan Selatan, Indonesia

(2) Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Lambung Mangkurat
Jl. A. Yani KM 36 Banjarbaru Kalimantan Selatan

Abstract
The case of asthma in South Kalimantan exceeds the national number(3.6% of 2.4%). The increasing of this case certainly requires rapid treatment so that airway obstruction does not occur suddenly and unexpectedly. Giving a semi fowler position, as one of the independent nursing interventions can reduce tightness because it can reduce the pressure on the abdomen and optimize the lung function. The purpose of this study was to determine the effect of giving semi-fowler position to the stability of the breath patterns of asthma patients at RatuZalecha Hospital Martapura. This study used a pre-experimental study design with 30 respondents, using simple random sampling technique. The intervention of semi-fowler position was given to the respondents when they were having shortness of breath, and observation sheets was used to assess the stability of the breath pattern before and after the intervention was given. The Wilcoxon test was used for analysis with &

Keywords
semi fowler, stability of breathing pattern, asma

Topic
International Conference on Nursing

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

Corresponding Author
Hanik Rohmah Irawati

Institutions
STIKes Pertamedika

Abstract
Self efficacy for coping with cancer in breast cancer patients can improve the adaptive coping, welfare dan quality of life of the patients. This study examines the effect of support of the support group to improvement self efficacy breast cancer patients taking chemoteraphy for coping with cancer. The study design uses quasi experiment with pre-post test within control group, involving 76 breast cancer patients with intervention (38 respondents) and control (38 respondents) using concecutive sampling method. Retrieving data using instruments Cancer Behavior Inventory Version 2. Statistical test results with chi square showed no significance difference proportion self efficacy for coping with cancer between in intervention group and the control group (RR 1,4 with 95% CI 0,8-2,4). The support of support group with appropriate methods needs to be given to cancer patients as part of nursing care in order to increase self-efficacy for coping with cancer.

Keywords
breast cancer, self efficacy, the support of support group

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/htfvDE3YuZTB

Corresponding Author
Wasijati Wasijati

Institutions
STIKes Pertamedika Jakarta

Abstract
The inability to have a sleep quality can increase the risk of having cancer to be more aggressive. This condition occurs because the immune body system is disturbed so that the ability of the immune to restrain or to control the cancer cells is decreasing. This research is aimed at knowing the effect of the aromatherapy massage on the patients sleep quality with cancer. This research is a quantitative research with quasi experimental design by using pre- and post-test method without control group. The sample of this research is 15 respondents and the sample taking is by using consecutive sampling technique. The sleep quality is measured by using PSQI questionnaires (The Pittsburgh sleep quality index). The research result shows that there is a decreasing score of sleep quality after the aromatherapy massage with the probability value of 0,0001 (p value < 0,05). The decreasing score of sleep quality shows that there is an increase in the sleep quality, so it can be concluded that there was an effect of aromatherapy massage on sleep quality of patients with cancer. Based on the research results it is expected that aromatherapy massage is recommended as a self intervention of nurses in healthcare services to improve the sleep quality of the patients with cancer.

Keywords
cancer, sleep quality, aromatherapy massage

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/JvbyV7Adu6DL

Corresponding Author
Dinasti Pudang Binoriang

Institutions
Universitas Muhammadiyah Yogyakarta

Abstract
Background : Aging is a natural process characterized by a decrease in the function of various organs of the body. This natural process is slowly causing the older people to risk various health problems. One of the health problems experienced by the older people is body balance disorders. Body balance is influenced by complex and coordinated interactions between sensory components (visual, vestibular and proprioceptive input) and motor or musculoskeletal responses. Objective : To provide an overview of the implementation of nursing intervention and services for older adults with balance impairment in Padukahan Kalirandu, Bangunjiwo, Kasihan, Bantul, Yogyakarta. Research Method : Use quasi experiment, it aims to determine the effectiveness of giving older people balance excercise interventions. The sample in this study 46 respondents. Location this research in Posyandu Wreda Pratama Padukahan Kalirandu, Bangunjiwo, Kasihan, Bantul, Yogyakarta. Results : There is a decrease in the average results of body balance before and after the intervention. Before intervening 13.93 seconds and after intervention it decreased to 12.13 seconds. Conclusion : there is a relationship between the provision of balance training with a reduced risk of falls older people in Posyandu Wreda Pratama Padukahan Kalirandu, Bangunjiwo, Kasihan, Bantul, Yogyakarta.

Keywords
older people, balance exercise

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/tNfcEpeF7rLq

Corresponding Author
Dwi Septian Wijaya

Institutions
Universitas Muhammadiyah Prof. Dr. HAMKA

Abstract
Smoking is one of the habits carried out by most people, including teenagers. According to the Indonesian Ministry of Health (2018) the prevalence of smokers in Indonesia has increased from 27% in 1995 to 33.80% in 2018 at the age of> 15 years. Then for male smokers it was 53.4% and women 1.70% in 1995. Later smokers in 2018 in men were 62.90% and women were 4.80%. Stopping smoking is not an easy effort, one of which is due to a lack of motivation for someone to stop smoking and also because of the influence of friends and the environment. SEFT therapy can form an anticipatory and preventive state of smoking. This study aims to determine the effectiveness of SEFT therapy on the intensity of smoking prajurti 7 cavalry battalion / special assault troop-s jaya Kodam East Jakarta. The design of the study used Quasi Experiments with the pretest - posttest design with control group design approach. The samples in the study were soldiers from the headquarters company with 36 people who fulfilled the inclusion and exclusion criteria consisting of 18 intervention groups and 18 control groups. Data analysis using Repeated Anova test if it is normally distributed and if it is not normally distributed then uses the Friedman test. Based on the results of the analysis with the Friedman test shows the p-value of 0,000 in the intervention group, so it can be said that there is a very significant difference. Then in the control group the p-value is 0.201, so that it can be said that there is no significant difference. The conclusion of this study is that SEFT therapy proved effective in reducing the intensity of smoking in 7 cavalry battalion soldiers / assault troops specifically in the East Jakarta Jaya Kodam

Keywords
SEFT Therapy, Smoking Intensity, Soldiers

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/3mUNG7cBpKPa

Corresponding Author
Ana Zumrotun Nisak

Institutions
Universitas Muhammadiyah Kudus

Abstract
Cervical cancer caused by infection with Human Papiloma Virus (HPV) is one type of cancer which has high prevalence and belongs the second leading cause of death for women in the world after breast cancer. It is estimated that every day 40-45 new cases appear and around 20-25 people die due to cervical cancer. To prevent pre-cancerous lesions gradually and develop into invasive cancer, primary prevention needs to be done through the provision of health promotion and guidebook on early detection of cervical cancer. This detection can use the easiest, cheapest and affordable method, namely of Visual Acetate Inspection (IVA). In Kudus district the coverage of early detection of cervical cancer by the IVA method is only 2% of the number of women aged 30-50 years. This study aims to determine the effectiveness of health promotion and guidebook on the early detection of cervical cancer as an effort to participate in womens IVA examination. This study was quasi-experimental with the design of the pretest posttest non equivalent control group, with a sample of 66 respondents divided into two groups taken using consecutive sampling technique. Later on, the data were analyzed using McNemar and Chi Square tests. The results showed the results of the McNemar test on knowledge in the intervention group had p value of 0.003 while in the control group had p value of 0.630. In the intervention group the participation of women doing IVA examination had a p value of 0.004 and in the control group participation of women conducting IVA examinations had p value of 0.500. Chi Square test results for comparison between the intervention group and the control group had p value of 0.003. Providing health promotion and guidebook for early detection of cervical cancer is very effective on increasing the participation of women in Payaman village in Kudus Regency of IVA examination. There were differences in womens participation in IVA examinations between the intervention group and the control group after being given health promotion and standard books on early detection of cervical cancer.

Keywords
Guidebook, IVA Participation

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/Zy642D8LAFvr

Corresponding Author
Mutik Sri Pitajeng

Institutions
Joint Degree Program for Master of Nursing, Universitas Gadjah Mada, Indonesia and University of Tasmania, Australia

Abstract
Lack of antibiotic prescription could cause the bacteria mutated into organisms that led to multidrug-resistant infection. Preventing this infection at patient in Intensive Care Unit (ICU) should be a priority for health care provider because the treatment is difficult and costly. Chlorhexidine that has been widely known as antiseptic in health care setting shows promising protector effect from infection. This review will identify the efficacy of daily bathing with chlorhexidine to prevent multidrug-resistant infection in the ICU. Five online databases were searched for the articles that meet with the criteria. Seventeen articles were included in this review. Daily bathing with chlorhexidine had a different effect for preventing infections caused by the multidrug-resistant organisms including methicillin-resistant straphylococcus aureus (MRSA), voncomycin-resistant enterococcus (VRE), fluoroquinolone-resistant gram-negative bacilli (FQRGNB), carbapenem-resistant Acinetobacter baumannii (CRAB), and highly resistant Enterobacteriaceae (HRE). To enhance the protector effect in ICU, chlorhexidine bathing must be combined with the other approaches such as antimicrobial prescription and hand hygiene program. The future research related to bacteria resistant to chlorhexidine is needed to monitor whether this approach will effective following trend of infection disease in ICU.

Keywords
chlorhexidine bathing, multidrug-resistant organism, infection, ICU

Topic
International Conference on Nursing

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

Corresponding Author
Juan Leyva-Moral

Institutions
a) Universitat Autonoma de Barcelona, Bellaterra (Spain)
b) Grupo de Trabajo sobre Tratamientos del VIH (gTt-VIH), Barcelona (Spain)

Abstract
Advances in virology, public health and pharmacology have transformed HIV infection from a deadly entity to chronic infection with low mortality. Little is known about the aging experience of people living with HIV. This study aims to describe the experience of aging as the first cohort of people living with HIV in Spain. This is a qualitative study using descriptive phenomenology. Data was collected between May and June 2017 using anonymous semi-structured interviews in several Spanish cities. The study was approved by the IRB Universitat Autonoma de Barcelona. It took a total of 25 people aged 50 or older to achieve data saturation. Data were analyzed using the seven steps method proposed by Colaizzi. Growing older living with HIV is described as something unexpected. The main theme, "Here I am: alive and older", was identified. It is made up of three subthemes: We lived knowing we were dying; The impact of others; and, Taking care of myself. Four major areas were identified that caused suffering to the participants: physical problems, the awareness of aging, financial problems, and loneliness. More research is needed to assess the impact of loneliness on older people living with HIV from a constructivist, integrative, and multidisciplinary approach.

Keywords
HIV, AIDS, Aging, Phenomenology

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/Zm2upHGhLYdT

Corresponding Author
YUSRIANI SALEH BASO

Institutions
(a) Master of Nursing, Postgraduate Program, Universitas Muhammadiyah Yogyakarta
*yusigd4[at]gmail.com
(b) Lecturer, Master of Nursing, Postgraduate Program, Universitas Muhammadiyah Yogyakarta

Abstract
Background: To increase the services quality of nursing in hospitals, learning process (education and training) is needed by using facilities of clinical skills. It provides an ideal way for the development of learning and self confidence of nurses before entering the real world of work. The approach of problem based learning is the ability to use the method of simulation learning or Practice Based Simulation Model can increase the self confidence of new nurses. Objective: Practice based simulation is expected to increase the self confidence of the new nurses. Method: This research used Literature Review. Sources of research were taken from a number of databases. The search process was conducted in December 2018 through the databases of PubMed of 3,016 articles, Google Scholar of 13,500 articles, Science Direct of 3,466 articles, ProQuest of 256 articles by using keyword combinations of self confidence and practice based simulation and new graduates nursing. Of the total databases, only seven articles met the inclusion criteria. Results: Based on the results of a literature review of the seven articles, it showed that the implementation of the simulation method to new nurses could increase their self confidence. New nurses could be more independent, self determined, be able to perform nursing care, and be more patient when working. Conclusion: The objective of this literature review is to obtain results that implementing practice based simulation can increase the self confidence of new nurses

Keywords
Simulation, self confidence, new nurses

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/djL7WMFYUz96

Corresponding Author
Indanah Indanah

Institutions
Universitas Muhammadiyah Kudus

Abstract
Babies with Low Birth Weight (LBW) are a group of babies at high risk. Babies experience various health problems. Problems related to physiological functions and interactions between mother and baby. Therefore, babies with LBW need special care properly and correctly. The kangaroo treatment method provides an opportunity for the baby to be treated together with his mother so that it will increase the bounding attachment between mother and baby. The purpose of this study was to determine the effect of Kangaroo Method Care (KMC) on Changing Interaction between Mother and Baby in perinatology in RSUD Dr. Loeknonohadi Kudus in 2018. This study used a Quasi Experimental design with a design of two groups pretest posttest design, and sampling used a purposive sampling technique with a sample of 28 people. The results of the study found that there were significant differences in mother and child interaction (Bounding Attachment) in the mother group conducted by KMC with a group of mothers who were not performed KMC (p value = 0.002; α: 0.05). It can be concluded that there is an influence of kangaroo method care on mother and baby interaction (Bounding attachment) in the perinatology room of RSUD Dr. Loekmonohadi Hospital in 2018. It is recommended that mothers do routine kangaroo treatment for LBW babies.

Keywords
Kangoroo Method Care, Low Birth Weight, Bounding Attachment

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/68qpVyX4LPjn

Corresponding Author
DINA ALFIANA IKHWANI IKHWANI

Institutions
STIKes Hamzar

Abstract
Evidence based practice is utilizing of the empirical evidence such as research, clinical expertise, and patient preference. Learning EBP with group discussion approach can be strategic to improve the critical thinking. The purpose of this research was to analyze the influence of the implementation of evidence based practice to improving critical thinking in undergraduate student. EBP can improve self-trust and self confident as a component of critical thinking (Zadeh, 2014) and (Madarshahian et al., 2012). Method: The research method was used Quasy Eksperiment pre test and post test without control group design. 61 responden with total sampling were given intervention EBP learning. Result : The result of statistical tests with wilcoxon showed there are significant differences in critical thinking students before and after the intervention. The critical thinking was significantlly different with the respective results p value 0.00. Conclusion:The application of EBP learning is significantly to improve critical thinking. It is excpected that EBP learning to integrated into curriculum in nursing education.

Keywords
evidence based practice

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/ubXQm2CLxFpr

Corresponding Author
Kellyana Irawati

Institutions
a) Departemen of Psychiatric Nursing Faculty of Medical and Health Science, Universitas Muhammadiyah Yogyakarta, Kampus Terpadu UMY, Jl. Brawijaya Ring Road Selatan, Kasihan, Bantul, Yogyakarta.
b) Profesor,Faculty of Nursing, Universitas Indonesia, Kampus FIK UI, Jl. Prof. Dr. Bahder Djohan, Depok, Jawa Barat 16424

Abstract
Background: Schizophrenia is one of ten diseases that contribute to the burden in the world according to the ranking of the World Health Organization and the incidence of schizophrenia afflicts 1.5 per 10,000 people where the diagnosis of schizophrenia will be faster enforced in men than women. Global schizophrenia affects around one percent of the worlds population, and about 1.2% or 3.2 million Americans get schizophrenia and around 1.5 million people in the world are affected schizophrenia. Family negative attitudes and family rejection against family members with mental disorder increased the incidence of recurrence in patients with mental disorder. The study aimed to determine the effect of supportive therapy on family attitudes and family rejection of family members with schizophrenia. The research design for this study was a quasi-experimental use cluster sampling. The study included (51 families (intervention group), 45 families (control group), Participants were asked to complete the family attitude scale and acceptance and rejection scale. The results showed there were significant changes in attitudes and rejection after given supportive therapy group (p value is 0.05). There is a significant difference in the change in the intervention group and the control (p-value is 0.05). The suggestion of this research is to apply supportive group therapy and family communities.

Keywords
family attitude; family rejection; family with mental disorder; and Supportive Therapy

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/N2Wphbd69rPE

Corresponding Author
Agianto Agianto

Institutions
a) School of Nursing, Universitas Lambung Mangkurat, Indonesia, Jl. A. Yani km 36 Banjarbaru, South Kalimantan, Indonesia.
b) Faculty of Nursing Khon Kaen University, Mittraphap Road, Khon Kaen 40002, Thailand

Abstract
Stroke is a popular disease in Indonesia as non-communicable disease, and needs long term disability as well as long term care in community. The impacts of stroke are faced by surrounding people including their neighbors. The previous study showed that the neighbors were involved in stroke care in community. However, the neighbors have connection with general health status in chronic disease. The objective of this study is to explore the neighbors activities in nursing care of stroke patients in community, Banjarmasin, Indonesia. A critical ethnography was conducted in this study with six key informants, used purposive sampling. Participant observation, in-depth interview, and focus group discussion were employed to gather the rich data with a structure interview guideline. Content analysis such as transcript, coding, typology, matrix, and thematic analysis were used. There are four themes of neighbors activity in stroke care in community. Their activities are helping to health care facility, financing support, offering food and helping the daily activity, and motivating the patients and stroke families. Neighbors are people who stay around the house and have tight connection and relation with stroke patients and families. They link and directly involve in stroke care for long time in community.

Keywords
neighbor activity; nursing care; stroke; community; critical ethnographic

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/VHFaK8gAYUDB

Corresponding Author
Arif Munandar

Institutions
Master of Nursing Muhammadiyah University of Yogyakarta

Abstract
THE NURSE PREPAREDNESS EXPERIENCE IN THE PSYCHOLOGICAL ASPECT OF EARTHQUAKE IN MUTIARA SUKMA PSYCHIATRIC HOSPITAL WEST NUSA TENGGARA PROVINCE Arif Munandar(a), Fitri Arofiati(b) (a) Student Master of Nursing Muhammadiyah University of Yogyakarta (b) Lecturers of Nursing in Muhammadiyah University of Yogyakarta or lecturer of mentor Jl. Lingkar Selatan, Tamantirto, Kasihan, Bantul, Daerah Istimewa Yogyakarta 085253708078, e-mail: arifm96553@gmail.com ABSTRACT Background: This study provides an overview of the role of nurses in earthquake preparedness in the Hospital of Jiwa Mutiara Sukma, West Nusa Tenggara province and provides information regarding implementation strategies that can be carried out by health workers both in preparation and responding to earthquake disasters. Besides that, psychological aspects are very important that must be prepared by nurses in dealing with earthquake disasters, so as to prevent the psychological impact on both themselves and victims. Objective: To explore the experience of nurse preparedness in the management of psychological aspects after the earthquake disaster and explore the factors that influence nurse preparedness in the management of psychological aspects after the earthquake. Method: This type of research is a qualitative research with a descriptive explorative approach. Data is collected by in-depth interview methods and observation techniques then analyzed based on emerging themes. The number of samples was 5 participants. Results: The results of this study indicate that the preparedness of 5 nurses at the Sukma Pearl Mental Hospital in the province of West Nusa Tenggara was very satisfying. Conclusion: In this study, most of the roles of nurses have carried out their duties and obligations properly, due to the preparation of the institution in preparation for the earthquake disaster. All participants have been provided with training in handling emergencies. Mental hospitals as health care centers at the top level in efforts to reduce earthquake risk must be prepared with planning supported by the role of nurses in disaster management. Keywords : Preparedness; Psychological Aspects; Earthquakes

Keywords
Preparedness; Psychological Aspects; Earthquakes

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/tYxupD7LhzHB

Corresponding Author
Nina Granel

Institutions
a) Universitat Autonoma de Barcelona, Avda Can Domenech, 08193 Bellaterra, Spain
b) Hospital de la Santa Creu i San Pau, Sant quinti 89, 08026, Barcelona, Spain

Abstract
There is a lack of information related to the differences in nursing practices between countries across Europe. To date there have been no studies published mapping nursing practices across Europe. The aim of the research is to compare the nursing practice in Spain and the United Kingdom (UK) in rehabilitation units. The design of the study was a multiple case study. Eight nurses from rehabilitation units of both countries were invited to participate in the study in 2014. The instruments for data collection used were in-depth interviews, non-participant observations and document analysis. Data were analysed using the support of the software ATLAS.ti. Nursing practices in rehabilitation units are classified into 10 categories: resources, procedures for the administration of medication, techniques, patients personal care, health education, emotional support, evaluation and decision making, maintenance and supervision of the equipment, managements tasks, documentation and interpersonal communication. Differences between nursing practices exist despite both countries having similar nursing competences. Nursing practices within the rehabilitation unit in the UK are characterized by safety practices. The UK unit has a stronger safety culture, recognizing mistakes as an oppotunity for improvement and implementing strategies to prevent them.

Keywords
Patient Safety; nursing; Spain and UK

Topic
International Conference on Nursing

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

Corresponding Author
Syahruramdhani Syahruramdhani

Institutions
School of Nursing, Universitas Muhammadiyah Yogyakarta
*syahruramdhani[at]umy.ac.id

Abstract
Background: Nurses who have good spiritual intelligence are used to build awareness on the basis of worship and the help of human needs. Spirituality can help patients to understand the way of life and find their confidence. Therefore, they can be able to and find hope, inner harmony and composure. Purpose: The purpose of this study was to determine the relationship between nurses spiritual intelligence with fulfilling patients spiritual needs in the hospital ward PKU Muhammadiyah Gamping. Method: This research used quantitative method with cross sectional research design. The sample in the study were 91 nurses who worked and served in the wards of PKU Muhammadiyah Gamping Hospital and were willing to fill out the questionnaire which is determined by simple random sampling method. Result: Most of the nurses at PKU Muhammadiyah Gamping have spiritual intelligence in good category (82.4%) and fulfilling patients spiritual needs with good category (62.6%). The result of statistical analysis showed that there is relation between nurses spiritual intelligence and fulfilling patients spiritual needs with value p = 0.002 (<0.05) shows there is relation between spiritual intelligence with spiritual fulfillment. Conclusion: The better the spiritual intelligence a nurse has, the better the act of spiritual care that will be done to meet the spiritual needs of the patient.

Keywords
spiritual intelligence, spiritual needs, nurses

Topic
International Conference on Nursing

Link: https://ifory.id/abstract/wkpEdbz87UtM