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91	Medical and Surgical Nursing	ABS-307
The effects of Progressive Muscle Relaxation on Blood Pressure and Headache in the Period of Hypertension Nona Kireina Hana Larati Waruwu, Pinta Ulina Br Sembiring, Vinny Florensia Kalesaran, Marisa Junianti Manik, Anthina Dorthea Luturmas UNIVERSITAS PELITA HARAPAN Abstract Background: Hypertension is a condition of increased blood pressure that causes the heart to have to work more than usual to circulate blood throughout the body. Patients with hypertension more often complain of symptoms such as headaches. Progressive Muscle Relaxation (PMR) is a non-pharmacological measure to overcome hypertension and headache symptoms and to maintain a deep relaxation state. Purpose: To study the effects of PMR on blood pressure and headache in the period of hypertension. Methods: This study utilized a quasi-experimental design with one group pretest and posttest design. Sample of 30 respondents with hypertension and headaches were obtained through convenience sampling. Data analysis used paired T.test statistical tests. Results: The results of the study showed a decrease in blood pressure and a reduction in headache after PMR. The pretest results of nine respondents (30%) with grade II hypertension (>180/>120 mmHg) in the posttest were reduced to zero respondents (0%). A p.value of 0.000 indicates that there is a significant effect of giving PMR to clients with increased blood pressure accompanied by headaches. Conclusion: PMR is a significant measure that can be used to reduce the blood pressure and complain of headache. It can be done independently every day within 10 until 15 minutes for a more effective outcome. Keywords: Keywords: Blood pressure; Headache; Hypertension; Progressive Muscle Relaxation Share Link | Plain Format | Corresponding Author (Anthina Dorthea Luturmas)

92	Medical and Surgical Nursing	ABS-52
LIFESTYLE MODIFICATION THROUGH PLANT-BASED DIET AND EXERCISE TO PREVENT AND MANAGE HYPERTENSION: AN INTEGRATIVE LITERATURE REVIEW Nova Lina Langingi1 and Josephine D. Lorica2 1. Faculty of Nursing, Universitas Klabat, Airmadidi-Manado, 95371, Indonesia 2. College of Nursing, St. Paul University Philippines, Tuguegarao City, 3500, Philippines Abstract Notably, hypertension is a serious medical condition that escalates the risks of the individuals^ heart, brain, kidney, and other diseases. Nevertheless, the contemporary approach of lifestyle can be modified for the prevention and management of hypertension. Thus, this study is to verify the effectiveness of lifestyle modification through plant-based diet and exercise to prevent and manage hypertension as published in the different databases. The inclusion criteria for the integrative literature review were focuses on adult, the full research papers written in English and published over the period of 2015-2019, in EBSCO Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed databases. Furthermore, the studies were evaluated using QualSyst tool, a research appraisal tool developed by researchers from the Alberta Heritage Foundation. The analyses of the final three selected articles passing the inclusion criteria showed that lifestyle modification through plant-based diet is applicable to prevent hypertension, as an effective non-pharmacologic intervention to reverse hypertension, and an enormous remedy to reduce other risk factors of cardiovascular disease extensively. Moreover, exercise alone, especially the spasmodic exercise, were not significantly verified to be an intervention to prevent and manage hypertension. It is recommended that the community may apply a mutual combination of a consistent plant-based diet and routine exercise for the prevention and management of hypertension and that for government to encourage policymakers to develop a policy draft regarding plant-based diet and exercise, while for future researchers may widen the specified time frame of integrative literature review to be 2010-2020 or 2005-2020. Keywords: blood pressure, exercise, lifestyle modification, plant-based diet Share Link | Plain Format | Corresponding Author (Nova Lina Langingi)

93	Medical and Surgical Nursing	ABS-321
The Relationship of Family Support and Self-Acceptance of Haemodialysis Patients in Medan Cholina Trisa Siregar1, Yengsi Mei Karmita Pasaribu2, Siti Zahara Nasution3, Reni Asmara Ariga4, Zulkarnain5, M. Pahala Hanafi Harahap6 1,2,3,4 Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia 5Faculty of Psychology, Universitas Sumatera Utara, Medan, Indonesia 6Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia Abstract Objective: Family is one of the main sources of motivation for patients to commit and increase their self-acceptance and confidence in undergoing medical treatments. Method: This study aims to analyse the relationship between family support and self-acceptance of haemodialysis patients who have been treated for more than 6 months. The 71 patients were recruited via purposive sampling, and questionnaire was performed to obtain the family support and self-acceptance features. Statistical data was analysed via Pearson correlation. Result: The result showed that 62 persons (87.3%) had a good family support which contributed to 66 persons (93.0%) had a good self-acceptance behaviour. A significant relationship between the family support and self-acceptance of the patients was obtained with strong correlation with r = 0.722- p<0.00. Conclusion: The family is the closest individuals who understand the condition and needs of the patients, so that their support triggers the patient motivation to maintain and improve the health conditions. Keywords: Self-concept, self-acceptance, motivation, counselling, haemodialysis Share Link | Plain Format | Corresponding Author (Cholina Siregar)

94	Medical and Surgical Nursing	ABS-73
Effectiveness of Gymnastic Asthma and Slow Deep Breathing Exercises in Increasing Peak Flow of Expiration in Patients with Asthma at Two Primary Health Care Services in Jakarta Ballsy C. A. Pangkey (a), Ni Luh Widani (b), Emiliana Tjitra (b) a) Faculty of Nursing Universitas Pelita Harapan b) Master of Nursing Study Program Sint Carolus School Of Health Sciences Abstract Asthma is a disorder of the bronchi that the incidence reaches 2,5% in Jakarta. Non-pharmacology asthma therapy is asthma and slow deep breathing exercises. The purpose of this study was to assess the effectiveness of gymnastic asthma and SDB exercises to increase the peak expiratory flow (PEF) on asthmatic patients at the two selected Primary Health Care Services in Jakarta from June until July 2019. The design of the study was a quasi-experimental pre-post-test with a control group. There were each 25 subjects in the intervention group and control groups selected with purposive sampling technique. The results showed that the characteristics of the subjects were not different between the study groups except obese subjects whose numbers were more in the intervention group than in the control group (p=0.002). After four weeks, mean of the PEF in the intervention group was improved or increased from the yellow zone (50 until <80%) into green zone (80 until 100%), while in the control group, majority of PEFs subjects remained in the yellow zone. Paired sample t-test result in the intervention group showed that there was a significant difference in the PEF before and after the intervention (p=0,000, <0,05). A difference was found in the PEF between intervention and control groups (p=0,000) at the end of the study. This study recommends the need to apply gymnastic asthma and SDB exercises for >4 weeks to improve the quality of life of asthmatic patients. Keywords: Expiration Peak Flow- Asthma- Asthma Gymnastics- Slow Deep Breathing Share Link | Plain Format | Corresponding Author (Ballsy Cicilia Albertina Pangkey)

95	Medical and Surgical Nursing	ABS-78
EXPERIENCE OF OVERCOME NAUSEA AND VOMITING IN DENGUE FEVER: A PHENOMENOLOGY STUDY Annas Sumeru, Agis Taufik Universitas Jenderal Soedirman Abstract A tropical country like Indonesia is known for two seasons namely the rainy season and the dry season, but between the two seasons there is also a transition period that referred to as the transition season. In the rainy season, due to the large amount of standing water, the mosquito Aedes easily breeds to lay its eggs. The amount will continue to increase in the transition season because it is supported by sunlight causing the air and puddles to become warm. This research uses a phenomenological qualitative research design. Participants were determined by purposive sampling technique, totaling 7 participants. Analysis of data using qualitative content analysis with the Collaizi approach. An interesting finding in this study is that the experience of nausea felt when experiencing dengue is sudden, but the experience that was felt most disturbing was pain. Handling is done to overcome nausea by drinking warm water. Feelings of weakness during dengue forced respondents to keep eating intensely with a small proportion in order to keep having energy. Respondents stated that clearer action was needed in preventing DHF by health workers or cadres not only asking residents to maintain cleanliness with 3M. The experience of nausea and vomiting is not the most important thing felt by respondents as uncomfortable, but it is disturbing for patients to get nutrition. Keywords: Phenomenology; dengue fever; nausea; vomiting Share Link | Plain Format | Corresponding Author (Annas Sumeru)

96	Medical and Surgical Nursing	ABS-106
FACTORS INFLUENCING THE ADHERENCE TO MEDICAL REHABILITATION IN POST STROKE PATIENT AT PROF. DR. MARGONO SOEKARJO HOSPITAL Fatkhul Ulum(1), Atyanti Isworo(2), Arif Imam Hidayat(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: Medical rehabilitation is one of the right strategies in managing stroke. Medical rehabilitation needed to be supported with good adherence that could reduce the level of disability in stroke patients. Adhere to medical rehabilitation was influenced by various factors. This study discussed factors that influenced the adherence to medical rehabilitation in post-stroke patients. Methods: This study used a descriptive analytic with cross sectional design. The sampling technique in this study used accidental sampling with 84 respondents. The independent variables in this study were attitude, type of stroke, length of medical rehabilitation, utilization of health insurance, and severity of stroke. The dependent variable was the adherence of post-stroke patients in undergoing medical rehabilitation. Instruments that was used in this study were questionnaires and National Institutes of Health Stroke Scale (NIHSS) assessment form. Analysis in this study used Fisher^s Exact Test. Results: There was a significant relationship between attitudes and adherence to medical rehabilitation (p=0.034. While type of stroke (p=0.232), length of medical rehabilitation (p=0.248), utilization of health insurance (p=1.000), and severity of stroke (p=0.568) had no significant relationship with adherence to medical rehabilitation. Conclusions: There was a significant relationship between attitude with the adherence to medical rehabilitation. There were no significant relationship among the type of stroke, the length of medical rehabilitation, utilization of health insurance, and stroke severity with the adherence to medical rehabilitation. Keywords: Adherence, Attitude, Medical Rehabilitation, NIHSS, Stroke Share Link | Plain Format | Corresponding Author (Fatkhul Ulum)

97	Medical and Surgical Nursing	ABS-107
The Relation of Dialysis Time with Ureum Reduction Ratio, Hemodynamics and Fatigue in Hemodialysis Patients at Wonosari RSUD Yogi Dwi Cahyanto (a*), Atyanti Isworo (b), Agis Taufik (b) a) Faculty of Health Sciences, Universitas Jenderal Soedirman b) Faculty of Health Sciences, Universitas Jenderal Soedirman Abstract Background: Dialysis time is one component that affects the adequacy of hemodialysis (HD). The adequacy of HD is measured by the formulation of Ureum Reduction Ratio (URR). During HD there is a decrease in intravascular volume and electrolyte changes that can affect hemodynamics. HD therapy also makes patients feel fatigue. This study was conducted to determine the relation between dialysis time and URR, hemodynamics and fatigue in HD patients in Wonosari RSUD. Method: This study used an analytic observational design with a cross sectional approach. Sample selection used total sampling technique. There were 52 respondents as the samples. Data collection tools using laboratory examinations, digital tensimeters, digital thermometers, stopwatches, pulse oxymetry and the Functional Assessment Chronic Illness Therapy (FACIT) questionnaire Fatigue scale. Univariate data analysis with frequency distribution and bivariate analysis with the Spearman test. Results: The results of this study showed that there was no significant relation between dialysis time and URR (p = 0.291), there was a significant relation between dialysis time and respiratory frequency (p = 0.020), and there was a significant relation between dialysis time and fatigue ( p <0.001). Conclusion: The longer dialysis time, the more it can affect the decrease in hemodynamic value, especially the breath frequency, and it can relieve fatigue. Keywords: Fatigue, Hemodialysis, Hemodynamics, URR Share Link | Plain Format | Corresponding Author (Yogi Dwi Cahyanto)

98	Medical and Surgical Nursing	ABS-111
Determinant Factors of Stroke Prevention Behavior Among Hypertension Patient in Indonesia Arif Setyo Upoyo, Atyanti Isworo, Yunita Sari, Agis Taufik, Annas Sumeru, Akhyarul Anam Lecturer, Nursing Departement Health Sciences Faculty, Universitas Jenderal Soedirman Abstract Stroke is the leading cause of death in the World and in Indonesia. Hypertension is a major risk of stroke. Modified stroke risk factors are behavioral factors. The purpose of this study is to identify the factors that influence stroke prevention behavior in hypertensive patients. The research method uses cross sectional. Total participants were 461 hypertensive patients who came to Community Health Center. Sampling technique used concecutive sampling. The questionnaire used contains demographics, knowledge, self efficacy, awareness of stroke risk and stroke prevention behaviors which include diet, exercise, smoking and drinking alcohol. Data analysis used chi-square and logistic regression. The results showed that 65.7% of respondents showed poor stroke prevention behavior. Factors related to stroke prevention behavior include self-efficacy (p = 0.043; 95%CI = 1.01-2.22; OR = 1.5), perception (p = 0.038; 95%CI = 0.45-0.98; OR = 0.663), and awareness of stroke risk (p = <0.001; 95%CI = 2.255-6.333; OR = 3.779). The dominant factor influencing stroke prevention behavior in hypertensive patients is awareness of stroke risk. Keywords: Behavior, stroke prevention, hypertension, self awareness. Share Link | Plain Format | Corresponding Author (Arif Setyo Upoyo)

99	Medical and Surgical Nursing	ABS-119
Managing a Chronic Disease Management Program (Prolanis): the Nurses Experience Akhyarul Anam, Arif Setyo Upoyo, Atyanti Isworo, Agis Taufik, Annas Sumeru, Munasib, Yunita Sari Universitas Jenderal Soedirman Abstract Background: Managing chronic diseases requires good management in order to prevent further complications for patients. In Indonesia, there are programs that integrate health facilities, patients, and health insurance by government (BPJS), that is Prolanis. However, limited study reveals nurses experience in managing Prolanis. Purpose: To explore the experience of nurses in managing Prolanis. Methods: A Phenomenology study was used to explore the experience of nurses in managing Prolanis. Eight participants from rural and urban health centers were interviewed and then transcribed and analyzed using the Colaizzis method. Results: The study found three main themes and six categories. The first theme, nurses must be creative so that patients were interested, included three categories: education, gymnastics, and delivered medicine to satellite unit. The second theme, nurses feel happy and satisfied when the patient is healthy. The third theme, nurses was exhausted with BPJS administrative, covered two categories: the complexity of BPJS report and nurses have to wait approval from BPJS for new patient status. Conclusion: These themes and categories revealed nurses experiences in managing Prolanis in Indonesia. Keywords: managing, nurses experience, prolanis Share Link | Plain Format | Corresponding Author (Akhyarul Anam)

100	Medical and Surgical Nursing	ABS-159
LITERATURE REVIEW: THE EFFECT OF FAMILY SUPPORT TO COMPLIANCE WITH RUNNING HEMODIALYSIS IN CHRONIC KIDNEY DISESE (CKD) PATIENT Nimas Mutiara, Annas Sumeru Nursing Departement, Faculty of Health Sciences, University of Jenderal Soedirman Abstract Background: Chronic kidney Disease (CKD) is a disorder of kidney function where the body fails to maintain metabolism, fluid and electrolyte balance. Hemodialysis is an effective treatment for kidney failure. Noncompliance with therapy can reduce kidney function there by increasing pain and mortality. Family support is very important in increasing the compliance of patients with chronic renal failure in undergoing hemodialysis. Method: The article search was conducted electronically using a database in the form of PubMed and Google Scholar. Search for articles used in the last 5 years. Keywords in search articles are family support or family support, chronic kidney failure or chronic kidney disease and hemodialysis or hemodialysis. So we get 6 reviewed research articles. Results: Family support in patients with chronic kidney disease with hemodialysis was considered to be able to improve patient compliance with therapy. Families who always provide support and motivation are able to make patients routinely carry out therapy according to schedule. Conclusion: Family support in patients with chronic kidney disease is very influential on adherence to hemodialysis. Keywords: Family Support, Chronic Kidney Disease, Hemodialysis. Share Link | Plain Format | Corresponding Author (Nimas Mutiara)

101	Medical and Surgical Nursing	ABS-160
Association of Body Mass Index with Mortality among Stroke Hemorrhagic Patients in the Stroke Unit, RSUD Banyumas Meida Laely Ramdani (a), Sri Yani (b) a) Universitas Muhammadiyah Purwokerto Jln, Suparjo Rustam, KM 7 Sokaraja Banyumas, 53181, Indonesia *meidalaelyramdani[at]ump.ac.id b) RSUD Banyumas Jl. Rumah Sakit No,1, Banyumas, 0281-796031 Abstract Background: Obesity has become a major health concern around the world. The prevalence of overweight and obesity among adults aged 18 years and over in 2014 was approximately 39% and 13% worldwide. Overweight and obese stroke patients have a more favourable clinical prognosis than normal weight patients. Objective: To analyze the association of Body Mass Index (BMI) with mortality among hemorrhagic stroke patients in the Unit Stroke, RSUD Banyumas Methods: Non-experimental study with retrospective approach. Total sample in this study was 111 respondents with non-probability total sampling technique from medical record from November 1, 2018 until November 30, 2019. Bivariate analysis was performed using chi-square. Result: In total of 111 patients, obtained hemorrhagic stroke patients who died within &#8804-48 hours were 55 respondents (49,5%) and those who died within > 48 hours were 56 respondents (50,5%). Abnormal BMI l (&#8805-25 kg/m2) were 46 patients (41,4%) and normal BMI (<25 kg/m2) were 65 respondents (58,6%). The chi square result obtained p value= 0,045 with OR 2,2189. Which means that there was a relationship between BMI and mortality among hemoragic stroke. Conclusion: There was a relationship between BMI and mortality among hemorrhagic stroke patients Keywords: Hemorrhagic Stroke, Mortality, Body Mass Index Share Link | Plain Format | Corresponding Author (Meida Laely Ramdani)

102	Medical and Surgical Nursing	ABS-204
The Correlations of Role of Nurses and Quality of Life of Patient with Chronic Renal Failure undergone Haemodialysis Treatment at Haji Adam Malik Hospital, Medan Lina Berliana Togatorop (a*), Cholina Trisa Siregar (b) a) Lecturer, Faculty of Nursing, Universitas Pelita Harapan, Jl. Jenderal Sudirman Boulevard No.15, Lippo Karawaci, Tangerang, Banten, Indonesia, 15811, Email : lina.togatorop[at]uph.edu b) Lecturer, Faculty of Nursing, Universitas Sumatera Utara Abstract Background: Chronic renal failure is renal dysfunction that makes the condition of the patient must use hemodialysis machine lifetime. Patients undergoing long term hemodialysis should be confronted with various problems affecting the quality of life. Purpose: This study aims to determine correlations role of nurses and quality of life of patients chronic renal failure with hemodialysis therapy in Haji Adam Malik Hospital, Medan. Methods: Explain the correlations role of nurses and quality of life of patients chronic renal failure with hemodialysis therapy in Haji Adam Malik Hospital, Medan was used in this study. A total of 32 respondents with purposive sampling and sample criteria were chronic renal failure patients with hemodialysis therapy, mature, and independent. Results: Research result found that the role of the nurses in implementing the majority of good categories at 90.6% (29 people) and the category of poor by 9.4% (3 people) and the quality of life of patients in the high category of 62.5% (20 people) and the category of being at 37.5% (12 people). Of the Spearman rho correlation coefficient test derived p value of 0.002 (p-value=0.002). Conclusion: The conclusion from this study is the better the role of the implementing nurse, then the higher the quality of life of patients undergoing chronic kidney failure hemodialysis therapy. Keywords: Role of Nurses, Quality of Life, Cronic Renal Failure, Hemodialysis Share Link | Plain Format | Corresponding Author (Lina Berliana Togatorop)

103	Medical and Surgical Nursing	ABS-226
Phenomenology Study: Experiences of Breast Cancer Patients Undergoing Wound Care at the BESTCARE Clinic During the COVID-19 Pandemic Kurnia Wijayanti1, Fitria Endah Janitra2, Indah Sri Wahyuningsih3, Yan Adi Wibawa4 1. Faculty of Nursing, Unissula 2. Faculty of Nursing, Unissula Jl.Raya Kaligawe km.4 Semarang Indonesia, Email fitriajanitra[at]gmail.com (Co-author) 3. Faculty of Nursing, Unissula 4. RSUP DR.Kariadi Abstract Background: Breast cancer is a chronic disease that mostly affects women. The incidence is increasing every year significantly. The series of treatments that must be undertaken by cancer patients requires a long process that requires patients to return to the hospital continuously. Breast cancer patients, including the vulnerable group during the Covid 19 pandemic, this causes physical and psychological problems, especially for patients who have cancer wounds. Cancer wounds are wounds that are difficult to heal, bleed easily, and smell so they need special care. Bestcare is present as a cancer wound care service provider at home that provides holistic biopsychosocioculturalspiritual services for patients. Objective: To explore the meaning and meaning in depth about the experience of breast cancer patients who received wound care at the Bestcare clinic during the covid pandemic 19. Method: The design of this study used a qualitative method with a descriptive phenomenological approach. The study population was breast cancer patients. The sampling technique uses purposive side. Data collection is done by in depth interview techniques with open and semi structured questions, interviews are equipped with field notes (field notes). The tools used in this study were tape recorder, MP4, interview guidelines and field notes guidelines. Research data in the form of conversation transcripts. Analyze data using the Colaizzs method. Results: Breast cancer patients showed a good response to wound care so it was very good at motivating the patients confidence, proper diet or nutrition, and the patients spirituality felt during the covid pandemic 19. Conclusion: In the early stages of the covid pandemic 19 breast cancer patients had difficulty getting treatment due to fear, anxiety to go to the hospital, but with the Bestcare team care the patient got good wound care while at home. Keywords: breast cancer, wound care Share Link | Plain Format | Corresponding Author (Kurnia Wijayanti)

104	Medical and Surgical Nursing	ABS-249
THE EFFECTIVENESS OF ACUPUNCTURE THERAPY TO REDUCE SHORTNESS OF BREATH IN PALIATIVE PATIENTS: A LITERATURE REVIEW Yenni Ferawati Sitanggang, Gracia Aktri, Alda Shema Rosetia , Crisnayanti S Batlayar , Debora Putri I N Sari Universitas Pelita Harapan Abstract In palliative care nursing, symptoms management is one of the approaches used in order to reduce pain. Shortness of breath is one of the symptoms that patients often complain about especially patients with cancer and Chronic Obstructive Pulmonary Disease (COPD). One of the non-pharmacological therapies that can be used to treat this symptom is acupuncture therapy. Acupuncture is relatively safe and does not cause harmful side effects. The aim of this study was to find the effectiveness of acupuncture therapy in releasing shortness of breath for palliative patients based on nursing literatures. This review was a systematic literature review with a simplified thematic approach as the results analyses. Databases used to search the articles through Research Gate, Pubmed and Google Scholar. The review included all reports that describe the effectiveness of acupuncture towards dyspnea to cancer patients. All the articles used PRISMA flow diagrams for the article selection process and Joanna Briggs Institute (JBI) Critical Appraisal tools for eligibility test. Five articles were retrieved and eligible for this study. Eligibility criteria was determined by inclusion criteria including articles published between 2010-2020, articles in English and Indonesian language, full text, while the exclusion criteria were literature review article. The result showed that the effectiveness of acupuncture therapy in reducing shortness of breath were based on the acupuncture techniques, the duration of acupuncture therapy and evaluation method. Acupuncture therapy had been proven effective in reducing shortness of breath in palliative patients. Keywords: Acupuncture, Dyspnea, Palliative Care Share Link | Plain Format | Corresponding Author (Gracia Aktri Margareth Manihuruk)

105	Medical and Surgical Nursing	ABS-253
THE USE OF CITRUS (ORANGE) AS AN ALTERNATIVE TO REDUCE ANXIETY OF HEMODIALYSIS PATIENT Yeni Kartika Sari, Okky Cintya Permata Dewi, Nawang Wulandari, Wahyu Wibisono, Thatit Nurmawati STIKes Patria Husada Blitar Abstract Anxiety is one of psychological problem that often arises in hemodialysis patient. As a result, it can reduce bodys immunity and also can cause other problems such as rejecting the hemodialysis process. One technique that can be used to reduce the anxiety is relaxation techniques by citrus aromatherapy (orange). The purpose of this study was to identify the effectiveness of citrus (orange) aromatherapy to the anxiety level of hemodialysis patient. The design of this study was pre-experimental with one group pre-post test design. The sampling technique used purposive sampling. The population in this study was all 88 hemodialysis patients, while the sample was 20 patients who had met the inclusion criteria. The results of statistical tests using paired t test, the value of p was 0,000. The average score of the anxiety before the giving of citrus (orange) aromatherapy was 51.20 and after the giving of citrus (orange) aromatherapy was 34.45. The result of the analysis showed that there was an effect in the anxiety level of the hemodialysis patient after the giving of citrus (orange) aromatherapy. The hemodialysis nurses can use this technique as altenative to reduce the anxiety level of hemodialysis patients. Keywords: anxiety, hemodialysis, citrus (orange) Share Link | Plain Format | Corresponding Author (Yeni Kartika Sari)

106	Mental Health, Community, Family Health and Gerontological Nursing	ABS-258
Type 2 Diabetes Mellitus Patients Knowledge about Prevention of Diabetic Foot Ulcer in Community in West Indonesia Devi saryani Damanik(a), Devi Tarida Uli Siagian(b), Fina Rosita (c), Fiolenty Sitorus(d), Elfrida Silalahi(e*) a) Proffesion Student, Faculty of Nursing, Jalan Boulevard Jendral Sudirman no. 15 Karawaci, 15811 Tangerang, Indonesia b)Proffesion Student, Faculty of Nursing, Jalan Boulevard Jendral Sudirman no. 15 Karawaci, 15811 Tangerang, Indonesia c)Proffesion Student, Faculty of Nursing, Jalan Boulevard Jendral Sudirman no. 15 Karawaci, 15811 Tangerang, Indonesia d) Faculty of Nursing, Jalan Boulevard Jendral Sudirman no. 15 Karawaci, 15811 Tangerang, Indonesia e*) Faculty of Nursing, Jalan Boulevard Jendral Sudirman no. 15 Karawaci, 15811 Tangerang, Indonesia elfrida.silalahi[at]uph.edu Abstract Background: Diabetes mellitus (DM) is a health problem that can damage multi-organ in patients. One of the complications is neuropathic damage and lead to foot ulcers. Patients knowledge is a major factor to prevent complications. Based on research the prevalence of DM in Indonesia 176,689,336 people suffered DM type 2. It is explained that 1.3% of DM patients in Banten province, 1.6% of the population of South Sumatera, and 1.8% are the population of North Sumatera. Purpose: To identify a description of Diabetes Mellitus type 2 patients knowledge about prevention of diabetic foot ulcer in community. Research Methods: This study used descriptive quantitative with accidental sampling technique. This research was conducted in April - May 2020 using an online questionnaire instrument. The subjects of this study were 59 DM patients type 2 in a western Indonesian community. Results: The study showed that 86.44% of respondents have a good knowledge, 10.17% have sufficient knowledge and 3.39% have less knowledge Recommendations: It is necessary to conduct further research on the factors that influence the DM type 2 patients knowledge about the prevention of foot ulcers diabetic. Keywords: Diabetes Mellitus, Diabetic Foot Ulcer, Knowledge, Prevention. Share Link | Plain Format | Corresponding Author (Elfrida Silalahi)

107	Mental Health, Community, Family Health and Gerontological Nursing	ABS-259
EFFECTIVENESS OF THE COASTAL TOURIST NURSING MODEL TO IMPROVE BALAWISTA BEHAVIOUR IN BALI PROVINCE Komang Ayu Henny Achjar, Junaiti Sahar, Lita Heni Kusumawardani 1. Department of Community Nursing, Health Polytechnic, Ministry of Health, Denpasar, Bali, Indonesia 80222. 2. Department of Community Nursing, Faculty of Nursing Science, Indonesia University, Campus UI, Depok, Indonesia, West Java-16424, Indonesia 3. Nursing Department, Faculty Health and Sciences, Universitas Jenderal Soedirman. Purwokerto, Indonesia Abstract Indonesia is an archipelagic country which is surrounded by coasts with great potential to develop the existing tourism sector. The aim of this research is to improve the coastal tourist nursing model to improve the behaviour of the Balawista (the coastal rescuer team). The coastal tourist nursing model is a part of community nursing. The design of this research is operational research with three phaseswhich are phase I problem identification, phase II model and module development andphase III the coastal tourist nursing model trial through the establishment of a coastal health post by using quantitative quasi experimental research post-test with the control group, with a cluster sampling technique. The coastal tourist nursing model was carried out on the coast of Central Kuta sub-district, Badung Regency in 118 Balawistas. The statistical test used was chi square, t-test, multiple linear regression test and General linier Model Repeated Measure (GLM-RM). The results obstained were that the coastal tourist nursing model was proven to affect the Balawista^sbehaviour. Therefore this model can be used as one of the health efforts based on the community within the coastal community in Indonesia. Keywords: The coastal tourist nursing model- behaviour- Balawista Share Link | Plain Format | Corresponding Author (Komang Ayu Henny Achjar)

108	Mental Health, Community, Family Health and Gerontological Nursing	ABS-5
Impact of COVID-19 Outbreaks on Psychological Problem of Nurses on a Multinational Basis: A Literature Review Sidik Awaludin (a), Elly Nurachmah (b), Dwi Novitasari (c) a) School of Nursing, Jenderal Soedirman University, Purwokerto, Indonesia b) Faculty of Nursing, Indonesia University, Depok, Indonesia c) Faculty of Health, Harapan Bangsa University, Purwokerto, Indonesia Abstract Background: The COVID-19 pandemic is a major health crisis that is causing physical and psychological problems in patients and healthcare workers. Nurses as the frontline of health care workers experience psychological problems from mild to severe. Aim: The aim of this literarture review was to find out the impact of Covid-19 on psychological problem of nurses in several countries. Design: A literature review reported following the PRISMA guidelines. Data Sources: ProQuest, Google Scholar, Scopus and Science Direct are sought to identify published original English language, published from 1 December 2019 to 31 April 2020. Results: Nine articles are included. The majority of articles published are in the form of observational studies originating from Chinese centers. There are other publications from Singapore, India, Republic of Korea, Pakistan, United Kingdom, and Lebanon. Based on the literature found in some of the countries mentioned above nurses experienced several psychological problems ranging from mild ones such as disappointed, anxiety, fear, stress, to severe ones such as depression, and post-traumatic stress disorder. Conclusion: The Covid-19 outbreak caused psychological problems in nurses such as disappointed, anxiety, fear, stress, post-traumatic stress disorder. Keywords: Covid-19 outbreak; literature review; nurses; psychological problem Share Link | Plain Format | Corresponding Author (Sidik Awaludin)

109	Mental Health, Community, Family Health and Gerontological Nursing	ABS-261
The psychological impact experienced by health workers in dealing with the pandemic outbreaks of Covid-19 and endemic MARS-CoV in Saudi Arabia Hanifa Humanisa (a*), Wahyu Ekowati (b) a) Nursing Department Student, Health Sciences Faculty, Jenderal Soedirman University Jl. Dr. Soeparno Karangwangkal, Purwokerto 53123, Indonesia *hanifahumanisah[at]gmail.com b) Psychiatric Nursing Department, Health Sciences Faculty, Jenderal Soedirman University Jl. Dr. Soeparno Karangwangkal, Purwokerto 53123, Indonesia Abstract Background: Health workers who come into contact with Covid-19 and MARS-CoV patients are at high risk of contracting the infection. This will have a psychological effect, not least for those in Saudi Arabia. The purpose of the literature review: To determine the psychological impact on health workers in coping with the pandemic outbreak of Covid-19 and endemic MERS-CoV in Saudi Arabia. Methodology: Search for articles is done through Pubmed and Science Direct. Inclusion criteria are literature sources in the last five years, full text of original articles and use English. Based on literature search studies found 22 articles, but only 4 articles that meet the research requirements. Results: Based on the literature review results, the level of anxiety experienced by health workers in dealing with the Covid-19 pandemic was significantly higher compared to previous viruses such as MERS-CoV endemic and seasonal influenza. Most respondents are more worried about infecting family members than themselves. Conclusion: Health workers are the earliest group to be dealing with an infectious condition and this causes high anxiety in Saudi Arabia. The anxiety most often experienced is the risk of transmission of infection to family members. Keywords: Saudi Arabia, endemic MERS-CoV, health care workers, pandemic Covid-19 Share Link | Plain Format | Corresponding Author (Hanifa Humanisa)

110	Mental Health, Community, Family Health and Gerontological Nursing	ABS-13
RISK BEHAVIOR OF REPRODUCTION HEALTH AMONG ADOLESCENTS : CASE STUDY IN BANYUMAS Endang Triyanto(a), Asep Iskandar(b), Eva Rahayu(c), Rahmi Setiyani(d), Lita Heni Kusumawardani(e), Koernia Nanda Pratama(f) Nursing Study Program of Health Sciences Faculty at Jenderal Soedirman University Abstract Adolescent reproductive health is influenced by many factors, including individual factors, peers, family, school and the environment. Association with peers is the most influential factor on reproductive health. Promiscuity as sexual risk behavior can have a negative impact on reproductive health status. Case studies to explore risk behaviors of reproductive health carried out by teenage students. This research is a case study with a qualitative descriptive approach. A total of 12 teenagers as participants in Banyumas were selected by snow ball sampling in 2020. Researchers conducted in-depth interviews with participants, then the results were analyzed using content analysis. The researcher obtained two research themes. Theme I was in the form of a boyfriend invitation arranged according to 2 categories, namely boyfriend seduction and boyfriend coercion. Theme II is in the form of peer complexity which is arranged based on 2 categories, namely peer habits and taunts by friends. Adolescents carry out risk behavior of reproductive health are motivated by these two themes. Researchers recommend that adolescents must have assertive abilities. Keywords: adolescents, promiscuity, premarital sex, risk behavior, reproductive health Share Link | Plain Format | Corresponding Author (Endang Triyanto)

111	Mental Health, Community, Family Health and Gerontological Nursing	ABS-269
Comparison Between Balance Strategy Exercise (BSE) And Lower Limb-Range of Motion (ROM) To Reduce the Risk of Falling in Elderly People Zakia Azkia, Rahmi Setiyani, Lita Heni Kusumawardani Faculty of Health Science, Jenderal Soedirman University Abstract Background: Falls are common cause of injury in elderly people. Whilemany types of exercisehas been recomended to preventfalls, there is a lack of evidence to favor specific lower muscle targeted exercises. Purpose: This study aims to compare Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) in reducing the risk of falling in elderly people. Methods: This is a quasi-experimental study using a pre-post treatment design (BSE or Lower-Limb ROM) without control group. A total 30 elderly people from two different nursing homes was participated in the study. .Treatment was given for 20 minutes/session, three sessions per week for over three weeks. The risk of falling was measured using the Timed Up and Go (TUG) test. Results: Results showed that there were a significant differences in TUG scores before and after the intervention within both BSE (p=0,001) and Lower Limb-ROM group (p=0,001). Comparison between group showed a significant differences in post-test score (p=0,037). Conclusion: This study demontrated that the risk of falling in elderly people can be reduced by exercise. However, Lower Limb-ROM was considered to be more effective than BSE. Keywords: Balance Strategy Exercise- elderly- fall- Lower Limb-ROM. Share Link | Plain Format | Corresponding Author (Zakia Azkia)

112	Mental Health, Community, Family Health and Gerontological Nursing	ABS-279
RELATIONSHIP BETWEEN NURSE CHARACTERISTICS AND NURSING STRESS COPING IN ONE PRIVATE HOSPITAL IN CENTRAL INDONESIA Linawati Sihotang(a) Milka Yulianti(b) Resnawati Situmorang(c), Riama Marlyn Sihombing(d), Heman Pailak(d*) a), b), c), Student Faculty Of Nursing, d) Lecture Faculty of Nursing, e) Clinical Educator Faculty of Nursing Pelita Harapan University, Jl. Karawaci, Tangerang, 5811, Indonesia* heman.pailak[at]uph.edu Abstract Lack of nurse capacity will cause nurses to experience fatigue in work. This is because the needs of patients are much more than the ability of the standardized nurses workload creating stress for nurses at work. Stress experienced by nurses will have an impact on nursing care services. Therefore nurses should have a strategy that someone uses to deal with the problems they face called coping mechanism. To determine the relationship between nurse characteristics and nurses^ stress coping in a private hospital in central Indonesia. This study uses quantitative correlational with cross sectional approach, and Chi square test. A sample of 98 respondents with total sampling was used. This study used a Brief Cope questionnaire consisting of 18 questions that had been tested for the validity of reliability on 20 respondents with r counted between 0.871 and Cronbach^s alpha 0.832. The results of this study indicated that there was no relationship between the nurses^ last education with stress coping (p value 0.32), there was no relationship between nurses^ marital status and stress coping (p value 0.641), there was a relationship between nurses work duration and coping stress (p value 0.021), there was no relationship between age of nurses with stress coping (p value 0.852). Future researchers should examine sex factor with x stress coping Keywords: Characteristics of nurses, Coping mechanisms, Stress Share Link | Plain Format | Corresponding Author (Heman Pailak)

113	Mental Health, Community, Family Health and Gerontological Nursing	ABS-282
Health Seeking Behavior Among Pulmonary Tuberculosis Suspects In The Community In Indonesia Dina Bisara Lolong1, Kristina L. Tobing1, Lamria Pangaribuan1, Oster Suriani Simarmata1 National Institute of Health Research and Development Abstract Lack of awareness and perceived stigma could contribute to the late presentation of TB suspects to health facilities and low detection rate of tuberculosis. Purpose to assess their knowledge about TB and TB-related stigma and their health seeking behavior among TB suspects Methods This community based, cross sectional TB survey of national coverage was stratified multi-stage cluster sampling. Eligible population aged ≥15 was interviewed to identify TB symptoms and was screened with thorax X-rayto detect TB. All positively screened participants were interviewed about TB related knowledge and perceived stigma and TB treatment seeking behavior. Results: Of the 8,388 pulmonary TB suspects, only 2,234 (25.4%) were seeking treatment. The commonly mentioned causes of TB transmission werethrough droplets (65.5%), food/drink (59.4%), hereditary (47.0%) and black magic (18.4%). About 13.3% (1,119 out of 8,388) of TB suspect revealed that they could hide the fact that a member of their family had TB. TB suspect participants who hid their family members TB were less likely to have treatment seeking behavior (OR = 1.22 (95% CI:1.04, 1.43)) than those who did not. They who had previous anti TB treatment were more likely to have treatment seeking behavior (OR = 1.23 (95% CI:1.22, 1.71)) than those who did not. TB suspect livingin Java Bali, were more likely to have treatment seeking behavior (OR = 1.36 (95% CI:1.06, 1.74)) than those living in Eastern. Conclusion TB control program in Indonesias remote communities in particularshould include efforts to educate people on the cause and the importance of early diagnosis and treatment of TB. Keywords: Key words: Tuberculosis suspect, health/treatment seeking, stigma Share Link | Plain Format | Corresponding Author (Dina Bisara Lolong)

114	Mental Health, Community, Family Health and Gerontological Nursing	ABS-286
The Impact of Anxiety, Psychosomatic Disorders, Stress Trauma, and Socio-economic Family Status on the Mental Health of Indonesian Communities during COVID-19 Arief Andriyanto (1*), Enny Virda Yuniarti (2), Ana Zakiyah (3), Ika Ainur Rofiah (2) (1*) Department of Community Nursing, Bina Sehat PPNI Mojokerto College of Health Sciences, Indonesia (2) Department of Surgical Medical Nursing, Bina Sehat PPNI Mojokerto College of Health Sciences, Indonesia (3) Department of Nursing Leadership & Management, Bina Sehat PPNI Mojokerto College of Health Sciences, Indonesia Abstract Objectives: The purpose of this study is to analyze the impact of anxiety, psychosomatic disorders, trauma stress, and socio-economic family status on the mental health of the Indonesian communities during COVID-19. Methods: This research applied a cross-sectional study design with a total sampling of 1,090 respondents taken based on purposive sampling. This research instrument is the instrument (scale) for measuring the socio-economic family status and self-reporting questionnaire-29 for mental health problems. The parametric statistical tests used the Pearson test and multiple linear regression. Results: The results obtain a p-value 0.001, which means that there is a relationship of anxiety, psychosomatic disorders, stress trauma, and socio-economic family status with the mental health of Indonesian communities during COVID-19. Based on multiple linear regression tests, the factors that have a close relationship with mental health are anxiety, psychosomatic disorders, and stress trauma (p-value 0.001 < 0.05). Conclusion: Several factors cause mental health disorders, including anxiety, psychosomatic disorders, trauma stress, and socio-economic family status. As the recommendations for health workers, especially nurses, in providing health services to the community, they must be more comprehensive and familiar with client responses to prevent psychological impacts. Keywords: anxiety- COVID-19- mental health- psychosomatic disorders- socio-economic family status- stress trauma Share Link | Plain Format | Corresponding Author (Arief Andriyanto)

115	Mental Health, Community, Family Health and Gerontological Nursing	ABS-287
The Effect of Spiritual Emotional Freedom Technique (SEFT) Therapy Intervention on Elderly with Hypertension inTanjungPakuPublic Health Centre, Solok City in 2019 Yulatri1, Tintin Sumarni1 1Health Polytechnic Padang, West Sumatra, Indonesia Abstract Objectives : This research was conducted to determine whether the provision of Spiritual Emotional Freedom Technic (SEFT) interventions can reduce the blood pressure of elderly who experience hypertension in the working area of Tanjung Paku public health Center, Solok City. Methods : This research is a quasi experimental one group pretest-posttest design. A sample of 35 elderly people with hypertension who were guided by the integrated service post of the Tanjung Paku Public Health center Work Area in the city of Solok, and each respondent was given 2 cycles of SEFT intervention within 20 minutes. Measurement of respondent^s blood pressure was done twice, namely pre and post intervention. Results : The conclusion of this study is that there was a decrease in the blood pressure of respondents, namely elderly hypertension after being given the Spiritual Emotional Freedom Technic (SEFT), so that nurses have the opportunity to develop promotional and preventive efforts. The policies should be linked to promotional and preventive efforts by integrating SEFT interventions in non-communicable disease prevention programs or integrated non-communicable disease health centers. Conclusions : The average systolic blood pressure before and after SEFT intervention was 155.43 mmHg and 141.14 mmHg. The average diastolic blood pressure before and after SEFT intervention was 86.29 mmHg and 84.00 mmHg. Based on the comparative data analysis of pre and post intervention blood pressure, the statistical test results obtained p = 0,000 (p <&#945-). There is a significant difference in blood pressure between pre and post SEFT interventions. Keywords: Hypertension in elderly, SEFT intervention, Blood pressure control Share Link | Plain Format | Corresponding Author (Yulastri Yulastri)

116	Mental Health, Community, Family Health and Gerontological Nursing	ABS-288
THE INFLUENCE OF BASIC CONDITIONING FACTORS ON QUALITY OF LIFE OF INDONESIAN OLDER ADULTS Nurhasanah, Juanita, Dara Febriana, Jufrizal Department of Gerontology Nursing, Faculty of Nursing, Syiah Kuala University Abstract Background: The elderly experience all the deterioration of body functions which can cause obstacles in carrying out daily activities, this can affect the quality of life of the elderly. The quality of life of the elderly reflects the health and well-being status Purpose: The purpose of this study was to determine the the influence of basic conditioning factors on quality of life of Indonesian older adults Methods: Data were analyzed using descriptive statistics. Simple logistic regressions were also used to estimate the odds ratio of good health-related quality of life. Two research instrument, a demographic data form and the SF-36 Indonesian version for data collection. Result: The findings demonstrated that the total quality of life score was at fair level. In logistic regression analysis age and comorbidity were statistically significant predictors of quality of life among older adults. Conclusion: The quality of life in Indonesian older adults was at fair level, but as they aged, the disease can affect their quality of life. Nursing interventions targeting on maintaining quality of life that can be done by reducing the complications of the disease experienced by the elderly so as to improve the quality of life Keywords: Quality of life, Elderly, SF-36 Share Link | Plain Format | Corresponding Author (Nurhasanah Nurhasanah)

117	Mental Health, Community, Family Health and Gerontological Nursing	ABS-290
"Hypertension Education Module and Its Effect on Prevention of Hypertension Risk in Mojolangu Malang City" Tavip Dwi Wahyuni *Health Polytechnic of Malang, Ministery of Health, East Java, Indonesia Abstract Hypertension is a disease that arises due to the interaction of various risk factors, namely: age, sex, obesity, alcohol, genetics, stress, salt intake, smoking, patterns of physical activity, kidney disease and diabetes mellitus. In non-pharmacological treatment, patients are expected to be diligent in carrying out activities that can support lifestyle changes, sports activities and avoid psychological stress. This research was conducted by compiling the Hypertension Education Module and educating hypertensive patients using the hypertension education module. The purpose of this study was to analyze the Effect of the Hypertension Education Module in Mojolangu Village, Malang City. The design of this study was Quasy Experimental using pretest - posttest nonequivalent control group. The number of samples were 80 patients with hypertension and divided into 3 treatment groups and 1 control group. The sampling technique uses probability sampling. The independent variable is the Hypertension Education Module and the dependent variable is the risk of hypertension. Methods of data collection using interviews, observation and education with instruments in the form of questionnaire sheets Pre Test and Post Test of understanding hypertension and observation sheets results of blood pressure and cholesterol checks. Data analysis using ANOVA test with α = 0.05. The conclusion of this research is the use of education modules to help hypertension sufferers in increasing understanding of preventing hypertension, reducing blood pressure and cholesterol and preventing the risk of hypertension. Future research recommendations are the development of hyperteni education applications for the prevention of hypertension risk. Keywords: Hypertension Education Module, Hypertension Risk Prevention Share Link | Plain Format | Corresponding Author (Tavip Dwi Wahyuni)

118	Mental Health, Community, Family Health and Gerontological Nursing	ABS-296
Caring for a Spouse with ADL Dependency: Perceived Social Support and Stress Level among Elderly Spousal Caregivers Tri Harningsih, Rahmi Setiyani, Koernia Nanda Pratama Faculty of Health and Science, Universitas Jenderal Soedirman Abstract Background: Taking care for an individual with Activity of Daily Living (ADL) dependence is often very demanding and stressful. With an increasing in life expectancy, an elderly spouse often becomes a caregiver for an aging or ill loved one. However, changing in family structure, shrinking social circle and aging process itself might influence caregiver^s social support and their stress level. Objective: This study aimed to examine perceived stress and social support among spousal caregivers of elderly with ADL dependence and correlation between these two variables. Method: This is a descriptive quantitative study with cross sectional design. A convenience samples of 30 caregivers aged 60 years or over who taking care for spouse with ADL dependence. Perceived social support and caregiving-related stress were measured using social support questionnaire and the Kingstone Caregiver Stress Scale (KCSS) respectively. Data was analyzed using descriptive statistics and Somer^s D test. Result: Result showed that a half of respondents was lack of social support and the remaining only had moderate level of support (46.7%). Very few of them had good social support (3.3%). Most respondents experienced moderate stress level (56.7%), even severe (16.7%). Statisctical analysis showed no relationship between social support and stress level (p>0.05) Conclusion: Elderly spousal caregiver was lack of social support and experienced moderate stress level. Keywords: Activity of Daily Living, Elderly, Spousal Caregiver, Social Suport, Stress Share Link | Plain Format | Corresponding Author (TRI HARNINGSIH)

119	Mental Health, Community, Family Health and Gerontological Nursing	ABS-301
Risk Factors of Acute Respiratory Infection in Children under 5 years in Oebobo, Kupang Lidia Taruk Labi (a), Marlin Ruth Bunga Koreh (a), Nia Rahmawati (a), Deborah Siregar (b), Sumiaty Aiba (b*) a) Mahasiswa Faculty of Nursing, Universitas Pelita Harapan. Boulevard Jend. Sudirman No. 15 A, Lippo Village b) Dosen Faculty of Nursing, Universitas Pelita Harapan. Boulevard Jend. Sudirman No. 15 A, Lippo Village *sumiaty.aiba[at]uph.edu Abstract Acute Respiratory Infection is an acute infection of the upper and lower respiratory tract that often occurs in children under five years. Risk factors for Acute Respiratory Infection are the characteristics of children including age, sex, low birth, nutritional status, immunization and history of exclusive breastfeeding, and maternal characteristics including education and mothers knowledge. Children under five years need to be given special attention because at that age is the golden period of the child, so if there is interference it will give a negative effect to the child. In 2018, there were 60.862 ARI cases in Kupang. In 2019, there were 2,384 ARI cases in toddlers in Puskesmas Oebobo. The incidence of Acute Respiratory Infection in Kupang in 2018 was 60,862 cases and cases of children under five years on 2019 in Oebobo Health Center were 2,384 cases. The study aimed to analyze the risk factors related to Acute Respiratory Infection in children under fie years in Oebobo Health Center. This research was a quantitative with cross sectional design. The study was conducted among mothers who have children under 5 years (98 respondents) used accidental sampling. The instrument used in this study was a questionnaire. The data was analyzed used chi square. The analysis showed that there is significant relationship between mothers knowledge with the incidence of Acute Respiratory Infection in Oebobo Health Center (p value = 0,008) and OR value = 3.35 means that children with mothers who have poor knowledge 3.35 times higher risk Acute Respiratory Infection compared to children who have mothers with good knowledge. Therefore socialization and education is needed for mothers regarding Acute Respiratory Infection Keywords: Acute Respiratory Infection; ARI in children; Mothers knowledge Share Link | Plain Format | Corresponding Author (Sumiaty Aiba)

120	Mental Health, Community, Family Health and Gerontological Nursing	ABS-310
The Correlation between Family Support and Premarital Screening Decision Making on Adolescents with Thalassemia Rakhmat Susilo1, Muliyah Rosyani2 1Lecturer in the Faculty of Health Sciences, Muhammadiyah University, Purwokerto, Email : rakhmatsusilo[at]ump.ac.id 2Student of Nursing Study Program, Faculty of Health Sciences, Muhammadiyah University, Purwokerto, Email : muliyahrosyani1[at]gmail.com Abstract Background : The cure from this disorder has not been found yet so thet early prevention becomes more important than the treatment. Word Health Organization (WHO) suggests two prevention ways, namely pregnancy examination and inhabitants screening, in order to identify the carrier of thalassemia. Purpose : The research purpose to identify the correlation between family support and premarital screening decision making on adolescents with thalassemia in RSUD Banyumas, a regional public hospital of Banyumas. Methods : This research is a correlational research using cross-sectional design. The research sample includes 75 adolescents with thalassemia, aged 12 to 21 in thalassemia ward of RSUD Banyumas. The sampling is purposive sampling. The data are collected using a questionnaire consisting of 21 questions for respondents. The data are analysed by using Chi-Square test. Results : The bivariate test result reveals that there is a correlation between the family supports with the premarital screening decision making on adolescents in thalassemia ward of RSUD Banyumas (p-value = 0.047). Conclusion : The screening purpose to decrease mortality and morbidity because of thalassemia. It is conducted mainly in couples who are at risk of having children with thalassemia. Keywords: family support, premarital screening, thalassemia Share Link | Plain Format | Corresponding Author (rakhmat susilo)

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