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61	Maternity and Pediatric Nursing	ABS-74
CORRELATION OF WEIGHT GAIN PREGNANCY AND BREAST MILK PRODUCTION IN EARLY POSTPARTUM AT RSUP SARDJITO Surya Andina Mujiyani (a*), Mekar Dwi Anggraeni (b), Nina Setiawati (b) (a*)Student of Nursing Departement, FIKES, University of Jenderal Soedirman aandin441[at]gmail.com (b)Lecturers of Maternity Departement, FIKES, University of Jenderal Soedirman, Purwokerto, Centeral of Java Abstract Backgound: Exclusif breastfeeding rate in Indonesia is still low. One of the factors that influence breastmilk production is obesity. The increased of excessive maternal weight during pregnancy will be cause obesity. The objective of the study to determine the correlation between maternal weight gain during pregnancy and breast milk production. Methods: This study is a form of correlation analytic observational study. The study involved 69 respondents with woman aterm pregnancy on the first day of giving birth. Breastmilk production is measured by second and third day after giving birth. Respondents were mothers who did not care and join their babies directly. The instrument of this study used quesionnaires and syringe. Correlation test used Chi Square. Result: Univariat test results showed that the characteristics of respondent were mostly mothers with age reproductive, high school education, working mothers, type of labor is SC, have enough income, have a normal BMI and birth the baby with normal weight. Bivariate test beetwen weight gain during pregnancy and breastmilk production showed a significance relationship is 0,006 with an OR is 3,75. Conclusion: There is relationship between weight gain during pregnancy and breastmilk production in early postpartum mothers. Keywords: Breastmilk production; Weight gain; Obesity Share Link | Plain Format | Corresponding Author (Surya Andina Mujiyani)

62	Maternity and Pediatric Nursing	ABS-87
IMPLEMENTATION OF PRACTICAL LEARNING ON COMPLEMENTARY FEEDING USING EXPERIENTIAL LEARNING METHOD TO IMPROVE NUTRITIONAL STATUS OF INFANTS WITH STUNTING INDICATION IN SOUTH TAPANULI DISTRICT Cecep Triwibowo(a*), Rusdi Rangkuti(b), Ridesman(b), Niniek Lely Pratiwi(c), Tinah(a), Lita Heni Kusumawardani(d), Yulia Fauziyah(e) a) Health Polytechnic of Medan, Indonesia b) Provincial Health Office of North Sumatera, Indonesia c) National Institute of Health Research and Development, Ministry of Health Republic of Indonesia d) Faculty of Health and Sciences, Jenderal Soedirman University, Purwokerto, Indonesia, e) Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia Abstract Background Stunting is a chronic nutritional problem that occurs in many developing countries, including Indonesia. Improper complementary feeding can lead to insufficient nutritional intake, which can lead to growth failure. The low knowledge of mothers regarding the quality and quantity of complementary foods is a determining factor in the increasing incidence of stunting. Experiential learning is a method that can be used for health education based on the experiences of participants. The amied of this study was to examine the effect of experiential learning methods by posyandu cadres on knowledge of complementary foods as an effort to prevent stunting in mothers and the nutritional status of infants (Z-score, body length / age). Method Quantitative research with pre-post test group design approach. Collecting data in the form of knowledge using a questionnaire and nutritional status measuring the Z-score (body length / age) used meter tape was carried out before and after treatment. The treatment in this study was the provision of health education about the practice of providing complementary foods with experiential learning methods carried out by posyandu cadres. After being given health education, respondents were observed for two months to implement the health education they had received. The number of samples in this study was 30 respondents, namely mothers who had babies indicated by stunting. Data were analyzed using the Wilcoxon statistical test. Result The mean value of knowledge before treatment was 47.64 1.02 and after treatment increased to 53.81 9.00 with a p value of 0.000 (<0.05). The mean Z-score before treatment was -4.25 1.09 and after treatment increased to 0.77 0.77 with a p value of 0.000 (<0.05). Conclusion The implementation of practical learning on complementary feeding through experiential learning by posyandu cadres increases the knowledge of mothers and the Z-score of babies who are indicated as stunting in South Tapanuli Regenc Keywords: complementary feeding- experiental learning-knowledge- stunting Share Link | Plain Format | Corresponding Author (Cecep Triwibowo)

63	Maternity and Pediatric Nursing	ABS-100
BOOKLET MEDIA IMPROVED BREASTFEEDING SELF EFFICACY AMONG PREGNANT WOMEN IN A PRIMARY HEALTH CARE SERVICES Kurniati Puji Lestari, Deni Kinasih, Elisa, Muhamad Jauhar Health Polytechnic of Ministry of Health Semarang Abstract Background: The women self confidence influence the breastfeeding abilities. The impact was the oxytocin hormone is less than needed so the production of breast milk from pregnant women not enough. The breastfeeding self efficacy shows the effort of pregnant women to improve their breastfeeding ability so its need to be prepared during pregnancy. The pregnant women with good efficacy will be able to implement lactation management properly. This study aims to determine the effect of the use of booklet as a health education media to improve breastfeeding efficacy among pregnant women in primary health care services. Method : This study applied quasi experimental type of pre test and post test with control group. There were totally 22 pregnant women respectively in the intervention and control group selected by non probability sampling. Breastfeeding Self Efficacy Scale Short Form were used as instruments. Intervention was given in 15 to 20 minutes integrated with prenatal class. Data analysis was used paired t test and independent t test. Results: The study shows that there was an influence of booklet media on breastfeeding self efficacy among pregnant women significantly with a p value = 0,000 (p<0.05). Conclusion: Booklet as a form of health education media was improved breastfeeding self efficacy. This use of booklet can be integrated with maternal and child health program in primary health care services. Keywords: booklet, breastfeeding, health education, pregnant women, self-efficacy Share Link | Plain Format | Corresponding Author (Muhamad Jauhar)

64	Maternity and Pediatric Nursing	ABS-125
Certainty in Uncertainty: Mothers Experience in Caring Children with Kawasaki Disease in Acute Phase Lia Kartika (a*), Dessie Wanda (b), Herni Susanti (b) a) Faculty of Nursing, Universitas Pelita Harapan, Jl. Boulevard Jenderal Sudirman No. 15, Banten 15810, Indonesia *sarah.kartika[at]uph.edu b) Faculty of Nursing, Universitas Indonesia, Jl. Prof. Dr. Bahder Djohan, Jawa Barat 16424, Indonesia Abstract Background: Having the experience of caring a child with a rare disease is an unexpectable and unusual moment. Kawasaki Disease (KD) is an unknown disease that can attack children under five years old. A deep thought about KD can enhance the quality of nursing care given by pediatric nurses. Many studies had explained gene and therapeutic management, but in the acute phase of KD, limited studies have conducted about the maternal experience. Purpose: To explore the further experience of Indonesian mothers in caring for children with KD in the acute phase. Methods: A descriptive qualitative method with a phenomenological approach was conducted. The study involved fifteen participants through convenience technique sampling. The data collection is done by in depth interviews with a semi-structured question. We analyzed the transcripts using Colaizzi s method. Results: The study highlighted five dominant themes: certainty in uncertainty, racing against the time of treatment, go through Gods will, once is enough, gaining KD awareness. Conclusion: Comprehensive knowledge about KD is needed to be able to provide appropriate nursing care. We were confident that paying attention to mothers and children with psychological and spiritual needs was as important as resolving the physiological matters. An additional practical nursing care guideline can improve the morbidity rate and reduce unexpected sequela. Keywords: Child; Experience; Kawasaki disease; Mother Share Link | Plain Format | Corresponding Author (Lia Kartika)

65	Maternity and Pediatric Nursing	ABS-134
Activity Level and Exclusive Breastfeeding in Working Mother: a Cross-Sectional Study Ayut Merdikawati (1*), Dyah Ekafaraviqa A. S. (2), Ika Setyo Rini (3), Muladefi Choiriyah (4) 1,3,4 Lecture, Nursing Department, Brawijaya University, Malang, Indonesia, email: ayut.fk[at]ub.ac.id (corresponding author) 2 Student, Nursing Department, Brawijaya University, Malang, Indonesia Abstract Background: Exclusive breastfeeding provides benefits for babies and mothers. One of the causes of the low coverage of exclusive breastfeeding is because of working mothers. Working mothers stop breastfeeding related to their experience as mothers who have insufficient time to breastfeed and interact with their babies. Purpose: This study aims to analyze the correlation between the level of activity of working mothers and exclusive breastfeeding. Methods: This study was a cross-sectional study. A total of 72 working mothers were selected using a purposive sampling procedure in the area of Arjowinangun Community Health, Malang. Data collection used to questionnaires. Results: The results obtained were 36 mothers (50%) had a moderate level of activity, and 45 mothers (62.5%) did not give exclusive breastfeeding. There is a significant relationship between the level of activity and the success of exclusive breastfeeding (p-value 0,000). The Spearman correlation coefficient shows that there is a very strong relationship between the level of activity and the success of exclusive breastfeeding among working mothers (r -0.663). Conclusion: The results showed that the higher the level of activity of working mothers would reduce the success of exclusive breastfeeding. It is expected that working mothers will be gained more knowledge of lactation management so that exclusive breastfeeding can given to their babies. Keywords: Keywords: Activity, Exclusive Breastfeeding, Working Mothers Share Link | Plain Format | Corresponding Author (Ayut Merdikawati)

66	Maternity and Pediatric Nursing	ABS-138
The Effect of Quartet Cards as an Educational Game on School Age Childrens Knowledge about Sexual Abuse Prevention Cindy Ferista Tiana (a), Dian Susmarini (b), and Nina Setiawati (c) (a) Student of Nursing Departement, Faculty of Health Sciences, Universitas Jenderal Soedirman. (b) and (c) Nursing Departement, Faculty of Health Sciences, Universitas Jenderal Soedirman. Abstract Background: Child sexual abuse (CSA) cases are still commonly found. CSA can have serious impact. Increase knowledge about CSA prevention is one of preventive action. Quartet cards as an educational game can be used to increase knowledge about CSA prevention. This research aims to find out the effect of quartet cards game to school age childrens knowledge about CSA prevention. Methodology: This research used quasi experiment with control group pretest and posttest design. 74 respondents was recruited with stratified random sampling technique. The instrument used from Arsandi (2018) that was modified by researchers. This research used wilcoxon and chi square test. Result: The average age of intervention group was 9,62 years old and control group was 9,43 years old. Most respondents parents had junior high school education and the income are under Banyumas regencies minimum wage. There was no difference in pretest knowledge level among two groups (p=0,675), but there was difference in posttest (p=0,000). There was difference among pretest and posttest knowledge level on intervention group (p=0,000), but there was no difference on control group (p=0,248). Conclusion: There was effect of quartet cards game on school age childrens knowledge about CSA prevention. Keywords: Sexual abuse, child, and quartet cards. Share Link | Plain Format | Corresponding Author (Cindy Ferista Tiana)

67	Maternity and Pediatric Nursing	ABS-155
Description of Attitude and Knowledge of Nurses in doing HPV Vaccines in One of West Indonesian Hospitals Susi Widawati (a), Tiurma R.V Naibaho(a), Belet Lydia Ingrit (a*), Shinta Yuliana Hasibuan (a) a) Faculty of Nursing, Universitas Pelita Harapan, Jl. Jenderal Soedirman Boulevard No 15, Lippo Karawaci, Tangerang, 15811, Indonesia * belet.ingrit[at]uph.edu Abstract Background: According to World Health Organization in 2012, 528,000 new cases of cervical cancer were found with a mortality rate reaching 266,000 women in the world. In Indonesia, it is found that the incidence of women dying continues to increase every year around 9,498 people. HPV vaccination is an early detection in the prevention of cervical cancer. Based on a short interview of twenty nurses, there were eighteen of them who stated they had not done the HPV vaccine yet. Purpose: to find out the description of nurses attitudes and knowledge in carrying out the HPV vaccine. Methods: Quantitative descriptive, with univariate analysis to determine the frequency distribution of each variable, purposive sampling technique, using questionnaire with 25 questions to assess attitudes and 25 questions to assess the level of knowledge with a total sample of 172 nurses. Results: The description of nurses attitudes in carrying out the HPV vaccine showed a 50% positive attitude and a 50% negative attitude. Description of knowledge of nurses includes good knowledge 47.7%, sufficient knowledge 24.4% and less knowledge 27.9%. Nurses who did the HPV vaccine were 4.7% and who did not do were 95.3%. Conclusion: Attitudes and knowledge of nurses in conducting HPV vaccines in one of the West Indonesian Hospitals shows that female nurses have the same values for positive and negative attitudes and have good knowledge but do not influence female nurses to carry out HPV vaccines. Keywords: Attitudes, HPV Vaccines, Knowledge, Nurses Share Link | Plain Format | Corresponding Author (Belet Lydia Ingrit)

68	Maternity and Pediatric Nursing	ABS-179
Young Adult Working Mothers with Higher Perception of Insufficient Milk Supply Were Seven Times at Risk of Exclusive Breastfeeding Cessation in East Java, Indonesia Muladefi Choiriyah (*), Tim Murni, Rinik Eko Kapti, Ayut Merdikawati Nursing Department, Universitas Brawijaya, Malang, Indonesia, * defi.fk[at]ub.ac.id Abstract Objectives This study aimed to analyze the most significant factors related to breastfeeding history that affect working mothers in exclusive breastfeeding. Methods This study used a cross-sectional design with a purposive sampling technique. The Respondents were working mothers: who work outside of the home, live in Malang on Arjowinangun Public Health coverage area, breastfeed their baby, have a healthy baby age 6-12 months. The factors researched in this study were related to breastfeeding history. The data collection has used Questionnaires. The chi-square and binary logistic regression analyzed the data test. Results 82 respondents participated in this study. The result shows that the majority of working mothers who had exclusive breastfeeding cessation were under 35 years old, informal occupation, multiple deliveries, and live with extended family. They were ever breastfed and received exclusive breastfeeding information, no obstacles during current breastfeeding, and galactagogue consumption, low BSE dan high PIMS. BSE and PIMS were significant factors in their decision to exclusive breastfeeding cessation (p-value 0.003 and 0.001, respectively). Subsequently, the binary logistic regression shows working mothers who had low BSE (OR 5.6-95%CI 1.10-28.18) and high PIMS (OR 7.0-95%CI 1.4-35.14) were more at risk of exclusive breastfeeding cessation. Conclusions Health practitioners should conduct efforts to promote exclusive breastfeeding practices comprehensively to target working mothers at young adult age. Keywords: exclusive breastfeeding cessation, working mothers Share Link | Plain Format | Corresponding Author (Muladefi Choiriyah)

69	Maternity and Pediatric Nursing	ABS-181
PSYCHOLOGICAL PARENTS IN CHILDREN WITH CANCER DURING COVID-19 PANDEMIC Iswanti Purwaningsih; Abdul Aziz; Sumarti Endah Purnamaningsih Maria Margaretha Poltekes Karya Husada Yogyakarta Abstract PSYCHOLOGICAL PARENTS IN CHILDREN WITH CANCER DURING COVID-19 PANDEMIC Abstract Background: Children with cancer pose a major challenge for parents during the Covid-19 pandemic because cancer is an immunocompressed disease at high risk of infection. Concerns about corona virus exposure and treatment changes are a psychological distress for parents. Parental sociodemography such as gender, age, education, occupation, number of children, and marital status play a role in the psychological condition of parents. Aim: The purpose of this study was to determine the psychological status of parents in children with cancer during the Covid-19 pandemic Method: this research used cross sectional research design. Samples of 46 respondents were taken with snowball sampling technique. Data analysis used Kendall Tau to determine the effect between variables Results: there was a relationship between marital status and parental anxiety (p = 0,000) and there was no relationship between sex (p = 0.523), age (p = 0.740), education (p = 0.865), occupation (p = 0.093) and the number of children (p = 0.423) with anxiety levels of parents who had children with cancer during the co-19 pandemic. There is a relationship between marital status with parental stress level (p = 0,000) and there is no relationship between sex (p = 0.109), age (p = 0.212), Education (p = 0.451), occupation (p = 0.147) and number children (0.157) with stress levels of parents who have children with cancer during the co-19 pandemic. There was a relationship between marital status and parental depression (p = 0,000) and there was no relationship between sex (p = 0.523), age (p = 0.740), education (p = 0.866), occupation (p = 0.111) and number children (p = 0.423) with depression rates of parents who have children with cancer during the co-19 pandemic. Conclusion: There is a relationship between marital status and anxiety levels of parents in children with cancer during the Covid-19 pandemic. There is a relationship between marital status and parental stress levels in children with cancer during the Covid-19 pandemic. There is a relationship between marital status and parental depression in children with cancer during the Covid-19 pandemic Keyword: Psychology of parents OR children with cancer OR Covid-19 pandemic Keywords: Psychology of parents; children with cancer; Covid-19 pandemic Share Link | Plain Format | Corresponding Author (SUMARTI ENDAH PMM)

70	Maternity and Pediatric Nursing	ABS-192
Mothers Perception and Knowledge Towards Obesity with Obesity Status in Preschool Age Children in Indonesia Agnes Wigatiningtyas (a), Ananda Eka Puspitasari (a), Anastasia Geraldine Sagitadewi (a), Lia Kartika (a*), Dwi Yulianto Nugroho (a) a) Faculty of Nursing, Universitas Pelita Harapan, Jl. Boulevard Jenderal Sudirman No. 15, Banten 15810, Indonesia *sarah.kartika[at]uph.edu Abstract Background: Obesity is a health problem that is often found in children. In Indonesia, many children are overweight and obese. Mothers who have the wrong perception of a childs weight status and have poor knowledge about child obesity usually have obese children. Hence, mothers perception and knowledge influence childrens weight status. Purpose: To determine the relationship between mothers perception and knowledge towards obesity with obesity status in preschool age children in Indonesia. Methods: The study used a quantitative correlational design with a cross-sectional approach. The population of the study is all mothers who had preschool age children. 408 mothers were involved through incidental sampling technique. The study was conducted from April May 2020. We used questionnaires about mothers perception and knowledge towards obesity in preschool age children with validity and reliability, values of 0,739 and 0,747. Results: Chi square analysis showed a significant relationship between mothers knowledge with obesity status in preschool children in Indonesia (p= 0,003). Meanwhile, there was no relationship between mothers perception with obesity status in preschool children in Indonesia (p= 0,730). Conclusion: The results of this study can be used by educational institutions to increase a mothers knowledge about child obesity through education. It also can be used as a reference for further research on childhood obesity with different variables, such as a mothers attitudes about child obesity and childrens eating habits. Keywords: Child; Knowledge; Mother; Obesity; Perception Share Link | Plain Format | Corresponding Author (Lia Kartika)

71	Maternity and Pediatric Nursing	ABS-193
Bullying Health Education using the group method can improve students knowledge and attitudes about bullying at SD Negeri Aroepala Makassar Nisaul Magfirah, Mikawati, Evi Lusiana, Sitti Syamsiah,Hasriany School of Health Science Panakkukang Makassar Abstract Bullying is an act of using power to hurt a person or group of people verbally, physically and psychologically so that the victim feels depressed, traumatized, and helpless. Children and teenagers who are victims of bullying are more at risk of experiencing various health problems, physically and mentally. This study aims to determine the effect of bullying health education on students^ knowledge and attitudes about bullying in primary schools. This research is an experimental research (experimental research) with a pre-experimental design research method without using a control group on the population and the sample is class VI students at SD Negeri Aroepala who are registered and actively participate in learning for at least 6 months as many as 60 respondents. Methods of data analysis using the Wilcoxon Signed-Rank Test technique to test the scores of two paired samples (related Sample) and abnormal distribution data, namely pre-test and post-test in the experimental group. The results showed that bullying health education using the group method could improve students^ knowledge and attitudes about bullying (p = 0.000). It is suggested that schools should have local content about bullying material that is integrated in the subject so as to increase students understanding of bullying behaviour. Keywords: Bullying, Health Education, Knowledge, Attitude Share Link | Plain Format | Corresponding Author (Mikawati .)

72	Maternity and Pediatric Nursing	ABS-201
A Preliminary Study Structured Health Education Programme by Peer Educators as an Alternative Way to Maintain The Dental and Oral Hygiene of School Age Children Nopi Nur Khasanah (a*); Arlina Nurhapsari (b); Iskim Luthfa (a) a) Faculty of Nursing Science, Islamic University of Sultan Agung, Semarang 50112 *nopi.khasanah[at]unissula.ac.id b) Faculty of Dental Medicine, Islamic University of Sultan Agung, Semarang 50112. Abstract Dental and oral hygiene has become a problem in Indonesia, particularly among school age children. Nurses, as health professionals, can contribute to preventing the problem. Health education, by peer educators, can be an alternative way of delivering the importance of dental and oral hygiene to school age children because they are in the concrete operational stage of development where their relationships with friends are predominant. The objective of this study was to differentiate between the control and treatment groups the Oral Hygiene Index-Simplified (OHIS) was used. Structured-health education by peer educators was given to the treatment group. In contrast, health education in unstructured way was given to the control group. This is a quantitative research using a pre-experimental intact group comparison design. Dental and oral hygiene observation used the OHIS index that was checked by dentists. A dental check up was carried out on children who had mixed teeth (baby milk and permanent teeth), which was done by checking the incisors and molars 1 tooth. A purposive sampling technique was used to collect the 40 respondents for each group. Students who were chosen as peer educators received training about the right time and correct way to brush teeth by pediatric nurse specialists using demonstration media and a module. Moreover, they received spiritual training regarding thaharah from local Ustad. The median score on the OHI-S index for the treatment group was 0.9964 (good hygiene) with a range of 0.8372 1.1555 with a 95% confidence interval (CI). The analysing result of the OHI-S difference used the Mann-Whitney test with the p-value of 0.000 (<0.001), which means that there was a significant difference between the control and the treatment group. There is a significant difference on the OHI-S index between the treatment and control group after intervention. The peer educator method and structured health-education approach is a good combination, which provides a suitable alternative way of improving the knowledge of school age children and creating a situation of mutual support among them in order to maintain good dental and oral hygiene. Keywords: Children, dental and oral, DMFT/def-t, OHI-S, peer Share Link | Plain Format | Corresponding Author (Nopi Nur Khasanah)

73	Maternity and Pediatric Nursing	ABS-232
The Effect of Training on Prevention of Stunting Against Work Motivation of Health Care Cadres in Stunting in Semarang City Elvi Khofshoh(1), Dyah Wiji Puspita Sari(2*), Muh. Abdurrouf (3) 1)Student, Department of Nursing, Sultan Agung Islamic University, Indonesia 2*) Assistant Professor, Department of Nursing, Sultan Agung Islamic University, Indonesia, Kaligawe Street Km 4, Semarang, Indonesia, e-mail: daiyah_04[at]yahoo.com (corresponding author) 3)Assistant Professor, Department of Nursing, Sultan Agung Islamic University, Indonesia Abstract Background:Indonesia is ranked 5th in the world with a stunting prevalence of 37%. One of the prevention efforts can be through the active role of the community including posyandu health cadres who are equipped with training on stunting, so as to form an adequate work motivation of posyandu health cadres. Purpose:The purpose of this study was to identify the effect of training on stunting prevention on the work motivation of stunting health care workers in Karangroto District. Methods:This study uses a true experimental design. Data collection using a questionnaire. The number of samples 32 respondents with a total sampling method. Results:Characteristics of respondents mostly at the high school level of education (40.6%), not working (96.9%), the average age of 47.16 years, and the average length of time for cadres had 11.44 years of work. Mann Whitney test results showed a p value of 0,000. There is an influence between training on stunting prevention on the work motivation of health care cadres caring for stunting in Posyandu Manggis and Durian Kelurahan Karangroto. Conclusion:This research is expected to increase the work motivation of health cadres to monitor stunting Keywords: Training, Stunting, Health Work Motivation Share Link | Plain Format | Corresponding Author (Dyah Wiji Puspita Sari)

74	Maternity and Pediatric Nursing	ABS-240
SPECIAL NEEDS CHILDREN PROFILE IN BANYUMAS DISTRICT, CENTRAL JAVA PROVINCE, INDONESIA Desiyani Nani1)*, Elisabeth Siti Herini2), Ahmad Hamim Sadewa2), Sri Hartini2), Indria Laksmi Gamayanti3), Dyla Annisa Putri1), Lita Heni Kusumawardani1) 1)Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia- 2)Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia- 3)Dr Sardjito Central General Hospital, Yogyakarta Abstract Introduction Indonesia had increase the amount of children with special needs. Most of special needs biggest problem is related with social communication, especially social responsiveness impairment. Children with special needs are always claimed as people who are strange or have mental issues. Objective The aim of this study to identify the characteristic of special needs children and compare the social responsiveness between normal children and special needs population. Methods The study used cross sectional approach included 334 children consist of 245 normal children and 89 special needs children. Study population were in Banyumas district, Province of Central Java, Indonesia. Study used questionnaires that filled independently. Its content characteristics and social responsiveness and behavior factors using Indonesian version of modified Social Responsiveness Scale. Results Most of the children with special needs were boy and had a history of sickness or injuries during 5 y.o. From 89 special needs children, 53 children were diagnosed as autism, 11 children were cerebral palsy, 9 children were ADD/ADHD, 5 children with down syndrome, 2 children with mental retardation, and 9 children had other special needs diagnosed. Children with special needs also had SRS scores bigger than normal children (p=0,000) that indicated an impairment of social responsiveness. Conclusions Most children with special needs had an impairment of social responsiveness. Continuing screening and therapy will help children with special needs to have better social communication in the community. Keywords: Social behavior, responsiveness, autism, special needs, communication Share Link | Plain Format | Corresponding Author (Desiyani Nani)

75	Maternity and Pediatric Nursing	ABS-241
PULSE RATE PROFILE IN PRETERM BABIES DURING QURAN RECITATION Desiyani Nani1)*, Triana Indrajati2), Lita Heni Kusumawardani1) 1)Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia- 2) Ananda Hospital Purwokerto, Central Java, Indonesia Abstract Introduction Preterm babies often experience abnormal heart rate because of their immature organs. This is where nurses play a role in stimulating the child to prevent complication, disability, and infants mortality. Objective This study aim was to determine the effectiveness of Quran recitation to stabilize pulse rate of the babies by doing stimulation in the pediatric nursing unit. Methods The study design used quasi-experimental study on 18 preterm babies. Quran recitation of Surah Yusuf turned around during 20 minutes a day in 3 days, using the active speaker in 50-60 dB range of sound intensity. Results This study shows that there are differences in pulse rate before and after Quran recitation treatment and control group (t=2,708- p= 0,016). Conclusions The Quran recitation has significant influence in pulse rate within the treatment group. Recommendations Quran recitation is recommended to treat preterm babies to stabilized rate. Further studies of Holy Quran recitations with larger sample size, various Surah from Quran, and different recitation style, and their benefits for prevent various complication, disability and also infant mortality. Keywords: holy quran- recitation- preterm- infant- pulse- heart rate Share Link | Plain Format | Corresponding Author (Desiyani Nani)

76	Medical and Surgical Nursing	ABS-10
DIABETIC FOOT ULCERS AND RISK FALL IN PEOPLE WITH TYPE 2 DIABETES MELLITUS IN BLUD RSUD DR.BEN MBOI MANGGARAI REGENCY, NTT Oliva Suyen Ningsih (a*), Kornelia Romana Iwa (b),Maria Getrida Simon(b), (C) Katarina Anastasia Sinar a) Indonesian Catholic University of St.Paul Ruteng, NTT jln.Jend.ahmad Yani, No.10, Ruteng, Indonesia email : osningsih[at]gmail.com b) Indonesian Catholic University of St.Paul Ruteng, NTT jln.Jend.ahmad Yani, No.10, Ruteng, Indonesia c) BLUD RSUD dr.Ben Mboi, Ruteng, Indonesia Abstract The prevalence of diabetes mellitus in Manggarai Regency in 2019 is 535 people and some of them have diabetic foot ulcers. Patients with diabetic foot ulcers had a higher risk of falling than others.This study was to determine the risk factors for diabetic foot ulcers and the risk of falls in patients with type 2 diabetes mellitus. A quantitative study using a cross-sectional study was conducted at BLUD RSUD dr. Ben Mboi in April-June 2020 (n = 51).The sampling technique used was purposive sampling with a questionnaire of diabetic foot screening and risk stratification form and Morse scale. Logistic regression results showed that there was a significant relationship between claudication (AOR: 8.409, 95% CI 1.664-42.500, p value 0.010), history of previous diabetic foot ulcers (AOR: 5,680, 95% CI 1,151-28,035, p value 0.033) with diabetic foot ulcers. There was a significant relationship between hypertension (AOR: 0.152, 95% CI 0.028-0.834, p value 0.030), diabetic foot ulcers (AOR: 11.392, 95% CI 1.277-101.651, p value 0.029) with the risk of falling for patients with type 2 diabetes mellitus. Assessment of the risk of diabetic foot ulcers and the risk of falls should be done in patients with diabetes mellitus with or without neuropathy peripheral. Keywords: Diabetic Foot Ulcer-Falling Risk Share Link | Plain Format | Corresponding Author (OLIVA SUYEN NINGSIH)

77	Medical and Surgical Nursing	ABS-267
Review Effectiveness Of Telemedicine Self-Management On Diabetes Type 2 Bunjamin Dante Masepia, Atyanti Isworo Universitas Jenderal Soedirman Abstract Background: Telemedicine is a virtual health service. Health workers and clients can meet without having to meet in person. Covid-19 pandemic is an obstacle for sufferers of chronic diseases such as type 2 diabetes visiting primary health care. Indonesian diabetes cases are ranked 7th in the world. How to overcome these obstacles with telemedicine. Telemedicine helps people with type 2 diabetes meet virtually with healthcare workers. Some research shows that the application of type 2 diabetes provides good outcomes for sufferers. The purpose of this study is to identify the effectiveness of telemedicine for self-management of type 2 diabetics. Methods: This research was conducted with literature review. Article search begins June 15-29, 2020 with the Pubmed. The inclusion criteria of this study were the last 5 years, English language journals, experimental research with a control group, population aged > 18 years, using telemedicine on type 2 diabetics. The criteria for the exclusion of this study were comparing telemedicine application on smartphone. Obtained 12 journals or articles to be analyzed. Result: Telemedicine effectively controls blood sugar by examining HbA1c. 8 out of 12 journals showed a significant decrease in HbA1c in the intervention group compared with the control group. Another result is a change in diet (the intervention group consumes fruits and grains) and increases knowledge, skills and ability to control blood sugar. Conclusion: Telemedicine effectively controls blood sugar of type 2 diabetics by examining HbA1c. Other outcomes are being able to increase knowledge, skills and ability to control blood and change the diet to consume fruits and grains. Keywords: HbA1c, Self-Management, Telemedicine, Type-2 Diabetes. Share Link | Plain Format | Corresponding Author (Bunjamin Dante Masepia)

78	Medical and Surgical Nursing	ABS-273
Development of Guidance and Counseling Methods in Improving Self-Management of Epilepsy Sandi Alfa Wiga Arsa, Denok Panglipuring Sulistya Health Science Institute of Patria Husada Blitar Abstract Epilepsy is the oldest neurological disease, found at all ages, can cause disability and mortality. Epilepsy has a higher risk of death due to seizures. Knowing the trigger seizures and taking steps to manage the disease greatly helps reduce the occurrence of death. The purpose of this study was to investigate the effect of the health education Guidance and Counseling Method on increasing self-management in epilepsy patients in the Neurology Clinic in Kanjuruhan Kepanjen Hospital. This research is a pre-experimental design with a one-group pre-post test village approach. The population was 44 respondents, 40 respondents samples, purposive sampling technique, data collection using a questionnaire, and data analysis using statistical test Wilcoxon Signed Rank test. Wilcoxon Signed-Rank Test results obtained 0.000 (&#945- &#8804- 0,05) resulted in the influence of health education guidance and counseling method to the increase of self-management in epilepsy patients at Kanjuruhan Kepanjen Neurology Clinic. Based on the results of this study it was important for health workers to improve knowledge and skills in health education, especially guidance and counseling methods to support the recovery of epilepsy patients by increasing self-management of epilepsy patients. Keywords: health education, guidance, and counseling, self-management, epilepsy Share Link | Plain Format | Corresponding Author (Sandi Alfa Wiga Arsa)

79	Medical and Surgical Nursing	ABS-18
CHANGE OF BLOOD PRESSURE IN PATIENTS INTRADIALISIS PHASE Nur Isnaini, Kris Linggardini Universitas Muhammadiyah Purwokerto Abstract Background: Hemodialysis (HD) can cause hemodynamic disorders and one indicator of hemodynamic disorders is blood pressure. Blood pressure monitoring is very necessary to be done by nurses in the intra HD phases. Based on this background, the researchers still urgently need research on blood changes in patients undergoing dialysis in the HD Room of RSUD BMS. Method: Descriptive research using a cross sectional approach with purposive sampling technique. The study was conducted by measuring the variables once at a time. The population of this study were patients with chronic kidney failure who were undergoing hemodialysis. Number of respondents 190. Results: The patients blood pressure in question with HD seen from systolic shows what was wanted before HD, 1st HD and post HD. The highest diastolic value during the 2nd hour HD and the lowest diastolic during the Pre-HD. Conclusion: All respondents who changed HD to reduce complications as intradialisis hypertension were blood pressure in the highest range of Systolic 200 mmHg in pre-HD, 1st HD hour and post-HD. While the highest systolic was 91.63 mmHg in the 2nd hour of HD Keywords: CHANGE, BLOOD PRESSURE, INTRADIALISIS PHASE Share Link | Plain Format | Corresponding Author (nur isnaini)

80	Medical and Surgical Nursing	ABS-274
Effect of Vicarious Experience and Verbal Persuasion Intervention towards Activity Daily Living Self Efficacy among Post-Stroke Patients Fitria Endah Janitra1*, I Made Kariasa2, Tuti Herawati2 1Lecturer, Faculty of Nursing, Sultan Agung Islamic University , Indonesia 2Lecturer, Faculty of Nursing, Indonesia University, Indonesia Abstract Background: Stroke is diseases with a high degree of disability indeed need an effective rehabilitation. Self-efficacy is a very useful concept in stroke rehabilitation in order to achieve independence in activity daily living (ADL). Purpose: To identify the effect of the vicarious experience and verbal persuasion intervention towards ADL self efficacy in post-stroke patients in Gatot Subroto Army Hospital Jakarta. Methods: A quasy experimental design with pre-test and post-test with control group approach with a total sample of 32 post-stroke patients. Data analysis are using paired t-test, unpaired t-test , Mann-whitney, Wilcoxon, and Pearson correlation. Results: The results showed that there is an effect of vicarious experience and verbal persuasion interventions towards ADL self-efficacy in post-stroke patients (p <0.001). There is no significant relationship between the respondents characteristics with the level of ADL self-efficacy in post-stroke patients. Conclusion : Vicarious experience and verbal persuasion intervention have a significant effect in improving ADL self-efficacy in post-stroke patients Keywords: activity daily living, self-efficacy, post-stroke Share Link | Plain Format | Corresponding Author (Fitria Endah Janitra)

81	Medical and Surgical Nursing	ABS-281
The Effectiveness of Acupressure on The Reduction of Delayed Nausea and Vomiting on The Cancer Patients undergoing Chemotherapy Bima Adi Saputra (a*), Dewi Prabawati (b), Havidz Aima (b) a) Faculty of Nursing, Universitas Pelita Harapan Jl. Boulevard Jendral Sudirman No.15, Karawaci, Tangerang 15811, Indoensia *bima.saputra[at]uph.edu b)STIK Sint Carolus Abstract Chemotherapy is one of the main choices of cancer treatment. Although chemotherapy patient has been getting antiemetic drugs but the side effects delayed nausea and vomiting still occur. Acupressure is a non-pharmacological method that can reduce delayed nausea and vomiting. The purpose of this study was to assess effectiveness of acupressure against delayed chemotherapy include nausea and vomiting cancer patients in DKI Jakarta. This study was a quasi-experimental study with pre and post-test design which recruited 46 respondents assigned into intervention and control group that was selected used purposive sampling technique. The results showed there was a decrease in the mean score of both the frequency and quantity of vomiting as well as duration and frequency of nausea in the intervention group. Based on Wilcoxon test, there was a significant difference between pre and post-test result in delayed nausea and vomiting after acupressure in the intervention group (p=0.000). Meanwhile, based on Mann-Whitney test there was a significant difference of delayed nausea and vomiting between intervention group and control group (p=0.001). Based on Chi-Square and Kendall Tau-B test, it was found that chemotherapy type (p=0.005) and combination of chemotherapy regimen (p=0.007) had a significant relation to delayed nausea and vomiting. While age (p=0.73), gender (p=0.900) and a history of motion sickness (p=0.959) did not have significant relationship to delayed nausea and vomiting. This study recommended acupressure as a complementary therapy that can be administered either by nurses, patient families or patients themselves to reduce delayed nausea and vomiting caused by chemotherapy. Keywords: Acupressure- Chemotherapy- Nausea and Vomiting Delayed Share Link | Plain Format | Corresponding Author (Bima Adi Saputra)

82	Medical and Surgical Nursing	ABS-285
SYSTEMATIC LITERATURE REVIEW : EARLY DETECTION OF SMARTPHONE BASED CATARACT Surianty, Atyanti Isworo Universitas Jenderal Soedirman Abstract Background: Cataract is the main cause of blindness. Cataract screening is a process that is usually performed by ophthalmologists using special equipment. The problem currently faced is the limited health practitioners and adequate equipment especially in rural areas. In this literature review report, it aims to examine solutions to detect cataract problems using smartphones that can be done independently by the community, comfortably and inexpensively. Research Methods: Conduct a literature review study of journals and articles accessed through Science direct, Google Scholar and Scopus with the inclusion criteria for year boundaries between 2015 - 2020, original and fully accessible journals, while inaccessible journals are included in the exclusion criteria. The literature search strategy uses the PICO technique. The 16 articles used are articles with experimental methods and application development. Results: Smartphone-based early cataract detection application is effective to determine the presence of cataracts. 16 journals show that the application used can distinguish normal eyes and problematic eyes. Journal analysis results show that applications using the K-Nearest Neighbor system have the advantage of classifying between normal eyes and cataracts with an accuracy rate of 97.5%. Conclusion: Cataract based early detection application can have many benefits besides smartphone or smartphone applications can be used by the public widely so that people can maintain eye health, gain knowledge about eye health especially about cataracts. Keywords: Cataract, Smartphone, Early Detection Share Link | Plain Format | Corresponding Author (Surianty Surianty)

83	Medical and Surgical Nursing	ABS-39
RELATIONS BETWEEN SUSCEPTIBILITY AND BENEFITS PERCEPTION WITH THE SELF-CONTROL EFFORT OF HYPERTENSION SUFFERER IN PUSKESMAS SUMBANG 1 WORKING AREA Annisa Nur Laili, Yunita Sari, Koernia Nanda Pratama Nursing Departement Student, Health Sciences Faculty, Soedirman University Nursing Departemen, Health Science Faculty, Soedirman University Abstract Background : Hypertension sufferers are increasing time to time. Various comorbidity caused by hypertension can occur easily. Therefore, self-control for hypertension sufferers needs to be done. This study aimed to analyze the relation between susceptibility perception and benefits of self-control of hypertension sufferers in Puskesmas Sumbang 1. Methods : This study was an analytical quantitative using cross sectional method. The sampling technique was used simple random sampling with the 84 hypertension sufferer in Puskesmas Sumbang 1 Banyumas regency working area. The data collected by using an adopted questionnaire from the similar previous study which had been adjusted according to the health belief model theory. The data were analyzed by chi square test. Results : the results showed that most of the respondents (63%) had good Selfcontrol efforts. The majority of respondents showed a high susceptibility (58.8%) and benefits (84.5%) perceptions. There was sygnificant relation between susceptibility perception with the Self-control effort of hypertension sufferer in Puskesmas Sumbang 1 but there is not sygnificant relation between benefits perceptions with the Self-control effort of hypertension sufferer in Puskesmas Sumbang 1 working area (p = 0.024, p = 0.325). Conclusion : The susceptibility perception had a sygnificant relation with Selfcontrol effort meanwhile the benefits perception had not sygnificant relation with the Self-control effort of hypertension of hypertension sufferer in Puskesmas Sumbang 1 working area. Keywords: Susceptibility perception, Benefits perception, Self-control, Hypertension. Share Link | Plain Format | Corresponding Author (ANNISA NUR LAILI)

84	Medical and Surgical Nursing	ABS-295
Diabetes self-care among diabetic patients in Indonesia : Qualitative study Yunita Sari (a*), Atyanti Isworo (a), Arif Setyo Upoyo (a), Agis Taufik (a), Annas Sumeru (a), Nur Indarwati (b)) a. Nursing Science Program, Universitas Jenderal Soedirman *yunita.sari[at]unsoed.ac.id b. Margono Soekarjo Hospital, Universitas Jenderal Soedirman Abstract Background The number of patients with diabetes mellitus (DM) is high in Indonesia. In order to prevent complication of DM, diabetic patients needs to perfom diabetes self-care. However, little is known about diabetes self-care in diabetic patients in Indonesia. Therefore, the purpose of this study was to describe diabetes self-care in diabetic patients in Indonesia. Methods. The design of this study was a qualitative study. The sample of this study consist of 25 patients with type 2 diabetes. The data were collected through semi-structured interviews. Interviews were recorded, transcribed and underwent thematic analysis. Results The diabetes self-care performed by patients were not adequate. Almost no patient perfoms self-monitoring blood sugar due to financial issues and lack of knowledge. Diet management were conducted by most patients but not based on appropriate knowledge. Most patients have lack of knowledge regarding sufficient diabetes self-care. In addition, most of patients have low health literacy in diabetes self-care. There are three main categories which we identified- misinterpretation, confused, and in need of support system. Conclusion Most of patients do not conduct sufficient diabetes self-care and have lack of knowledge related with diabetes self-care. The health providers need to establish method for education which is easy to be understood by patients. The data in this study provide a basis evidence for health clinician to establish educational program which could improve health literacy and knowledge related with diabetes self-care. Keywords: diabetes, qualitative, self-care Share Link | Plain Format | Corresponding Author (Yunita Sari)

85	Medical and Surgical Nursing	ABS-41
Correlation body mass index, blood glucose level and adherence diet in type 2diabetes Shanty Chloranyta, Hasmi Program Studi Akademi Keperawatan, Stikes Panca Bhakti Bandar Lampung, Jl.ZA Pagar Alam No 14. Gedong Meneng Bandar Lampung 35141 Rumah Sakit H.M. Djafar Harun Sulawesi Tenggara Abstract Diet adherence in diabetes is an important part in increasing good glycemic control. Body mass index and blood glucose levels are factors that contribute to diet compliance in diabetic patients. This study aims to analyze the correlation between physiological adaptation and diet adherence in type 2 diabetes. The cross sectional study design with 100 respondents with type 2 diabetes with consecutive sampling technique. The study was conducted at H.M. Hospital Djafar Harun Southeast Sulawesi. When the research was conducted in January 2019. The instrument used was the Perceived Dietary Adherence Quuestionnaire (PDAQ). The test used to assess the correlation used the chi square test. The test results showed no significant relationship between body mass index with diet adherence (p = 0.293), and there was a significant relationship between blood glucose levels and diet adherence (p = 0.020). Diet adherence can be influenced by blood glucose levels. Efforts can be made to improve diet adherence to diabetes through promotion of dietary guidelines, healthy food choices, and consumer health, as well as changes to a healthy lifestyle Keywords: blood glucose level, body mass indeks, diet adherence, type 2 diabetes Share Link | Plain Format | Corresponding Author (Shanty Chloranyta)

86	Medical and Surgical Nursing	ABS-297
Illness belief, knowledge, and diabetes self-management in Indonesia Yunita Sari (a*), Atyanti Isworo (a), Arif Setyo Upoyo (a), Akhyarul Anam (a), Nuriya (a), Lita Heni Kusumawardani (a) a. Universitas Jenderal Soedirman, Indonesia *yunita.sari[at]unsoed.ac.id Abstract Background Diabetes self-care is important to avoid complications of DM. Although it has been known that illness perception and knowledge is associated with diabetes self-care, however up to present, there is no study that examine the relationship of illness perception and diabetes knowledge related with diabetes self-care in Indonesian context. Therefore, the purpose of this study was to investigate the relationship of illness perception and diabetes knowledge related with diabetes self-care in Indonesia. Methods A cross-sectional was conducted with a total of 250 diabetic patients. A self-administered questionnaire for assessing illness perception (Brief Illness Perception Questionnaire), diabetes knowledge and diabetes self-care practices were used to collect data. The data were analyzed by using Pearsons Product-Moment. Results The results showed that there is significant relationship between illness perception with diabetes self-care, however there is no significant relationship between knowledge and diabetes self-care. Conclusion This study provides evidence for health care provider in Indonesia to design education program to improve perception of diabetic patients toward diabetic self-care. Keywords: diabetes,illness belief,knowledge, self-management Share Link | Plain Format | Corresponding Author (Yunita Sari)

87	Medical and Surgical Nursing	ABS-47
FACTORS THAT AFFECT THE NURSES ROLE AS AN EDUCATOR OF DIABETES MELLITUS IN dr. R. GOETENG TAROENADIBRATA HOSPITAL PURBALINGGA Doni Widianto,Yunita Sari, Atyanti Isworo Student of Nursing Department, Faculty of Health Science, Universitas Jenderal Soedirman. Nursing Department, Faculty of Health Science, Universitas Jenderal Soedirman Abstract Background : In the treatment of diabetes, the nurses role as an educator is important. The knowledge, motivation, charge nurses role, and workload probably have a relation towards its role. The purpose of this research is to know the relation between knowledge, motivation charge nurses role, and workload to nurses role as an earlt treatment educator for DM patients. Method : The study use descriptive correlative design with cross-sectional approach. The data collected through questionare. The population of this study is all nurses in surgical ward of dr.R. Goeteng Taroenadibrata Hospital Purbalingga. This study use total sampling technique with 70 respondent. Result : The results showed that 94,3% of respondents had a good knowledge, 47,1% had a good motivation, 66,6% the charge nurses role in the good category, 95.7% had a high workload and 75.7% had the role of a self-care nurse educator DM in good category. The result showed that there is a correlation between knowledge, motivation, charge nurses role as an early treatment educator for DM patients (p=0,046; p<0,001; p= 0,011). Except for the workload that does not have a correlation with it (p=0,737). Conclusion : Knowledge, motivation, and charge nurses role have a significant reliation to nurses role as an early treatment educator for DM patients meanwhile the workload does not have a correlation with it. Keywords: workload, educator, motivator, knowledge, charge nurses role, role of the nurse Share Link | Plain Format | Corresponding Author (Doni Widianto)

88	Medical and Surgical Nursing	ABS-303
The effect of prone position on breathing status in Covid-19 patients with breathing disorders Anisa Fatma, Arif Setyo Upoyo Faculty Of Health Science, Jenderal Soedirman University Abstract Introduction: The world is facing a pandemic COVID-19. The spread of COVID-19 is very fast, Indonesia is one of the countries affected by COVID-19 transmission with confirmed cases up to June 24, 2020 totaling 49,009 positive cases, 19,658 cases recovered and 2,573 cases died. Most cases of death are caused by respiratory disorders such as acute respiratory distress syndrome (ARDS). Purpose: This paper aims to review some of the literature on the effect of prone position on respiratory status in COVID-19 patients with respiratory disorders. Methods: The article search was conducted electronically using several databases namely PubMed, Science Direct, The Lancet and Jama Network. The keywords used are "COVID-19", "prone position" and "respiratory state" or "respiratory rate" or "saturation" or "ventilation" or "non ventilation" or "intubation" so that we get 5 research articles in the last 2 years for review. Results: The prone position in COVID-19 patients with respiratory disorders was considered to have an effect on respiratory status by increasing oxygen saturation, stabilizing the frequency of breathing, comfort, shortening the duration of hospitalization and reducing dependence on the use of breathing aids and intubation. Discussion: Increased oxygenation occurs because the prone position can reduce lung compression in the back region and increase pulmonary perfusion. Conclusion: The application of prone position to COVID-19 patients with respiratory disorders affects the respiratory status with an increase in oxygenation. Keywords: COVID-19, Prone Position and Respiratory State Share Link | Plain Format | Corresponding Author (Anisa Fatma)

89	Medical and Surgical Nursing	ABS-306
THE CLINICAL EFFICACY OF ALOE VERA FOR FIRST AND SECOND DEGREE BURN WOUND HEALING: A REVIEW Fatkhul Ulum(1), Yunita Sari(2) 1) Student of Nursing Department, Faculty of Health and Sciences, Jenderal Soedirman University, Indonesia 2) Nursing Department, Faculty of Health and Sciences, Jenderal Soedirman University, Indonesia Abstract Objectives: Until now there are still many people who treat burn wound in a way that is not medically recommended. Aloe vera is one of the plants that thrives in Indonesia and also known to have good effectiveness on the treatment for first to second degree burn. Review of some studies, especially in studies that use human samples is necessary for reference in the evidence based practice of using aloe vera for the treatment of burn wounds in the nursing field. This study aimed to analyze several studies those were focusing on the use of aloe vera as a wound care therapy in first and second degree burn patients. Methods: The article searching strategy in this review used the PICO framework. The databases that used were Pubmed, ScienceDirect, and Google scholar. From the searching result, obtained 6 articles those were in accordance with the inclusion and exclusion criteria which then will be chosen and reviewed further. Results: The results of this review study showed that all selected articles revealed the effectiveness of Aloe vera for the treatment of first and second-degree burns. Aloe vera could be used for the treatment of burns because it could act as an antimicrobial, antiseptic, anti-inflammatory, anti-itching, moisturizing, abled to reduce pain, increased cell regeneration, increased collagen synthesis and the rate of epithelialization, accelerated the process of wound healing, and prevented the formation of hypertrophic scars. Conclusions: Aloe vera could be used for the treatment of burn wounds because it had good clinical efficacy in the healing process of first and second-degree burns. Keywords: Aloe vera, Burns, Wound healing Share Link | Plain Format | Corresponding Author (Fatkhul Ulum)

90	Medical and Surgical Nursing	ABS-51
The Difference Of Effectiveness Between Chlorhexidine Gluconate Transparent Dressing 2% And Standard Transparent Dressing On Prevention Of Phlebitis In Dharmais Cancer Hospital, Jakarta Nurhadi, Yunita Sari, Arif Imam Hidayat Universitas Jenderal Soedirman Abstract Background: One of the infections acquired in the hospital is nosocomial infection. From the many nosocomial infections, phlebitis ranks first compared to the other infections. One of the factors that influence the occurrence of phlebitis is a dressing factor. The dressing that is usually used is a transparent dressing. There are transparent dressings which have CHG and some are standard dressing (no CHG). The aim of the study was to determine the difference of effectiveness between CHG transparent dressing and standard transparent dressing on prevention of phlebitis. Methodology: This research was quasi-experimental design with a post-test only group design method. There were 23 people as the sample for each group using purposive sampling technique. The research instrument used the phlebitis observation sheet. Data analysis used chi square statistical test. Results: The incidence of phlebitis between CHG transparent dressing as many as 1 respondent (4.3%) while standard transparent dressing as many as 7 respondents (30.4%). Both groups had significant differences in phlebitis scores between CHG dressing and standard dressing (p 0.047). Conclusion: There is a significant difference between CHG transparent dressing and standard transparent dressing against the prevention of phlebitis, so the CHG dressing is more recommended as a dressing on the infusion. Keywords: CHG Transparent Dressing, Standard Transparent Dressing, Phlebitis Share Link | Plain Format | Corresponding Author (Nurhadi Nurhadi)

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