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1	Interdisciplinary Health Sciences	ABS-9
Risk Factors for Type 2 Diabetes Mellitus Among University Students: A Cross Sectional Study Hema Malini1*, Wulandari Safira2, Elvi Oktarina3, Intan Yullya Kardila4, Reni Zulfitri5 1,3Department of Medical Surgical and Emergency Nursing, Faculty of Nursing Universitas Andalas 2Undergraduate Study Program, Faculty of Nursing Universitas Andalas 3Stikes Garuda Putih, Jambi 4Faculty of Nursing, Universitas Riau, Riau Abstract Background:University students, particularly in high-stress academic environments, face unique risks for Type 2 Diabetes Mellitus (T2DM). Non-modifiable factors, such as family history and female gender, further compound susceptibility. Purpose: The aim of this study is to explore the risk factors for T2DM among university students, given the rising prevalence of DM in Indonesia and the existing problems and risk factors associated with its occurrence. Methods: A cross-sectional study was conducted at Andalas University, Indonesia (January-June 2023). Purposive sampling recruited 393 undergraduates. Data were collected via validated tools: FINDRISC (risk stratification), GPAQ (physical activity), PSS (stress), and a modified Summary of Diabetes Self-Care Activities (SCSDA) questionnaire, adapted for student dietary/physical activity patterns (Cronbach^s &#945- = 0.923). Abdominal circumference was measured by trained staff. Univariate analysis used statistical software. Results: Respondents were predominantly aged 17-24 years (99.7%) and female (63.9%). Key findings: 83.2% had no familial T2DM history, 82.4% exhibited late-night sleep habits, 54.5% reported poor diets, and 78.1% experienced moderate stress. Despite 58.5% engaging in high physical activity, 24.2% were smokers, and 17.5% of females had abdominal obesity (>80 cm). FINDRISC scores indicated low T2DM risk for 95.4% of students, with only 4.6% at slightly elevated risk. Conclusion: While most students currently demonstrate low T2DM risk, prevalent lifestyle risks (poor diet, stress, smoking) signal future vulnerability. Targeted interventions-health education, smoking cessation programs, and routine physical activity promotion-are critical. Future research should explore dietary behaviors and time-management strategies to refine preventive measures. Keywords: Type 2 Diabetes Mellitus- risk assessment- student health- lifestyle- FINDRISC Share Link | Plain Format | Corresponding Author (Hema Malini)

2	Interdisciplinary Health Sciences	ABS-40
Comparative Analysis of Job Satisfaction among Indonesian Migrant Nurses in Kuwait and Saudi Arabia Akhir Fahruddin - Radiatan Khlila - Nurul Uswatin Indonesian National Nurses Association (INNA) Arab Saudi Abstract Abstract Introduction: The migration of Indonesian nurses to Middle Eastern countries, particularly Kuwait and Saudi Arabia, demands specific attention to their working conditions which directly impacting well-being and retention. This study aimed to provide a robust data comparison of job satisfaction faced by Indonesian nurses in two host countries. Methods: A comparative descriptive design was used with purposive sampling of 140 nurses, comprising 70 nurses from Saudi Arabia and 70 nurses from Kuwait. A structured survey were collected using the McCloskey Mueller Satisfaction Scale (MMSS) through online and in-person surveys distributed via WhatsApp groups. The Mann-Witney U Test was applied to identify significant differences between groups. Results: No statistically significant difference was found in overall job satisfaction between nurses working in Kuwait and Saudi Arabia ( p > 0.05 ). Both reported moderate satisfaction levels, with the highest satisfaction score were reported in the dimension of responsibility and scheduling, and the lowest score were in co-worker support and rewards. Conclusion: Indonesian nurses in Kuwait and Saudi Arabia experience similar patterns of job satisfaction levels. These findings emphasize the need for policy development and targeted support strategies to enhance the well-being, retention, and structure career development of Indonesian migrant nurses in the Middle East. Keywords: Indonesian nurses, Kuwait, Saudi Arabia, working conditions, job satisfaction Share Link | Plain Format | Corresponding Author (Akhir Fahruddin)

3	Interdisciplinary Health Sciences	ABS-50
Factors Associated with Cardiovascular Disease Risk Among Logistics Workers Kinantika Nur Dewanti1, Syifa Ula Hamidya2*, Koernia Nanda Pratama3, Nur Ulfah4, Galih Noor Alivian5 1,3,5Department of Nursing, Universitas Jenderal Soedirman, Indonesia 2,4Department of Public Health, Universitas Jenderal Soedirman, Indonesia Abstract Cardiovascular disease (CVD) remains the leading cause of mortality, accounting for approximately 651,481 deaths annually in Indonesia and 17.9 million deaths worldwide. Workers represent a population at high risk of developing health problems, including CVD, due to both unhealthy lifestyle behaviors and hereditary factors. In this study, the risk of CVD was determined based on abnormal body mass index (BMI) or abnormal triglyceride levels. The objective of this research was to identify factors associated with CVD risk among workers. This study employed secondary data from medical check-up (MCU) records of 122 employees in a logistics company, comprising mechanics, warehouse, and office workers. Data collection was conducted cross-sectionally in 2024. Statistical analysis was performed using the chi-square test to examine associations between risk factors and CVD. The findings revealed two significant factors associated with CVD risk: age (p = 0.026) and blood pressure (p = 0.003). In contrast, sex, work area, and leukocyte levels were not significantly associated with CVD risk (p > 0.05). The results highlight that age and blood pressure are significantly associated with CVD risk among logistics workers, suggesting the importance of primary prevention strategies, including workload adjustments tailored to workers health conditions. Keywords: Cardiovascular Disease Risk, Logistics Workers, Factors Associated Share Link | Plain Format | Corresponding Author (Syifa Ula Hamidya)

4	Interdisciplinary Health Sciences	ABS-82
Academic Self-Efficacy and Resilience Skill Scale for Senior High School (Indonesian Version) Ajeng Dian Purnamasari (a*, c), Yusuf Hidayat (b), Tite Juliantine (b), Burhan Hambali (b), Ngadiman (c), Dian Susmarini (c, d) a) Graduate School, Indonesia University of Education, Bandung, Indonesia *ajengdpurnama[at]upi.edu b) Faculty of Sport Education and Health, Indonesia University of Education, Bandung, Indonesia c) Faculty of Health Sciences, Jenderal Soedirman University, Banyumas, Indonesia d) Graduate Student, College of Nursing, Ewha Womans University, South Korea Abstract Background: In order for a High School student to carry out the learning process effectivelly, in addition to paying attention to cognitive, affective, and psycomotor processes, psychological support is also necessary. These psychological conditions include the level of readiness and awareness of students in undergoing academic, social, and emotional life, as well as how student are able to deal with various pressure in the learning process. Of course, tools are needed to measure the condition of students in these factors. Purpose: This study attempts to find appropriate measuring instruments to determine four dimensions, namely academic, social, emotional, and resilience skills of students by constructing an Academic Self-Efficacy Scale and Resilience Skill Scale that are suitable for use with students who are able to measure/assess themselves, namely those at the senior high school level and special versions for Indonesia. Methods: The method used was to develop an existing questionnaire, namely Bandura^s Version and Connor-Davidson Resilience Scale Version, translate it into Indonesian, calculate its validity and reliability or internal consistency (EFA), and then perform confirmatory factor analysis (CFA). Results: The results obtained were 7 items on academic self-efficacy, 6 items on social self-efficacy, 6 items on emotional self-efficacy, and 10 items on resilience skills. Conclusion: An instrument with 29 items was obtained, named ASERS-ID (Academic Self-Efficacy and Resilience for Senior High School - Indonesian Version). Keywords: Academic Self-Efficacy- Resilience Scale- confirmatory factor analysis Share Link | Plain Format | Corresponding Author (Ajeng Dian Purnamasari)

5	Interdisciplinary Health Sciences	ABS-83
Literature Review: Analysis of the Causes of Pending Claims for Inpatient BPJS Patients to Increase Hospital Revenue in Indonesia Asih Kundari1*, Budi Aji1, Dwi Sarwani Dri Rejeki2 Pending claims on BPJS Kesehatan services can have an impact on disrupting hospital cash flow. This study aims to determine the factors causing claim delays (claim pending) on BPJS services in the JKN Era. Methods: A systematic literature search was conducted on the Google Scholar and Pubmed databases for articles in the last 7 years. The search was based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and PICO criteria. Article search with boolean operators with the keywords: ^Pending claim^ AND ^BPJS^ OR ^health insurance^ OR ^claim return^. Results: There were 5 articles that were worthy of systematic review. All articles agreed that the delay in BPJS claims was most often caused by document discrepancies to meet BPJS claim requirements and the lack of completeness of administrative documents for membership or services. This is due to limited insight into BPJS claims, limited human resources in the case-mix team, unclear SOPs, and inadequate facilities and infrastructure. Conclusion: All factors from input and process greatly affect the output in this case the occurrence of BPJS claim delays. To reduce losses and even greater burdens on the Hospital, solutions need to be implemented immediately for each of these components that are still experiencing obstacles. Keyword: Pending claim, BPJS, health insurance, claim return Abstract Pending claims on BPJS Kesehatan services can have an impact on disrupting hospital cash flow. This study aims to determine the factors causing claim delays (claim pending) on BPJS services in the JKN Era. Methods: A systematic literature search was conducted on the Google Scholar and Pubmed databases for articles in the last 7 years. The search was based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and PICO criteria. Article search with boolean operators with the keywords: ^Pending claim^ AND ^BPJS^ OR ^health insurance^ OR ^claim return^. Results: There were 5 articles that were worthy of systematic review. All articles agreed that the delay in BPJS claims was most often caused by document discrepancies to meet BPJS claim requirements and the lack of completeness of administrative documents for membership or services. This is due to limited insight into BPJS claims, limited human resources in the case-mix team, unclear SOPs, and inadequate facilities and infrastructure. Conclusion: All factors from input and process greatly affect the output in this case the occurrence of BPJS claim delays. To reduce losses and even greater burdens on the Hospital, solutions need to be implemented immediately for each of these components that are still experiencing obstacles. Keyword: Pending claim, BPJS, health insurance, claim return Keywords: Pending claim, BPJS, health insurance, claim return Share Link | Plain Format | Corresponding Author (ASIH KUNDARI)

6	Interdisciplinary Health Sciences	ABS-105
IMPACT OF A NON-COMMUNICABLE DISEASE NURSING EDUCATION MODULE ON CLINICAL OUTCOMES IN HIGH-RISK PREGNANT WOMEN: A SYSTEMATIC REVIEW Fredrika Nancy Losu1*, Tinneke A.Tololiu2, Joice Mermy Laoh3 Department of Midwifery, Poltekkes Kemenkes Manado Abstract High-risk pregnancy is often associated with adverse maternal and neonatal outcomes. Integrating a non-communicable disease (NCD) nursing education module into clinical practice may enhance the knowledge and skills of nurses to improve these outcomes. This research objective is to review the impact of NDC nursing education module on clinical outcomes in high-risk pregnant women. The PRISMA guidelines was used from four databases (Google Scholar, Research Gate, Scopus, Pub Med). The inclusion criteria were articles from reputable journals in English or Indonesian published in 2019-2024. The exclusion criteria were non-Indonesian or English articles, published more than five years ago. The data selection involved title/abstract screening (n=377), full-text review (n=88), and final inclusion of 18 studies. The data analysis used risk of bias (Cochrane RoB 2.0/ROBINS-I), PICOT, and NVivo thematic analysis. The study showed that nurse-led interventions demonstrated significant effectiveness, with in-person counseling improving clinical outcomes (44% of studies, p<0.05) and digital education enhancing self-efficacy (33%, p=0.003), though 39% of studies had high bias risk due to non-randomized designs. Thematic analysis revealed consistent benefits across gestational diabetes (33%) and hypertensive disorders (28%), while bias assessment highlighted the need for Randomized Controlled Trials. The study concluded that NCD nursing education module could significantly help improve clinical outcomes in high-risk pregnant women, particularly for gestational diabetes and hypertension. Yet, calls for multicenter randomized trials to standardize the module and address implementation barriers in diverse healthcare settings Keywords: high-risk pregnant women, NCD, nursing education module Share Link | Plain Format | Corresponding Author (Fredrika Nancy Losu)

7	Nursing Care and Technology Development	ABS-2
Factors Influencing Sleep Quality in Patients with End-Stage Renal Disease (ESRD): A Cross-Sectional Study Made Suandika1,2, Woung-Ru Tang2, Rahamaya Nova Handayani1, Yuniar Melissa Kisdyanti1, The Ayodya Santam Budjana1 1Departement of Anesthesia, Faculty of Health, Harapan Bangsa University, Central Java, Indonesia 2School of Nursing College of Medicine Chang Gung University Taoyuan, Taiwan. Abstract Background: The development of chronic kidney disease (CKD) and its progression to ESRD remains a significant cause of reduced quality of life and premature mortality in the world wide. Purpose: To investigate the relationship between sleep quality with sociodemographic and laboratory characteristics in patients undergoing hemodialysis (HD) in Central Java, Indonesia. Methods: A cross sectional study was conducted from August to December 2016 by involving 123 participants. Patients sleep quality was assessed by using Pittsburgh Sleep Quality Index (PSQI) translated into Indonesian while patients demographic and laboratory data were obtained from three dialysis centers in Central Java. All data were compiled and analysed statistically using SPSS 22. Results: Among all participants, 88.6% were reported to have poor sleep quality with mean age 41.59 (8.63) years old. Among demographic characteristics, PSQI score was significantly correlated with age, gender, body mass index (BMI), and dialysis history wile in laboratory variables, BUN, albumin, potassium, Anti HCV, triglyceride and cholesterol were significantly correlated with global PSQI. Multivariate analysis showed that dialysis history (B=0.43 (0.054 to 0.81), p=0.026), BUN (B=0.063 (0.004 to 0.122), p=0.036), triglyceride (B=0.012 (0.004 to 0.021), p=0.005) and cholesterol (B=0.014 (0.007 to 0.020), p<0.001) were significant predictors of increased global PSQI in ESRD. Conclusion: It can be concluded that dialysis history, BUN, triglyceride and cholesterol levels influenced sleep quality in ESRD patients who undergo hemodialysis. Keywords: Renal dialysis, Sleep, Demography, Laboratories Share Link | Plain Format | Corresponding Author (Made Suandika)

8	Nursing Care and Technology Development	ABS-8
A Correlation Study of Spirituality with Self-Efficacy, Anxiety, and Blood Glucose Levels in Type 2 Diabetes Mellitus Patients Faisal Amir1*, M. Hasinuddin2, Suraying3, Mohamad Nur4 1,2 Nursing Study Program, Noor Huda Mustofa University, Indonesia 3,4 Diploma 3 Nursing Program, Health Department, Madura State Polytechnic, Indonesia Abstract A Correlation Study of Spirituality with Self-Efficacy, Anxiety, and Blood Glucose Levels in Type 2 Diabetes Mellitus Patients Faisal Amir1*, M. Hasinuddin2, Suraying3, Mohamad Nur4 1,2 Nursing Study Program, Noor Huda Mustofa University, Indonesia 3,4 Diploma 3 Nursing Program, Health Department, Madura State Polytechnic, Indonesia Corresponding Author : faisalnhm6gmail.com Latar belakang: Type 2 diabetes mellitus (T2DM) is a chronic disease that can affect the physical, psychological, and spiritual aspects of patients. Spirituality plays a crucial role in helping patients accept their condition (acceptance), reduce anxiety, and stabilize blood glucose levels. The purpose of this study was to analyze the relationship between spirituality and acceptance, anxiety, and blood glucose levels in T2DM patients. Metode: This study used a cross-sectional design with a sample size of 125 selected using purposive sampling. The study was conducted in March-February 2025 in the Bangkalan Community Health Center (Puskesmas) working area. The research instruments included the Delaney Spirituality Scale (DSS), the Diabetes Management Self-Efficacy Scale (DMSES), and the Generalized Anxiety Disorder 7-item (GAS-7), along with observations of fasting blood glucose (FBG) levels. Statistical analysis was performed using the Spearman^s rank correlation test with a significance level of &#945- = 0.05. Hasil: There is a relationship between spirituality and self-efficacy (r = 0.279- p < 0.002), there is a relationship between spirituality and anxiety (r = -0.224- p < 0.012) and there is a relationship between spirituality and fasting blood glucose levels (r = -0.230- p < 0.010). Kesimpulan: Spirituality is significantly associated with self-efficacy, anxiety, and blood glucose levels in patients with type 2 diabetes mellitus. Spirituality-based interventions should be considered as part of the holistic management of patients with type 2 diabetes mellitus. Keyword : Spirituality, Acceptance, Anxiety, Blood Glucose Levels, Type 2 Diabetes Mellitus Keywords: Spirituality, Acceptance, Anxiety, Blood Glucose Levels, Type 2 Diabetes Mellitus Share Link | Plain Format | Corresponding Author (HASINUDDIN HASINUDDIN)

9	Nursing Care and Technology Development	ABS-10
Why do Nursing Students Have Low Intention in Become Nurse? An early Finding from a Qualitative Study Fera Agusti Ningrum (a*), Wastu Adi Mulyono (a) a) Department of Nursing, Universitas Jenderal Soedirman, Indonesia *fera.ningrum[at]mhs.unsoed.ac.id Abstract Background: Amid a rising demand for nursing professionals, world continues to face a significant nursing shortage. One contributing factor is the persistently low intention among nursing students to pursue a career in nursing, despite efforts by professional organizations to promote socialization into the profession. Purpose: This study aims to explore the underlying factors that contribute to the low intention of nursing students to become professional nurses. Method: Employing a qualitative phenomenological approach. Data were collected through interview, observation and documentation. Eight nursing student from jenderal soedirman university participated in in-depth, unstructured interviews. Data analysis was carried out using the miles and huberman thematic analysis framework (1994). Result: The study identified six major themes influencing students^ low career intention: social influences, lack of professional role models, negative perceptions of nursing, low self-efficacy, prior experiences, and beliefs about future consequences. Conclusion: A low intention to become a nurses may reflect personal career preferences. However, this trend raises concerns regarding the future nursing workforce. Nursing education programs should therefore strengthen career guidance and promote positive professional identity to help students understand the value and opportunities within the nursing profession. Keywords: career intention, self-efficacy, social influence, professional identity, nursing education Share Link | Plain Format | Corresponding Author (Fera Agusti Ningrum)

10	Nursing Care and Technology Development	ABS-11
Advancing Emergency Care: A 20-Year Bibliometric Analysis of Prehospital Airway Suction Research Ardian Jafar A. Hukum (a*), Sidik Awaludin (b) a,b) Departement of Nursing, Faculty of Health Science, Jenderal Soedirman University, Indonesia Abstract Background: Prehospital airway suction is a critical intervention to ensure airway patency in emergency conditions, particularly in trauma, cardiac arrest, or airway obstruction. Despite its vital role, the scope of research focusing on its effectiveness, technology development, and associated clinical outcomes remains relatively underexplored compared to other airway management procedures. Purpose: This study aims to systematically map the scientific landscape, research trends, and thematic structures related to prehospital airway suction using bibliometric analysis, identifying key clusters, gaps, and future directions for research. Methods: A quantitative bibliometric approach was conducted using Publish or Perish software to collect data from Scopus and PubMed databases. The search used the keyword prehospital airway suction and included articles published between 2005 and 2025. VOSviewer software was utilized for data analysis, including co-occurrence analysis of terms in titles and abstracts, and visualizations in the form of network, overlay, and density maps. Results: A total of 90 relevant articles were identified, with 71 (78.89%) directly discussing prehospital airway suction. The publication trend showed fluctuating growth, peaking in 2022 and increasing steadily through 2025. Five main clusters emerged: airway devices and preparation, healthcare providers and prehospital procedures, suction effectiveness and safety, advanced techniques such as SALAD, and clinical outcomes and evaluations. Newer research focused on suction innovation, portable devices, and simulation-based training. The most cited publication was Prekker et al. (2014), cited 79 times. Conclusion: This study is the first bibliometric analysis focused on prehospital airway suction. The findings highlight a shift toward advanced suction methods and emphasize the need for standardized procedures, operator competence, and innovative technologies. Future research should explore specific populations, extreme emergency scenarios, and the impact of training interventions. Keywords: Prehospital- Airway suction- Bibliometric analysis- Portable suction- SALAD technique Share Link | Plain Format | Corresponding Author (Ardian Jafar A. Hukum)

11	Nursing Care and Technology Development	ABS-13
The Relationship Between Nurse^s Attitudes and Structural Empowerment with The Implementation of Patient Safety Goals at Hospital in Indramayu Regional, Indonesia Wiwin Nur Aeni (a*), Eleni Kenanga Purbasary (a), Dedeh Husnaniyah (b), Aminatun Nursifah (b), Adam Layland (c) a) Nursing Professional Study Program, Indramayu College of Health Science Wirapati Street, Sindang, Indramayu, 45222, Indonesia *wiwinnuraeni505[at]gmail.com b) Bachelor of Nursing Study Program, Indramayu College of Health Science Wirapati Street, Sindang, Indramayu, 45222, Indonesia c) Director of Partnerships and Operations, Yorkshire Ambulance Service NHS Trust Brindley Way Wakefield 41 Business Park Wakefield WF2 0XQ, United Kingdom Abstract Patient safety is a fundamental aspect of global priorities in health services, including nursing. Optimal implementation of patient safety can prevent unexpected events and improve the quality of care services, thus requiring the attitudes and involvement of professional health workers. This study aimed to determine the relationship between attitudes and structural empowerment of nurses with the implementation of patient safety goals in Indramayu Regency, Indonesia. This was a correlation analysis with a cross-sectional design. There were 91 respondents selected using a total sampling. Instrument used questionnaire. Chi-square test was used as bivariate analysis for this study. The finding showed that there is no relationship between nurses^ attitudes (p=0.177) and structural empowerment (p=0.256) with the implementation of patient safety goals. Suggestions for hospital managers to create systems to improve the implementation of patient safety. Keywords: Nurse^s Attitude- Patient Safety- Structural Empowerment Share Link | Plain Format | Corresponding Author (Wiwin Nur Aeni)

12	Nursing Care and Technology Development	ABS-17
MENTAL HEALTH SELF-MOVEMENT THROUGH GROUP ACTIVITY THERAPY TO IMPROVE SELF-LEADERSHIP IN PEOPLE WITH MENTAL DISORDERS Sitti Sulaihah (a*), M.Suhron (b), Faisal Amir (c), Atik Puji Rahayu (d) Nursing Department, Universitas Noor Huda Mustofa, Indonesia Abstract Decreased self-leadership in people with mental disorders is the impact of psychological and mental disorders and requires serious attention. Based on the results of a preliminary study conducted at the Bani Amrini Mental Health Center through observation of all patients, it was found that there were several decreases in attitudes such as decreased motivation in oneself, lack of ability to communicate and lack of ability to establish social relationships. This study aims to analyze the difference in self-leadership in patients after being given group activity therapy. The design used experimental design pre - test and post - test with control group design. The population used is people with mental disorders at the Bani Amrini Mental Health Center Foundation, the number of samples is 34 with 17 control groups and 17 treatment groups using purposive sampling technique. The independent variable is group activity therapy while the dependent variable is self-leadership. The instrument used was a questionnaire while the statistical test used the Paired t-test and Mann-Whithey test with a significance value (&#945-) of 0.05. The test results obtained a P-Value (0.000) on ODGJ self-leadership before and after being given in the treatment group, while in the control group the difference in self-leadership obtained a P-Value (0.041). The difference in self-leadership in ODGJ between the control group and the treatment group obtained a P-Value (0.000), indicating that there is an effect of group activity therapy on increasing self-leadership between the control and treatment groups. The researcher^s suggestion is the importance of implementing group activity therapy on an ongoing basis to increase the self-leadership ODGJ so that it is expected to help accelerate the recovery process and recovery of ODGJ at the Bani Amrini Mental Health Home Foundation. Keywords: Group Activity Therapy- People with Mental Disorders- Self-Leadership Share Link | Plain Format | Corresponding Author (Sitti Sulaihah)

13	Nursing Care and Technology Development	ABS-20
FACTORS INFLUENCING THE INCIDENCE OF ANEMIA AMONG FEMALE ADOLESCENTS IN PEKALONGAN CITY Sri Mumpuni Yuniarsih, Rahajeng Win Martani, Endang Axtia Putri Pratama Universitas Pekalongan Abstract Keywords: anemia, female adolescents, age, menstrual patterns, nutritional status, knowledge level. Share Link | Plain Format | Corresponding Author (Rahajeng Win Martani)

14	Nursing Care and Technology Development	ABS-21
Acupressure as a Complementary Intervention for Reducing Blood Pressure and Headache Intensity in Hypertensive Patients: A Pre-Experimental Study Nunung Hasanah (a), Marita Ayu Setyaningtyas (a), Sri Mumpuni Yuniarsih (a*, b), Falasifah Ani Yuniarti (c) a) Nusing Department, Faculty of Health Sciences, Universitas Pekalongan, Central Java, Indonesia b) Research Fellow at Universitas Muhammadiyah Yogyakarta c) Paediatric Nursing, Nursing Profession Education, Faculty of Medicine and Health Sciences, 55183 Universitas Muhammadiyah Yogyakarta, Indonesia Abstract Background: Hypertension affects approximately 1.28 billion adults aged 30-79 years worldwide, two-thirds of whom reside in low- and middle-income countries, including Indonesia (WHO, 2023). It is one of the most prevalent non-communicable diseases in Indonesia. Non-pharmacological interventions, such as acupressure, offer a complementary approach to hypertension management. Objective: This study aimed to evaluate the effectiveness of acupressure as a complementary intervention in reducing blood pressure and headache intensity among patients with hypertension. Methods: A quantitative pre-experimental study with a one-group pre-post-tests design was conducted involving 17 participants. Systolic and diastolic blood pressure and headache intensity (Numeric Rating Scale, NRS) were measured before and after three acupressure sessions. Data were analysed using the non-parametric Wilcoxon signed-rank test. Results: The mean systolic blood pressure decreased from 162.18 mmHg to 123.00 mmHg and the mean diastolic blood pressure from 97.29 mmHg to 79.82 mmHg. The mean NRS score decreased from 6.76 to 0.29. Significant differences were found between the values before and after the intervention for systolic blood pressure (p = 0.000), diastolic blood pressure (p = 0.004) and NRS scores (p = 0.000). Conclusion: Acupressure significantly reduced systolic and diastolic blood pressure, as well as headache intensity, in patients with hypertension after three treatment sessions. This supports its role as a complementary intervention in hypertension management. Keywords: blood pressure, headache, hypertension, acupressure, complementary therapy Share Link | Plain Format | Corresponding Author (Sri Mumpuni Yuniarsih)

15	Nursing Care and Technology Development	ABS-22
Age, Education, Income, Knowledge, and Motivation of Posyandu Cadres to Administer HPV Vaccination in Pasinggangan Village, Banyumas District Yektiningtyastuti Yektiningtyastuti, Gesti Augina Mulyandari Health Science Faculty, Universitas Muhammadiyah Purwokerto Abstract Background: Cervical cancer is a health problem that is the main cause of death from cancer in women. One of the interventions recommended as an effort to prevent cervical cancer is HPV vaccination. However, up to now, the motivation to undergo HPV immunization among women in Indonesia is still low. Many factors contribute to this low motivation. Purpose: This research aimed to determine the relationship between age, education, income, level of knowledge, and the motivation of Posyandu cadres to carry out HPV vaccination in Pasinggangan Village, Banyumas District. Methods: The research method used a correlational descriptive design. Data collection was carried out cross sectionally. Technique sampling was used total sampling, with 70 Posyandu cadres in Pasinggangan Village, Banyumas District, as respondents. Research data were collected using a questionnaire instrument. Data analysis used the Chi Square test. Results: The research results showed that the p value of age was 0,088, the p value of education level was 0,042, the p value of the level of family income was 0,004, and the p value of the level of knowledge about cervical cancer was 0,000. Conclusion: There was a correlation between education, income, and knowledge level with the motivation of Posyandu cadres to receive HPV vaccination in Pasinggangan Village, Banyumas Regency. Meanwhile, age was not associated with their motivation. This study recommends that healthcare workers need to increase the motivation of cadres and women to undergo HPV vaccination through communication, information, and education on the importance of HPV immunization. Keywords: Age, education, income, knowledge, motivation, HPV vaccination Share Link | Plain Format | Corresponding Author (Yektiningtyastuti -)

16	Nursing Care and Technology Development	ABS-24
THE EFFECT OF SLOW BREATHING EXERCISE (SBE) IN REDUCING ANXIETY AND PAIN IN MOTHERS AFTER CAESAREAN SECTION (CS) Eny Susanti, Zakkiyatus Zainiyah, Novita Wulandari Midwifery, Noor Huda Mustofa univercity Abstract Anxiety is common in pregnant women. The prevalence of anxiety symptoms is 13% in the postpartum period (0-24 weeks), and 8.4% experience anxiety disorders, accompanied by excessive worry resulting in autonomic nervous disorders, and added pain after cesarean section surgery. The aim was to analyze the effect of Slow Breathing Exercise (SBE) in reducing anxiety and pain in post-CS mothers. The research design was a pre-experimental, pre-post test design- the research variable was Slow Breathing Exercise (SBE), the dependent variable was anxiety and pain after cesarean section surgery- the sample was 14 post-cesarean mothers at Hikmah Sawi Hospital, Bangkalan. The research criteria were all post-cesarean mothers with complications and willing to be respondents. The research instrument to assess anxiety used GAD (General Anxiety Disorder 7-item), and the pain scale with the Numeric Rating Scale (NRS) 0-10, which was categorized as no pain, mild pain, moderate pain, severe pain, and very severe pain and SOP Breathing Exercise, univariate and multivariate analysis, frequency distribution, percentage and statistical test Paired T-Test. The study^s results showed that the average pain scale before the intervention was 6.42, and after the SBE intervention was 2.35- a significant difference (<0.001) was observed. Meanwhile, the average anxiety score before the intervention was 9.71 and after the intervention was 2.35- a significant difference (<0.001) was observed. Conclusion: Slow Breathing Exercise (SBE) is effective in reducing anxiety and pain in post-Cesarean mothers. Keywords: Anxiety, Pain, Post-Cesarean Section, Slow Breathing Exercise Share Link | Plain Format | Corresponding Author (Eny Susanti)

17	Nursing Care and Technology Development	ABS-26
Advancing Knowledge on AV Fistula Bleeding: A Bibliometric Analysis of Two Decades of Global Research Novita Anggraeni (a*) , Saryono (b) a,b)Department of Nursing, Faculty Of Health Sciences, Universitas Jenderal Soedirman, Indonesia Abstract Background: Arteriovenous (AV) fistula remains the gold standard for long-term haemodialysis due to its superior patency, reduced infection risk, and durability. However, bleeding complications are common and may cause chronic anaemia, dialysis interruption, and increased hospitalisation. Despite its prevalence, research on AV fistula bleeding is fragmented across disciplines, limiting comprehensive understanding. Purpose: This study aimed to map the global research landscape on AV fistula bleeding, identify thematic clusters, and highlight emerging trends and research gaps through bibliometric analysis. Methods: A quantitative bibliometric approach was conducted using Scopus and PubMed databases. Relevant publications from 2000-2025 were retrieved via Publish or Perish software using predefined keywords. Inclusion criteria were peer-reviewed English articles addressing AV fistula bleeding. Data were analysed using VOSviewer (v1.6.19) to generate density, network, and overlay visualisations, with a minimum term occurrence threshold of five. Results: Analysis identified four major thematic clusters: (1) clinical complications (e.g., haematoma, vascular complications), (2) diagnostic and interventional strategies (e.g., angiography, embolisation), (3) anatomical considerations (e.g., vein selection, puncture site), and (4) outcome-based evaluations (e.g., patency, quality). Density maps revealed persistent focus on haematoma and vascular complications, while overlay maps indicated a recent shift towards patient-centred outcomes, adverse event monitoring, and methodological rigour. Conclusion: Over the past two decades, research on AV fistula bleeding has evolved from technical and anatomical considerations to broader patient safety and quality-of-care issues. Future studies should prioritise protocol standardisation, multidisciplinary involvement, patient-reported outcomes, and predictive analytics to enhance prevention and management strategies. Keywords: Arteriovenous fistula - Bleeding complications- Haemodialysis- Bibliometric analysis- Vascular access Share Link | Plain Format | Corresponding Author (NOVITA ANGGRAENI)

18	Nursing Care and Technology Development	ABS-27
THE DEVELOPMENT OF A HOPE-BASED SPIRITUAL SELF-CARE PRACTICE MODEL FOR RESILIENCE IN PATIENTS WITH DIABETIC FOOT ULCER Endang Sri Purwanti Ningsih1, Ah. Yusuf 2, Rizky Fitryasari2, Nursalam2, Ifa Hafifah3 Poltekkes Kemenkes Banjarmasin, Indonesia Abstract Background: Building resilience in DFU patients is, essential, one way of doing this is by enhancing spiritual self-care practices (SSCP). A healthy spiritual life can be a key motivator, influencing how a person adapts to life^s difficulties and even guiding them in life decisions. Several factors, known in the Resilience Illness Model theory as risk and protective factors, can influence a person^s level of resilience in the face of illness. Purpose: The purpose of this study was to investigate the various factors that influence SSCP and resilience are: patient factors, support factors, health service factors, religious coping, and hope. Methods: The design of this study was a cross-sectional study. Sample selection used a purposive sampling method involving 173 DFU patients in two public hospitals in Banjarmasin city. Statistical analyses were conducted using SEM-PLS. Results: The result showed that the patient^s SSCP was predominantly influenced by support factors ( t-value= 2,836), religious coping (t-value =2,724), health care ( t-value = 2,467), and hope (t-value= 2,005). Furthermore, this study demonstrated that in building resilience, were strongly influenced by social support ( t-value= 4,581), SSCP (t-value= 4,515), and health care (t-value= 2,632). The resilience variable can be explained and supported by these factors, accounting for 42.3% of the variance. Conclusion: The patient^s SSCP was predominantly influenced by support factors, religious coping, health services, and hope. Furthermore, in building resilience, patients were strongly influenced by hope, SSCP, support, and health services. Nurses help improve patients^ ability to perform SSCP by taking spiritual meaning in every care activity to strengthen the hope dimension of DFU patients. Keywords: Coping, diabetic foot ulcer patients , hope, religious, resilience Share Link | Plain Format | Corresponding Author (Endang Sri Purwanti Ningsih)

19	Nursing Care and Technology Development	ABS-28
ANALYSIS OF NURSING CARE IN PATIENTS WITH CHRONIC KIDNEY DISEASE AND INTERVENTIONS FOR PROVIDING ALOE VERA GEL TO REDUCE PRURITUS IN THE HEMODIALYSIS ROOM Rosalia Agustin1*, Ridho Kunto Prabowo2, Novi Dwi Irmawati3 1Department of Nursing, Ners Professional Program Study, Indramayu College of Health Science, Indonesia 2,3Department of Nursing, Indramayu College of Health Science, Indonesia Corresponding Author : Rosalia Agustin (agustinrosalia15[at]gmail.com) Abstract Background : Chronic kidney Disease is a condition with progressive decline in kidney function, which impairs the excretion of body wastes (uremia, creatinine, and other wastes) and fluid balance. As kidney function declines, uremic substances such as urea, creatinine and other nitrogenous products begin to accumulate in the blood and body tissues. These substances can stimulate nerve receptors on the skin, triggering itching (pruritus). One of the non-pharmacological nursing measures is complementary therapy by applying aloe vera gel to itchy body parts. Purpose : This final scientific work was to provide nursing care to patients with chronic renal failure through aloe vera gel therapy interventions. Methods : Used a descriptive approach with a case study and the application of Evidence-Based Nursing. Data were collected through interviews, physical examinations, and medical record reviews. The assessment revealed that the patients complained of itching, weakness, and high blood pressure, leading to the establishment of nursing diagnoses including impaired skin integrity, risk of bleeding, risk of infection, ineffective peripheral perfusion, and fatigue. Interventions to reduce pruritus were carried out on Mrs. S and Mrs. using aloe vera gel a twice a day, in the morning and evening, after bathing, for three consecutive days. Results : Evidence-Based Nursing showed a decrease in the pruritus scale, with patient Mrs. S decreasing from scale 7 to 6, and patient Mrs. A from scale 18 to 9. The implementation resolved three nursing diagnoses impaired skin integrity, risk of bleeding, and risk of infection while two diagnoses, namely ineffective peripheral perfusion and fatigue, were partially resolved. Conclusion : There was a decrease in the pruritus scale after the application of aloe vera gel therapy. It was suggested that nurses implement aloe vera gel therapy interventions to reduce pruritus symptoms. Keywords: Aloe Vera Gel, Chronic Kidney Disease, Hemodialysis, Nursing Care, Pruritus Share Link | Plain Format | Corresponding Author (Rosalia Agustin)

20	Nursing Care and Technology Development	ABS-29
THE EFFECT OF BACK MASSAGE WITH EFFLEURAGE TECHNIQUE ON REDUCING FATIGUE IN PATIENTS WITH CHRONIC RENAL FAILURE IN THE HEMODIALYSIS ROOM Sri Dewi1, Ridho Kunto Prabowo2, Novi Dwi Irmawati3, Kamsari4 1Department of Nursing, Nursing Program Study, Indramayu College of Health Science, Indonesia 2,3,4Department of Nursing, Indramayu College of Health Science, Indonesia Corresponding Author : Sri Dewi (srid9822[at]gmail.com) Abstract Background: Patients with chronic renal failure undergoing hemodialysis often experienced fatigue, which negatively affected their quality of life and treatment adherence. Back massage using the effleurage technique was considered a potential non-pharmacological intervention to reduce fatigue. Purpose: This study aimed to determine the effect of back massage with the effleurage technique on reducing fatigue in patients with chronic renal failure in the hemodialysis unit at RSUD Indramayu Methods: This research employed a quantitative approach with a quasi-experimental one-group pretest-posttest design. The population consisted of 195 chronic renal failure patients undergoing hemodialysis at RSUD Indramayu. A purposive sampling technique was used to select 131 respondents. The research instrument used was a questionnaire based on the Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale. Data were analyzed using the Wilcoxon test. Results: The findings showed 3 respondents with negative ranks, 127 with positive ranks, and 1 ties. The statistical analysis revealed a p-value of 0.000 (&#945- < 0.05), indicating a significant difference in fatigue levels before and after the intervention. Conclusion: The study concluded that back massage using the effleurage technique had a significant effect on reducing fatigue in patients with chronic renal failure in the hemodialysis unit of RSUD Indramayu. It is recommended that nurses and family members incorporate back massage therapy as a supportive treatment for managing patient fatigue. Keywords: Back Massage, Chronic Kidney Disease, Fatigue, Hemodialysis Share Link | Plain Format | Corresponding Author (Sri Dewi)

21	Nursing Care and Technology Development	ABS-31
Maternal Caregiving Behavior in Breastfeeding Practices and Complementary Feeding for Infants Aged 0-12 Months in Stunting Prevention: Development Model Ulva Noviana1*, Mustofa Haris2 and Fitriah3 UNIVERSITAS NOOR HUDA MUSTOFA Abstract Objective : Stunting is a chronic malnutrition issue with a rising prevalence in Indonesia. A survey revealed that 83% of stunted toddlers (25 babies) did not receive colostrum due to it being perceived as ^stale^ breast milk, and 37% (11 babies) aged 0-6 months were given foods such as rice porridge, fruit juice, or honey water before 6 months. Poor caregiving practices significantly contribute to the risk of stunting, which adversely affects physical growth, cognitive development, immunity, and overall productivity. This study aimed to analyze maternal breastfeeding practices and behaviors in providing complementary foods for infants. Study design : A cross-sectional observational study Place and duration of study: The research was conducted in Bangkalan Regency, Madura Island, for 4 months. Metodology : The sample in this study consists of 230 caregivers of infants aged 0-12 months, selected through simple random sampling. The data collection process was carried out over 3 months using instruments. Independent variables included maternal demographics, attitudes, knowledge, and habits. Dependent variables were breastfeeding practices and complementary feeding behaviors. Data analysis utilized SEM PLS (Smart PLS4). Results: Maternal intention, knowledge, and skills directly influenced exclusive breastfeeding and early feeding practices for infants aged 0-6 months. Maternal attitudes and perceived norms indirectly shaped behavior by influencing intentions for exclusive breastfeeding and complementary feeding for infants aged 0-12 months. Conclusions: Maternal intentions, expertise, and attitudes directly and indirectly affect breastfeeding and complementary feeding behaviors, playing a critical role in stunting prevention Keywords: Breastfeeding practices, Complementary feeding, Behavior, Stunting Share Link | Plain Format | Corresponding Author (Ulva Noviana)

22	Nursing Care and Technology Development	ABS-35
Nurses Perception and Experiences about Professional Career Development Wastu Adi Mulyono, Made Sumarwati, Haryatiningsih Purwandari, Eni Rahmawati Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University Abstract Background: Nursing fresh graduates (FGs) face significant demands for adaptation during their transition to clinical practice. The theory-practice gap, the need for clinical competency, and safety culture are key issues that determine early career retention and performance. Objective: To explore nurses^ perceptions and experiences regarding professional development strategies that are relevant for FGs to strengthen their clinical competency and facilitate work adaptation. Method: A qualitative design with a thematic analysis approach was used. Data were collected through in-depth interviews using guiding questions. Participants (N=9) were nurses with various positions and lengths of service. Analysis involved open coding, code grouping, and theme extraction. Data trustworthiness was maintained through triangulation, limited member checking, and an audit trail. Key Findings: Nine themes were identified: (1) Cultural & organizational adaptation- (2) Soft skills & professional attitude- (3) Critical thinking (CT) as a key competency- (4) Clinical competency development & certification- (5) Selection, interview & self-branding- (6) Networking, role models & lifelong learning- (7) Values, ethics & spirituality- (8) Learning from incidents & safety culture- (9) System context & placement. These themes form a professional development pathway for FGs, spanning from selection and orientation to clinical learning and retention. Conclusion: Bridging programs for FGs should emphasize CT and scientific literacy, SOP-based and safety-oriented (non-blaming) clinical orientation/training, assertive data-driven interprofessional communication, core certification packages (e.g., BTCLS/BNLS), and the strengthening of values, spirituality, and formal mentorship. Keywords: fresh graduate- professional development- critical thinking- work adaptation- safety culture- nursing Share Link | Plain Format | Corresponding Author (Wastu Adi Mulyono)

23	Nursing Care and Technology Development	ABS-38
Experiences of People Living with HIV Undergoing Antiretroviral in Adapting to the Physical Activity Lifestyles: A Scoping Review Novianti Lailiah, Nurullia Hanum Hilfida, Anja Hesnia Kholis, Dessy Rindiyanti Harista, Muhamad Ridlo Faculty of Medicine, Universitas Negeri Surabaya Abstract Background: Physical activity is essential for improving immune function, mental health, and quality of life among people living with HIV (PLHIV). However, those undergoing antiretroviral therapy (ART) may face unique challenges in adapting to an active lifestyle due to medication side effects, stigma, and physical limitations. Understanding their lived experiences is important to guide tailored interventions. Purpose: This scoping review aimed to map and synthesize existing literature on the experiences of PLHIV undergoing ART in adapting to physical activity lifestyles. Methods: A scoping review was conducted using a comprehensive search across five databases (Ovid MEDLINE, EBSCO CINAHL, Embase, Scopus, and Web of Science Core Collections), covering the literature from January 2015 to August 2025. Two researchers screened, selected relevant, and performed data charting, independently. The Patterns, Advances, Gaps, Evidence for practice, and Research recommendations framework was implemented to collate, summarise, and report the finding, while the review^s report was formulated per the PRISMA-ScR guideline. Results: A total of fifteen studies were included. Findings revealed four overarching themes: (1) Barriers such as fatigue, neuropathic pain, stigma, and lack of facilities- (2) Facilitators including social support, health professional encouragement, and perceived health benefits- (3) Adaptation Strategies such as engaging in low-intensity activities, integrating exercise into daily routines, and self-monitoring- and (4) Positive Outcomes including improved physical health, mental well-being, ART adherence, and enhanced quality of life. Conclusions: PLHIV on ART experience multiple challenges in adopting physical activity but demonstrate resilience through various adaptation strategies. Health professionals, especially nurses, play a critical role in providing guidance and supportive interventions. Further research is needed to develop culturally relevant, sustainable physical activity programs tailored to this population. Keywords: HIV, antiretroviral therapy, physical activity, experiences, adaptation Share Link | Plain Format | Corresponding Author (Novianti Lailiah)

24	Nursing Care and Technology Development	ABS-41
^As Caregivers, We Also Need Someone Who Listens^: A Qualitative Study of Family Perspectives as the Main Providers of Palliative Care for Stroke Patients Raditya Bagus Septian (a*), Heny Suseani Pangastuti (b), Wenny Artanty Nisman (c) (a) Department of Nursing, Universitas Jenderal Soedirman, Indonesia (b) Department of Medical and Surgical Nursing, Universitas Gadjah Mada, Indonesia (c) Department of Maternity Nursing, Universitas Gadjah Mada, Indonesia Abstract Background: Palliative care aims to improve the quality of life of both patients and their families who are facing serious illness. Family members, as the primary caregivers, often encounter multiple challenges when providing intensive care for stroke patients. However, there is a limited body of research exploring the experiences of family caregivers in providing palliative care for stroke patients in Indonesia. Purpose: The aim of this study was to explore the perspectives of family members as primary caregivers of palliative care for stroke patients in Indonesia. Methods: We conducted a qualitative phenomenological study, involving ten family caregivers of stroke patients receiving home-based care. Participants were recruited using purposive sampling with data obtained from the homecare unit of Dr. Sardjito Hospital, Yogyakarta. Data were collected through semi-structured interviews and unstructured observations until data saturation was reached. Data analysis was conducted using Colaizzi^s method, and the study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results: We identified two main themes from the analysis. The first theme, The multifaceted impact of families as caregivers, reflects the physical, emotional, spiritual, financial, and social consequences experienced by caregivers. The second theme, Family as the primary source of support in Javanese culture, highlights the role of extended family support and child support within caregiving practices. Conclusion: Our study identifies the complex impacts faced by family caregivers in providing palliative care at home. The findings suggest that interprofessional healthcare teams should focus not only on the needs of patients but also on those of family caregivers. Furthermore, policies are needed to address these challenges to enhance the quality of life of both patients and their families. Keywords: family, caregivers, stroke, palliative care, qualitative Share Link | Plain Format | Corresponding Author (Raditya Bagus Septian)

25	Nursing Care and Technology Development	ABS-43
Please Just Effectiveness of Self-Help Group on Self Care Behavioral Change in Hypertension Prevention among Patients with Uncontrolled HypertensionTry to Submit This Sample Abstract Lita Heni Kusumawardani, Endang Triyanto, Asep Iskandar Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia Abstract Background: Hypertension remains a major global health problem and a leading risk factor for cardiovascular disease, stroke, and premature death. Poor adherence to treatment and unhealthy lifestyle behaviors contribute to uncontrolled hypertension, particularly among older adults. Self-Help Group (SHG) education, integrated with complementary therapy, may enhance motivation and self-care behavior in managing hypertension. Aim: This study aims to evaluate the effectiveness of SHG education combined with Denmas Slamet application and complementary therapy (Auto-ReSik: autogenic relaxation, progressive muscle relaxation, and music therapy) on behavioral changes in hypertension prevention among patients with uncontrolled hypertension. Method: A quasi-experimental design with pre-test and post-test control group was employed. A total of 60 participants with primary hypertension were randomly assigned into intervention (n=30) and control (n=30) groups in Banyumas District, Indonesia. The intervention consisted of six weekly group sessions including health education via the Denmas Slamet app, lifestyle modification, stress management, Auto-ReSik therapy, and peer support. Data were collected using questionnaires and digital sphygmomanometers. Analysis included paired and independent t-tests, with non-parametric alternatives when necessary. Results and Discussion: It is expected that SHG education, integrated with Denmas Slamet and Auto-ReSik therapy, will significantly improve self-care behaviours (p value: 0.003) and contribute to better blood pressure control (p value: 0,005). Peer support and complementary approaches are anticipated to strengthen adherence to antihypertensive therapy. Conclusion and Recommendation: SHG education with digital and complementary interventions has the potential to be an effective community-based strategy for uncontrolled hypertension prevention. Wider implementation in primary healthcare and further research are recommended to sustain behavioral change and reduce hypertension complications. Keywords: Auto-ReSik therapy- behavioral prevention- Denmas Slamet application- self-Help Group- uncontrolled hypertension Share Link | Plain Format | Corresponding Author (Lita Heni Kusumawardani)

26	Nursing Care and Technology Development	ABS-44
Determinants Affecting the Incidence of Anemia among Female Adolescent in Pekalongan City Sri Mumpuni Yuniarsih, Rahajeng Win Martani, Endang Axtia Putri Pratama Universitas Pekalongan Abstract Keywords: anemia, female adolescents, age, menstrual patterns, nutritional status, knowledge level. Share Link | Plain Format | Corresponding Author (Rahajeng Win Martani)

27	Nursing Care and Technology Development	ABS-45
Community Nurses Empowerment in Addressing Stagnation of Tuberculosis (TB) Elimination Programs in Indonesia: A Systematic Review Sukatemin Sukatemin (a)*, Ester Ester (a), Ardiansa Ardiansa (a), Mulyanti Mulyanti (b), Ramadhan Tribahari Sugiharno (a), Wibowo Hanafi Arisusanto (a) (a) Department of Nursing, Polytechnic of Health of Jayapura, Papua, Indonesia (b) Department of Nutrition, Polytechnic of Health of Jayapura, Papua, Indonesia Abstract Background: Community nurses play a pivotal role in TB care, but their empowerment^s impact on overcoming these barriers remains understudied. Objective: This systematic review examines the influence of community nurses^ empowerment on addressing stagnation in Indonesia^s TB eradication programs, aiming to identify gaps and opportunities for intervention. Methods: A systematic review was used with PRISMA guidelines to analyze studies (2019-2024) on community nurses^ empowerment and TB program stagnation in Indonesia, using PICOT framework (Population: Indonesian community nurses/TB programs- Intervention: empowerment strategies- Outcome: program stagnation metrics). Searches across Scopus, Google Scholar, ResearchGate, and PubMed utilized keywords: ^community nurse empowerment,^ ^tuberculosis program stagnation,^ and ^Indonesia.^ Included studies were peer-reviewed empirical works in English/Indonesian, assessed for bias using Cochrane and Newcastle-Ottawa tools. Data synthesis combined quantitative analysis with GRADE-CERQual and NVivo-assisted thematic coding of qualitative findings. Results: The PRISMA analysis of 15 studies demonstrated that empowered community nurses improve TB detection by 27-40% and treatment success by 1.8x in LMICs (PICOT), with moderate-to-high confidence evidence (CERQual) despite some performance bias (ROB). Thematic analysis (NVivo) identified three effective empowerment mechanisms: structural support, psychological ownership, and community engagement, though implementation barriers persist in high-burden settings. Conclusion: The structured empowerment of community nurses significantly enhances TB program outcomes in high-burden settings, and the integrating nurse-focused training, resource allocation, and policy reforms into national TB elimination strategies are recommended to address implementation gaps. Keywords: community nurse empowerment, Indonesia, TB program stagnation, TB eradication Share Link | Plain Format | Corresponding Author (Sukatemin Sukatemin)

28	Nursing Care and Technology Development	ABS-49
Trends Publication and Novelty of the Role of Telehealth for Mental Health through a Bibliometric Analysis Sri Wahyuni (a,b*), Endang Triyanto (c) a) Student in Doctoral Nursing Study Program, Health Science Faculty, Universitas Jenderal Soedirman, Purwokerto, Indonesia b) Department of Nursing, Faculty of Health Science, Universitas YPIB Majalengka, West Java, Indonesia c) Department of Nursing, Health Science Faculty, Universitas Jenderal Soedirman, Purwokerto, Indonesia Abstract Background: In today^s diverse medical and psychiatric populations, telehealth has proven to be a viable solution to the gaps in mental health services. Its ability to remove barriers to care posed by distance and centralize services allows providers to provide specialized mental health services to those who require them. travel a great distance. Some patients who suffer from anxiety, OCD, or PTSD may find that going to hospitals and clinics exacerbates their anxiety, which they fear will result in unwelcome feelings and thoughts. More privacy and therapeutic Objective: The goal of the study was to use bibliometric analysis to investigate trends in the number of publications published annually, the number of citations in the field with the most consent to publish, network visualization, overlay visualization, and density visualization related to the topic of telehealth^s role in mental health. Methods: A bibliometric analysis was employed in this study. A database search at https://app.dimensions.ai/ yielded the records. The PRISMA flow diagram was then used to further select the collected data. The papers could only be published in 2020-2024. The sole type of publication is an article- book chapters, theses, and subsequent publications are not included. After data analysis with VOS Viewer, co-occurrence and co-author reviews took place. Results: The result of the research revealed that the number of Publication on the topic of the role of telehealth for mental health had an upward trend, the number of Citation on the topic of the role of telehealth for mental health had increased Network visualization, it was identified that there were 204 items divided into 7 clusters with 8885 links with a total link strength of 46,194. Network visualization on the topic of the role of telehealth for mental health provided information to find newness on topics that were not yet connected, there were seven cluster reviewing it from Co-occurence, overlay visualization on the topic of the role of telehealth for mental health provided a trend towards future research topics, density visualization on a topic that was still rare. Conclusion: The study^s findings lead to the conclusion that it advances the creation of a research roadmap for the application of telehealth to mental health. Suggestion: for other researchers, please choose a theme with a low visualization category to discover new studies in the future Keywords: Telehealth- Mental health- bibliometric analysis Share Link | Plain Format | Corresponding Author (Sri Wahyuni)

29	Nursing Care and Technology Development	ABS-52
The Effect of Culturally Tailored Foot Care Educational Interventions on Knowledge, Self- Efficacy, and Foot Care Behavior in Diabetic Patients: A Quasi-Experimental Study Yunita Sari1, Arif Setyo Upoyo1, Annas Sumeru1, Agis Taufik1, Akhyarul Anam1, Saldy Yusuf2, Haryanto3 1. Department of Nursing, Universitas Jenderal Soedirman, Purwokerto 2. Faculty of Nursing, Hasanuddin University, Makassar, Indonesia. 3. Department of Medical Surgical, Wound Management and Critical Nursing, Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat, Pontianak, Indonesia. Abstract Background: Foot care behavior in patients with diabetes mellitus (DM) in Indonesia is poor. A qualitative study shows that foot care behavior in DM patients in Indonesia is affected by culture. However, it is unknown whether a culturally tailored foot care educational intervention (CTFCEI) program can improve knowledge, self-efficacy, and foot care behavior in diabetic patients in Indonesia. Purpose: This study aimed to investigate the effect of a CTFCEI on knowledge, self-efficacy, and foot care behavior in diabetic patients in Indonesia. Methods: A pre- and post-quasi-experimental design with a control group was conducted in Banyumas Regency, Indonesia. The CTFCEI was developed using the DELPHI method. The study involved 160 participants divided equally between an intervention group and a control group. The intervention group watched a five-minute video containing a culturally tailored educational message while the control group had no intervention. All participants were followed up for 2 months. The measured outcomes were knowledge, self-efficacy, and foot care behavior. Results: Analysis within groups showed no differences in the mean scores of knowledge, self-efficacy, or foot care behavior between pre-test and post-test in the control group. Conversely, mean scores of knowledge (p <0.001), self-efficacy (p <0.001), and foot care behavior (p<0.001) were significantly higher in the post-test than in the pre-test in the intervention group. Analysis between two groups showed mean scores of knowledge (p<0.001), self-efficacy (p <0.001), and foot care behavior (p <0.001) were all significantly higher in the intervention group than in the control group. Conclusion: This is the first study to develop a CTFCEI based on Indonesian cultural values and to demonstrate that it can improve knowledge, self-efficacy, and foot care behavior in diabetic patients. Nurses can implement this method to improve foot care behavior in their diabetic patients. Keywords: Culture- diabetes mellitus- foot care behavior- knowledge- self-efficacy Keywords: Please Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (YUNITA SARI)

30	Nursing Care and Technology Development	ABS-53
Empowering Frontline Care: A Nurse-Led Triage Model for the Early Identification of Malnutrition Risk in Acute Stroke Arif Adi Setiawan (a*) , Eko Wahyudiyanto (b) , Cyruz Polero Tuppal (c), Romeo Jr. B. Pulgarinas (d), Abdulkarim O. Agga (e) , Cemy Nur Fitria (f), Ita Indraswati (f) a). Emergency & Critical Nursing Department, School Of Nursing,Faculty Of Health Sciences, Universitas Muhammadiyah PKU Surakarta, Indonesia *arif_adi[at]umpku.ac.id b). Emergency Departement, Panti Waluyo Hospital, Surakarta, Indonesia c). Professor, College of Allied Health, Department of Nursing, National University Philippines d). Critical Care Nurse, First Choice National (Trinity Health), Livonia, Michigan, USA e). Department Head Education and Training Dept. Qatar Care, Doha, Qatar f). Medical & Surgical Nursing Department, School Of Nursing,Faculty Of Health Sciences, Universitas Muhammadiyah PKU Surakarta, Indonesia Abstract Background: Malnutrition is a severe complication in acute stroke patients that worsens clinical outcomes. However, Emergency Department (ED) nurses lack a rapid, objective tool to identify patients at high nutritional risk upon admission, creating a significant gap between clinical guidelines and frontline practice. Purpose: This study aimed to develop a pragmatic, nurse-led triage indicator using two standard assessments-the Glasgow Coma Scale (GCS) and stroke type-to immediately identify high-risk stroke patients upon ED admission. Methods: A secondary analysis was conducted on data from 60 acute stroke patients. The primary outcome, malnutrition risk, was assessed using the Malnutrition Screening Tool (MST) and categorized as ^High Risk^ versus ^Low/Moderate Risk^. Bivariate analysis, including the calculation of Odds Ratios (OR), was used to evaluate the predictive strength of hemorrhagic stroke and admission GCS score. Results: Over one-fifth of the patients (21.7%) were at high risk for malnutrition. The presence of a hemorrhagic stroke increased the odds of a patient being at high malnutrition risk by 8.5 times compared to a non-hemorrhagic stroke (OR=8.5, p=0.008). A low GCS score was also profoundly associated with high-risk status, with a median GCS of 9 in the high-risk group compared to 13 in the low/moderate-risk group (p<0.001). Conclusion : A simple triage rule is proposed: ^Acute stroke patients with a GCS score of 11 or lower, OR a diagnosis of hemorrhagic stroke, should be automatically prioritized for a comprehensive nutritional assessment.^ This tool empowers nurses by integrating nutritional risk identification into their initial assessment using existing data. It helps bridge a critical gap in acute stroke care, facilitating timely interventions and fostering proactive interdisciplinary collaboration from the moment of patient arrival. Keywords: Acute Stroke, Malnutrition, Nursing Assessment, Glasgow Coma Scale, Triage Nursing, Emergency Department, Interdisciplinary Collaboration, Post-Stroke Sarcopenia, Neuroinflammation Share Link | Plain Format | Corresponding Author (arif adi setiawan)

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