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31	Nursing Care and Technology Development	ABS-59
Right Lateral Positioning in Nursing Care of an Infant with Pneumonia: A Case Study Kinanthy Handayani, Eni Rahmawati, Wastu Adi Mulyono Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University Abstract Background: Impaired oxygenation is a common issue in children with respiratory tract diseases, such as pneumonia, and can worsen if not addressed promptly. One non-pharmacological intervention that can help is right lateral positioning, which can improve oxygen saturation. In addition, a lack of maternal knowledge regarding proper breastfeeding techniques and attachment can hinder exclusive breastfeeding, leading to nutritional deficits in infants. Therefore, breastfeeding education is necessary. Objective: Impaired oxygenation is a common issue in children with respiratory tract diseases, such as pneumonia, and can worsen if not addressed promptly. One non-pharmacological intervention that can help is right lateral positioning, which can improve oxygen saturation. In addition, a lack of maternal knowledge regarding proper breastfeeding techniques and attachment can hinder exclusive breastfeeding, leading to nutritional deficits in infants. Therefore, breastfeeding education is necessary. Method: This research is a case study applying Evidence-Based Nursing (EBN) using a single-subject study method, which focuses on observing and analyzing changes before and after the intervention. The intervention was carried out through direct education and demonstration over a period of three days on an infant with pneumonia. Observations were conducted every two hours during a single shift (8 hours). Results: The results of the study showed an increase in oxygen saturation from 94% to 100%, and an improvement in the mother^s knowledge of breastfeeding, as indicated by the LATCH score, which increased from 6 to 10 over the course of three days. Conclusion: The implementation of right lateral positioning and breastfeeding technique education was effective in increasing oxygen saturation in an infant with pneumonia and improving the infant^s nutritional status, as evidenced by the mother^s enhanced knowledge of proper breastfeeding techniq Keywords: Breastfeeding technique education, pneumonia, right lateral positioning,Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (Eni Rahmawati)

32	Nursing Care and Technology Development	ABS-60
PERCEPTION OF PAIN AS THE FIFTH VITAL SIGN IN NURSING CARE: A QUALITATIVE STUDY Nuriya, Saryono, Agis Taufik Department of Nursing Science, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Indonesia Abstract Background: Pain is an unpleasant sensory and emotional experience resulting from actual or potential tissue damage. It can be temporary or persistent, and inadequate pain management may cause physical complications, immune dysfunction, and delayed recovery. Pain also contributes to psychological problems such as stress, anxiety, and depression, and may increase the economic burden. Nurses play a crucial role in conducting pain assessments and ensuring effective pain management. Objective: This study aimed to explore nurses^ perceptions and understanding of pain as the fifth vital sign to support accurate screening and appropriate interventions. Methods: A qualitative study was conducted using semi-structured interviews with 11 participants. Data were analyzed thematically to capture nurses^ perceptions of pain as the fifth vital sign. Results: Nurses^ perceptions of pain as the fifth vital sign were reflected in several dimensions: understanding the concept of pain, recognition of pain intensity, acknowledgment of individual variations in pain response, identification of factors influencing pain, approaches to pain evaluation, comprehensive strategies for pain management, and barriers to implementation. Pain was viewed not only as a subjective complaint but also as a clinical indicator of patient conditions, requiring regular and systematic monitoring. Conclusion: Nurses perceived pain as a critical component of patient assessment, emphasizing its role as the fifth vital sign. This perception underscores the importance of continuous evaluation and holistic management strategies to address pain effectively in clinical practice. Keywords: Pain, Nurses, Fifth Vital Sign Share Link | Plain Format | Corresponding Author (Nuriya Nuriya)

33	Nursing Care and Technology Development	ABS-61
PREPARING NOCTURNAL EMISSIONS FOR PRE-ADOLESCENCE BOYS AT SD NEGERI KASONGAN Dwi Yati1, Kritina Br Pasaribu2, Sujono Riyadi3 Program Studi S1 Keperawatan Universitas Jenderal Achmad Yani Yogyakarta Jl. Ringroad Barat, Gamping Kidul, Ambarketawang, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55294 Abstract Background: Nocturnal emissions are an early sign of puberty in boys, indicating biological readiness to reproduce. However, the lack of information and taboo assumptions make children feel anxious and not ready to face it. Purpose: This study aims to find out the picture of readiness to face nocturnal emissions in pre-adolescent boys at SD Negeri Kasongan. Methods: This study uses a quantitative approach with a descriptive type and a cross-sectional design. The sample in this study consists of pre-adolescent boys in grades 3-5 of an elementary school, aged 9-12 years, who have not experienced wet dreams, comprising approximately 65 students. This sample selection technique involves using all members of the population as samples. This research was conducted at SD Negeri Kasongan in April 2025. The research instrument used is a readiness questionnaire that covers aspects of understanding, appreciation, and willingness, which have been tested by experts and undergo validity and reliability tests. Univariate data analysis is classified and presented in the form of a frequency distribution. Results: The study^s results showed that most respondents (81.5%) were not ready to face nocturnal emissions. Conclusion: The majority of pre-adolescent boys are not ready to face nocturnal emissions, so education is needed early to increase their readiness. Keywords: Readiness- nocturnal emissions- pre-adolescence- boys Share Link | Plain Format | Corresponding Author (Dwi Yati)

34	Nursing Care and Technology Development	ABS-64
Reducing Stress in Adolescents through Mindfulness-Based Intervention: A Nursing Approach Supporting Emotional Regulation Evi Supriatun (a*), Nafisah Itsna Hasni (a), Marsono (a) (a) Nursing Department, Politeknik Negeri Indramayu, Indonesia *evisupriatun[at]polindra.ac.id Abstract Stress is a major challenge for teenagers today, affecting their physical, mental, and learning health. Pressure from peers, teachers, family, and limited free time contributes to increased stress. Physical impacts include indigestion and irregularities in reproductive hormones, including the menstrual cycle. Stress also reduces focus on learning, optimism in facing problems, and motivation to achieve goals. Therefore, managing adolescent stress is an important issue relevant to developing innovative nursing practices focused on mental health. This study aims to evaluate the effectiveness of mindfulness-based interventions in reducing stress in adolescents, with a nursing approach that supports emotion regulation. This study used a one-group pretest-posttest design on 52 adolescent girls. Participants participated in a structured mindfulness training program for emotion regulation, consisting of 1 introductory session and 3 mindfulness practice sessions. Stress levels were measured before and after the intervention using the Perceived Stress Scale (PSS-10) that has been validated for adolescents. Data were analyzed using paired t-tests to determine the difference in stress scores before and after the intervention. The findings revealed that the average stress score prior to the intervention was 24.6 with a standard deviation of 5.1, and it decreased to 18.3 with a standard deviation of 4.7 after the intervention. Statistical analysis using the paired t-test demonstrated a highly significant reduction in stress levels, confirming that mindfulness interventions are effective in alleviating stress among adolescent girls. Structured mindfulness practice interventions for emotion regulation have been shown to be effective in lowering stress levels in adolescent girls. This approach is relevant to nursing practices that support adolescent mental health and can be further developed as a nursing innovation for stress management in an educational setting. Keywords: Mindfulness, Adolescent girls, Stress, Emotional regulation Share Link | Plain Format | Corresponding Author (Evi Supriatun)

35	Nursing Care and Technology Development	ABS-66
The Effect of Art Drawing Therapy on Stress Reduction Among Adolescents in an Orphanage: A Pilot Study Dessy Marendra Rizki Permana1, Estin Yuliastuti1*, Wijayanti1, Weni Hastuti1 1Department of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah PKU Surakarta, Indonesia Abstract Background: Stress is a common mental health problem among Indonesian adolescents, with national data showing high prevalence of emotional mental disorders. Adolescents living in orphanages are more vulnerable due to limited family support, feelings of loss, and psychosocial difficulties, which may further increase their risk of stress. Purpose: The purpose of this pilot study was to determine the preliminary effect of art drawing therapy on stress levels among adolescents in an orphanage. Methods: This pilot quasi-experimental study used one group pre-test and post-test design. A purposive sampling technique was applied with a total of 24 respondents. The research was conducted at the Keluarga Yatim Mandiri Orphanage in Surakarta, Indonesia, on January 2024, consisting of three art drawing therapy sessions. Stress levels were measured before and after the intervention using the Perceived Stress Scale (PSS). Data were analyzed using the Wilcoxon test. Results: The results showed a p-value of 0.000 (p < 0.05), indicating a significant effect of art drawing therapy on stress levels among adolescents in the orphanage. Conclusion: Art drawing therapy showed a promising effect in reducing stress levels among adolescents in an orphanage. As a pilot study, further research with larger samples and control groups is needed. Keywords: Adolescent, art drawing therapy, orphanage, stress Share Link | Plain Format | Corresponding Author (Estin Yuliastuti)

36	Nursing Care and Technology Development	ABS-67
RELATIONSHIP BETWEEN KNOWLEDGE AND SELF-EFFICACY OF MOTHERS HAVING LOW BIRTH WEIGHT BABIES Annisa Nurjannah, Eni Rahmawati, Haryatiningsih Purwandari Jurusan Keperawatan, Fakultas Ilmu-Ilmu Kesehatan, Universitas Jenderal Soedirman Abstract Background : Low birth weight (LBW) babies were a condition that required more intensive care by the mother. The mother^s low knowledge in caring for LBW affected her self-confidence or self-efficacy in providing care. This research aimed to analyze the relationship between knowledge and self-efficacy of mothers who had low birth weight babies. Method : This type of research uses a correlation design with convenience sampling technique involving 48 respondents. The respondent criteria are mothers who have low birth weight (LBW) babies. The research instrument is a questionnaire on maternal knowledge and Perceived Maternal Parenting Self-Efficacy (PMP SE). Data analysis uses the Spearman test. Research Results : The characteristics of maternal age showed a mean value of 28.94 years. The majority of mothers had a high school education, the majority of childbirth status was multiparous, with an average baby weight of 1,756.46 grams. Mothers had an average knowledge score of 17.40 with a minimum value of 10 and a maximum of 25. Spearman test analysis obtained a p-value of 0.001 (p <0.05) with an r value of 0.800 which indicated that there was a significant relationship with a strong relationship category between maternal knowledge and maternal self-efficacy with low birth weight babies. Conclusion : There was a significant relationship between self-efficacy and knowledge of mothers who had low birth weight (LBW) infants. Keywords: Baby, low baby wight, self-efficacy, knowledge Share Link | Plain Format | Corresponding Author (Annisa Nurjannah)

37	Nursing Care and Technology Development	ABS-68
The Effect Of Basic Wound Care Education With Pop Up Book Media On The Level Of Knowledge Of Elementary School Children Silvya Tri Khafifah1*, Nurul Istiqomah2, Anggi Luckita Sari3 1Nursing student, Faculty of Health Science, Universitas Muhammadiyah PKU Surakarta, 53416, Central Java, Indonesia 2,3Department of Pediatric Nursing, Faculty of Health Science, Universitas Muhammadiyah PKU Surakarta, 53416, Central Java, Indonesia Corresponding Author: Anggi Luckita Sari Abstract Background: Wounds left untreated will lead to infection. But there are still many school children who are afraid to treat wounds because they are afraid of feeling sore or sick, do not know how to do wound care properly, feel good because they think the wound is not too severe where wounds that are not treated immediately that should heal instead cause infection. Health education about basic wound care is still rare, especially among elementary school children. An alternative medium for easily disseminating and understanding information to elementary school children is the pop-up book. Pop-up books have pages that create a three-dimensional, raised, or moving effect when opened, making them engaging for children. Purpose: The purpose of this study was to find out whether there is an effect of basic wound care education with pop up book media on the level of knowledge of elementary school Methods: This study is a type of quantitative research, with the research design using the pre-experimental method which is one group pre test and post test design this study does not use a comparison group. The sampling technique used a total of 39 respondents of students and students in grade VI of SD Birrul Walidain Muhammadiyah Tanon. The measuring tool used in this study was a questionnaire on the level of knowledge of basic wound care Results: The level of knowledge of elementary school children after being given health education has increased, this can be proven by the results of the analysis test using the wilcoxon test, the results of the p value of 0.000 < 0.05 and the Z value of -5,049 was obtained. Conclusion: There is an effect of basic wound care education with pop up book media on the level of knowledge of elementary school children. Keywords: children, education with pop up book, wound care Share Link | Plain Format | Corresponding Author (Anggi Luckita Sari)

38	Nursing Care and Technology Development	ABS-69
Knowledge, Family Support, and Depression in Pregnant Women Dini Nurul Khasanah, Lutfatul Latifah, Aprilia Kartikasari Department of Nursing Universitas Jenderal Soedirman Abstract Antenatal depression is a mental health problem that often occurs during pregnancy and can affect the health of the mother and fetus. This study aimed to analyze the relationship between maternal knowledge and family support and the incidence of antenatal depression. This was an analytical correlational study with a cross-sectional approach. Accidental sampling was used with a sample size of 105 respondents. The instruments used were the Mental Health Knowledge Scale (MHKS), family support instruments, and the Edinburgh Postnatal Depression Scale (EPDS). The hypothesis was tested using Spearman^s correlation test. The mean scores for pregnant women^s knowledge of antenatal depression, family support, and the incidence of antenatal depression were 13, 7, and 14, respectively. The EPDS results showed that 3.9% of respondents did not experience depression, 28.6% experienced a risk of antenatal depression, and 67.7% experienced antenatal depression. The Spearman test results showed a p-value of 0.162 (p-value < 0.05) for pregnant women^s knowledge of the incidence of antenatal depression and a p-value of 0.113 (p-value < 0.05) for family support regarding the incidence of antenatal depression. There was no relationship between pregnant women^s knowledge of the incidence of antenatal depression, and there was no relationship between family support and the incidence of antenatal depression. Nurses, as health workers, need to provide education during pregnancy and screen for the risk of depression to prevent antenatal depression. Keywords: Antenatal depression. EPDS, Family support, Knowledge, MHKS Share Link | Plain Format | Corresponding Author (Lutfatul Latifah)

39	Nursing Care and Technology Development	ABS-73
Examining the Relationship Between Experience and Self-Efficacy in Community Disaster Preparedness Nurmaharani (a)(b)*, Kusman Ibrahim (c), Etika Emaliyawati (c) (a) Master of Nursing Program, Universitas Padjadjaran, Indonesia (b) Faculty of Health Sciences, Universitas Jenderal Soedirman, Indonesia *nurmaharani[at]unsoed.ac.id (c) Faculty of Nursing, Universitas Padjadjaran, Indonesia Abstract Background: Natural disasters often have profound impacts on communities and require adequate preparedness at both individual and community levels. Individual responses and adaptations during emergencies are strongly influenced by self-efficacy, which plays a crucial role in shaping community behavior. Furthermore, previous experiences can improve community readiness and cultivate confidence in facing disasters. Objective: The purpose of this study was to investigate the correlation between experience and self-efficacy regarding community readiness for disaster response. Methods: This study employed a cross-sectional design with a total sample of 150 community members. Data were collected using a questionnaire developed based on Enders^ emergency preparedness model. Statistical analysis was performed using the chi-square test. Results: The findings demonstrated a significant correlation between experience (p = 0.011) and self-efficacy (p = 0.028) with community preparation in disaster response. Conclusion: There is a correlation between experience and self-efficacy with community preparedness in facing disasters. This study recommends that government agencies and local nurses provide education and training ranging from first aid to evacuation procedures to strengthen community confidence and readiness in dealing with future disasters. Keywords: experience- disaster- self-efficacy Share Link | Plain Format | Corresponding Author (Nurmaharani Nurmaharani)

40	Nursing Care and Technology Development	ABS-75
Thermal and Vibration-Based Digital Interventions for Improving Foot Vascularization and Plasma Lactate Among Individuals with Type 2 Diabetes Mellitus: A Literature Review Yuli widyastuti, nurul istiqomah, Ita Indraswati Universitas jenderal soederman Abstract Background: This review synthesizes research on the effect of warm socks and vibration foot using digital devices on plasma lactate levels and foot vascularization among adults with Type 2 Diabetes Mellitus (T2DM) to address gaps in understanding non-pharmacological interventions targeting diabetic microvascular and metabolic dysfunction. The review aimed to evaluate thermal and vibration therapies^ impact on plasma lactate, benchmark digital device interventions for foot vascularization, elucidate underlying vascular mechanisms, compare measurement methodologies, and clarify microvascular-metabolic relationships. Methods: A review was conducted by searching PubMed search strategy to identify randomized controlled trials and quays experimental published to 9 August 10, 2025. Results: Findings 19 studies indicate that thermal therapies can modestly improve macrovascular endothelial function and mobilize progenitor cells, though microvascular responses are variable and neuropathy may limit efficacy- vibration therapy evidence remains scarce with limited direct assessment of plasma lactate or vascular outcomes. Plasma lactate is often elevated in T2DM, with exercise reducing lactate during activity but basal levels largely unaffected- the influence of thermal or vibration interventions on lactate remains underexplored. Advanced digital devices demonstrate feasibility for intervention delivery and continuous monitoring but lack robust clinical validation. Conclusion: These findings highlight the potential of integrated thermal and mechanical digital therapies to modulate vascular and metabolic parameters, underscoring the need for standardized, larger scale trials to optimize clinical application and mechanistic understanding in diabetic populations. Keywords: Diabetes Mellitus, Plasma Lactate, Foot Vascularization, Thermal and Vibration-Based Digital Share Link | Plain Format | Corresponding Author (Yuli Widyastuti)

41	Nursing Care and Technology Development	ABS-77
Innovation in Development of Electric Maternity Belt for Increasing Fetal Health Heni Purwaningsih, Eko Nugroho, Nurul Istiqomah, Tria Puspitasari Universitas Muhammadiyah PKU Surakarta Abstract Background: Maternal and fetal health during pregnancy is a top priority in maternal healthcare. Although advance in medical technology have enabled early detection of various complications, the active role of pregnant women in monitoring their own health and that of their fetus remain a crucial factor. Effective self monitoring such as recognizing fetal movements, fetal heart rate and physical changer can facilitate prompt and timely medical intervention thereby significanly reducing the risk of morbidity and mortality in both the mother and fetus. Purpose: The purpose of this study was to develop electric maternity belt to self monitoring of fetal heart rate and movements. Methods: The design of this study was research and development (RnD) waterfall method. This method combines observasional data to be developed through the waterfall procedur. The warterfall method is a sequential or linier concept used to produced amodern health device that can be used independently by pregnant women. Results: The result showed that the first phase of the study, based on interviews withd five pregnant women revealed that the existing belts were used only for abdominal support and lacked other fuctions. They alssi had an uncomfortable design. All respondents stated that an ideal maternity belt should be equipped with fetal hearth rate and movement detection so that pregnant women could monitor their babys well being at any time without having to visit an obstetrician. During the development phase, the product^s and shape were adjust to meet the needs of pregnant women. The electric materbity belt was developed with features for detecting fetal heart rate and movement and now referred to as the ^electric maternity belt^. Conclusion: The electric maternity belt is deemed effective validation score of , pregnant women, with its development falling under the feasible category and considered effective if the usage score reaches at least 75% and 85% from electromedical engineering expert. Keywords: electric_maternity, fetal _health, women_pregnant Share Link | Plain Format | Corresponding Author (Heni Purwaningsih)

42	Nursing Care and Technology Development	ABS-84
TRIAGE KNOWLEDGE AS A DETERMINANT OF FAMILY ANXIETY LEVELS IN THE EMERGENCY DEPARTMENT Nonok Karlina (a*), Rina Utami (b), Siti Marisa (b), Hasril Desiathul H (b), Terry Melani (b) a) Nursing, Mahardika Institute of Technology and Health Jalan Terusan Sekar Kemuning no.199, Cirebon 45131, Indonesia *nonok.karlina[at]mahardika.ac.id b) Nursing, Mahardika Institute of Technology and Health Jalan Terusan Sekar Kemuning no.199, Cirebon 45131, Indonesia Abstract Family knowledge of triage plays an important role in determining psychological responses when facing emergency situations in hospitals. This study aimed to analyze the relationship between triage knowledge and the anxiety levels of patients^ families in the Emergency Department of Mitra Plumbon Hospital, Indramayu. A correlational design with a cross-sectional approach was applied. The sample consisted of 54 respondents selected from a total population of 118 using non-probability sampling with the accidental sampling method. Research instruments included a triage knowledge questionnaire, which had been tested for validity and reliability, and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels. The normality test indicated that the data were not normally distributed- therefore, Spearman Rank correlation was used for analysis. The results showed a significance value of 0.001 with a correlation coefficient of 0.844, indicating a very strong relationship between triage knowledge and family anxiety levels in the Emergency Department of Mitra Plumbon Hospital, Indramayu. These findings highlight that triage understanding can be a key determinant of family anxiety when dealing with emergency situations. Keywords: Triage knowledge- Anxiety level- Patient^s family Share Link | Plain Format | Corresponding Author (Nonok Karlina Karlina)

43	Nursing Care and Technology Development	ABS-87
QUALITY OF LIFE OVERVIEW OF MOTHERS WITH LOW BIRTH WEIGHT (LBW) BABIES IN THE PERINATOLOGI Raka Aditya Riandi (a), Eni Rahmawati(b), Nina Setiawati (c) faculty of Health Sciences, Nursing Science Abstract Background: A good quality of life for mothers can support the care of Low Birth Weight (LBW) Babies in perinatology. Mothers who are physically and mentally healthy and have social support can provide optimal care for their babies. The mothers mental and physical condition is interrelated with the mothers quality of life. Quality of life includes four aspects, namely physical health, psychological health, social relationships, and the environment. This study aims to determine the quality of life of mothers with Low Birth Weight (LBW) Babies in the perinatology room. Method: This research used a descriptive quantitative research design involving 40 respondents, and used convenience sampling techniques. Data were obtained using the WHOQOL (World Health Organization Quality of Life) questionnaire, data were analyzed using univariate tests. Research Results: The average age of respondents was 29.1 years with a minimum age of 14 days and a maximum of 27 days, and the majority of gestational age was premature, 57.5%. The majority of respondents had a high school education, 62.5%, primipara parity status 52.5%, 92.5% caesarean section delivery type, unemployed employment status 77.5% and low birth weight baby category (1,500-2,499 grams) 77.5%. The results of the mother^s quality of life are measured according to four domains, the physical domain has a good category of 70% and 30% bad, the psychological domain has a good category of 82.5% and a bad 17.5%, the social domain has a good category of 97.5% and a bad 2.5%, and the environmental domain has a good category of 97.5% and a bad 2.5%. Conclusions: The quality of life of mothers with low birth weight babies in the perinatology room, the majority of the four domains are in the good category. Keywords: mother, LBW, quality of life. Share Link | Plain Format | Corresponding Author (Raka Aditya Riandi)

44	Nursing Care and Technology Development	ABS-88
THE RELATIONSHIP BETWEEN DURATION OF DIABETES AND SEXUAL DYSFUNCTION IN WOMEN Silvani Rose Hidayah, Akhyarul Anam, Annas Sumeru Universitas Jendral Soedirman Abstract Background: Diabetes is the most common disease characterized by increased blood glucose and resulting complications in the liver, blood, kidneys, nerves and blood vessels. Diabetes can cause several complications such as duration of diabetes is a crucial factor because over time, the disease can cause damage to the nerves (neuropathy), blood vessels (angiopathy). Sexual dysfunction in people with diabetes is often caused not only by the presence of the diabetes condition itself, but also by the duration of time a person has diabetes. Method: This study is an analytical with correlation anlysis method with approach taken is crossesctioal. The sample using consecutive method with slovin formula. This research is quantitative with the flow of respondents will be given a questionnaire based on questions from the female sexual function index. Result: the sig value (2-tailed) is 0.001, because the sig value (2-tailed) <0.05, there is a significant relationship between the duration of diabetes and sexual dysfunction. The distribution of diabetic patients who experience sexual dysfunction is divided into 6 domains of desire (14.3%), arousal (8.6%), lubrication (22.9%), orgasm (12.9%), satisfaction (17.1%) and dyspareunia (24.3%). Conclusion: There is a significant relationship between the duration of suffering from diabetes with The incidence of sexual dysfunction in women. Keywords: Diabetes, Duration of diabetes, Female Sexual Function Index (FSFI), Sexual dysfunction Share Link | Plain Format | Corresponding Author (Silvani Rose Hidayah)

45	Nursing Care and Technology Development	ABS-89
Evaluating the Accuracy of AI-Generated Nursing Care Plans for Impaired Gas Exchange Hasby Pri Choiruna (a*) & Indah Ramadhan (a) a) Department of Nursing, Universitas Jenderal Soedirman, Indonesia *hasby.pri[at]unsoed.ac.id Abstract Background : Accurate and timely nursing care planning is fundamental to patient safety and effective outcomes, particularly for complex conditions like impaired gas exchange. The emergence of generative Artificial Intelligence (AI) presents a novel opportunity to support nurses in this critical task. However, the accuracy and clinical validity of care plans generated by these models remain unevaluated. Purpose : The purpose of this study was to evaluate the accuracy of AI-generated nursing care plans for impaired gas exchange. Methods : The design of this study was a comparative analysis. The study was conducted by giving prompts in the form of patient case scenarios to nine AI models to generate a comprehensive nursing care plans. The accuracy of each generated plan was independently scored using a rubric based on the Indonesian Nursing Standards. The rubric evaluated accuracy across domains: nursing diagnosis, main nursing diagnosis, main nursing outcome, and main nursing interventions. Results : A total of 9 AI-generated care plans were evaluated. The results showed that there were variations in accuracy of AI-generated nursing care plans for impaired gas exchange. Three of nine AI care plans had accuracy scores less than 100. Conclusion : Generative AI models demonstrate promising potential in formulating foundational nursing care plans for impaired gas exchange, but their accuracy varies significantly between models. These technologies can serve as valuable assistive tools but are not yet a substitute for the critical appraisal and clinical judgment of professional nurses. Further research is imperative to refine AI models for clinical reliability and to develop guidelines for their ethical and effective integration into nursing practice. Keywords: Artificial Intelligence, Nursing Care Plan, Impaired Gas Exchange, Clinical Decision Support, Nursing Informatics. Share Link | Plain Format | Corresponding Author (Hasby Pri Choiruna)

46	Nursing Care and Technology Development	ABS-90
Mindfulness for Hypertension Management: Mapping Evidence and Gaps in Medication Adherence Ady Irawan. AM1*, Kusumaningtyas Siwi Artini2, Agung Widiastuti3, Anggie Pradana Putri4 1Program Studi Doktor Keperawatan, Universitas Jenderal Soedirman, Indonesia- Progam Studi Pendidikan Profesi Ners, Universitas Duta Bangsa Surakarta, Indonesia- Himpunan Perawat Holistik Indonesia, Indonesia- Global Lubna Jaya Co., Indonesia 2Progam Studi Farmasi, Universitas Duta Bangsa Surakarta, Indonesia 3Progam Studi Pendidikan Profesi Ners, Universitas Duta Bangsa Surakarta, Indonesia 4Program Studi D3 Keperawatan, STIKES Mamba^ul ^Ulum Surakarta, Indonesia Abstract Background: Hypertension affects 1,28 billion adults globally and remains the leading risk factor for cardiovascular disease, stroke, and kidney failure. Despite widely available therapies, only one in three patients achieve adequate control, largely due to poor medication adherence and insufficient self-management. Mindfulness-based interventions (MBIs) have been widely studied for stress and lifestyle behaviors, yet their contribution to antihypertensive medication adherence remains poorly understood. Purpose: This scoping review sought to map and synthesize evidence on mindfulness interventions for hypertension. Guided by the PCC framework, the research question was: ^What is known about the role of mindfulness interventions in improving medication adherence and self-management among adults with hypertension?^ Methods: The review was conducted in accordance with PRISMA and guided by the PCC framework. Inclusion criteria: (1) peer-reviewed studies published in English between 2015-2025- (2) adult participants with hypertension or elevated blood pressure- (3) interventions or assessments involving mindfulness- (4) outcomes on medication adherence, self-management, or blood pressure- and (5) quantitative, qualitative, or review designs. Exclusion criteria were protocols, commentaries, and studies unrelated to adherence or self-management. Four databases (PubMed, Scopus, CINAHL, Web of Science) were systematically searched. From 246 records identified, 18 full texts were screened, and 5 studies met inclusion criteria. Data were charted for study design, intervention, adherence/self-management measures, and blood pressure outcomes. Results: Two RCTs of Mindfulness-Based Blood Pressure Reduction (MB-BP- n=200 each) improved interoceptive awareness, DASH diet adherence, and reduced systolic blood pressure, but did not directly measure medication adherence. One cross-sectional study (n=68) showed higher mindfulness scores predicted better adherence (MMAS-8). A systematic review/meta-analysis (12 RCTs) confirmed blood pressure reductions and improved self-regulation but lacked adherence-specific endpoints. A narrative review suggested feasibility of mindfulness to support adherence and self-management. Conclusion: The novelty of this review lies in demonstrating that direct evidence linking mindfulness to antihypertensive medication adherence is almost absent, despite consistent benefits for lifestyle self-management. This critical gap highlights the need for rigorous, culturally adapted trials with validated adherence measures. The impact extends to advancing precision in mindfulness research and guiding integration of low-cost, holistic interventions into community health nursing to overcome persistent barriers in hypertension control. Keywords: mindfulness, hypertension, medication adherence, self-adherence, community health nursing Share Link | Plain Format | Corresponding Author (Ady Irawan. AM)

47	Nursing Care and Technology Development	ABS-96
Determinant Factors of Depression in Patients with Multi - Drug Resistant Endah Sari Purbaningsih1*, Muadi1, Thia Oktiany1, Rosalia Rahayu1, lili Wahyuni1, Ani Nurhaeni1, Dewi Erna Marisa1 1Institut Teknologi dan Kesehatan Mahardika Abstract Background: Multi-drug resistant tuberculosis (MDR-TB) patients often experience depression due to the long and complex treatment process, which can affect treatment adherence and recovery outcomes. This study aimed to identify determinant factors of depression among MDR-TB patients. Methods: This quantitative analytic study with a cross-sectional design involved 100 MDR-TB patients at Waled Cirebon Regional General Hospital. Data collection used validated instruments including the Beck Depression Inventory-II (BDI-II). Statistical analysis included chi-square and logistic regression to identify significant determinants. Results: The prevalence of depression was 52%. Bivariate analysis showed significant associations between depression and treatment duration (p = 0.002), comorbidities (p = 0.001), income level (p = 0.019), and social support (p = 0.005). Multivariate logistic regression identified comorbidities (OR = 3.8, 95% CI: 1.7-8.3) and poor social support (OR = 2.9, 95% CI: 1.3-6.6) as dominant factors. Conclusion: Depression in MDR-TB patients is significantly influenced by comorbidities and social support. Holistic treatment approaches addressing both physical and psychosocial factors are recommended. Keywords: MDR-TB, depression, comorbidity, social support, Indonesia Share Link | Plain Format | Corresponding Author (Endah Sari Purbaningsih)

48	Nursing Care and Technology Development	ABS-106
Combination Massage Effluerage with Lavender Aromatherapy for Intra Natal Care Adaptation Yusrah Taqiyah, Reti Purnamasari, Fatma Jama Universitas Jenderal Soedirman and Universitas Muslim Indonesia Abstract Background : The first stage of labor is the phase that gives rise to painful great consequence uterine contractions and dilation cervix . This pain can cause stress , anxiety , even trauma. Non- pharmacological approaches proven help reduce perception painful . Method: Research design using pre-experiment with approach One group pre- post test . The sample consisted of 36 mothers. first stage of labor active taken in a way purposive sampling. Measurement painful done use Numerical Rating Scale (NRS) before and after intervention . Data analysis using Wilcoxon test Results : study show before intervention , majority respondents experience painful heavy with an average of 6.33 and after intervention decrease become currently with an average score of 4.36. Wilcoxon test results show mark p = 0.000 (p < 0.05), which means there is influence significant from intervention to decline adaptation painful . Conclusion : Combination effleurage massage which is effective lavender aromatherapy in lower perception painful first stage of labor , so that Mother inpartu capable adapt painful first stage of labor . Intervention This can made into alternative in practice nursing For increase comfort Mother inpartu during the labor process . Keywords: Effleurage Massage, Lavender Aromatherapy , Intranatal Care Share Link | Plain Format | Corresponding Author (Yusrah Taqiyah)

49	Nursing Care and Technology Development	ABS-112
Complementary Herbal Therapy for Hypertension: The Role of Bay Leaf (Syzygium polyanthum) Decoction in Reducing Systolic Blood Pressure Rian Tasalim (a*), Muhammad Arief Wicaksono (b), Nor Rapika (c) a,b,c) Department of Nursing, Faculty of Health, Universitas Sari Mulia Jl. Pramuka No. 2, Banjarmasin 70238, Indonesia *rtasalim[at]gmail.com Abstract Background:Hypertension is a major public health problem worldwide and remains highly prevalent in Indonesia, particularly in primary healthcare settings. Effective management requires not only pharmacological treatment but also complementary strategies that are accessible, safe, and evidence-based. Bay leaf (Syzygium polyanthum), widely used in Indonesian traditional medicine, contains bioactive compounds such as flavonoids, tannins, and essential oils that may exert antihypertensive effects. This study aimed to examine the role of bay leaf decoction in reducing systolic blood pressure among hypertensive patients. Methods: A pre-experimental study with a one-group pretest-posttest design was conducted on 15 hypertensive patients aged 45-64 years at Gambut Health Center, Indonesia. Participants received a bay leaf decoction prepared from seven leaves boiled in 200 ml of water, administered once daily for seven consecutive days. Systolic blood pressure was measured before and after the intervention using a sphygmomanometer. Data were analyzed with a paired t-test. Results: The findings showed a significant reduction in systolic blood pressure after the intervention (p = 0.000061). Notably, 46.7% of respondents achieved normal blood pressure levels, while the proportion of patients in grade 3 hypertension declined from 26.7% to 13.3%. Conclusion: This study concludes that bay leaf decoction is effective in lowering systolic blood pressure and can serve as a complementary herbal therapy for hypertension. The integration of traditional herbal remedies with conventional care may enhance hypertension management at the primary healthcare level. Keywords: Bay Leaf, Complementary Therapy, Hypertension, Systolic Blood Pressure, Syzygium Polyanthum. Share Link | Plain Format | Corresponding Author (Rian Tasalim)

50	Nursing Care and Technology Development	ABS-113
THE EFFECT OF THE H.E.N.Y.S MODEL (Holistic, Empathy, Nurturing, Your spiritual care) ON GLYCEMIC CONTROL, PSYCHOLOGICAL WELL-BEING AND SPIRITUAL WELL-BEING OF TYPE 2 DIABETES MELLITUS PATIENTS Heny Siswanti, Iwan kurniawan, Sukesih Universitas Muhammadiyah Kudus Abstract Background : The International Diabetes Federation (IDF) reports that in 2021, there were approximately 537 million adults living with diabetes, and this figure is expected to reach 643 million by 2030. Holistic care has gained widespread attention in modern nursing practice. This approach integrates physical, psychological, social, and spiritual dimensions in an effort to improve patients^ quality of life. One innovation in this area is the H.E.N.Y.S. (Holistic, Empathy, Nurturing, Your spiritual care) Model, a nursing intervention model that combines empathy, ongoing coaching, and spiritual support as an integral part of T2DM management. This model is designed to strengthen the nurse-patient relationship, encourage patient independence in disease management, and improve overall well-being. Objective:This systematic literature review aims to critically evaluate the impact of the H.E.N.Y.S model (Holistic, Empathy, Nurturing, Your spiritual care) on glycemic control, psychological well-being, and spiritual well-being among patients with type 2 diabetes mellitus. Specifically, Methods : Keywords and Medical Subject Headings (MeSH) terms related to ^H.E.N.Y.S model,^ ^holistic nursing,^ ^spiritual care,^ ^psychological well-being,^ ^spiritual well-being,^ and ^type 2 diabetes mellitus^ were applied. Inclusion criteria encompassed peer-reviewed experimental or quasi-experimental studies evaluating the H.E.N.Y.S model or comparable holistic-spiritual nursing interventions with outcomes on glycemic control, psychological well-being, Results :A total of XX studies met the inclusion criteria, comprising randomized controlled trials, quasi-experimental designs, and pre-post intervention studies conducted in primary care, hospital, and community settings. The majority of studies demonstrated that implementation of the H.E.N.Y.S Conclusions:The H.E.N.Y.S model, integrating holistic care, empathy, nurturing, and spiritual support, demonstrates significant potential in impro Keywords: Glycemic control- Holistic nursing- Psychological well-being- Spiritual care- Systematic literature review Share Link | Plain Format | Corresponding Author (HENY SISWANTI)

51	Nursing Care and Technology Development	ABS-120
^Impact of Machine Learning on Dietary and Exercise Behaviors in Type 2 Diabetes Self-Management: A Systematic Literature Review^ Sukesih, Heny Siswanti, Ridlwan Kamaluddin Universitas Jenderal Soedirman Abstract Abstract This systematic literature review (SLR) explores the role of machine learning in dietary and exercise behaviors for type 2 diabetes self-management. While prior studies often examine diet and physical activity separately, their combined impact remains underexplored. Using a systematic search across ten digital libraries (2019-2023), 70 primary studies were identified and assessed through structured quality criteria. Results indicate that machine learning provides effective tools for personalized dietary recommendations, physical activity monitoring, and complication prediction. Algorithms applied include supervised, semi-supervised, and unsupervised learning, leveraging both public and non-public datasets on dietary patterns, activity levels, and glucose biomarkers. A key research gap was identified: limited studies integrating diet and exercise simultaneously. Addressing this gap is essential for holistic, personalized diabetes care. Overall, integrating machine learning with lifestyle factors shows strong potential to improve self-management, reduce complication risks, and ease healthcare burdens, offering valuable insights for researchers and practitioners. Keywords: Type 2 diabetes, self-management, diet, exercise, machine learning Share Link | Plain Format | Corresponding Author (Sukesih Sukesih)

52	Nursing Care and Technology Development	ABS-121
THE EFFECTIVENESS OF STORYTELLING ON PAIN FROM INVASIVE PROCEDURES Siti Haniyah , Noor Yunida Triana Universitas Harapan Bangsa Jln Raden Patah Leduk Kembaran Banyumas Indonesia Abstract Hospitalization often requires children to undergo invasive procedures, which can cause anxiety and pain. Preschool-aged children are likely to resist care and be uncooperative when experiencing pain from invasive procedures, disrupting the care process. Effective pain management is crucial to support the treatment process. One non-pharmacological pain management approach that can be applied is storytelling. This study used a quasi-experimental design with a posttest-only control group, focusing on the independent variables of audiovisual and storytelling and the dependent variable of pain level. A purposive sampling technique was employed to select 32 preschool-aged children as participants, divided into 16 control group children and 16 storytelling group children. The research instrument used was the Wong Baker Face Pain Scale (WBS) questionnaire. The results showed that the average pain level in the control group was 5.63, with a pain range between scales 4-8. In the storytelling group, the average pain level was 3.88, with a pain range between scales 2-6. Mann-Whitney test results indicated a significant difference in pain levels between the storytelling and control groups, with a p-value of 0.031. In conclusion, storytelling is effective in reducing pain from invasive procedures in preschool-aged children.r Keywords: storytelling, pain, invasive procedures Share Link | Plain Format | Corresponding Author (siti haniyah)

53	Nursing Care and Technology Development	ABS-123
SELF-CONCEPT INSTRUMENT IN BREAST CANCER PATIENT: A SCOPING REVIEW PROTOCOL 1. NI MADE MERLIN, 2. WIWIN LISMIDIATI, 3. IBRAHIM RAHMAT, 4. ISRAFIL 1. aDoctoral Program in Public Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia, 55281. https://orcid.org/0000-0002-1730-3337 bNursing Program, STIKes Maranatha Kupang, Kupang, Indonesia, 85228. 2. Department of Pediatrics and Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia, 55281. https://orcid.org/0000-0002-5014-0437 3. Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, 55281. https://orcid.org/0000-0002-5337-3252 4. Department of Community Health Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia, 80226. https://orcid.org/0000-0001-9362-1540 Abstract Introduction: Breast cancer patients often complain of physical and psychosocial problems due to cancer and the therapy regimen they are experiencing. Self-concept is a problem that occurs in breast cancer patients and is discussed widely. Objective: this protocol for scoping review is to identify, map and analyze the available evidence on instrument of breast cancer patients. The inclusion criteria determined in this study were based on phenemonic: population, concept and context (PCC): Breast cancer patients with stage 0-IV. The concept discusses self-concept instruments and instruments used to discuss self-concept components. The research was conducted in hospitals and communities. Method: Search for information sources will be carried out on the main databases, which are: Scopus, and Medline via EBSCO, Pubmed, and ProQuest. Searches will be limited to 2014-2024, and the languages used are English and Indonesian. The selection of studies will be carried out using criteria that have been prepared and will be extracted using guidelines from Joanna Briggs Institute (JBI) and modified according to the needs of the scoping review. Keywords: breast cancer, instrument, protocol, scoping review, self-concept, Share Link | Plain Format | Corresponding Author (Ni Made Merlin)

54	Nursing Care and Technology Development	ABS-129
THE NURSING CARE FOR HELPLESSNESS IN SCHOOL DROPOUT TEENAGERS USING LOGOTHERAPY AND THERAPEUTIC GROUP THERAPY BASED ON THE STUART AND ROY MODEL Indah Ramadhan (a*) & Hasby Pri Choiruna (a) a) Department of Nursing, Universitas Jenderal Soedirman Jl. dr. Soeparno Grendeng Purwokerto Utara 53122 Banyumas - Jawa Tengah, Indonesia *ramadhan.indah[at]unsoed.ac.id Abstract Background : School dropout is a global and national educational problem, especially among adolescents (aged 13-18 years), which can lead to psychosocial problems such as helplessness. The helplessness experienced by school dropouts can be manifested in various signs and symptoms, including expressing verbally that they do not have the ability to control or influence situations, expressing doubts about their role as teenagers, and being apathetic and passive. The approach that nurses can take is to provide psychosocial nursing interventions, including logotherapy and therapeutic group therapy. Purpose : Nursing interventions, logotherapy, and therapeutic group therapy were provided to clients experiencing helplessness with the aim of observing changes in symptoms and the clients^ ability to cope with helplessness. Methods : Nursing interventions and implementations for five school dropouts with helplessness were reported in the form of a case report. Results : The results showed a decrease in signs and symptoms of helplessness in all aspects, namely cognitive, affective, physiological, behavioral, and social aspects. The signs and symptoms that decreased the most were in the cognitive aspect, such as thinking that they could not produce anything and difficulty concentrating, and in the behavioral aspect, such as being quiet, passive, and avoiding eye contact. Meanwhile, the signs and symptoms that were still found included those in the social aspect, such as lack of socialization with others and avoiding other people. Conclusion : There were decreased in signs and symptoms of helplessness and the clients^ ability to cope with helplessness improved. This case report recommends that mental health nurses at community health centers collaborate with various parties to develop programs for school dropouts experiencing psychosocial problems and conduct further research through nursing interventions and specialist nursing interventions with continuous evaluation to overcome clients^ psychosocial problems. Keywords: School dropout, adolescents, helplessness, logotherapy, therapeutic group therapy. Share Link | Plain Format | Corresponding Author (Indah Ramadhan)

55	Nursing Care and Technology Development	ABS-132
Characteristics of the health status of elementary-school children in Samarinda City Fransiska Novita Sari and Maria Floriana Ping STIKES Drigahayu Samarinda Abstract Characteristics of the health status of elementary-school children in Samarinda City Fransiska Novita Sari1*, Maria Floriana Ping1 1Department of Nursing, STIKES Dirgahayu Samarinda,Indonesia Corresponding Author: Fransiska Novita Sari (fransiskans.93@gmail.com) Background: The school-age period is crucial for shaping future health outcomes. During this transitional phase, children start to make choices about their preferred lifestyle, making it essential to keep an eye on their progress. Purpose: The purpose of this study was to investigate the health status of elementary school students and to investigate the factors associated with this condition in Samarinda City Methods: The design of this study was a descriptive study. The total sample for this study was 165 children. Data were collected using an interview, anthropometric measurements, and observation of dental hygiene. We employed univariate data analysis to gain insights into health conditions. Results: The study results showed that 25% of students were undernourished, 12% were overweight, and 2% were obese. Thirty-two percent had dental caries, and 24% had cavities. Conclusion: According to the results of the study, the health of elementary-school children needs enhancement. Without proper treatment, it may lead to health problems and hinder growth and development. Keywords: Health status, elementary school Share Link | Plain Format | Corresponding Author (Fransiska Novita Sari)

56	Nursing Care and Technology Development	ABS-134
The Impact of a Chatbot Communication Model Based on Decision Trees in Posyandu Services on Changes in Posyandu Visit Behavior Tatik Kusyanti1,2*, Fedri R. Rinawan3*, Frman F. Wirakusumah4*, Ayi Purbasari5* 1. Bandung Ministry of Health Health Polytechnic 2. Midwifery Department, Ministry of Health Polytechnic, Bandung 3. Padjadjaran University Bandung 4. Padjadjaran University Bandung 5. Pasundan university Bandung Abstract Background: Posyandu plays an important role in promotive and preventive services, but its success is influenced by several factors including knowledge, communication, and cross-sector coordination. The coverage of toddler visits is still low, including in Purwakarta (50%), and has not reached the national target of 90%. Therefore, technological innovation in the development of digital communication models is needed to improve service effectiveness. Purpose: Develop a model and see the impact of a practical model of chatbot communication in Posyandu services by utilizing decision trees on Posyandu visits. Methods: This study used a complex mixed method design. The total sample for this study was 58 informants (qualitative) and 220 (quantitative). The data were collected using a focus group discussion (FGD) and questionnaire. Statistical analyses were conducted using SEM analysis and questionnaire testing was conducted using the RASCH model. Results: The results show that digital communication using chatbots based on decision trees causes a significant ease factor of (0.79). Chatbots play an important role in changing people^s behavior in posyandu services compared to without chatbots by (0.24). This shows that chatbots make it almost three times easier to influence visitation behavior. This shows the important role of chatbots in facilitating posyandu services. This may be due to the sophistication of NLP in the system implemented in the chatbot and the decision tree as the basis for the chatbot^s content. Conclusion: The existence of a chatbot based on a decision tree as the basis for the chatbot^s content increases the convenience for posyandu service users and leads to better changes in visit behavior. Keywords: Chatbot, Decision Tree, Posyandu, Behavior, Posyandu Visits Share Link | Plain Format | Corresponding Author (Tatik Kusyanti)

57	Nursing Care and Technology Development	ABS-136
The Relationship Between Anxiety and Sleep Quality in Hypertensive Patients at the Budi Sejahtera Elderly Social Protection and Rehabilitation Center (PPRSLU) in Banjarbaru Elsa, Rian Tasalim, Onieqie Ayu Dhea Manto Sari Mulia University, Banjarmasin, Indonesia Abstract The increasing number of elderly people in Indonesia has led to a higher prevalence of hypertension, which is often accompanied by anxiety and sleep disturbances. This study aimed to determine the relationship between anxiety levels and sleep quality among elderly patients with hypertension at the Social Protection and Rehabilitation Center for the Elderly (PPRSLU). A quantitative analytic method with a cross-sectional design was employed, involving 26 hypertensive elderly respondents selected through purposive sampling. Data were collected using the Geriatric Anxiety Scale (GAS) to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, with analysis conducted using the Chi-Square test. The results showed that most respondents experienced moderate anxiety (16 people- 61.5%) and poor sleep quality (16 people- 61.5%), with a p-value of 0.000 < 0.05, indicating a significant relationship between anxiety and sleep quality in elderly hypertensive patients. In conclusion, hypertension in the elderly not only causes physical health problems but also affects psychological conditions in the form of anxiety, which can worsen sleep quality. Therefore, managing anxiety is essential to improve sleep quality and prevent further complications in elderly individuals with hypertension. Keywords: Anxiety, Elderly, Hypertension, Sleep Quality Share Link | Plain Format | Corresponding Author (Elsa Elsa)

58	Nutrition Science and Functional Food Development	ABS-1
THE RELATIONSHIP BETWEEN PROTEIN ADEQUACY, CARBOHYDRATE ADEQUACY, AND TRAINING DURATION WITH ARM AND LEG MUSCLE STRENGTH IN MARTIAL ARTS ATHLETES IN BANYUMAS Afina Rachma Sulistyaning1- Mahfudhah Tri Astuti1- Hiya Alfi Rahmah1- Teguh Jati Prasetyo1- Katri Andini Surijati1 1Department of Nutrition Science, Faculty of Health Sciences, Universitas Jenderal Soedirman Abstract Background: Muscle strength is crucial for athletic performance in martial arts. Adequate nutrition and training influence muscle strength. This study aims to determine the relationship between protein adequacy, carbohydrate adequacy, and training duration with arm and leg muscle strength in martial arts athletes in Banyumas. Methods: A correlational study with a cross-sectional approach involving 52 martial arts athletes from pencak silat, karate, and taekwondo in Banyumas. Participants were selected via purposive and snowball sampling. Data collection was carried out for three days. Filling out characteristic forms, measuring body composition, and the first 24-hour food recall interview were conducted on the first day. Muscle strength measurement and the second 24-hour food recall interview were conducted on the second day. The third 24-hour food recall interview was conducted on the third day. Data were analyzed using Kolmogorov Smirnov and Spearman/Pearson correlation test. Result: As many as 82.7% of respondents had a deficient level of protein adequacy, while 69.2% of respondents had an excessive level of carbohydrate adequacy. All respondents had sufficient training duration, but 42.3% of respondents had insufficient training frequency. There was no relationship between protein adequacy and arm and leg muscle strength, carbohydrate adequacy and arm and leg muscle strength, and training duration and arm and leg muscle strength. Conclusion: There was no relationship between protein adequacy and arm and leg muscle strength. There was no relationship between carbohydrate adequacy and arm and leg muscle strength. There was no relationship between training duration and arm and leg muscle strength. Keywords: protein adequacy, carbohydrate adequacy, training duration, arm muscle strength, leg muscle strength Share Link | Plain Format | Corresponding Author (Afina Rachma Sulistyaning)

59	Nutrition Science and Functional Food Development	ABS-6
Breakfast Habits and Breakfast Quality of Elementary School Children with Learning Concentration Amilia Yuni Damayanti1*, Wilda Laily Ramadhani2, Indahtul Mufidah3, Qotrunnada Fajr Roiqooh4 Universitas Darussalam Gontor Abstract Background: Breakfast and quality of breakfast can fulfilling the energy needs required by the body by about 15-30% of the Nutritional Adequacy Rate (RDA). Adequate energy is needed by elementary school children to increase blood sugar intake and help maintain learning concentration. Purpose: The purpose of this study was to determine the correlation between breakfast habits and breakfast quality with learning concentration of elementary school children aged 10-13 years. Methods: The design of this study was cross sectional research methods, sampling techniques using purposive sampling techniques with the calculation of the slovin formula to get results as many as 119 using a breakfast habit questionnaire in the form of a Likert scale. Breakfast quality data by conducting food recall interviews for 3 days. Study concentration data using the Grid Concentration Test questionnaire. Results: The results showed that students who had good breakfast habits were 90,8% of respondents and bad breakfast habits were 9,2% of respondents. Based on the results of the correlation between breakfast and learning concentration with a p value = 0,032. Based on the results of the correlation between energy intake at breakfast with learning concentration with a p value = 0,019. The correlation between protein intake at breakfast with learning concentration with a p value = 0,248 > 0,05. The correlation between fat intake at breakfast with learning concentration with a p value = 0,1000 > 0,05. The correlation between carbohydrate intake at breakfast with learning concentration with p value = 0,039 < 0,05. Conclusion: There is a correlation between breakfast habits and learning concentration. There is a correlation between energy intake and carbohydrate intake at breakfast with learning concentration. There is no correlation between protein intake and fat intake at breakfast with learning concentration. Keywords: Breakfast habits, breakfast quality, elementary school children, learning concentration Share Link | Plain Format | Corresponding Author (Amilia Yuni Damayanti)

60	Nutrition Science and Functional Food Development	ABS-19
Tropical Trio Tested: Red Dragon Fruit Juice Leads in Glucose-Lowering for High-Fat Diet-Induced Hyperglycemia Ibnu Zaki, Widya Ayu Kurnia Putri, Afina Rachma Sulistyaning Nutrition Science Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia Abstract Metabolic disorders, such as hyperglycemia and type 2 diabetes mellitus, represent a global health concern necessitating effective management strategies, including dietary interventions. This study utilized a High-Fat Diet (HFD) model in Sprague Dawley rats to simulate glucose dysregulation, aiming to evaluate and compare the effects of administering mango (Mangifera indica var. gedong gincu), sweet orange (Citrus sinensis), and red dragon fruit (Hylocereus polyrhizus) juices on blood glucose levels in HFD-induced hyperglycemic rats. Employing a True Experimental design with a randomized controlled pre-posttest approach, 30 rats were randomly divided into five groups: standard diet control (P1), HFD control (P2), HFD + mango juice (P3), HFD + sweet orange juice (P4), and HFD + red dragon fruit juice (P5). Results indicated that HFD induction successfully elevated blood glucose levels in the P2 group, while the administration of all three fruit juices significantly reduced blood glucose in the intervention groups (P3: -33.23%, P4: -41.99%, P5: -44.44%). Red dragon fruit juice demonstrated the most potent glucose-lowering effect, followed by sweet orange juice and mango juice. In conclusion, these findings suggest the potential of these natural fruit juices as valuable dietary interventions for managing HFD-induced glucose dysregulation. Keywords: Blood glucose, High-fat diet, Hyperglycemia, Red dragon fruit, Tropical fruit juice Share Link | Plain Format | Corresponding Author (Ibnu Zaki)

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