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1	Caring for Communicable and Non-Communicable Diseases	ABS-7
Interactions between Temperature Variability and Monthly Fluctuations of Dengue Incidence Over 11 Years in DIY Nur Alvira Pascawati(a*), Elisabeth Deta Lustiyati(b), Sri Sahayati(c), Hesti Arfyanti Putri Prayitno(d) a,b,c,d) Respati University Yogyakarta, Faculty of Health Science, Jalan Raya Tajem KM 1,5 Maguwiharjo, Depok, Sleman 55281, Indonesia *Corresponding author: alvirapascawati[at]gmail.com Abstract Background: Local temperatures can affect dengue virus transmission. However, most studies assess the connection between temperature and dengue cases. This approach stems from using a broad measure like Earth^s surface average temperature, which is influenced by multiple factors. Purpose: In this study, we used a more varied measure of temperature to determine the model of Interactions between temperature variability and monthly fluctuations of dengue incidence over 11 Years in Daerah Istimewa Yogyakarta (DIY) Methods: In this study, an exploratory ecological design was used with time series analysis. The population included NASA temperature data and DHF cases from DIY Health Service, analyzed monthly over 11 years (2009-2020). Data were assessed assuming a normal distribution for correlation and regression tests (alfa= 0.05). Results: In DIY, dengue incidence had a mean (X) of 215.71 cases and a standard deviation (S) of 0.52. The temperature models are as follows: 1) Earth^s surface temperature: X=26.46 Degrees Celsius, S=0.93, 2) Dry bulb air temperature: X=25.83 Degrees Celsius, S=0.81, 3) Dew point temperature: X=22.63 Degrees Celsius, S=1.41, 4) Adiabatic saturation temperature: X=24.23 Degrees Celsius, S=1.00. Correlation analysis found a robust connection between dry bulb air temperature, dew point temperature, and adiabatic saturation temperature with dengue incidence in DIY. Dry bulb air temperature and adiabatic saturation temperature, as key factors- contribute 19.5% to case fluctuations assuming all linear regressions are met. Conclusion: These results can be utilized to assist in mitigating dengue transmission by determining the timing of prevention and establishing infrastructure for the treatment of dengue. Keywords: Temperature, Variability, 11 Years, Dengue Incidence, DIY Share Link | Plain Format | Corresponding Author (Nur Alvira Pascawati)

2	Caring for Communicable and Non-Communicable Diseases	ABS-11
INDEX OF NAUSEA, VOMITING, AND RETCHING AMONG CANCER PATIENTS WITH CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING Ike Wuri Winahyu Sari- Dwi Kartika Rukmi- Lily Yulaikhah Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Symptoms of nausea and vomiting in patients undergoing chemotherapy occur quite frequently in a variety of conditions and can be triggered by different types of drugs or combinations of drug mechanisms and significantly affect the patient^s quality of life and compliance with therapy. This study aims to identify the Index of Nausea, Vomiting, and Retching (INVR) among cancer patients with chemotherapy-induced nausea and vomiting. Methods: This research used a descriptive design with a cross-sectional approach which was carried out at one of the general hospitals in Yogyakarta from March to September 2023. The target sample was 40 respondents taken using a purposive sampling technique. The instrument used is The Index of Nausea, Vomiting, and Retching (INVR). Data were analyzed using descriptive statistics analysis. Results: The results of the study showed that the Index of Nausea, Vomiting, and Retching (INVR) in cancer patients with symptoms of nausea and vomiting induced by chemotherapy had an average score of 7.55 from a score range of 0-32 and the majority were in the moderate category. Conclusion: The findings provide valuable information regarding NVR among cancer patients undergoing chemotherapy. Nurses should always assess the NVR among cancer patients and offer preventive interventions to prevent and control NVR occurrence and its distress. Keywords: Cancer- Chemotherapy- INVR- Nausea- Retching- Vomiting Share Link | Plain Format | Corresponding Author (Ike Wuri Winahyu Sari)

3	Caring for Communicable and Non-Communicable Diseases	ABS-19
The Effect Of Supplements and Facial Care Products On The Onset Of Acne Vulgaris Dara Ugi Aras(a*), Sitti Nurul Wahyuni(b), Adriyanti Adam(c), Sitti Musafirah(d), Viviani L(e) a) Department of Pharmacology, Faculty of Medicine And Health Sciences, University of Muhammadiyah Makassar, Indonesia *daraugi[at]med.unismuh.ac.id b) Department of Pharmacology, Faculty of Medicine And Health Sciences, University of Muhammadiyah Makassar, Indonesia c) Department of ENT Medicine, Faculty of Medicine And Health Sciences, University of Muhammadiyah Makassar, Indonesia d) Department of Dermatovenerology, Faculty of Medicine And Health Sciences, University of Muhammadiyah Makassar, Indonesia e) Students of Bachelor of Medicine, Faculty of Medicine And Health Sciences, University of Muhammadiyah Makassar, Indonesia Abstract Background: Blackheads, papules, pustules, and nodules are signs of Acne vulgaris, a disorder of inflammation in polysebaceous units. Eighty-five percent of adolescents and young people between the ages of 12 and 15 have acne vulgaris. Excessive sebum production, hyperkeratinization of the polysebaceous ducts, mycobacterial infection, and inflammatory processes are the main causes of acne vulgaris. Dysseborrhoea is the term for the quantitative and qualitative change in sebum levels that occurs during puberty. In addition to external variables like comedogenic medicines and cosmetics, internal factors including hormonal and genetic factors can also cause the problem. Purpose: To determine the impact of supplement and face care product on the development of acne vulgaris in students at the University of Muhammadiyah Makassar^s (Unismuh), Faculty of Medicine. Methods: Cross-sectional methodology was employed for the investigation. Simple random sampling is the sampling technique employed. Chi-Square analysis is used in questionnaires as part of the data collection process. Results: A value of p = 0.552 (p>0.05) was obtained from the analysis using the Chi-Square test, indicating that there is no significant relationship between the use of facial care products and the incidence of acne vulgaris, and a value of p = 0.132 (p>0.05) indicated that there was no significant relationship between supplement use and the incidence of acne vulgaris. Conclusion: There is no connection between using face care products and supplements to prevent the development of acne vulgaris in students at Faculty of Medicine, Unismuh. Keywords: Vitamin- Probiotic- Medicine- Papul- Pustule Share Link | Plain Format | Corresponding Author (Dara Ugi Aras)

4	Caring for Communicable and Non-Communicable Diseases	ABS-28
Prevalence Of Cataracts In Adults In Kawiley Village, District Of Kauditan , North Minahasa Sonny Kalangi, 1 Herlina Wungouw2, Wenny Supit3, Irene Rumampuk4., Hizkia Rumampuk 4 Semmy Rumampuk5 1(Department/division of Anatomy, Faculty of Medicine, Sam Ratulangi University, Indonesia) 2 (Department/division of Physiology, Faculty of Medicine, Sam Ratulangi University, Indonesia) 3(Department/division of Opthalmology, Faculty of Medicine, Sam Ratulangi University, Indonesia) 4(Faculty of Medicine, Sam Ratulangi University, Indonesia) 5( University of Christian Tomohon, Indonesia) Corresponding author: herlinawungouw[at]unsrat.ac.id Abstract Background: The sense of sight or eyes is an important part of the human body system so that it can carry out daily life activities optimally. Disturbances in the sense of sight will reduce a person^s quality of life. One of the eye disorders is clouding of the eye lens which is called cataract. Cataract is a degenerative disease that is influenced by intrinsic and extrinsic factors. Intrinsic factors that influence include age, gender and genetic factors, while extrinsic factors that influence include education, work and environmental factors in relation to exposure to ultraviolet light. The prevalence of cataracts is quite high in the elderly population and is one of the most common causes of blindness in Indonesia.. Purpose: his research aims to determine the prevalence of cataracts in adults in Kawiley village. Methods: This cross sectional study examines the respondents^ eyes through Snellen card for visual acuity, then follow by ophtalmoscope examination without mydriatic. Respondent also fill in a questionnaire containing the identity Results: Total respondents are 49 consists of 21 men and 28 women, with an average age of 66.7 years. Left ocular examination (OS) revealed 21 cataracts and 11 post cataracts with an intra ocular lens (IOL). In the dextra oculi (OD) there were 20 respondents have cataracts, 11 post cataracts with IOL. Respondents with eyes that did not have cataracts were 18 in OS and 17 in OD, so that the total number of respondents with eyes that had cataracts was 32 (65%) respondents for OS and 31 (64%) respondents for OD. Based on gender, there were 14 (44%) men and 18 (56%) women with cataracts. Conclusion: Prevalence of cataract for OS are 65 % and for OD are 64%. These prevalence are higher for female than male. Keywords: Eye- cataract- adults Share Link | Plain Format | Corresponding Author (Herlina Ineke Surjane Wungouw)

5	Caring for Communicable and Non-Communicable Diseases	ABS-33
DIFFERENT TYPES OF INTERMITTENT FASTING FOR GLUCOSA INDEX CONTROL IN DIABETICS: A SYSTEMATIC REVIEW Asbath Universitas Mandala Waluya Abstract The glucose index is an important parameter in diabetes management and general health. Intermittent fasting has become an interesting research topic in an attempt to control glucose index. This study Glucose index is an important parameter in diabetes management and general health. Intermittent fasting has become an interesting research topic in an attempt to control glucose index. This study aims to conduct a systematic review of the different types of intermittent fasting and their impact on glucose index control. The research method used was a thorough literature search in scientific databases such as PubMed, Google Scholar, and ScienceDirect for articles investigating different types of intermittent fasting in the context of glucose index control. We evaluated these articles based on their methodological quality and identified key findings. The results of this systematic review showed that different types of intermittent fasting, including 16/8 fasting, 5:2 fasting, daily fasting, and full-day fasting, have varying impacts on glucose index control. Some studies showed significant reductions in fasting blood glucose levels, improved insulin sensitivity, and decreased insulin resistance. However, the results may vary depending on the duration of fasting, the type of food consumed during the feeding period, and individual characteristics. The conclusion suggests that intermittent fasting could be a potentially effective strategy in glucose index control. However, more studies need to be conducted to better understand which type of intermittent fasting is most effective and safe for individuals with various health conditions. In addition, it should be noted that intermittent fasting is not a one-size-fits-all solution and an individualized approach should be considered in blood glucose management. aims to conduct a systematic review of the different types of intermittent fasting and their impact on glucose index control. The research method used was a thorough literature search in scientific databases such as PubMed, Google Scholar, and ScienceDirect for articles investigating different types of intermittent fasting in the context of glucose index control. We evaluated these articles based on their methodological quality and identified key findings. The results of this systematic review showed that different types of intermittent fasting, including 16/8 fasting, 5:2 fasting, daily fasting, and full-day fasting, have varying impacts on glucose index control. Some studies showed significant reductions in fasting blood glucose levels, improved insulin sensitivity, and decreased insulin resistance. However, the results may vary depending on the duration of fasting, the type of food consumed during the feeding period, and individual characteristics. The conclusion suggests that intermittent fasting could be a potentially effective strategy in glucose index control. However, more studies need to be conducted to better understand which type of intermittent fasting is most effective and safe for individuals with various health conditions. In addition, it should be noted that intermittent fasting is not a one-size-fits-all solution and an individualized approach should be considered in blood glucose management Keywords: Intermittent Fasting, Control, Glucose Index, Systematic Review Share Link | Plain Format | Corresponding Author (Asbath said)

6	Caring for Communicable and Non-Communicable Diseases	ABS-45
Increasing Knowledge of Non-Communicable Disease (NCD) Managers in Controlling and Managing Tuberculosis (TB) Cases in Yogyakarta City Merita Arini (a,b,c*), Harumi Iring Primastuti (b) a) Master of Hospital Administration, Postgraduate Program, Universitas Muhammadiyah Yogyakarta b) Department of Family Medicine and Public Health, School of Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta c) Center of Sustainable Development Goals (SDGs), Universitas Muhammadiyah Yogyakarta *merita.arini[at]umy.ac.id Abstract ABSTRACT Background: Non-Communicable Diseases (NCDs) and Tuberculosis (TB) have high morbidity and mortality, especially in developing countries. However, cross-program disease management in health facilities around countries with a high TB burden, such as Indonesia, is generally ineffective. Purpose: This research aimed to increase the knowledge of NCD managers regarding their role while increasing TB case detection. Methods: This research used a quasi-experimental, non-randomized, non-control group method with a total sampling of all health workers managing NCDs from Community Health Centers and hospitals in Yogyakarta (n=25). The intervention provided was delivering material on integrated TB-diabetes mellitus (DM) screening and management using lecture and discussion methods. The instrument used for data collection was a questionnaire (10 statements) with true and false answers. Results: Based on Wilcoxon^s Signed Ranks Test analysis, there was a significant increase in knowledge among respondents between before and after being given education (p=0.000), with an increase in the mean pre and post-test- from 55.2 to 77.6. Kruskall-Wallis analysis showed no relationship between age and knowledge (pre-test, p=0.110- post-test, p=0.693). There was also no relationship between years of service and knowledge in pre-test (p=0.158) and post-test (p=0.274) scores. Conclusion: In conclusion, providing health education to health service implementers has increased knowledge about TB case finding. Educational programs for health care workers can hopefully be carried out on an ongoing basis and supported by policies and the availability of the infrastructure needed to be effectively implemented. Keywords: Non-communicable diseases- tuberculosis- diabetes mellitus- case finding- screening. Keywords: Non-communicable diseases- tuberculosis- diabetes mellitus- case finding- screening Share Link | Plain Format | Corresponding Author (Merita Arini)

7	Caring for Communicable and Non-Communicable Diseases	ABS-51
Comparison Of The Effectiveness Of Fermented Tiwai Onions And Lanang Onions On High Density Lipoprotein Levels In Sprague Dawley Dyslipidemia Rats Kurniati Dwi Utami1, Diah Retno Wahyuningrum1 , Naimatur Rizqi1 Nutrition and Dietetics, Health Polytechnic of East Kalimantan, Indonesia Abstract Background: Dyslipidemia is a condition of an abnormal lipid profile in the blood that can be prevented by non-pharmacological therapy such as adjusting diet. The diet that can be applied is to consume foods that are sources of dietary fiber, especially soluble fiber and antioxidants. One type of antioxidant that can help lower blood cholesterol levels is the flavonoids found in tiwai onions and lanang onions. Objectives: to determine the effectiveness of lanang onions and tiwai onions on cholesterol in Sprague Dawley rats Methods: This research is pure experimental research using controls. The experimental animals used were two-month-old Sprague Dawley rats. The four groups were given a high cholesterol diet with the addition of egg yolk to their feed for 2 weeks. After the mice experienced dyslipidemia, the mice were divided into 4 groups. These groups included group 1 which was given fermented tiwai onions at a dose of 200 mg/kgBW, group 2 was given fermented lanang onions (black garlic) at a dose of 200 mg/kgBW, group 3 was a control, namely mice that were given distilled water and continued to be given a high fat diet, the fourth group, namely mice, were given simvastatin 15mg/kgBB and each group consisted of 5 mice. Results: There are significantly difference of HDL after treatment between groups in ANNOVA test p-value=0,00 .Tukey HSD test show there was a difference in the average HDL in the control group and the group given simvastatin, while there was no difference between the HDL levels of the group given fermented onion tiwai and lanang onion. The experimental animal group given the fermentation treatment of tiwai onions and lanang onions had a higher average HDL value than the control and simvastatin with p value <0.05 Conclusion: Fermented onion and onion administration were equally effective in increasing blood HDL levels in the treatment group. this is shown by the difference in average HDL levels with the control group and the treatment given simvastatin Keywords: Dyslipidemia- Tiwai Onion- Lanang Onion- High Density Lipoprotein Share Link | Plain Format | Corresponding Author (KURNIATI DWI UTAMI M.PH)

8	Caring for Communicable and Non-Communicable Diseases	ABS-62
The Influence Of Food Consumption On The Health Status Of The Unjaya Elderly In 2023 Reza Iqbal Suhada(a*), Nurpuji Mumpuni(b), Rahayu Iskandar(c) a) Blood Bank Technology Study Program, Faculty of Health, Jenderal Achmad Yani University, Indonesia *rezasuhada4[at]gmail.com b) Blood Bank Technology Study Program, Faculty of Health, Jenderal Achmad Yani University, Indonesia c) Nursing Study Program, Faculty of Health, Jenderal Achmad Yani University, Indonesia Abstract Background: An increase in life expectancy indicates an increase in the number of elderly people, namely people aged over 60 years. Elderly is the final stage in the life process that occurs due to many declines and changes ranging from physical, psychological, social which are interconnected with each other, so that it has the potential to cause physical and mental health problems in the elderly. The Unjaya Campus has a program of activities carried out by the elderly in maintaining their body health, namely by doing gymnastic activities. Another activity that can be done is to carry out health checks on elderly. The health checks carried out were glucose, cholesterol and uric acid checks. This examination can be used as a determinant of the health status of the elderly. Purpose: Find out how the influence of food consumption on the health status of the elderly Unjaya. Methods: The research was conducted using a questionnaire containing health behavior and food consumption as well as looking at the results of glucose, cholesterol and uric acid health checks. The sample used in this study is using total sampling. This research is a retrospective quantitative study. The data obtained was then analyzed using the SPSS application with the Fisher Exact statistical test. Results: the major findings of data analysis show that the p value is more than alpha (1,000 > 0.05), which means that there is no significant influence between food consumption on the results of blood sugar, cholesterol and uric acid examinations for the Unjaya elderly. Conclusion: It can be concluded that there is no significant influence between food consumption (sweet, salty and fatty) on health status (blood sugar, cholesterol and uric acid in the unjaya elderly. Keywords: Food consumption- Health Status- Elderly Share Link | Plain Format | Corresponding Author (Reza Iqbal Suhada)

9	Caring for Communicable and Non-Communicable Diseases	ABS-65
Caregiver Burden on Caregiver with Chronis Disease Novita Nirmalasari (a*), Ike Wuri Winahyu Sari (b) a) Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta Jl. Ringroad Barat, Ambarketawang, Gamping, Sleman, Yogyakarta *novitanirmalasari[at]gmail.com b) Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta Jl. Ringroad Barat, Ambarketawang, Gamping, Sleman, Yogyakarta Abstract Background: The prevalence of chronic diseases in Indonesia increases every year with various accompanying physical and psychological problems. In this state, patients with chronic diseases require the assistance of their families as caregivers. Family caregivers are an important source of care for patients. Even though caring for a family member offers a pleasant feeling, experiencing the physical and psychological burden of caregiving could affect the quality of life among the patient^s family caregivers. Caregivers faced physical, psychological, social, and economic challenges when providing care. Purpose: This research aimed to determine the factors associated with caregiver burden in caring for family members who suffer from chronic diseases. Methods: This is quantitative research with a cross-sectional design. The research was concocted in PKU Muhammadiyah Hospital and Community Health Center (Puskesmas) Gamping II. This research involved 180 respondents with inclusion and exclusion criteria determined using the purposive sampling technique. The instrument used a Caregiver Reaction Assessment- Indonesian Version (CRA-ID) questionnaire. Data were analyzed using an independent t-test and Pearson correlation. Results: The results of the research showed a significant relationship between caregiver burden and age (p-value = 0.000), but no relationship was found between gender, marital status, relationship with patients, caregiver education, caregiver job, and income with each p-value 0.756- 0.725- 0.791- 1.000- 0.354 and 0.301. Conclusion: Age was significantly related to caregiver burden in caring for family members who suffered from chronic diseases. Health services were expected to provide adequate information for caregivers about caring for chronic disease patients to reduce caregiver burden. Keywords: caregiver- caregiver burden- chronic diseases- family Share Link | Plain Format | Corresponding Author (Novita Nirmalasari)

10	Caring for Communicable and Non-Communicable Diseases	ABS-70
Risk Factors For The Incident Of Pneumonia In Toddlers In The Working Area Of The Kamonji Health Center, Palu City Vidyana Aulia Rahma (a*), Fariani Syahrul (b), Eny Qurniyawati (b), Kartika Noviazada (c), Herawanto (c) a) Master of Epidemiology, Public Health Faculty, University of Airlangga, Indonesia *vidyana.aulia.rahma-2022[at]fkm.unair.ac.id b) Department of Epidemiology, Biostatistics, Population Study and Health Promotion, Public Health Faculty, University of Airlangga, Indonesia c) Departement of Epidemiology, Public Health Faculty, University of Tadulako, Indonesia Abstract Background: Pneumonia is one of the major causes of morbidity and mortality in children under five age group in the world. The incidence of pneumonia in Indonesia is 2,1% with a prevalence of 4,8%. The largest number of pneumonia cases in Central Sulawesi was in the City of Palu, namely 2.174 cases. The number cases of pneumonia in 2018 in Kamonji Health Center Palu City were 336 cases. Purpose: The purpose of this research is to analyze the risk factors of pneumonia in toddlers in work area of Kamonji Health Center Palu City. Methods: This type of research was an analytic survey with case control approach. Case samples were 63 pneumonia toddlers and control samples were 63 non-pneumonia toddlers with matching age and gender. Sampling was taken through Purposive sampling technique. The dependent variable is pneumonia, and the independent variables are immunization status, cigarette smoke, kitchen smoke, and mosquito coil smoke. Data collection was carried out from March to May 2019 using an odds ratio value of a = 5%. Results: The results of the study shows that incomplete immunization (OR=2,793 and 95%CI= 1,327-5,877), cigarette smokes exposure (OR=5,043 dan 95%CI= 2,358-10,784), kitchen smoke exposure (OR= 6,727 and 95%CI= 2,959-15,295), and mosquito coils of smoke exposure (OR= 5.565 and 95%CI= 2.566-12.069), are risk factors of pneumonia among toddlers. Conclusion: Incomplete immunization status, exposure to cigarette smoke, kitchen smoke and mosquito coil smoke are risk factors for the incidence of pneumonia in toddlers in the working area of the Kamonji Health Center Palu City. The prevention of pneumonia among toddlers can be done with give complete immunization, reduce smoking activity inside home and maintain the air vents around home so that air exchange goes properly. Keywords: Respiratory Tract Infection- Vaccine Preventable Diseases- Burning Fumes Share Link | Plain Format | Corresponding Author (Vidyana Aulia Rahma)

11	Caring for Communicable and Non-Communicable Diseases	ABS-75
Overview of the Quality of the Leprosy Surveillance System at the Lamongan District Health Office Based on the Systems Approach on 2023 Muamar Afdhal Mahendra1, Lucia Yovita Hendrati2, Siti Shofiya Novita Sari2, Sigunawan3 1)FETP Student, Universitas Airlangga, Surabaya, Indonesia 2) Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia 3) Lamongan District Health Office, Indonesia Abstract Background: In the last 3 years, the new leprosy case finding rate has been &#8805-5 per 100,000 population, it becomes high burden characteristic according to epidemiological indicators. In 2016, Lamongan district achieved leprosy elimination. However, the number of new leprosy cases continues to increase. Maintenance efforts need to be made at the elimination stage, the surveillance system evaluation is a part of the initiatives to maintain the elimination status of leprosy. Purpose: To describe the quality of the current leprosy surveillance system at the Lamongan District Health Office based on system components. Methods: This research is descriptive study with evaluation research method. Respondents in this study were leprosy surveillance^s person in charge at the Lamongan District Health Office. Primary health office were selected by purposive sampling with the criteria of the highest and lowest case. Data analysis was carried out descriptively, namely describing system components, and comparing the results with the regulation. Results: The aspects assessed in the inputs were human resources, infrastructure, and funds have met the standards. The process described data collection, processing and analysis, and interpretation, resulted that limitation existed in data analysis. The analysis that has been carried out used predetermined indicators, namely the Case Detection Rate, the proportion of new leprosy cases with disability, and cases that have been Released From Treatment. Analysis of people, time, and place needed have not been conducted. Output showed the dissemination of epidemiological reports and information by reports and bulletins to the policy makers and public. Conclusion: The leprosy surveillance system based on system components showed that in general the input, process and output systems has been run well. The weakness is in the process in terms of data analysis, which is limited to indicators determined by the program, so it cannot provide information by person, place, and time. Keywords: Evaluation, Surveillance, System, Leprosy, Lamongan Share Link | Plain Format | Corresponding Author (Muamar Afdhal Mahendra)

12	Caring for Communicable and Non-Communicable Diseases	ABS-96
The relationship between restless leg syndrome, sleep quality and quality of life among patients undergoing hemodialysis Achmad Fauzi 1,2, Fatimah Ahmedy 1 1. Rehabilitation Medicine Unit, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia 2. Department Keperawatan, STIKES Abdi Nusantara, Indonesia Abstract Keywords: restless leg syndrome, sleep quality, quality of life, hemodialysis Share Link | Plain Format | Corresponding Author (Achmad Fauzi)

13	Caring for Communicable and Non-Communicable Diseases	ABS-119
Translation and psychometric analysis of the brief symptom inventory (BSI-18) adolescent with post-rehabilitation of substance used disorder Tuty Yanuarti 1,2, Mohd Nazri Bin Mohd Daud1, Noor Hassline Binti Mohamed1 Azman Bin Atil1 1 Rehabilitation Medicine Unit, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia 2 Department Kebidanan, STIKES Abdi Nusantara, Indonesia Abstract Background: The Brief Symptom Inventory-18 (BSI-18) is an 18- item self-report checklist measures developed as a brief screen for psychological symptoms in medical patients. Application of the BSI-18 to adolescent with post-rehabilitation of substance used disorder is supported by its brevity, its coverage of the critical areas of anxiety and depression, and the published manual^s inclusion of normative data for an adolescent with post-rehabilitation of substance used disorder sample. Objectives: The purpose of this research was to evaluate the BSI psychometric properties among a representative sample of adolescent in Indonesia. Methods: The 80 adolescents enrolled to this study were 15-18 years old. Subjects were recruited from drug rehabilitation center in West Java, Indonesia. This instrument was translated into Bahasa Indonesia in four stages: forward translation, reverse translation by an expert group, pre-testing, and cognitive interviews. To calculate the content validity index, we applied Aiken^s V formula. Exploratory factor analysis (EFA) and Confirmatory factor analysis (CFA) was utilized so that the factor structure of BSI could be determined. This study used Cronbach alpha coefficient to determine its reliability. Results: The CVI ranged from 0.73 to 1.00 for BSI. The factors loadings of each of the three scales in the BSI was ranged from 0.43 and 0.88. The model was acceptable and appropriate when confirmatory factor analyses of the BSI were conducted. The Cronbach alpha coefficient of the BSI was 0.925. Conclusion: The findings of this study give evidence that the BSI is a viable and useful screening tool to detect substance use problems among Indonesian adolescent. Future studies to assess its sensitivity and specificity is needed to provide more comprehensive validate tool of BSI. Keywords: Cross-Culture Adaptation, Validation, BSI, Substance Abuse, adolescents, Indonesia Share Link | Plain Format | Corresponding Author (Tuty Yanuarti)

14	Caring for Vulnerable Population	ABS-13
Validity and Reliability of Confidence in Dementia (CODE) Instrument in Indonesian Language for Nurses Sri Mulyani1, Intansari Nurjannah1, Probosuseno2 Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia Abstract Background: The population of person with dementia (PWD) in Indonesia is increasing. The evaluation of nurses^ confidence in caring for PWD is crucial as it impacts the delivery of health services to PWD. In Indonesia, there is no instrument available to measures a person^s confidence in caring for PWD. Purpose: To report the translation process, validity and reliability of the Confidence in Dementia (CODE) instrument for nurses. Method: This is a psychometric testing study conducted from September to October 2021. In the first step, CODE instrument was translated by using the Beaton Method. The second step was testing the content validity that involving six experts using the Scale-Content Validity Index (S-CVI). After that, the researchers conducted a construct validity test using Pearson Product Moment and a reliability test using Cronbach^s Alpha that involving 115 nurses at a hospital in Yogyakarta, Indonesia. Results: S-CVI results of 1.00 indicate that the content of CODE is valid. All CODE items also valid in construct validity as the result of Pearson Product Moment test show a calculated r of 0.526 to 0.633. Moreover, the CODE reliability test revealed a Cronbach^s Alpha score of 0.770 (acceptable). Conclusion: The Indonesian language CODE is considered valid and reliable for measuring nurses^ confidence in caring for PWD. Keywords: Dementia, Confidence, Reliability, Translation, Validity Share Link | Plain Format | Corresponding Author (Sri Mulyani)

15	Caring for Vulnerable Population	ABS-43
Model for Development and Validation of Anxiety and Depression Questionnaires for Family Caregiver and Cancer Survivors Solikhah Solikhah1, Suwarno2, Helfi Agustin3, Fardiasih Dwi Astuti4 1. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia 2. Program Study of Nursing, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia 3. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia 4. Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia Abstract Background: Cancer remains a public health issue. This cancer is one of the noncommunicable illnesses that causes the most deaths worldwide. The number of cancer survivors has increased in tandem with advancements in medical care technology. Patients who receive cancer care and treatment, on the other hand, endure variable physical and psychological changes, including anxiety and sadness, as a result of the kind of drug, alterations and development of cancer cells, and duration of therapy. Although few research have been undertaken to investigate cancer patients^ anxiety and despair. Most, however, do not employ instruments fit for Indonesian society. The purpose of this study was to create and assess the validity and reliability of an anxiety and depression questionnaire for cancer survivors and their companions. Method: This is a descriptive observational study. The Anxiety and Depression Indonesian Instrument (ADII) was the questionnaire used in the study. The professional judgement method was used for the content validity test, with a qualitative approach, namely professional agreement, and a quantitative approach, namely the items content validity index (I-CVI) value. Expert judgement was used to administer the language comprehension test to users, who included community nurses, cancer researchers, and family doctors. The Cronbach Alpha value approach was used to conduct reliability tests with each of the 20 family aides at the Ngemplak 1 Community Health Centre. Results: The first round of content validity tests revealed no agreement amongst expert judgements, with an I-CVI score of 0.74. Professional agreement was established in the second round with an I-CIV value of 0.98, hence the ADII questionnaire with 40 items was pronounced valid. A skilled expert^s language comprehension test is reported to have passed in just one round. The Cronbach Alpha value for each cancer survivor companion was 0.85 in the dependability test. Conclusion: The ADII questionnaire was pronounced valid and reliable based on the test findings. The ADII questionnaire can be used to assess anxiety and depression in cancer survivors and their companions. Keywords: Cancer survivor, family caregiver, questionnaire test, professional expert Share Link | Plain Format | Corresponding Author (Solikhah Solikhah)

16	Caring for Vulnerable Population	ABS-48
Hypertension Among Elderly in Rural Area (Tanjungsari Village) Elisabeth Deta Lustiyati(a*), Nur Alvira Pascawati(a), Jacoba Nugrahaningtyas Wahjuning Utami(b) a) Public Health Programme Study, Health Science Faculty, Universitas Respati Yogyakarta, Indonesia *elisabethdeta[at]respati.ac.id b) Physiotherapy Programme Study, Health Science Faculty, Universitas Respati Yogyakarta, Indonesia Abstract Background: High blood pressure remains a significant issue in Indonesia. According to the 2018 Riskesdas data, the national average prevalence rate for hypertension incidence is 34.11%, and this value is not significantly different from the hypertension prevalence in Yogyakarta (DIY), which is 32.86%. The risk factors such as obesity, smoking, and physical inactivity, which contribute to hypertension and heart disease, are more widespread in rural areas. These factors, when coupled with challenges like restricted access to healthcare, transportation, and healthy food options, contribute to the increased vulnerability of these communities. Purpose: This study was to determine the description of and hypertension among elderly in Tanjungsari village. Methods: The study design was descriptive with incindental sampling. The population 102 elders were registered at Tanjungsari Eldery Integrated Health Post. Sampling for the research were 75 elders. The instrument used was sphygmomanometer. Results: The research identified 10 pre-elderly, 51 elderly, and 14 high risk elderly. Based on gender clasification there was 36% men and 64% women. Prevalence of hypertension of this study was 83%. There was 25 elders (33%, 11 men and 14 women) with grade 1 hypertension, 37 (49% 12 men and 25 women) with grade 2 hypertension, and 25 (33%, 9 men and 16 women) isolated systolic hypertension. Conclusion: Eldery at rural area have hypertension problem and almost was women elderly. Keywords: elderly- hypertension- rural area Share Link | Plain Format | Corresponding Author (ELISABETH DETA LUSTIYATI)

17	Caring for Vulnerable Population	ABS-57
A meta-analysis of the prevalence of sleep-related breathing disorders among people with dementia 1). Nur Aini, Ns., M.Kep 2) Kuei-Ru Chou, PhD, RN, FAAN School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan *d432110003[at]tmu.edu.tw Abstract Keywords: dementia, prevalence, sleep-related breathing disorders, sleep-disordered breathing, sleep apnea. Share Link | Plain Format | Corresponding Author (Nur Aini)

18	Disaster and Emergency	ABS-9
How Is The Emergency Saverity Index (ESI) Triage Method Used In Healthcare ? A Literature Review I Putu Juni Andika1, Ratna Indriati2, Diyono3, Tunjung Sri Yulianti4, Istichomah5, Budi Kristanto6, Sri Aminingsih7, Ditya Yankusuma Setiani8, Warsini9 1,2,3,4,6,7,8,9Department of Nursing, Sekolah Tinggi Ilmu Kesehatan STIKes Panti Kosala, Sukoharjo, Jawa Tengah, Indonesia 5Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Yogyakarta, Yogyakarta Abstract ABSTRACT Background: Emergency is a condition that requires immediate action and is generally initiated by triage, which aims to sort the urgency level of victims or patients. Triage is the initial focus of emergency case management, with the goal of sorting patients based on their level of urgency. Purpose: How does the ESI (Emergency Severity Index) triage system in healthcare (Emergency Department) affect patient accumulation? Methods: This literature utilizes inclusion and exclusion criteria, and the articles were obtained, reviewed, and sourced from the following databases: Google Scholar (2018-2023), PubMed (2018-2023), and ScienceDirect (2018-2023). The search strategy using English terms is as follows: ^triage system^ OR ^Emergency Severity Index^ OR ^emergency department.^ The publication year of the bibliographic sources was selected from 2015 to 2020. The search strategy includes keywords such as ^Triage^ OR ^ESI^ OR ^ED^ in English and ^Triage^ OR ^Emergency Severity Index^ and ^Healthcare^ in Bahasa Indonesia. Results: The initial identification of titles and abstracts in Google Scholar yielded 4,250 articles, in ScienceDirect, it yielded 750 articles, while in PubMed, it yielded 1,580 articles, resulting in a total of 6,580 articles. After the literature review, it was found that among the 14 articles reviewed, ESI was highly effective when applied in healthcare services. It helped reduce patient overcrowding in emergency rooms, enabling patients to receive prompt care and diagnosis. Conclusion: Triage using the ESI method can be implemented in all emergency units, not only reducing patient overcrowding but also saving costs and the workload of medical staff on duty during shifts. The Emergency Severity Index system in emergency severity can contribute to reducing negative outcomes of crowding in primary healthcare centers. Keywords: Keywords: Triage, Emergency Severity Index, emergency department, health services Share Link | Plain Format | Corresponding Author (I Putu Juni Juni Andika)

19	Disaster and Emergency	ABS-14
How did Community Overcome the Drowning Threat in Jakarta?: The Exploration of Disaster Response Self-efficacy and Its Psychological Factors Rahmadianty Gazadinda (a*), Leila Alya Shofia (a), Nesha Sawwa Avrilla (a), Lola Eka Saputri (a), Dzakia Rahmah Nurunnada (a) a) Department Psychology, Faculty of Educational Psychology, Universitas Negeri Jakarta, Indonesia *r.gazadinda[at]unj.ac.id Abstract Background: Jakarta was known as city with a high risk of flood disaster in Indonesia and predicted to face massive disaster in the future. The threat of being sunk in 2050 become more irrefutable since the sea level had been increased extremely while the land subsidence occurred significantly in Jakarta. Interestingly, Jakarta^s citizen appeared to be okay with no sign of any uneasiness even though experiencing flood consistently every year, as if they were ready facing to face the drowning threats. Purpose: The aims of the study was to evaluate the self-efficacy in disaster preparedness and how the psychological factors contributed in boosting disaster preparedness^ self-efficacy. Methods: 486 participants were gathered in this study using convenience sampling. All included participants were identified as Jakarta^s citizen proven with the ID card, varied between 17 to 45 years old and live within Jakarta^s area. There were four instruments utilized in this study, namely Disaster Response Self-Efficacy Scale, Place Attachment Scale, Citizen Trust Scale and Natural Disaster Risk Perception Beliefs Scale. Online survey questionnaire was employed during the data collection process. Multiple regression analysis was executed in this study. Results: This study found that disaster response self-efficacy was significantly affected by place attachment, trust in government and risk perception (F(4, 481)=26.590- P<0.001) with total contribution 42.6%. Each factors included were identified as significant contributor to boost individual^s self-efficacy in disaster preparedness. Conclusion: Overall, this study confirmed that disaster response self-efficacy was affected by psychological factors-such as place attachment, trust in government and risk perception. This finding implied that psychological factors should be considered as the target of intervention to boost individual^s self-efficacy regarding disaster preparedness. In conclusion, psychological factors were the prominent factors in disaster preparedness, especially among Jakarta citizen that facing the drowning threat. Keywords: Disaster- disaster preparedness- place attachment- trust- self-efficacy Share Link | Plain Format | Corresponding Author (Rahmadianty Gazadinda)

20	Disaster and Emergency	ABS-15
Exploration of Psychological Factors that Contribute to Disaster Preparedness of Jakarta Community in Facing the Threat of Jakarta Sinking in 2050 Leila Alya Shofia (a*), Nesha Sawwa Avrilla (a), Lola Eka Saputri (a), Dzakia Rahmah Nurunnada (a), Rahmadianty Gazadinda (a) a) Faculty of Educational Psychology, Jakarta State University Jalan Halimun Raya No.2, Jakarta 12980, Indonesia *leilaalyashofia_1801621120[at]mhs.unj.ac.id Abstract Background: Jakarta is among one of the twenty cities in the world with the highest flood risk by the year 2050. Furthermore, Jakarta is predicted to be submerged in 2050. Unfortunately, the disaster preparedness of the Jakarta community in facing flood disasters remains relatively low. There is 80% of the Jakarta community that still perceives floods as a normal occurrence. The Jakarta community also has place attachment issues, which make them reluctant to be relocated due to reasons they already convenience in their residence. Purpose: This research aims to identify the effect of risk perception, self-efficacy, trust in government, and place attachment to disaster preparedness in the Jakarta community in facing the threat of Jakarta sinking by the year 2050. This research is cross-sectional study using a non-experimental quantitative design. Methods: A total of 486 subjects spread across DKI Jakarta were recruited by using quota sampling techniques and online data collection. The moderated regression analysis was applied in this study. Results: The results of this study showed that there is a significant influence between risk perception, self-efficacy, trust in government, and place attachment on disaster preparedness with a contribution of 16%. This effect increased to 24% after the three independent variables were moderated by place attachment. Conclusion: In conclusion, risk perception, self-efficacy, trust in the government, and place attachment have a significant role in determining the preparedness of the people of DKI Jakarta to face the threat of Jakarta sinking in 2050. Keywords: Disaster preparedness- flood- risk perception- trust in government- place attachment Share Link | Plain Format | Corresponding Author (Leila Alya Shofia)

21	Disaster and Emergency	ABS-52
ANALYSIS OF DEEP COMMUNITY PREPAREDNESS FACING FIRE DISASTERS (Case Study of Sekaa Teruna DY, Pekutatan District) Ni Luh Gede Aris Maytadewi Negara (1*) Dwiastutik Listiantari (2) (1*)Occupational Health and Safety Study Program, Faculty of Health Sciences, Bali International University, Denpasar, Indonesia (2)Saraswati Dental Hospital, Denpasar, Indonesia Abstract Background: Fire disasters are a significant risk during the dry season and prolonged drought conditions. There has just been a fire at the TPA Regional Sarbagita, Suwung, Denpasar Bali due to the long dry season. Pekutatan is one of the sub-districts in Jembrana Regency, Bali, where the majority of people are clove or coffee farmers. The risk of fire disasters in clove or coffee fields may occur because Bali is currently experiencing a dry season. Purpose: Preparedness is an activity carried out to deal with disasters through quick and appropriate steps so that property loss and loss of life can be minimized. This research was conducted to determine the readiness of the Pekutatan District community in facing fire disasters. Methods: This research is descriptive qualitative research, where data was obtained from the results of a questionnaire distributed to a group of 40 DY teenagers. The aspects analysed are disaster preparedness, emergency response plans, early warning systems, resource mobilization. Results: The research results show an attitude of concern for disasters in the ready category (index value 87), emergency response plans in the ready category (index value 86), early warning systems in the ready category (index value 85), and resource mobilization in the ready category (index value 82). Conclusion: It can be concluded that the community is ready to mitigate fire disasters. Keywords: Preparedness- Public- Fire Disaster Share Link | Plain Format | Corresponding Author (Ni Luh Gede Aris Maytadewi Negara)

22	Health Education	ABS-18
THE INFLUENCE OF EDUCATION ON THE LEVEL OF PARENTAL COMPLIANCE IN PROVIDING GROWTH AND DEVELOPMENT STIMULATION OF CHILDREN AGED 0-6 MONTHSTHE INFLUENCE OF EDUCATION ON THE LEVEL OF PARENTAL COMPLIANCE IN PROVIDING GROWTH AND DEVELOPMENT STIMULATION OF CHILDREN AGED 0-6 MONTHS Adnan Faris Naufal, Zahwa Putri Nurhandrita, Mahendra Wahyu Dewangga, Zunitasari Kholifah Islamiatun, Almas Awanis Departement of Physiotherapy, Universitas Muhamamdiyah Surakarta, Indonesia Program Studi DIV Fisioterapi, Stikes Nasional Surakarta, Indonesia Abstract The growth and development of children at the age of 0-6 months is something that must be achieved properly. One of the factors that affect the quality of children in growth and development is adequate stimulation and education that must be given to parents. One of the problems that can occur if children are not stimulated is gross motor delays due to lack of attention from parents in providing stimulation to their children. Education that discusses growth and development and how to provide stimulation to children according to their age so that parents are aware and able to provide what has been taught to their children. The goal is to find out how high the level of parental obedience is in stimulating the growth and development of children. The research design uses an experimental type of research with a quasy experimental research type, with a one group pre test-post test approach. Total sample is 44 respondents with purposive sampling method. The variable of this study is the independent variable, namely the level of parental compliance measured by a questionnaire and the dependent variable, namely the stimulation of gross motor development and development of children aged 0-6 months, measured by the ASQ (Ages and Stages Quastionnaire). The data analysis technique used is univariate analysis test, normality test, homogeneity test, and effect test. The results of the influence test using Wilcoxon showed that the sig (2 tailed) result was 0.000 <0.005, which means there was an influence. It can be concluded that there is an influence on the level of parental compliance on the growth and development of children aged 0-6 months, especially in gross motor skills. Keywords: Growth and Development, Obedience, Stimulation, Gross Motor, Parents, Children Share Link | Plain Format | Corresponding Author (Adnan Faris Naufal)

23	Health Education	ABS-37
Please Just TrAssociation Between Learning Satisfaction and Academic Burnout Among Nursing Students During Online Learningy to Submit This Sample Abstract Ngatoiatu Rohmani, Apriella Syafura Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Online learning methods present obstacles for students. It is not uncommon for students to experience fatigue and burnout in carrying out learning, which impacts student academic performance. To avoid this, education providers must pay attention to student satisfaction in online learning, including user quality, organizational quality, and e-learning system quality. Purpose: This study aims to identify the relationship between student satisfaction levels and academic burnout in nursing students at Jenderal Achmad Yani University, Yogyakarta. Method: This study used quantitative research with a cross-sectional approach. A total of 102 respondents were taken using random sampling under inclusive criteria, i.e., active students of semesters II, IV, VI, and VIII of the Academic Year 2021/2022. Data was taken using the Likert scale questionnaire on satisfaction level and academic burnout. Univariate and bivariate analyses were used for analyzing data. Result: The study result showed that 70.6% of the respondents experienced mild to moderate academic burnout, while 53.9% of the students felt satisfied with the online learning system they had. The p-value was 0.022, with a correlation value of 0.819, inferring a significant correlation between satisfaction level and academic burnout during online learning. Conclusion: Student satisfaction in learning can reduce the burnout that students experience. Therefore, educational institutions should be able to improve their learning quality to increase their students^ satisfaction. Keywords: Academic Burnout, Nursing Students, Online Learning, Satisfaction Level Share Link | Plain Format | Corresponding Author (Ngatoiatu Rohmani)

24	Health Education	ABS-44
DEFYING TABOOS: AN ANALYSIS OF FACTORS INFLUENCING PARENTS IN PROVIDING SEX EDUCATION TO SCHOOL-AGE CHILDREN IN TOMOHON CITY. Nyemas Ayu Haslina Ratusmanga, Chatleya Aisyah Punomo, Oktaviani Gabriela Wowiling, Veronika Agatha Undap, Renaldi Worang, Septriani Renteng Universitas Sam Ratulangi Abstract DEFYING TABOOS: AN ANALYSIS OF FACTORS INFLUENCING PARENTS IN PROVIDING SEX EDUCATION TO SCHOOL-AGE CHILDREN IN TOMOHON CITY. Nyemas Ayu Haslina Ratusmanga1 , Chatleya Aisyah Punomo1 , Oktaviani Gabriela Wowiling1 , Veronika Agatha Undap1, Renaldi Worang1, Septriani Renteng1 Nursing Science Study Program, Faculty of Medicine, Sam Ratulangi University, Manado, North Sulawesi, Indonesia *Corresponding author septriani.renteng@unsrat.ac.id Sex education is an effort that can be made to prevent an increase in the incidence of sexual abuse cases in children. The importance of sex education is given to children from school age, of course, cannot be separated from the role of parents in it, but parents who consider sex education as a taboo affect their behavior to provide sex education to children.This research aims to analyze the factors that influence parents in providing sex education to school-age children in Tomohon City. The method used in this research is quantitative approach with cross sectional research design. The sample was 440 respondents who have school-age children (6-12 years old) in Tomohon City. The sampling technique used simple random sampling. This research uses univariate, bivariate and multivariate analysis using the chi square test (&#945- = 5%). The results of this research based on the results of bivariate tests obtained variables that have a significant relationship with parental behavior in providing sex education are father^s education (p-value = 0.011), mother^s education (p-value = 0.032), gender (p-value = 0.003), knowledge (p-value = 0.004), environment (p-value = 0.000), attitude (p-value = 0.000), motivation (p-value = 0.000), source of information (p-value = 0.000) and culture (p-value = 0.025). The results of multivariate analysis obtained variables significantly associated with the behavior of parents providing sex education are sources of information (p=0.000), attitudes (p=0.003), environment (p=0.004) and gender (p=0.008). It can be concluded based on the results of the research that the source of information, environment, attitude and gender are the variables most associated with parental behavior in providing sex education to school-age children. Keywords: taboos, sex education, parents, school-age children Share Link | Plain Format | Corresponding Author (septriani Renteng)

25	Health Education	ABS-46
The Level of Knowledge about Solar Dome Dryer in Ngargosari Village, Kulon Progo, Yogyakarta Suwarno1, Nur^Aini Purnamaningsih2, Tri Sunarsih3, Nofran Putra Pratama4, Murwani Eko Astuti5, Anton Yudhana6, Safinta Nurindra Rahmadhia7, Novi Febrianti8 1,2,3,4,5Universitas Jenderal Achmad Yani Yogyakarta, Indonesia 6,7,8Universitas Ahmad Dahlan, Indonesia Corresponding author: suwarno.m787[at]gmail.com Abstract Background: Ngargosari Village, Kulon Progo, Yogyakarta has various potential plants that can be utilized in the economic and health sectors, including moringa and ginger. Lack of knowledge of post-harvest crop processing technology is the main obstacle for the people of Ngargosari Village, where processing is still conventional, and the market segment is limited to neighbors and collectors. Therefore, a Solar Dryer Dome is needed to be able to dry wet simplicia into good quality dry simplicia. Purpose: The objective of this study was to describe the level of knowledge about solar dome dryer in Ngargosari, Kulon Progo, Yogyakarta. Methods: This research design was a quantitative descriptive study. This research was conducted in Ngargosari Village, Kulon Progo, Yogyakarta, in October 2023. The sample in this study were 17 respondents in Ngargosari Village, Yogyakarta. The sampling technique used was total sampling. This research measures the level of knowledge about Solar Dome Dryers. The level of knowledge about solar dome dryer were obtained with questionnaire, in a pre-test and post-test. Data analysis technique using descriptive analysis. Results: The results showed that characteristics respondents in this study consisted of 10 women (58.8%) and 7 men (41.2%). The research results showed that the level of knowledge about solar dome dryers pre-test was 66.47 and increased to 70 during the post test. There was also an increase in the lowest (minimum) score obtained by respondents, from 20 to 40 during the post-test. The majority of respondents got a score of 70 and the level of knowledge in the good category was increased by 5.9%. Keywords: Knowledge, Solar Dome Dryer, Explanation Share Link | Plain Format | Corresponding Author (Suwarno Suwarno)

26	Health Education	ABS-60
Web-Based Education of Parenteral Medication for Nursing Students: The Validity of Learning Media Istichomah 1, Tukimin1, I Putu Juni Andika2 1Nursing Faculty, Lincoln University, Malaysia 2 Nursing Faculty, STIKES Panti Kosala, , Indonesia Abstract Background: Digital learning is being developed in nursing education. Limited learning media is an opportunity for educators to always develop media that is easily accessible to nursing students. Parenteral medication learning consists of intracutaneous, intramuscular, intravenous, and subcutaneous drug administration. This considerable material cannot be mastered only in a laboratory with limited room capacity, tools, and time. Researchers create online media containing theory and video skills about parenteral medication. In order for the learning media to be used for research interventions to be declared feasible and valid, a validity test is needed on the media Purpose: The purpose of this article is to determine the level of validity of web-based learning media education for parenteral medication. Methods: brief summary of the study setting and participants- the study design- major methods used to collect and analyze data, including the proper name of instruments used. The model that was used was procedural development. The steps that need to be followed to produce a product are shown in the procedural development model. Learning media creation involves six steps: assessing student needs, formulating learning objectives, providing a detailed content outline, generating assessment instruments, writing media scripts, and carrying out assessments and testing. The comments, recommendations, and critiques received provide the basis for future thought for developing the website. Results: the major findings. Three media experts assessed the six components as original and competent, with an average score of 3.7. Five material experts set the format, content, and color aspects of the media and obtained an average score of 3.5. Conclusion: Parenteral medicine education provided online is acknowledged as valid and highly practical for use in digital learning. The utilization of this learning medium is the subject of additional research, according to researchers. Keywords: web based education, parenteral medication, validity, nursing student Share Link | Plain Format | Corresponding Author (Istichomah Istichomah)

27	Health Education	ABS-89
Using multimedia learning to promote Evidence Based Practice competencies among nursing student Suci Tuty Putri, Sehabudin Salasa, Septian Andriyani, Lisna Anisa Fitriana, Upik Rahmi Universitas Pendidikan Indonesia Abstract Evidence Based Practice (EBP) is now widely accepted worldwide as essential to delivering the highest standards of healthcare and achieving the best patient outcomes at the lowest cost. Professional organizations have established EBP as an essential element of quality care, setting EBP competency as a professional standard. Numerous studies have shown that current practice is often based on experience, tradition and intuition rather than evidence. Therefore, to enable the implementation of best evidence in practice, this study aims to develop interactive media in learning to improve nursing students^ EBP skills. Methods. An experimental research study was conducted by providing electronic-based learning media with problem-based learning method to improve EBP skills. The significance of this study is expected to contribute to exploring and developing methods of EBP implementation in nursing. This study provides various interactive media in medical-surgical nursing learning including e-modules, interactive quiz, and PBL with virtual simulation. The results showed that the average ability to implement EBP of students was 7.42 (scale 1-10) and the ability of clinical judgment was 7.72. Practically, the results of this study are expected to provide a design for an application-based/electronic EBP implementation model so that nurses in Indonesia can easily implement EBP. Keywords: nursing education, EBP, clinical judgement Share Link | Plain Format | Corresponding Author (Suci Tuty Putri)

28	Health Education	ABS-92
The Effect Of Animated Media On The Practice Of Handwashing With Soap In Children At SDN Banguntapan Aulia Devi Septiyani, Kristina Dias Utami Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: In 2018, the category of children aged 10 years or above in Indonesia had a prevalence of handwashing with soap of 49.80%.Meanwhile, in the Special Region of Yogyakarta, it reached 52.3%, and the Bantul regency had a percentage of 46.2%. Handwashing with soap is an essential basic technique to prevent the spreading of infectious diseases. School-age children are targeted in this education because they are vulnerable to infectious diseases. Education using animated media is carried out as an effort to prevent disease and form clean and healthy lifestyle habits in children at the same time. Objective: This research aims to find out the effect of animated media on the practice of handwashing with soap in children at SDN (Public Elementary School) Banguntapan. Methodology: This quantitative research employed a pre-experimental design using the One Group Pre-Test- Post-Test approach. The sample in this research were the students of grades 1-6 totaling 65 students selected using a stratified random sampling technique. The practice of handwashing with soap was measured using an observation sheet filled out by the researcher and research assistant before and after the education using animated media. Results: The results show a difference between pretest and posttest. The pretest results show that a small number of the respondents before given the animated media were included in the unskilled category as many as 25 respondents (38.5%). After being given the animated media, there are as many as 65 respondents (100%) who are in the skilled category with the practice of washing hands with soap. The data analysis used the McNemar test showing the result of p 0.000 (p <0.05). Conclusion: There is an effect on the practice of handwashing with soap in children before and after the education using animated media is given. Keywords: Handwashing with Soap, Animated Media, School-Age Children Share Link | Plain Format | Corresponding Author (Aulia Devi Septiyani)

29	Health Education	ABS-95
obstacle and Solutions to the Implementation Strategy of Electronic Medical Records from the Perspective of Medical Recorders Using the PIECES Method Aicia Anatha Silva1, Tika Sari Dewi2, Kori Puspita Ningsih3 1,2,3 Medical Record and Health Information, Health Faculty, Jenderal Achmad Yani University, Indonesia Email: aiciaanatha[at]gmail.com Abstract Background: Even though the implementation of Electronic Medical Records (EMR) has been implemented widely, many obstacles are still found. In implementing EMR at RST dr. Soedjono Magelang is still not running optimally with the discovery of various obstacles. From the obstacles found, it is necessary to develop a solution strategy to overcome these problems. Purpose : To explore obstacles and describe strategic solutions related to the implementation of EMR based on the perspective of medical record officers at RST Dr. Soedjono Magelang Method : Researchers used descriptive qualitative with a case study design at the Medical Records Unit of RST dr. Soedjono Magelang. Data collection was carried out by in-depth face to face interviews using a semi-structured approach with 6 informants from medical record officers who served in the outpatient and Inpatient registration units, outpatient and inpatient coding, reporting and analysis. The data analysis approach used uses thematic analysis with an inductive coding approach, then to maintain the validity of the research using member checking. Results : 9 themes were found related to obstacle to EMR implementation, namely EMR performance, system speed, modules and features, information accuracy, output quality, data integrity, technical obstacles, data security, and ease of using EMR. Then 5 themes were generated related to strategic solutions to obstacles to EMR implementation consisting of application improvements, IT response, information improvement, data integrity and internet networks. Conclusion : The identified obstacle to EMR implementation consist of EMR performance, system speed, modules and features, information accuracy, output quality, data integrity, technical constraints, data security, and ease of using EMR. These problems require improvements in aspects of applications, IT response, increased information, data integrity and internet networks. Keywords: Obstacle, Implementation Strategy, Electronic Medical Records Share Link | Plain Format | Corresponding Author (Aicia Silva)

30	Health Education	ABS-98
THE EFFECT OF SNAKES AND LADDER AS AN EDUCATIONAL MEDIA ON MENSTRUAL HYGIENE KNOWLEDGE IN ADOLESCENTS WITH INTELLECTUAL DISABILITY IN THE SLB KABUPATEN BANTUL Fifi Andriyani , Dwi Yati Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Teenagers who have reached puberty will start having periods. Adolescents with intellectual disabilities will also experience this condition like typical adolescents. Therefore, it is crucial to teach adolescents about menstrual hygiene through health education using snake and ladder media to prevent infection of the reproductive organs. Purpose: This study aimed to determine how snake and ladder educational media affect adolescents with intellectual disabilities in the SLB Kabupaten Bantul knowledge of menstrual hygiene. Methods: This study employed a pre-experimental design with One Group Pre Test- Post Test. A total of 30 respondents were sampled using a total sampling technique. Data was collected in June 2022 at SLB PGRI Trimulyo Bantul and SLB Ma^arif Bantul. A questionnaire and educational media for snakes and ladders were used as research instruments. The Wilcoxon Signed Ranks Test was used to analyze the study^s findings. Result: The findings revealed that prior to receiving an education using snakes and ladders, participants had good knowledge (6.7%), sufficient knowledge (33.3%), and insufficient knowledge (60%). Following education with snakes and ladders, knowledge increased to good (46.7%), sufficient (50.0%), and low (1.9%). The data was strengthened by the Wilcoxon Signed Ranks Test results, which yielded a value of p = 0.001. Conclusion: Educational media on snakes and ladders has an effect on knowledge of menstrual hygiene in adolescents with intellectual disabilities in SLB Kabupaten Bantul. Keywords: Adolescents, Intellectual Disability, Knowledge, Menstrual Hygiene, Educational Media, Snakes and Ladders Share Link | Plain Format | Corresponding Author (Fifi Andriyani)

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