ABSTRACT BOOK INTERNATIONAL CONFERENCE (RINC) 2018

Incorporating Technology and Ethics in Advancing Nursing Education and Practice

Editor: Ns.Bayhakki, M.Kep., Sp.KMB,PhD Wan Nishfa Dewi, S.Kp, MNg, PhD Ns. Yufitriana Amir, S.Kep, MSc, PhD Ns. Agrina, M.Kep, Sp. Kep. Kom, PhD Rismadefi Woferst, M.Biomed Riri Novayelinda, MNg Erika, M.Kep., Sp.Mat Veny Elita, MN (MH) Ns. Febriana Sabrian, MPH Ns. Wasisto Utomo, M.Kep, Sp. KMB Ns. Sri Wahyuni, M.Kep, Sp. Kep. J

Cover design and lay out: Masrizal

Publishing: Faculty of Nursing, Universitas Riau Address: Campus UNRI Gobah, Jl. Pattimura No.9, Gedung G, Phone. +62 761 31162, CONFERENCE COMITTEE RIAU INTERNATIONAL NURSING CONFERENCE 2018 FACULTY OF NURSING, UNIVERSITAS RIAU

Advisory Board : Prof. Dr. Ir. Usman M Tang, MS

Wan Nishfa Dewi, S.Kp, MNg, PhD

Erwin, S.Kp, M.Kep

Steering Committee : Wan Nishfa Dewi, S.Kp, MNg, PhD

Ns. Agrina, M.Kep, Sp. Kep. Kom, PhD

Ns. Bayhakki, M.Kep, Sp. KMB, PhD

Ns. Yufitriana Amir, S.Kep, MSc, PhD

Ns. Febriana Sabrian, MPH

Ns. Sofiana Nurchayati, M.Kep

Erika, M.Kep., Sp.Mat

Ns. Sri Wahyuni, M.Kep, Sp. Kep. J

Chairperson : Ns. Agrina, M.Kep, Sp. Kep. Kom, PhD

Secretary : Ns. Gamya Tri Utami, M.Kep

Treasurer : Ismawati, SE

Scientific Committee : Ns. Bayhakki, M.Kep, Sp. KMB, PhD (Coordinator)

Wan Nishfa Dewi, S.Kp, MNg, PhD

Ns. Yufitriana Amir, S.Kep, MSc, PhD

Ns. Agrina, M.Kep, Sp. Kep. Kom, PhD

Dr. Reni Zulfitri, M.Kep, Sp. Kom

Rismadefi Woferst, M.Biomed

i Riri Novayelinda, MNg

Erika, M.Kep, Sp.Mat

Veny Elita, MN (MH)

Ns. Febriana Sabrian, MPH

Ns. Wasisto Utomo, M.Kep, Sp. KMB

Ns. Sri Wahyuni, M.Kep, Sp. Kep. J

Professor Naohiro Hohashi, PhD, RN, PHN, LSN, HS, FAAN

Professor. Claudia KY Lai, PhD, RN, FAANProfessor Michael

Joseph S. Dino, PhD, MAN, RNAssociate Prof. Dr. Wandee

Suttharangsee

Prof. Dr. Datuk Bibi Florina Abdullah

Assoc Prof Dr Ali Abdulbaqi Ameen Ali

ii REVIEWERS

Professor Claudia KY Lai, PhD, RN, FAAN (The Hong Kong Polytechnic University, Hong Kong)

Professor Michael Joseph S. Dino, PhD, MAN, RN (Our Lady of Fatima University, Philipines)

Professor Datuk Bibi Florina Abdullah (Lincoln University College, Malaysia)

Dr. Ali Abdulbaqi Ameen Ali (Lincoln University College, Malaysia)

Professor Naohiro Hohashi, PhD., RN., PHN., FAAN ( university, )

Associate Prof. Dr. Wandee Suttharangsee (Prince of Songkla University, Thailand)

Wan Nishfa Dewi, S.Kp, MNg, PhD (Universitas Riau, Indonesia)

Ns.Bayhakki, M.Kep., Sp.KMB,PhD (Universitas Riau, Indonesia)

iii Riau International Nursing Conference 2018

CONTENTS

Conference Committee ...... i Reviewers ...... iii Contents ...... iv Conference Program ...... x Conference Chair Message ...... xvii Greetings from Acting Rector, Universitas Riau ...... xviii Greetings from Dean Faculty of Nursing Universitas Riau ...... xix Plenary Sessions Summaries ...... xx

List of Oral Presentation 1. The Relationship Between Parents’ Verbal Abuse And Emotion Regulation In Adolescents Anisa Yulvi Azni, Juniar Ernawaty, Yesi Hasneli ...... 1 2. The Relationship Of The Gender With Emotion Regulation In Junior High School Students Hayatul Husna, Fathra Annis Nauli, Herlina...... 2 3. Eliciting E-Leadership Style And Trait Preference Among Nurses Via Conjoint Analysis Christian Jay S. Orte,Michael Joseph S. Diño ...... 3 4. Views About Getting Older As Predictors To Self-Esteem Of Professionals Nearing Retirement Carlo Bryan C. Borrico ...... 4 5. Effect Of Combined Spiritual Emotional Freedom Technique (Seft) And Hydrotherapy Among Indonesian Clients With Hypertension Risfinda, Bayhakki, Yufitriana Amir ...... 5 6. The Correlation Between Parenting Styles And Online Gaming Addiction Rodhiatul Hidayah, Safri, Ganis Indriati ...... 6 7. Relationship Between Family Support And Aggressive Behavior Among Indonesian Adolescents Reshalia, Reni Zulfitri, Bayhakki ...... 7 8. Maternal Age And Anemia Are Risk Factors Of Low Birthweight Newborn Juli Widiyanto, Geni Lismawati...... 8 iv

Riau International Nursing Conference 2018

9. Relationship Between Students' Perception Of Problem Based Learning With Learning Outcomes Hermanto, Wan Nishfa Dewi, Veny Elita ...... 9 10. Foot Sensitivity And Blood Glucose Levels Post Apiyu Massage Among Diabetic Indonesians Patients Yesi Hasneli, Yufitriana Amir ...... 10 11. Profiling Diabetes Mellitus (Dm) Patients: Demographic Characteristics, Disease History And Foot Grade Desty Aristiyani, Yesi Hasneli, Rismadefi Woferst ...... 11 12. Correlates Between Inhaler Type And Usage Accuracy Among Indonesian Asthma Patients Natasya Sri Zekia, Siti Rahmalia Hairani Damanik, Wasisto Utomo ...... 12 13. Caregiver’s Lived Experiences In Caring For Post-Stroke Patients: A Phenomenological Inquiry Indah Putri Irdelia, Wasisto Utomo, Rismadefi Woferst ...... 13 14. Correlation Between Family Support And Quality Of Life Among Hypertensive Patients Sofiana Nurchayati, Wasisto Utomo, Darwin Karim ...... 14 15. Nurses’ Understanding About Evidence Based Practice: Knowledge, Practice And Attitude Dian Eka Lestari, Wan Nishfa Dewi, Sri Utami ...... 15 16. The Effect Of Pictorial Health Warning Labels On Smoking Intensity In Adolescents Arvilla Diana, Febriana Sabrian, Darwin Karim ...... 16 17. The Experience Of Retaker In Taken The Indonesian Nursing Competency Examination (INCE) Siska Mayang Sari, Dewi Kurnia Putri ...... 17 18. Self-Caring In Islamic Culture Of Muslim Persons With Esrd And Hemodialysis: An Ethnographic Study Bayhakki, Urai Hatthakit, Pleonpit Thaniwatthananon ...... 18 19. Factors Affecting The Performance Of Public Health Nurses In Family Nursing Care Sovia, Suharti, Yellyanda, Abbasiah, Debbie Nomiko ...... 19 20. Emergency Nurses’ Knowledge On Triage Vicky Setiarini, Wan Nishfa Dewi, Darwin Karim ...... 20 v

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21. Self-Care Practice Of Congestive Heart Failure Persons Arifin Achmad Hospital Dwi Rahayu Nengsih, Wan Nishfa Dewi, Fathra Annis Nauli ...... 21 22. Effect Of Tepid Sponge On Changes In Body Temperature In Infant Of Children Who Have Fever Dr. Achmad Mochtar Bukittinggi Hospital Hendrawati, Mariza Elvira ...... 22 23. Perceptions Of Students, Lecturers And Staff On Establishing A Smoke-Free Campus Febriana Sabrian, Wasisto Utomo ...... 23 24. Analysis Of Electrocardiogram Recording Lead Ii In Patient With Cardiovascular Disease Safri, Wan Nishfa Dewi, Erwin ...... 24 25. Effect Of Health Education Using The Redi Game Towards Knowledge In Preventing Premarital Sex Behaviors Of Female Teenagers Pratiwi Ningsih, Sri Utami, Nurul Huda ...... 25 26. Hemoglobin Level And Fetal Weight Related To Pregnant Women In Puskesmas Pagar Dewa West Lampung Aryanti Wardiyah, Rilyani, Suryani ...... 26 27. Identification Sleep Problems In Epilepsy Children Novrita Riawan Putri, Riri Novayelinda, Yufitriana Amir ...... 27 28. The Correlation Between Knowledge And Attitude About Healthy Snacks With Choosing Food Behavior At 4th And 5th Grades In Public Elementary School 121 Pekanbaru Estri Mailinda, Raja Fitrina Lestari ...... 28 29. Sociodemographic Characteristics And Psychosocial Wellbeing Of Elderly With Chronic Illnesses Who Live With Family At Home Reni Zulfitri, Febriana Sabrian, Herlina ...... 29 30. An Overview Of Physical Activities Among Family Members With Risk Of Type 2 Diabetes Mellitus In Pekanbaru Gamya Tri Utami, Siti Langga Lubis...... 30 31. Effectiveness Of Health Education Use Audiovisual Media On Increasing Family Knowledge In Prevention Of Dengue Hemorrhagic Fever (DHF) Arneliwati, Agrina, Ari Pristiana Dewi ...... 31 32. Clay Handbuilding Among Children With Spinal Cord Injuries: Towards Educational Protocol Development Jerry Villaruel Manlapaz ...... 32 vi

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33. The Association Between Peer Conformity With Deviant Behavior In Adolescent Gilang Sri Mentari, Jumaini, Arneliwati ...... 33 34. Spirituality And Health Status Among Elderly In Nursing Home In Riau, Indonesia Herlina, Agrina ...... 34 35. Experiences Of Patients Undergoing Oral Chemotherapy : What A Patient Wants From Nurse Nurul Huda, Rismadefi worferst, Wan Nishfa Dewi, Yulia Rizka, Aulia Rika ...... 35 36. HIV/AIDS Health Education Toward Enhancing Knowledge And Hiv Prevention Efforts In Household Wife Yulia Irvani Dewi, Yufitriana Amir, Fathra Annis Nauli ...... 36 37. A Concept Analysis Of Maternal Role In Pregnant Adolescent Erika, Nongnut Boonyoung...... 37 38. Empowerment Mother To Improve The Quality Of Life Against Servical Cancer Risk Through Peer Group Health Education

Sri Utami, Wice Purwani...... 38 39. The Effectiveness Of Simulation Health Education To Mother’s Breastfeeding Skill In Rural Area Of Riau, Indonesia Agrina, Febriana Sabrian, Reni zulfitri, Arneliwati, Herlina, Ari Pristiana Dewi ...... 39 40. Does Exclusive Breastfeeding Correlate With The Infant Early Language Milestone? Riri Novayelinda, Nafia ramadhani...... 40 41. A Qualitative Study: The Promotion Of Exclusive Breastfeeding By Integrated Service Post (ISP) Cadres In Suburban City Widia Lestari , Hari Kusnanto, Ira Paramastri, Widyawati ...... 41 42. Effectiveness Of Using Sialang Honey On Wound Bed Preparation In Diabetic Foot Ulcer Sukhri Herianto Ritonga, Nanda Masraini Daulay ...... 42 43. Influence Abdominal Stretching Exercise Against Intensity Of Dysmenorrhoe Annisa Syafna, Yulia Irvani Dewi, Siti Rahmalia Hairani Damanik ...... 43 44. The Ratu Models: A Preventive Measure Of Postpartum Depression Ratu Kusuma, Budi Anna Keliat, Yati Afiyanti, Evi Martha...... 44 45. The Effect Of Oromuscular Stimulation On Neonate Latch Score Oswati Hasanah, Riri Novayelinda, Hellena Deli ...... 45

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Riau International Nursing Conference 2018

46. Different Triage Categorization Using Emergency Severity Index (ESI) Method In Emergency Department Mariza Elsi, Iswenti Novera ...... 46

List of Poster Presentation 1. Component Of Adolescent Self-Concept In Islamic Boarding School Reftesa Indriani, Fathra Annis Nauli, Ari Pristiana Dewi ...... 47 2. The Correlation Of Breastfeeding Pattern With The Development Of Infants Aged 6 - 12 Months Suci Hati Mumtaz, Agrina, Ari Pristiana Dewi ...... 48 3. The Description Of Nursing Student’s Self Confidence Level In Learning Method With Seven Jump Technique Tiara Suci Iswandhie, Veny Elita, Rismadefi Woferst ...... 49 4. The Relationship Between Family Support And Hypertension Stage Marya Nasti Wandira, Sofiana Nurchayati, Safri ...... 50 5. Effects Of Foot Reflection Massage And Acupressure For Patient With Hypertension Santi Melisa, Darwin Karim, Veny Elita ...... 51 6. A Description Of People's Behavior Towards The Prevention Of Dengue Hemorrhagic Fever Ruvida Ulfa, Arneliwati, Erwin ...... 52 7. Nomophobia: Incidents And Levels Among Indonesian Teenagers Astari Rezki, Ganis Indriati, Erwin ...... 53 8. Organ Failure Of Pasients With Using Ventilator Based On The Sequency Organ Failure Assesment Score (SOFA) Who Admitted In Intensive Care Unit Siti Rahmalia HD, Gamya Tri Utami, Sofiana Nurcahyati, Safri ...... 54 9. The Description Of Training Programs And Cognitive Function On Elderly Lina Maria Siagian, Arneliwati, Siti Rahmalia Hairani Damanik ...... 55 10. The Relationship Of Physical Activity To Central Obesity In Adulthood Vera Permata Sari, Herlina, Reni Zulfitri ...... 56 11. The Relationship Between Mother’s Knowledge And Giving Of Complementary Food For In Infants Aged 6 – 12 Months Ganis Indriati, Yufitriana Amir, Yulia Irvani Dewi ...... 57 12. The Effect Of Individual Health Education Using Flipbook On Self-Efficacy Of Hypertensive Patients In Controlling Diet Nurpatri Ramadhani, Gamya Tri Utami, Juniar Ernawaty...... 58

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Riau International Nursing Conference 2018

13. The Comparison Of Warm Water Feet-Soaking Hydrotherapy And Acupressure Massage On The Blood Pressure Of Primary Hypertension Patients Nur Sella, Erwin, Riri Novayelinda ...... 59 14. Maternal And Child Health Services In Kuranji Padang City Towards SDG’s Mitayani, Zulmardi ...... 60

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PROGRAM AND SCHEDULE RIAU INTERNATIONAL NURSING CONFERENCE (RINC) 2018 “Incorporating Technology and Ethics in Advancing Nursing Education and Practice”

08.00 - 08.30 REGISTRATION OPENING CEREMONY - Traditional art 08.30 - 09.15 - Welcome speech of chairman RINC 2018 - Welcome speech of Dean of Nursing Faculty, UNRI - Welcome speech of Rektor UNRI 09.15 - 09.30 Coffee break PLENARY SESSIONS 1 Speaker 1 Professor Naohiro Hohashi, PhD, RN, PHN, LSN, HS, FAAN Topic: How to Apply Technology and Ethics in Advanced Family Nursing Practice Speaker 2 Prof. Dr. Datuk Bibi Florina Abdullah 09.30 - 11.30 Topic: Role of Technonoly and Ethic in Advancing Nursing Profession Speaker 3 Professor. Michael Joseph S. Dino, PhD, MAN, RN Topic: Nursing and Speaker 4 DAY 1 Wan Nishfa Dewi, SKp., MNg, PhD November Topic: The Importance of Ethics in Nursing Practice 14, 2018 11.30 - 13.00 Lunch break and expo visit 13.00 - 14.00 POSTER PRESENTATION WORKSHOP Room 1: Professor Naohiro Hohashi, PhD, RN, PHN, LSN, HS, FAAN Topic: The Concentric Sphere Family Environment Theory and Clinical Applications in Family Nursing Room 2: Professor. Michael Joseph S. Dino, PhD, MAN, RN Topic: Technology-Driven Research Production Room 3: 14.00 – 16.00 Professor. Claudia KY Lai, PhD, RN, FAAN Topic: Brief Assessment Tools for The Detection of Cognitive Impairment Room 4: Assoc Prof Dr Ali Abdulbaqi Ameen Topic: Advance Information Technology for Nursing Educaton 2018 Room 5: Assist. Prof. Dr. Sopen Chunuan Topic:

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Ethical Dillema in Reproductive Health

16.00 – 16.30 Closing day 1 19.00 – 20.30 GALA DINNER 08.00 - 08.30 REGISTRATION PLENARY SESSIONS 2 Speaker 4 Assist. Prof. Dr. Sopen Chunuan Topic: Ethical Issues in Maternal and Child Health Nursing and Midwifery Speaker 5 Professor. Claudia KY Lai, PhD, RN, FAAN Topic: Update in in Improving Nursing 08.30 – 10.30 Education and Practice Speaker 6 Assoc Prof Dr Ali Abdulbaqi Ameen Topic: Advance Information Technology for Nursing Educaton 2018 DAY 2 Speaker 8 November Ns. Agrina, M.Kep., Sp.Kom, PhD 15, 2018 Topic: Complementary Therapy for The Breastfeeding Mothers in Community Health Nursing Practice

10.30 – 11.00 Coffee break

11.00 - 12.00 ORAL PRESENTATION SESSIONS 1

12.00 - 13.00 Lunch break and expo visit

13.00 - 14.30 ORAL PRESENTATION SESSIONS 2

14.30 – 16.00 ORAL PRESENTATION SESSIONS 3

16.00 – 16.30 Certificate Conferment

16.30 – 17.00 CLOSING REMARK

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RIAU INTERNATIONAL NURSING CONFERENCE 2018 Schedule and Venue Map of Oral Presentation

Oral Presentation: Session I Day 2, 15 November 2018 t i m e : 11.00 – 12.00 Room 1: Siak 1 ( M floor) Room 2: Siak 2 ( M floor) O1.01 O1.02 Medical Surgical and Maternity and Moderator: Rismadefi Woferst, M.Biomed Moderator: Riri Novayelinda, MN Evaluator: Oswati Hasanah, M.Kep, Sp.Kep.An Evaluator: Wice Purwani Suci, M.Kep Timer : Ns. Ani Constantia, S.Kep Timer: Ns. Alfian Konadi, S.Kep O1.01.01 Effect Of Combined Spiritual Emotional O3.02.02 Hemoglobin Level And Fetal Weight Freedom Technique (SEFT) And Hydrotherapy Related To Pregnant Women In Among Indonesian Clients With Hypertension Puskesmas Pagar Dewa West (Risfinda) Lampung 2018 O1.01.02 O1.02.02 Profiling Diabetes Mellitus (DM) Patients: (AryantiMaternal Wardiyah) Age And Anemia Are Risk Demographic Characteristics, Disease History Factors Of Low Birthweight Newborn And Foot Grade (Juli Widiyanto) (Desty Aristiyani) O1.01.03 Correlation Between Inhaler Type And Usage O1.02.03 Effect of Tepid Sponge on Changes In Accuracy Among Indonesian Asthma Patients Body Temperature In Infant Of (Natasya Sri Zekia) Children Who Have Fever Dr. Achmad Mochtar Bukittinggi Hospital O1.01.04 Self-Caring In Islamic Culture Of Muslim O1.02.04 (Hendrawati)Clay Handbuilding Among Children Persons With ESRD And Hemodialysis: An With Spinal Cord Injuries: Towards Ethnographic Study Educational Protocol Development (Bayhakki) (Jerry Villaruel Manlapaz) 01.01.05 Effectiveness Of Using Sialang Honey On 01.02.05 Influence Abdominal Stretching Wound Bed Preparation In Diabetic Foot Ulcer Exercise Against Intensity Of (Sukhri Herianto Ritonga) Dysmenorrhoe (Annisa Syafna)

Room 3: Indragiri ( M floor) Room 4 : Rupat (M floor) O1.03 O1.04 Community and Psciatric Nursing , Education and Research Moderator: Febriana Sabrian, MPH Moderator: Sri Wahyuni, M.Kep, Sp.KJ Evaluator: Veny Elita, MN (MH) Evaluator: Erika, M.Kep, Sp.Mat Timer: Ns. Febby Fitriani, S.Kep Timer: Ns. Aisha Siddiqua, S.Kep O1.03.01 The Relatioship Betee Parets’ Veral O1.04.01 Eliciting E-Leadership Style And Trait Abuse And Emotion Regulation In Adolescents Preference Among Nurses Via (Anisa Yulvi Azni) Conjoint Analysis O1.03.02 The Relationship Of The Gender With Emotion O1.04.02 (ChristianRelationship Jay Between S. Orte) Students' Regulation In Junior High School Students Perception Of Problem Based (Hayatul Husna) Learning With Learning Outcomes (Hermanto) O1.03.03 Views About Getting Older As Predictors To O1.04.03 Nurses’ Uderstadig Aout Self-Esteem Of Professionals Nearing Evidence Based Practice: Knowledge, Retirement Practice And Attitude (Carlo Bryan C. Borrico) (Dian Eka Lestari) xii

O1.03.04 Relationship Between Family Support And Aggressive Behavior Among Indonesian Adolescents (Reshalia)

Oral Presentation: Session II Day 2, 15 November 2018 time : 13.00 – 14.30 Room 1: Siak 1 ( M floor) Room 2: Siak 2 ( M floor) O2.01 O2.02 Medical Surgical and Emergency Nursing Maternity and Pediatric Nursing Moderator: Wan Nishfa Dewi, MN, PhD Moderator: Sri Wahyuni, M.Kep, Sp.KJ

Evaluator: Ganis Indriati, M.Kep, Sp.Kep. An Evaluator: Riri Novayelinda, MN

Timer: Ns. Ani Constantia, S.Kep Timer: Ns. Alfian Konadi, S.Kep O2.01.01 Caregier’s Lied Eperiees I Carig For O2.02.01 The Association Between Peer Post-Stroke Patients: A Phenomenological Conformity With Deviant Inquiry Behavior In Adolescent (Gilang (Indah Putri Irdelia) Sri Mentari) O2.01.02 The Effect of Pictorial Health Warning Labels On O2.02.02 HIV/AIDS Health Education Smoking Intensity In Adolescents Toward Enhancing Knowledge (Arvilla Diana) And HIV Prevention Efforts In Household Wife O2.01.03 Eerge Nurses’ Koledge O Triage (Vik O2.02.03 (YuliaA Concept Irvani Analysis Dewi) Of Maternal Setiarini) Role In Pregnant Adolescent (Erika) O2.01.04 Self-Care Practice Of Congestive Heart Failure O2.02.04 Empowerment Mother To Persons Arifin Achmad Hospital Improve The Quality Of Life (Dwi Rahayu Nengsih) Against Servical Cancer Risk Through Peer Group Health 02.01.05 Experiences Of Patients Undergoing Oral 01.02.05 EducationA Qualitative Study: The Chemotherapy : What A Patient Wants From Promotion Of Exclusive Nurse Breastfeeding By Integrated (Nurul Huda) Service Post (ISP) Cadres In 01.02.06 SuburbanThe Ratu Models: City (Widia A Preventive Lestari) Measure Of Postpartum Depression (Ratu Kusuma) Room 3: Indragiri ( 2nd floor) Room 4 : Rupat (2nd floor) O2.03 O2.04 Community and Psciatric Nursing Nursing Management, Education and Research Moderator: Bayhakki, PhD Moderator: Veny Elita, MN

Evaluator: Oswati Hasanah, M.Kep, Sp.An Evaluator: Yesi Hasneli, MNS Timer: Ns. M. Abrar, S.Kep Timer: Ns. Aisha Siddiqua, S.Kep

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O2.03.01 Factors Affecting The Performance Of Public O2.04.01 Perceptions Of Students, Health Nurses In Family Nursing Care Lecturers And Staff On (Sovia) Establishing A Smoke-Free Campus (Febriana Sabrian) O2.03.02 Spirituality And Health Status Among Elderly In O2.04.02 The Experience Of Retaker In Nursing Home In Riau, Indonesia Taken The Indonesian Nursing (Herlina) Competency Examination (INCE) (Siska Mayang Sari) O2.03.03 Sociodemographic Characteristics And Psychosocial Wellbeing Of Elderly With Chronic Illnesses Who Live With Family At Home (Reni Zulfitri) O2.03.04 Effectiveness Of Health Education Use Audiovisual Media On Increasing Family Knowledge In Prevention Of Dengue Hemorrhagic Fever (DHF) (Arneliwati)

Oral Presentation: Session III Day 2st, 15 November 2018 time: 14.30 – 16.00 Room 1: Siak 1 ( 2nd floor) Room 2: Siak 2 ( 2nd floor) O3.01 O3.02 Medical Surgical and Emergency Nursing Maternity and Pediatric Nursing Moderator: Wan Nishfa Dewi, MN, PhD Moderator: Erika, M.Kep, Sp.Mat Evaluator: Rismadefi Woferst, M.Biomed Evaluator: Febriana Sabrian, MPH Timer : Ns. Ani Constantia, S.Kep Timer: Ns. Alfian Konadi, S.Kep O3.01.01 Foot Sensitivity And Blood Glucose Levels Post O3.02.01 Effect Of Health Education Using Apiyu Massage Among Diabetic Indonesians The Redi Game Towards Patients Knowledge In Preventing (Yesi Hasneli) Premarital Sex Behaviors Of Female Teenagers O3.01.02 Correlation Between Family Support and Quality 03.02.02 The Correlation Between (Pratiwi Ningsih) of Life Among Hypertensive Patients Parenting Styles And Online (Sofiana Nurchayati) Gaming Addiction O3.01.03 Analysis Of Electrocardiogram Recording Lead Ii In O3.02.03 (RodhiatulIdentification Hidayah) Sleep Problems In Patient With Cardiovascular Disease Epilepsy Children (Safri) (Novrita Riawan Putri) O3.01.04 An Overview Of Physical Activities Among Family O3.02.04 The Correlation Of Knowledge Members With Risk Of Type 2 Diabetes Mellitus In And Attitude About Healthy Pekanbaru Snacks With Choosing Food (Gamya Tri Utami) Behavior At Class Iv And Vi In Sd Negeri 121 Pekanbaru 03.01.05 Different Triage Categorization using Emergency 03.02.05 Does Exclusive Breastfeeding (Estri Mailinda) Severity Index (ESI) Method In Emergency Correlate With The Infant Early Department Language Milestone? (Mariza Elsi) (Riri Novayelinda) 01.03.06 The Effectiveness Of Simulation Health Education 01.02.06 The Effect Of Oromuscular To Mother’s Breastfeedig Skill I Rural Area Of Stimulation On Neonate Latch Riau, Indonesia Score (Agrina) (Oswati Hasanah)

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RIAU INTERNATIONAL NURSING CONFERENCE 2018 SCHEDULE OF POSTER PRESENTATION DAY 1, NOVEMBER 14, 2018 13.00-14.00 EVALUATOR POSTER CODE TITLE OF POSTER AUTHOR P 01 Component Of Adolescent Self-Concept In Islamic Reftesa Indriani Boarding School P 02 The Correlation Of Breastfeeding Pattern With The Suci Hati Mumtaz BAYHAKKI, PhD Development Of Infants Aged 6 - 12 Months P 03 The Desriptio Of Nursig Studet’s Self Cofidee Tiara Suci Level In Learning Method With Seven Jump Technique Iswandhie P 04 The Relationship Between Family Support And Marya Nasti Hypertension Stage Wandira P 05 Effects Of Foot Reflection Massage And Acupressure For Santi Melisa Veny Elita, MN (MH) Patient With Hypertension P 06 A Description Of People's Behavior Towards The Ruvida Ulfa Prevention Of Dengue Hemorrhagic Fever (DHF) P 07 Nomophobia: Incidents And Levels Among Indonesian Astari Rezki Teenagers P 08 Organ Failure Of Pasients With Using Ventilator Based Siti Rahmalia SRI WAHYUNI, M.Kep, Sp.KJ On The Sequency Organ Failure Assesment Score (SOFA) Who Admitted In Intensive Care Unit P 09 The Description Of Training Programs And Cognitive Lina Maria Siagian Function On Elderly P 10 Analysis Of Development Of Inter Professional Ifa Hafifah Education (IPE) Programs In Professional Students Of Faculty Of Medicine Lambung Mangkurat University P 11 The Relationship Of Physical Activity To Central Obesity Vera Permata Sari FEBRIANA SABRIAN, MPH In Adulthood P 12 The Relatioship Betee Mother’s Koledge Ad Ganis Indriati Giving Of Complementary Food For Breast Milk In Infants Aged 6 – 12 Months P 13 The Effect Of Individual Health Education Using Flipbook Nurpatri On Self-Efficacy Of Hypertensive Patients In Controlling Ramadhani Diet RISMADEFI WOFERST, M.Biomed P 14 The Comparison Of Warm Water Feet-Soaking Nur Sella Hydrotherapy And Acupressure Massage On The Blood Pressure of Primary Hypertension Patients

P 15 Maternal And Child Health Services In Kuranji Padang Mitayani Cit Toards SDG’s

Prior to the session:

 Evaluator should come to the Scientific Corner no later than 10 minutes prior to the session to obtain a poster presentation map and scoring rubric and fill out the presenter name, number, and presenter name on the poster presentation scoring rubric before the session begin

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 Presenter/author should stand by at their posters display 5 minutes before poster session.

During and at the end of the session

 Presenter/author presents their posters to evaluator.  Evaluator will have maximum 10 minutes to have a discussion with the presenter and to evaluate the poster according to the scoring rubric.  Presenter/author will not be allowed to use computers or other electronic devices during presentation.  Evaluator delivers the scoring results to the student in charge.

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Conference Chair’s Message A warm welcome to the participant of conference. The theme of Riau International Nursing Conference 2018 (RINC 2018) is incorporating technology and ethics in advancing nursing education and practice. This conference will provide an opportunity for health researchers, health practitioners, nursing educators and nursing students to exchange research evidence, practical experiences and innovative ideas on issues related to nursing technologies and ethics through networking and mutual sharing. It is a global platform to explore issues of mutual concern as well as the exchange of knowledge, share evidence, ideas, and knowledge. The main conference aim is to improve the quality of science and profession in nursing throughout integrating technology and ethics in order to increase nurses’ competencies for services, education and . Researchers and academics from different health science backgrounds will deliver a scientific forum that enable an interactive and exchange knowledge. It is a great chance for all participants to experience the opportunity to learn from speakers who expert in various fields of the nursing science. It is an honour to serve all speakers and participants from all nations with the taste of friendly and scientific environment. We look forward to meet you at the conference. Warm Regards,

Ns. Agrina,M.Kep.,Sp.Kom.,PhD Chairman of RINC 2018

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WELCOME SPEECH

Distinguished participants, Ladies and Gentlemen: It gives me a great pleasure to welcome all of you to the International Conference Nursing Conference RINC 2018 in Universitas Riau, Pekanbaru: “Incorporating Technology and Ethics in Advancing Nursing Education and Practices”. Nowadays, nursing in Indonesia is tremendously developing in all aspects including academics and practices. The use of technology is undeniably significant in the work of nurse educators and practicioners. Incorporating ethics to these aspects will ensure nurses to provide best healthcare services delivery. I would like to take this opportunity to express my sincere appreciation to conference committee for organizing this remarkable event and in particular our honorable speakers. All of them have been working hard, even though they are very busy with their responsibilities. Finally, I wish all two fruitful days of interesting and beneficial conference and also that you have a pleasant stay in Pekanbaru.

I warmly welcome you again,

Dr Ir Agus Indarjo, MPhil Acting Rector, Universitas Riau

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Welcome Message

On behalf of the Faculty of Nursing, Universitas Riau, Pekanbaru, I warmly welcome all distinguished invited speakers and all participants to the Riau International Nursing Conference (RINC) 2018 in the land of Malay city of Pekanbaru. The RINC 2018 is very special to Univerisitas Riau in particular to Faculty of Nursing. This conference is part of the 56th anniversary of Universitas Riau and it also allows opportunity to celebrate the existence of the Faculty of Nursing, Universitas Riau to the world. The conference theme, “Incorporating Technology and Ethics in Advancing Nursing Education and Practice”, has been wisely selected to mark nursing education and practice milestone.

This conference plays a significant role in the nursing academia, particularly for nurses, clinical nurses, nurse educators, health practitioners and nursing students in particular in Indonesia and around the globe. This is the perfect time to build research connection and share knowledge from different perspectives of nursing research, clinical and education. I am surely that the Riau International Nursing Conference 2018 brings impact and significant contributions to the development of nursing profession both locally and internationally.

My best wishes for the successful of the Riau International Nursing Conference 2018. I hope all participants have productive time during the conference and find the conference stimulating and enjoyable.

Sincerely,

Prof. Dr. Ir. Usman M. Tang, MS Dean of Faculty of Nursing, Universitas Riau

xix Technology versus Humanity or Technology alongside Humanity? - Our Decision Counts

Claudia K Y Lai, PhD, RN, FHKCERN, FHKCGN, FAAN

Technology, particularly information and communications technology (ICT), has transformed our world. In the early 1990s, the Internet was something new. Yet, nowadays, to a huge number of people, life seems unimaginable without a smart phone. Humankind has reached a digital age. While human life has become much easier in numerous ways with the adoption of technological innovations, the endless pursuit of new technologies has its limitations and perils. The more we invest in technology, the more blurred the boundaries seem to become between the physical and virtual worlds. A key challenge faced by governments around the world these days is how to care for fast-ageing and increasingly large populations in a rapidly changing and digitally connected world. Most certainly there have been useful advances in using ICT in . For instance, the use of cloud technology has greatly enhanced the development and uptake of telemedicine and telecare. However, older adults do not necessarily need cutting-edge technology. Day-in and day-out, older adults do not always need state–of-the-art medicine to attain good health and have a better quality of life. Even in times of sickness, appropriate quality care provided in a timely manner is often more relevant and meaningful to older adults and their families than the latest medical advances. This paper will discuss current trends in gerontological nursing as well as what is needed in the daily care of this particular client population. Issues of technology versus humanity will be explored. The author suggests that health professionals and nurses need not take one stance over another. Rather, we need to become better engaged in the use of technology in the delivery of nursing care, while at the same time upholding key values in nursing to serve humanity.

xx Nursing and Health Informatics in the Fourth Industrial Revolution

Michael Joseph S. Diño, PhD , MAN, RN, LPT Director, Research Development & Innovation Center, Our Lady of Fatima University, Philippines Advisory Board, Apple Distinguished Educators Vice President, Phi Gamma Chapter, International Honor Society in Nursing

Session Abstract

The Fourth Industrial Revolution (4IR) generated a considerable interest among scholars, informaticist and educational leaders around the globe. This industry shift brings with it exciting opportunities and inevitable challenges to various industries and professional practice including the health sciences.

The fundamental framework of developing innovative learning ecosystems (e.g. big data, artificial intelligence, robotics, smart technology) poses great value as Nurses and Nursing prepares for the impact of the 4IR. Also, the long-standing notion that Informatics as a catalyst to enhance practice, study clinical problem-solving, inform policy briefing, and enrich research activities directed to improve the quality of care has been an expectation and an envision to many. Healthcare leaders, educators, and researchers have recognized the need for every practitioner to participate in Informatics, that is, the use of information and communications technologies in the collection of data, use of information and generation of knowledge to support healthcare practice. Informatics competencies are increasingly becoming a global imperative for professionals in the healthcare field.

This session will highlight the historical developments in the evolution of industries, technologies in healthcare praxis and the associated discoveries and scientific work. This also aims to juxtapose current and impending trends and their impact on the healthcare sector. Grounded on the UNESCO pillars: Learning to Know, Learning to Do, Learning to be and Learning to Live Together as universal concepts, the session will recommend several creative and proactive solutions in preparing for, creating new technologies and mitigating the effects of the upcoming revolution through health and nursing informatics.

xxi Incorporating Technology and Ethics in Advancing Nursing Education and Practice

Prof. Datuk Dr Hjh. Bibi Florina Abdullah Pro-Chancellor, Lincoln University College

In present dynamic health systems, technology plays a vital role in education and nursing occupation. The major fundamentals are in the fields of healthcare promotion, internet, network and advanced systems. The nurses must receive essential IT training in all their respective field of specialization. Technology removes the traditional boundaries of space and time. Nurses to use these innovations to provide best proven care and knowledge from academic research. Nurses must be prepared to lead this technology-driven health care system Nurses have become competent of exploiting and disseminate the multifaceted technology into nursing caring practice from long before. Different type of machinery like ventilators and physiological monitors were used for years by nurses in intensive and critical care settings.

xxii Developing Successful Academic Researches in Advancing Nursing Education and Practice: Harnessing ICT, Global Databases and Research Engine

Ali ameen ª Lincoln University College, Selangor, Malaysia [email protected]

Abstract Nowadays, people deal with technology in many aspects of our life. Artificial Intelligent in various devices, Big Data the which produced every moment and Internet of that surrounded us in all our needs. There are a variety of areas where nurses can get advance practical and specialize in and they may decide they want to be qualified in one or several specialties over the course of their career. This work aims to give a brief idea about the ways for harnessing this triangulation in conducting your research in an easy and fast and accurate manner. To achieve these gals a descriptive methodology has been used for presenting the data in the various manner of troubling, chart figures and animations. The outputs have been covered a key related point which opted to be closely related to the conference slogan. These topics covered the techniques of developing successful academic researchers in advancing nursing education and practice with focusing on the Global Data and Big Databases which most important part of the academic research. In addition to the theoretical parts, the practical parts have gained the core portion of this work, especially the big databases research engines. More than five international databases have been taken as examples for creating academic evidence and support argument for finding the research gap. The popular databases were (1) The World Bank database, (2) The United Natation Data Base, (3) Global Competitiveness Index Data Base, (4) The Global Innovation Index Data Base, And (5) Trend Economic Data Base. The suggestions were emphasizing on conduct more research and deep learning on various levels of public databases for harnessing these resources for more research and monitoring our situations comparing with our neighbour countries.

Keywords: ICT, Global Databases, Research Engine, Big Data, Academic Research, Nursing Education.

xxiii How to Apply Technology and Ethics in Advanced Family Nursing Practice

Naohiro Hohashi, PhD, RN, PHN, LSN, HS, FAAN Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Japan Website: https://nursingresearch.jp/

1. Current status of family nursing in Japan 1-1. Differences between individual nursing and family nursing In North America in the late 1970s, family nursing aimed at the entire family began to be advocated and since then the concept has spread throughout the world. In Japan, the Department of Family Nursing with three faculty members was newly established at the University of in 1992, making it the starting point for family nursing in Japan. The study expanded rapidly as a practical science. I was one of those founding members. Currently family nursing studies has become established as one of the fields of specialization within nursing studies. Family health care nursing can be defined as, "With the nursing professional as the nucleus, the practical science of independently and autonomously maintaining and improving family functioning by the family system unit, and of preventative and therapeutic support to deal with family signs/symptoms in order to help enabling self-actualization of the family system unit." Nursing can be divided into the major categories of individual nursing (nursing for family members) and family nursing. Individual nursing targets individuals such as patients or users, and so on, while the paradigm of family nursing differs in that it targets the entire family. 1-2. Development of the Concentric Sphere Family Environment Theory (CSFET) From 1999, I began development of a middle-range family . At present the Concentric Sphere Family Environment Theory (CSFET) that I proposed has become familiarized on a worldwide basis. Based on the CSFET, such tools as the Family Environment Assessment Model (FEAM) and Family Environment Care/Caring Model (FECCM) have been developed, and are widely utilized in both research and practice.

xxiv 2. The role of certified nurse specialist in family health nursing 2-1. The current status of (APN) in Japan In Japan, certification of (RN) is obtained upon completion of a four-year program at the university. In addition, RN certification can be obtained from attendance at occupational training schools and others. However this field has rapidly shifted to universities, and currently 277 universities (broken down as 44 national universities, 49 public universities and 184 private universities) offer programs leading to RN. In addition degrees as advanced practice nurse (APN), including certified nurse specialist (CNS) and (NP), which require two years of education at the postgraduate master's level, can be obtained. The CNS program began from 1995 with a requirement of 26 credits and currently 2,067 individuals have obtained this degree. Programs leading to an NP degree only commenced from 2016, and the method for certification and so on is presently under review. A nursing professional with CNS can be described as having outstanding practical skills in specific fields of nursing. CNS exists in the field of family nursing studies as well, where it is referred to as certified nurse specialist in family health nursing. CNS consists of six distinct roles: Excellent nursing practice, consultation, collaboration, ethical coordination, education and research. From 2011, 38 credits of training that combines curing and caring was initiated, with CNS also seeking the practice of curing. As of October 2018, 55 individuals have been certified with the degree of certified nurse specialist in family health nursing. The curriculum leading to nurse specializing in family support is offered at six universities, one of which is my institution, Kobe University, which also has the distinction of being the first in Japan to provide education offering caring and curing. 2-2. Role of certified nurse specialist in family health nursing The certified nurse specialist in family health nursing performs six roles aimed at the entire family, which are as follows. 2-2-1. Excellent nursing practice toward the family Support toward all families so as to enable the maintenance and realization family well-being. 2-2-2. Consultation toward multiple occupations (other occupations) Conduct consultation toward multiple occupations (other occupations) related to family signs/symptoms. 2-2-3. Collaboration with other individuals involved in medical treatment and welfare Perform adjustments with multiple occupations (other occupations) related to family signs/symptoms. 2-2-4. Ethical coordination of those involved

xxv To safeguard the human rights of families and family members, to have the capability to make the necessary ethical decisions, and act accordingly. 2-2-5. Education toward multiple occupations (other occupations) Conduct education toward multiple occupations (other occupations) related to family signs/symptoms. 2-2-6. Research into family health nursing Produce evidence into family health nursing and conduct practical research that contributes to advancing the family nursing theory.

3. The technology of family support 3-1. Fusion of cure and care Family nursing is a human-oriented support that mainly deals with mutual transaction between the entire family and those who provide support to the family. The relationship between the two is deployed by means of family meetings, leading to changes in relationships within the family. This makes it a method of family support that makes possible resolution of family problems that enable the family to realize a healthy livelihood. Consequently, communication is more important than technology. The certified nurse specialist in family health nursing is not only able to provide care, but cure as well. In particular, he or she performs health assessments on family members and is required to have the ability to assist all family members in maintenance and improvement of health. To enable this, mastery in the fields of physical assessment, physiology and pharmacology is required. For this education, laboratories catering to high levels of skills are in use. 3-2. Construction of electronic family nursing studies In 1994 I established the Japanese Association of Computer Science (JACS), and served as its director. From that time how to recognize vital signs, computer-assisted instruction and others were developed. While harnessing this knowledge, in the field of family nursing I proposed electronic family nursing studies and made efforts to bring this about. At present, the following are in practice for families and nursing professionals. 3-2-1. CSFET-based Family Nurse Consultation Service For family members struggling to deal with family-related problems, a Family Nurse Consultation Service has been initiated on the campus of Kobe University. Specialized nursing professionals offer guidance to resolving problems at no charge, so please feel welcome to visit for a consultation. 3-2-2. The Society for the Study of the Concentric Sphere Family Environment Theory (SSCSFET) With the aim of upgrade of the Family Environment Assessment Model (FEAM) and Family Environment Care/Caring Model (FECCM), which are based upon the Concentric

xxvi Sphere Family Environment Theory (CSFET), for use in clinical applications, empirical research and others, the SSCSFET was established in 2007. In addition to conducting seminars, case study discussions and others, programs are offered leading to certification as Certified Intermediate Specialist in Family Support (CISFS) and Certified Advanced Specialist in Family Support (CASFS). At seminars and case study discussions, when individual data is not included, Zoom video conferencing software is utilized to enable long-distance participation. 3-2-3. Family Nursing Consultation Through the use of mobile phones and video conferencing software, the service, aimed at nursing professionals having difficulties providing support to families, conduct consultations and supervision. All utilization of the consultations and contents thereof are treated with complete confidentiality. Zoom video conferencing software requires no special settings and can be utilized free of charge. Interested parties are requested to contact me via email. 3-2-4. Family Nursing Webinars I also offer a free online seminar (webinar) on family support utilizing the CSFET via Zoom Video Webinars. The Zoom video conferencing software requires no special settings and can be used free of charge. Interested parties are requested to contact me via email. 3-2-5. Others Based on the CSFET, the Survey of Family Environment (SFE) was developed as a self-administered measurement of family functioning and family demands. There is also an electronic version of the SFE that can be accessed via mobile phones, from a web site and so on. The SFE enables screening of dysfunctional families --- which, for example, provides or use at the time of hospitalization or at the start of home visit nursing. Also, diagnosis of family functioning via the internet, and screening of problem families can be performed, enabling detection of latent family problems. Health assessment via internet telephones is important as a method for the so-called "four examinations in traditional Chinese medicine (seeing, hearing, asking, touching)." For example, for determination of facial pallor, it is important to have faithful rendering of the color. In this regard, from the year 2000 I became director of the Digital Biocolor Society, and have been conducting research.

4. Ethics for family support 4-1. Ethics toward people and groups The family support nursing professional, to safeguard the rights of families and family members, strives to resolve ethical problems and complications, and performs the role of making ethical coordination between persons related to the ethical problems and complications. Family health care nursing is aimed at the entire family, for which it is

xxvii necessary to adopt a multidimensional perspective involving the family internal environment, family system unit, family external environment and family chrono environment. These contain diversity, and it can be presumed to also contain possible contradictions. Consequently, problems occur due to the opposing advantages and disadvantages or privileges. One of the roles with the highest importance performed by the family support nursing professional in particular is ethical coordination, by which, as an advanced practice nurse, carefully considers clinical decisions and ethical decisions, which is important when providing nursing. Moreover, the family support nursing professional occupies the standpoint of being the greatest protector from the family's standpoint, and is responsible for putting the family's livelihood in order, as well as the standpoint of respecting the patient/user and entire family's values and make adjustments so that these may be realized. For this purpose as well, the nursing professional him or herself, as an individual as well as a specialist, while asking questions concerning the values of the patient/user and entire family, it is important to provide and share verbal explanation so that other medical professionals can comprehend in order to resolve other ethical issues. Ethical principles or ethical problems that have not been verbalized up to now, and specialized values are verbalized by the nursing professional him or herself, and through discussion of the ethical issues between medical professionals that involve the patient/user and entire family, and providing of care based on those results, the quality of care can also be improved.

References: 1. Hohashi, N., Honda, J., Shimada, N., & Michigami, S. (2016). An introduction to the Concentric Sphere Family Environment Theory: Theory and intervention (N. Hohashi, Ed.). Tokyo: Editex. [In Japanese] 2. Hohashi, N., Hinoue, E., Kobayashi, K., Yamashita, T., Nagatomi, H., Honda, J., et al. (2010). New family health care nursing: Theory, practice and research (N. Hohashi, Ed.). Tokyo: Medical Friend Sha. [In Japanese] 3. Hohashi, N., & Honda, J. (2011). Development of the Concentric Sphere Family Environment Model and companion tools for culturally congruent family assessment. Journal of , 22(4), 350-361. doi:10.1177/1043659611414200

xxviii Ethical Issues in Education, Practice, and Research in Nursing and Midwifery

Asst.Prof. Dr. Sopen Chunuan, PhD., APN. (Midwifery), RN.

Ethics has been defined in many different ways. Ethics is now recognized as a major part of education, practice, and research. Ethics are the norms or standards for conduct that distinguish between right and wrong. It is a system of moral values that is concerned with the degree to which nursing care process and research procedure adhere to professional legal, and social obligations to clients or participants. Ethics and education: The nursing profession focuses on practice with human beings. Nursing means actions to people, related to caring and helping when they are sick, including rehabilitation, disease prevention and health promotion, as well as assisting physicians to perform curative treatment. In doing so, it shall be based on scientific principle and the art of nursing. Ethical education plays important role in fostering nursing students to be moral agent. The major goals of ethic teaching are enhancing students’ skills on moral sensitivities, moral judgment, moral judgment motivation, and moral action. Nursing institutions should recognize their roles in promoting ethical teaching of nurse educators based on ethical principles of beneficence, non-maleficence, respect of autonomy, just, veracity, and fidelity. In addition, nursing institutions should also provide specific ethical course with essential contents such as ethical theories, ethical principles, ethical concepts, code of ethical, moral development, values and beliefs, ethical dilemmas, and ethical decision making. These contents must be integrated in professional nursing courses throughout the nursing curriculum by applying various ethics teaching methods such as analysis, ethic conference, and ethics rounds. In order to provide effective ethics education, nurse educators must be students’ role model and having moral competence. Nursing students practice closely with nurse educators to ensure their ethical practice with professional standard which will be results in patients’ best interest and safety. The Qualifications Framework for Thailand’s higher education system is designed to support implementation of the educational guidelines set out in the National Education Act, to ensure consistency in both standards and award titles for higher education qualifications, and to make clear the equivalence of academic awards with those granted by higher education institutions in other parts of the world. Programs developed within this framework should not only lead to the knowledge, generic skills and professional expertise normally associated with studies leading to comparable awards throughout the world, but should also include particular emphases reflecting the policy priorities of Thailand. The framework groups the kinds of learning expected of students into five domains and describes learning outcomes at each level in each of these groupings. The

xxix domains are: (1) Ethical and Moral Development, (2) knowledge, (3) cognitive skills, (4) interpersonal skills and responsibility, and (5) analytical and communication skills. Ethical and moral development: Development of habits of acting ethically and responsibly in personal and public life in ways that are consistent with high moral standards; ability to resolve value conflicts through application of a consistent system of values. Learning outcomes for ethical and moral development are expected to apply at the level described for all learners, though there are also some field specific items of knowledge that should be known by students in those fields such as codes of ethical practice for nursing, medical doctors, accountants, lawyers, etc. For ethical and moral development, this involves a combination of knowledge about appropriate behavior and formal and informal codes of practice, attitudes, and maturity of judgment. Development strategies may include exposure to positive role models and analysis and reflection on their own behavior and that of others in a variety of situations. Group discussions of simple and more complex moral dilemmas can help students clarify their own values and think through general principles that they believe should guide their own behavior. The principles of transfer of learning call for discussions of a wide range of possible situations including ones that are similar to those likely to be faced by the students in later life and employment. While special attention to this domain may be given in certain courses, it is important that opportunities are taken in all courses to reinforce and apply the principles developed. In Faculty of Nursing, Prince of Songkhla University; all nursing programs have been developed and modified based on the Qualifications Framework for Thailand’s higher education system. Ethics has been taught in all subjects both theories and practicums course to prepare nursing students provide quality of care and safety to their clients. Ethics and practices: Nurses as one of the health service providers and members in health system who are responsible for giving care to the clients and patients based on ethical issues. They need ethical knowledge to conduct their appropriate function to manage situations and to give safe and proper legal and ethical care in today’s changing world. Professional practice of nursing means practice of nursing to individual, family and community in the following actions: (1) to provide education, advice counseling, as well as solving health problems; (2) the act asset individual physically and mentally, including their environment, in order to solve problems of illness, alleviate symptoms, prevent dissemination of disease and provide rehabilitation, (3) provide treatment, as mentioned in primary medical care and immunization; and (4) to assist physicians to perform treatments. These actions shall be based on scientific principle and art of nursing in performing health assessment, , planning, and nursing intervention. Nurses play a role as advocates to assist patients and families struggling with complex information and difficult decisions. In particular, the fact that nurses encounter clinical situations that require ethical judgment highlights the need for nursing staff to gain knowledge and expertise in delivering care in an ethical manner. Nurses and midwives in Thailand work following the Professional Nursing and Midwifery Act that has been established sin 1985. Nurses have to face ethical problems and deal with moral conflicts especially in everyday practices. Nurses have responded to solve ethically problematic situations by active acting. Dealing with ethical problems nurses must blend the principles of ethics in nursing practice, an ethical decision making model and cultural competence.

xxx Ethics and research: In any research with human beings or animals, research must address ethical issues. Ethical demands can be challenging because ethical requirements sometimes conflict with the desire to produce rigorous evidence. Ethical considerations in research are critical. Research ethics involve requirements on daily work, the protection of dignity of subjects and the publication of the information in the research. However, when nurses participate in research they have to cope with three value systems; society; nursing and science which may be in conflict with the values of subjects, communities, and societies and create tensions and dilemmas in nursing. The major ethical issues in conducting research are: a) Informed consent, b) Beneficence- Do not harm c) Respect for anonymity and confidentiality d) Respect for privacy. Ethical considerations in nursing research have been grown in recent years to prevent biases and harm to participants. Thus, a formal review by ethics committee is usually required before conduction nursing research to promote and protect participant’s’ rights.

References Butts, J. B., Rich, K. L. (2013). Nursing ethics: Across the curriculum and into practice. USA: John & Bartlett Learning. Harris, D. M. (2011). Ethics in health services and policy: A global approach. San Francisco, CA: Jossey-Bass. Polit, D. F. Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing research. Philadelphia: Wolters Kluwer. Thailand Nursing and MidwiferyCouncil. (2010). Professional nursing and midwifery act B.E.2528 (1985) Revision of the act B.E 2540 (1997). Nonthaburi: Thai Nursing Council.

xxxi The Importance of Ethics in Nursing Practice

Wan Nishfa Dewi, M.Ng, Ph.D

Vice Dean for Academic, Students and Alumni Affairs of Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia

Medical Division, Faculty of Nursing, Universitas Riau Email: [email protected]; [email protected]

Abstract

Nurses all around the world are increasingly encountered ethical challenges in their patient care practice. They are obviously faced with different ethical problems in their professional practice, therefore they must understand and familiar with ethical codes of conduct and the importance of ethical decision-making. As a professional profession, there is a need for nurses to acknowledge the important of ethics which are fundamental guidance for them. This article attempts to discuss the importance of ethics in the perspective of nursing practise. One of the focuses of this article is on the main concept of ethics to deliver nursing practice in the healthcare setting.

Key words: Nursing, Ethics, Health care, Nursing practice, Profession

xxxii Complementary Therapy for The Breastfeeding Mothers in Community Health Nursing Practice

Ns. Agrina,M.Kep.,Sp.Kom.,PhD Community Health Nursing Division, Faculty of Nursing, Riau University, Indonesia

Breastfeeding has several health benefits on both the mother and infant and also it recognized as the best food for the baby. In order to receive the optimum benefits from breastfeeding, a period of exclusive breastfeeding for six months, with continued breastfeeding up two years is recommended by the World Health Organization (WHO). However, many breastfeeding mother experience insufficient milk production during the breastfeeding period eventhought the rate of physiological inadequate milk production is very low. Commonly reported reason for unsuccessful breastfeeding or early weaning is perceived insufficient breast milk supply. Believing that milk production is inadequate is associated with early introduction of supplemental feeding, which ultimately leads to less frequent breastfeeding and to a decrease in milk production over time. Furthermore, since consumption of complementary baby milk is associated with increased morbidity and mortality among infants, low breastfeeding initiation and duration rates are significant concern in many countries. Although the prevalence of low of breast milk production is only experienced by a few mothers, however it can be prevented through out several complementary therapies after the beginning of birth. Some studies show that complementary therapies influence to increase milk production like herb and massages therapy. Studies evaluating show that one of the reasons for early introduction of suplementary baby milk such as lack of effective support by primary care providers besides another reasons. The primary care provider like community health nursing is the first line responder to maternal concerns about the adequacy of milk production.

xxxiii

Abstract of Oral Presentation Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE RELATIONSHIP BETWEEN PARENTS’ VERBAL ABUSE AND EMOTION REGULATION IN ADOLESCENTS

Anisa Yulvi Azni1, Juniar Ernawaty2, Yesi Hasneli3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected] Abstract Objective: This study aims to determine the relationship between verbal abuses of parents and emotion regulation in adolescents. Method: The design of this research is descriptive correlation research with cross sectional approach. The sample was 256 students of Public Junior High School 23 Pekanbaru, that were taken using stratified random sampling technique. The instruments were verbal abuse of parents and emotion regulation questionnaires that had been tested for validity and reliability. The analyses used were chi- square and spearman tests. Results: The result showed that there is a significant relationship between verbal abuse of parents and emotion regulation in adolescents (p value < 0,05). Conclusions: It is expected for parents not to do verbal abuse, because it can impact on teenage emotion regulation. Keywords: Emotion regulation, adolescents, verbal abuse of parents

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE RELATIONSHIP OF THE GENDER WITH EMOTION REGULATION IN JUNIOR HIGH SCHOOL STUDENTS

Hayatul Husna1, Fathra Annis Nauli2, Herlina3

1Student of Faculty of Nursing, University of Riau 2Faculty of Nursing, University of Riau 3Faculty of Nursing, University of Riau Email: [email protected]

Abstract

Objective: Characteristics of junior high school students are not able to regulate emotions well. One of the factors that affect a person's emotions of regulation is gender. Method: this study applied a descriptive correlation study using cross sectional approach with 165 respondents. The measuring instrument used in this research was the questionnare for gender and emotional regulation variable. Data were collected using questionnare that has been tested for its validation and reliability. Data analyses used were descriptive analysis to see the percentage of each variable and using Chi-Square to see the correlation between variables. Results: The research of relationship of the gender with emotion regulation behavior showed P value = 0,073 > α = 0,05, so it could be concluded that there was no significant the relationship of the gender with emotion regulation in junior high school students. Conclusions: The research can be used as a base of information and increase knowledge about gender and emotional regulation.

Keywords: Emotional regulation, gender, students of junior high school

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

ELICITING E-LEADERSHIP STYLE AND TRAIT PREFERENCE AMONG NURSES VIA CONJOINT ANALYSIS

Christian Jay S. Orte, RN, RM, MAN, PhD¹ ² Michael Joseph S. Diño, RN, MAN, PhD² ³

¹- Faculty, College of Nursing, Systems Plus College Foundation, Angeles City, Philippines ²- The Graduate School, Our Lady of Fatima University, Valenzuela, MM, Philippines ³- Director, Research Development and Innovation Conference, Our Lady of Fatima University, Valenzuela, MM, Philippines Email: [email protected]

ABSTRACT

Parallel advances in technology and communication enables leader-subordinate interactions in actual and virtual spaces (eLeadership). This model shift is evident in various industries and professional organizations, including Nursing. The present study aimed to identify eLeader preferences among nurses based on several attributes namely: style, trait, and characteristics. Conjoint analysis via card sort was employed to capture the responses of 174 purposively selected nurses in the Philippines with prior interaction with a virtual nursing leader. Ten (10) orthogonal combination cards grounded from literature reviews were used as study tools. Data was collected online for about two months and was analyzed using SPSS version 21. The study surfaces that transformational leadership (0.237), authentic and artistic leadership (0.167) and physique (0.201) attributes were the most preferred style, trait and characteristics, respectively. The study promotes prior notions that leaders, even at virtual spaces, are being acknowledged as an essential figure in leader-subordinate interaction. keywords: e-leader, e-Leadership, virtual leaders, AIT, conjoint analysis, virtual space

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

VIEWS ABOUT GETTING OLDER AS PREDICTORS TO SELF-ESTEEM OF PROFESSIONALS NEARING RETIREMENT

Carlo Bryan C. Borrico1,2 1College of Nursing, System Plus College Foundation, Angeles City, Philippines 2Alumni, Holy Angel University, Angeles City, Philippines Email: [email protected]

Abstract

Objective: This study aimed to measure the participants’ views on aging, as well as their self-esteem. More so, it sought to determine if views of getting older significantly predicts the self-esteem of professionals nearing retirement. Method: A descriptive correlation design was used. Through convenience sampling, 100 professionals nearing retirement were recruited and asked to answer the Aging Perceptions Questionnaire (APQ) and Rosenberg Self-Esteem Scale. Frequency, percentage, mean, standard deviation and multiple regressions were used. Results: The results revealed that both emotional representations and consequences positive statistically and significantly predicted self- esteem. This means that when individuals think less of the mentioned emotions, the higher their self-esteem will be. Conclusions: The findings of this study emphasized the importance of maintaining aged person’s self-worth, identity, sense of purpose and self- esteem which are usually lost prior to retirement. It highlights the most common age- related changes usually experienced by aged person.

Keywords: Aging perception, Self-esteem, Professionals

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EFFECT OF COMBINED SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) AND HYDROTHERAPY AMONG INDONESIAN CLIENTS WITH HYPERTENSION

Risfinda1, Bayhakki2, Yufitriana Amir3 1Bachelor Student, Faculty of Nursing, Universitas Riau 2Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Riau 3 Department of Pediatric Nursing, Faculty of Nursing, Universitas Riau Email: [email protected]

Abstract Objective: This study aimed to explore the combined therapeutic effects of Spiritual Emotional Freedom and hydrotherapy on blood pressure of patients diagnosed with hypertension. Method: Non-equivalent control group quasi-experimental design was utilized. Thirty-six (36) consented hypertensive adult patients were recruited by purposive sampling from a Public Health Center in Pekanbaru, Indonesia. The respondents were divided into two groups of experimental and control. The control group received SEFT intervention combined with hydrotherapy for 20 minutes per day for 6 days. Data were collected, prepared and analyzed using dependent t-test (pretest) and independent t-test (posttest). Results: The result of statistical test showed that there was significant difference (p value= 0,000; <0,05) on blood pressure before and after interventions. The results also showed that the combination of SEFT and hydrotherapy can lower blood pressure in patients with hypertension in both systolic (142, 3; 132, 3) and diastolic pressure (99,11; 93,37) mean scores (in mmHg). Conclusion: SEFT and hydrotherapy are commendable therapies to decrease blood pressure in patients with hypertension. Nurses are advised to use these therapies as integrated in nursing intervention for hypertensive patients. Future studies are needed with more samples and groups: (a) SEFT only, (b) hydrotherapy only, (c) combination, and (d) control to further confirm its complementary interventional effects. Keywords: Blood pressure, Complementary Medicine, Hydrotherapy, Hypertension, SEFT

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE CORRELATION BETWEEN PARENTING STYLES AND ONLINE GAMING ADDICTION

Rodhiatul Hidayah1, Safri2, Ganis Indriati3

1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract

Introduction: Parenting styles influenced the adolescents behavior. Adolescents nowadays like to play online games. The aim of this reseach was to study the correlation between parenting styles and online gaming addiction on junior high school students. Method: This research used proportionate stratified random sampling involving 238 students selected based on inclusion criteria by using parenting style quistionaire for adolescents and game addiction scale. Parenting style questionaire was developed by researcher with validity test r count > r table (0,444). Game addiction scale divided into positive and negative online gaming addiction. Result: This research found that 66 students who were not addicted to online games (negative) obtained authoritative parenting style (74,2%), 33 students who were addicted to online games (positive) obtained permissive parenting style (55,9%). Conclusion: Data analysis was conducted by using chi-square test and the result showed p value (0,003) < alpha (0,05) which means that there was correlation between parenting styles and online gaming addiction. This research suggest providing authoritative parenting style on adolescents to prevent them from getting addicted to online games.

Keywords: Online gaming addiction, parenting styles, junior high school students.

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

RELATIONSHIP BETWEEN FAMILY SUPPORT AND AGGRESSIVE BEHAVIOR AMONG INDONESIAN ADOLESCENTS

Reshalia1, Reni Zulfitri2, Bayhakki3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected]

Abstract

Objective: Adolescence is a critical period in human development stage where aggressive behavior is common due to changes and challenges accompanying transition to adulthood. Social support from family members is considered as an appropriate promising solution to augment aggressive behavior among adolescents. Method: The study adopted descriptive- correlational research design using a sample consisting of one-hundred thirty-five (135) students of Tri Bhakti Junior High School in Pekanbaru. The data were collected using the adopted, valid and reliable Family's Support and Aggression questionnaires. Results: The chi-square test showed significant relationship (p-value= 0,004; α= 0,05) between family social support and aggressive behaviour among adolescents. Conclusions: This research confirms the beneficial effects of family social support in aggression among adolescents.

Keywords: Adolescent, aggressive behaviour, family support

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

MATERNAL AGE AND ANEMIA ARE RISK FACTORS OF LOW BIRTHWEIGHT OF NEWBORN Juli Widiyanto1, Geni Lismawati2 1Lecturer of Nursing Departement University of Riau 2Student of Nursing Departement University of Muhammadiyah Riau Email : [email protected]

Abstract

Objective: Low Birthweight is one of the risk factors that contribute to infant mortality especially during perinatal period. The worldwide, case of Low Birthweight is still a problem because it is a death of newborn's. in essence many factors that affect the incidence of Low Birthweight they are maternal age and anemia. The purpose of this study is to analyze the maternal age and anemia are risk factors of Low Birthweight newborn. Method : This research is an analitic obsevational study with case control study. The sample of this study amounted to 32 cases and 32 controls. The instrument used observation sheet by looking at the data in . The analysis used is bivariate with person chi-square test to see the maternal age and anemia are risk factors of Low Birthweight of Newborn. Result : The maternal age related with low birthweight of Newborn, evidanced by statistic analysis p-Value <0,05 is 0,001 and Odd Ratio: 16,2 (Confident Interval 95% : 1,94 - 135,38), and anemia related with low birthweight of Newborn, evidanced by statistic analysis p-Value <0.05 is 0.001 and Odd Ratio: 6.3 (Confident Interval 95% : 3 - 13.198). Conclution : The results of this study can be concluded that maternal age and anemia have related with Low Birthweight of Newborn.

Keywords: Maternal age, Anemia, Low Birthweight, and Newborn

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

RELATIONSHIP BETWEEN STUDENTS' PERCEPTION OF PROBLEM BASED LEARNING AND LEARNING OUTCOMES

Hermanto1, Wan Nishfa Dewi2, Veny Elita3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected]

Abstract Objective: Problem based learning is a method of learning with student centered approach. Changing education system from teacher centered learning to student centered learning may cause different experinces for students and it creates different perception for students. Method: This study applied a descriptive correlation using cross sectional approach with 175 respondents of nursing students. Data were collected using questionnaire of PBL that has been tested for validation and reliability. Results: Students involved reported that students have good perceptions of PBL in nursing basic science (83,4%) and communication in nursing (80%). The result showed that there is a significant relationship between students' perception of PBL and learning outcomes of nursing basic science with p value (0,02) < α (0,05) and communication in nursing with p value (0,009) < α (0.05). Conclusions: A statistically significant beneficial effect of PBL was found for students in terms of learning outcomes and new learning experiences. Keywords: Learning outcomes, nursing student, nursing subject, problem based learning, school of nursing, students’ perception.

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

FOOT SENSITIVITY AND BLOOD GLUCOSE LEVELS POST APIYU MASSAGE AMONG DIABETIC INDONESIANS PATIENTS

Yesi Hasneli1, Yufitriana Amir2 1,2Faculty of Nursing, University of Riau Email: [email protected], [email protected]

Abstract

Massage in pancreatic point of foot may help blood circulation and increase foot sensitivity to prevent neuropathy complication. Objective: To measure foot sensitivity and blood glucose levels among diabetic patients as measures of improvement pre and post Apiyu massage. Method: Quasi experimental research was employed to measure foot sensitivity and blood glucose before and after APIYU massage for fifty-five (55) purposively sampled consented adult patients with diabetes from Rejosari and Langsat Health Centers in Pekanbaru Riau, Indonesia. The intervention was given about three times in a week for thirty (30) minutes. Result: Revealed that there were significant differences between measures before and after massage using the Apiyu tool on: (a) mean sensitivity levels for pre-tests and post- tests on the right foot (pre-test 9.49, post-test 9.64; p-value = 0.011) and the left foot (pre-test 9.55, post-test 9.80; p value= 0.004), and (b) blood glucose levels (pre- test 271.6, post-test 220.7; p-value = 0.001). Conclusion: The APIYU massage was proven effective for improving foot sensitivity and reducing blood glucose among diabetic patients.

Keyword: Alat Pijat Kayu (APIYU), blood glucose, foot sensitivity, Diabetes mellitus (DM),

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

PROFILING DIABETES MELLITUS (DM) PATIENTS: DEMOGRAPHIC CHARACTERISTICS, DISEASE HISTORY AND FOOT GRADE

Desty Aristiyani1, Yesi Hasneli2, Rismadefi Woferst3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected] Abstract Objective: Diabetes mellitus is a chronic desease which is identified by hyperglycemia condition and may increase the risk of microvascular and macrovascular complications due to neuropathy. The purpose of this research was to identify and analytic the grade of diabetic foot ulcer based on Meggitt-Wagner system to among the diabetes mellitus patients who got diabetic foot ulcer. Method: Observational analytic aproach with cross sectional design was employed. The subjects (N=37) were abtained through census sampling, and were observed at RSUD Arifin Achmad hospital dated july 2018. Result: The result showed majority of the respondents with diabetic foot ulcer are female (N=26; 70,3%), at the 56-65 years old bracket (N=17; 45,9%), and with a duration history of DM for less than 5 years (N=15; 40,5%). Conclusions: Majority of respondents in grade 1 with superficial wounds characteristic.

Keyword: Diabetic foot, diabetes mellitus, Meggitt Wagner grade

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

CORRELATES BETWEEN INHALER TYPE AND USAGE ACCURACY AMONG INDONESIAN ASTHMA PATIENTS

Natasya Sri Zekia1, Siti Rahmalia Hairani Damanik2, Wasisto Utomo3 1,2,3Nursing Faculty, University of Riau Email : [email protected]

Abstract

Objective: Asthma medications are commonly administration through the nasal/nasopharyngeal route, which is typified into aerosol and powder forms. How to deliver drugs to people with asthma most often through inhalation. This type of inhalation is divided into two types, namely inhaled aerosol type and powder type. This study aims to determine the correlates between the types and usage accuracy of inhalers among asthma’s patients. Method: This study utilized descriptive-correlational with cross-sectional design. Purposive sampling was employed to generate 30 respondents. Questionnaires were developed and administered to the study subjects to evaluate the type of inhaler used. An observation sheet was also used to ascertain the accuracy of using inhalers. Data analysis included univariate analysis to analyze the frequency distribution and bivariate analysis to determine relationship between the 2 variables by using Chi-Square test. Results: indicate there is correlation between inhaler type with usage accuracy among indonesian asthma patients with p value (0,026) <ɑ (0,05). Conclusions: This research expects every public health center to perform evaluation on the type of inhalers used and accuracy of the use of inhalers on asthma patients. Keywords: Asthma, Inhaler, Accuracy

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

CAREGIVER’S LIVED EXPERIENCES IN CARING FOR POST-STROKE PATIENTS: A PHENOMENOLOGICAL INQUIRY

Indah Putri Irdelia1, Wasisto Utomo2, Rismadefi Woferst3 1Student of Faculty of Nursing, Universitas Riau 2,3Faculty of Nursing, Universitas Riau Email: [email protected]

Abstract

Objectives: Cognitive impairment is the problem of stroke sufferers. Cognitive impairment can lead dementia after stroke and effect patient’s life to fulfill activities of daily living, and need help from caregiver. Taking care post-stroke patients will impact to physical, psychological, and social of caregivers. Method: This research was qualitative research with phenomenological approach that aimed to explore the experiences of caregivers treats post stroke patient with cognitive impairment. This research used purposive sampling technique with three participants. Data was collected through semi-structured in-depth- interview. The method of Colaizzi used to analyzed data. Results: The research results obtained 5 themes: (1) caring-overview clients with stroke, (2) contriving-assiting in ADLs, (3) challenging-going beyond expectation to overcome challenges, (4) carving- improving oneself, (5) crafting-overall impact of the caregiver. Conclusion: Treats post stroke patient with cognitive impairment can effect to caregivers. The results of this research were expected to be able to obtain a better understanding to caregivers who have experiences treats patients with cognitive impairment in post stroke. Keywords: cognitive impairment, experience, caregiver, post stroke

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

CORRELATE BETWEEN FAMILY SUPPORT AND QUALITY OF LIFE AMONG HYPERTENSIVE PATIENTS

Sofiana Nurchayati1, Wasisto Utomo2, Darwin Karim3 1,2,3 Faculty of Nursing, Universitas Riau e-mail: [email protected]

Abstract Background: Hypertension remains to be a challenge for most patients. It is one of the most deadly disease that lead to detrimentally effect of patients' quality of life (Qol). Meanwhile, family support was recognised as an important support system for the disease care and hypothesized to ameliorate Qol for hypertensive patients. Objectives : the study objective were to determine family support, assess HRQol and examine whether family support correlates to Qol amelioration among patients with hypertension. Method : Quantitative study with retrospective designs was used to carry out this research. Data collection for Qol and family support were to measure condition of the hypertensive patients for the last month. Meanwhile, blood pressure values as a criterion to select research participants based on the current measurement during the study. Data was collected from 30 participants who selected by using convenience sampling technique from hypertensive patients in Teluk Kenidai Village, Kampar. Ethical consideration was obtained by approval of the research committee in University of Riau. Result : Univariate analysis shown that majority of participants are female (24 or 80%), the most of them have suffered from mild hypertension (15 or 50%) and dominated by length of the disease 1-5 years (14 or 46.7%). Descriptively, majority of the participants have good level of Qol (17 or 56.7 %) and good of family support (19 or 63.3%). Furthermore, inferential statistic (chi-square) has shown that p value is 0.454> α (0.05) indicates that there is no correlation between family support and Qol. Conclusion : Can be conclude that Qol and family support among hypertensive patients in Teluk Kenidai Village were in good level but statistically, the level of Qol among them significantly was not correlated with their family support.

Keywords: family support, hypertension, hypertensive patient, quality of life

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

NURSES’ UNDERSTANDING OF EVIDENCE BASED PRACTICE: KNOWLEDGE, PRACTICE AND ATTITUDE

Dian Eka Lestari1, Wan Nishfa Dewi2, Sri Utami3 1 Faculty of Nursing, University of Riau 2,3 Faculty of Nursing, University of Riau Email: [email protected]

Abstract

Objective: Evidence based practice (EBP) is an approach to facilitating the transfer of evidence into quality clinical practice. Method: This study is descriptive study. Using total sampling and data were nurses collected from 141 nurses in Medical-Surgical ward. The instrument used in this study was Evidence Based Practice Questionnaire (EBPQ). Result: The result of this study shows that overall nurses’ understanding of EBP is at the moderate level (53.9%). Conclusion: Based on EBP components the result of the study depicts that knowledge of EBP is at high-level comparing to practice and attitude. This study is finding gaining insight into how EBP is understood will inform the need for effective way to introduce and develop EBP in clinical practice for nurses. Therefore, the consequences of failure to understand and articulate EBP will impact on the quality of care.

Keywords: attitude, EBP, knowledge, nurses, practice, understanding of EBP

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE EFFECT OF PICTORIAL HEALTH WARNING LABELS ON SMOKING INTENSITY IN ADOLESCENTS

Arvilla Diana1, Febriana Sabrian2, Darwin Karim3 1Student of Faculty of Nursing, Universitas Riau 2,3 Faculty of Nursing, Universitas Riau Email: [email protected]

Abstract

Objective: Measures are needed to address adolescents’ smoking behavior. This study aimed to assess the effect of pictorial health warning labels on smoking intensity in adolescents. Method: The design of this research was quasi experiment with non- equivalent control group. The sampling technique used was proportionate stratified random sampling. This study involved 34 smoker students from a junior high school, which was chosen based on recommendation from Department of Education and Culture in Pekanbaru City. An approval letter from school principal was received prior to conducting research. Samples were divided into 17 respondents of intervention group and 17 of control group. Respondents of intervention group were shown pictorial health warning labels for 10 minutes everyday during 2-week intervention. Daily smoking intensity was measured before intervention and after 2-week intervention based on students’ report. Respondents of control group were given the same intervention after post-intervention data was collected. The data was analysed by using univariate and bivariate analysis with a computer software. Results: Before intervention was given, the mean number of cigarette smoke in experimental group was 4,65 cigarettes, and after intervention the number decreased to 3,47 cigarettes. The result showed significant decrease in smoking intensity with p value (0,000 < α (0,05)). Conclusion: Pictorial health warning labels had effect on smoking intensity in adolescents. It is suggested that school authority and school nurse to develop health promotion activities by using pictorial health warning labels and other printed media to lessen smoking behavior in adolescents.

Keywords: Adolescents, labels, pictorial warning, smoking intensity.

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

A PHENOMENOLOGY STUDY: THE EXPERIENCE OF RE-TAKERS IN TAKING THE INDONESIAN NURSING COMPETENCY EXAMINATION (INCE) Siska Mayang Sari1, Dewi Kurnia Putri1 1 Lecturer in Nursing Program of Hang Tuah Pekanbaru Institute of Health Science Correspondent address: [email protected]

Abstract Objective: This study aims to explored the experience of re-takers of Nursing Program of Hang Tuah Pekanbaru Health Science School in taking INCE. Method: This qualitative study used phenomenology approach. There were 5 re-takers who failed to passed INCE as the participants in this study taken by purposive sampling. Data were collected by in- depth-interview and were analyzed with Colaizzi method. Result: This study found that the re-takers were having psychological responses every they took INCE, prepared the next INCE, had obstacles in INCE process, tried to answer all questions, and had hopes related to INCE organizers. Conclusion: It is recommended that the nursing program of Hang Tuah Pekanbaru health science school provide several preparations for nursing students to face INCE, such as joining the government schedule of INCE try-outs and making additional try-out programs for the students. Keywords: experience, re-taker, Indonesian Nursing Competency examination (INCE)

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

SELF-CARING IN ISLAMIC CULTURE OF MUSLIM PERSONS WITH ESRD AND HEMODIALYSIS: AN ETHNOGRAPHIC STUDY

Bayhakki1, Urai Hatthakit2, Pleonpit Thaniwatthananon3 1 Faculty of Nursing, Universitas Riau, Indonesia 2,3 Faculty of Nursing, Prince of Songkla University, Thailand

Abstract

Objective: Culture and religion may influence self-caring of persons with End Stage Renal Disease on hemodialysis therefore the study aimed to explore self-caring in an Islamic culture of Muslim persons living with End Stage Renal Disease undergoing hemodialysis. Method: This study is a qualitative ethnographic study. Purposive sample of 4 females and 8 males of Muslims on hemodialysis aged between 31 to 62 years old and length of undergoing hemodialysis between 11 months to 9 years and 3 months were recruited by using several inclusion criteria. The inclusion criteria were being diagnosed End Stage Renal Disease and having known the diagnosis, having been undergoing hemodialysis at least 6 months, and never change treatment to peritoneal analysis or renal transplantation. Exclusion criteria applied in this study were hemodialysis persons with severe hyperventilation and edema, and loss of consciousness. Data were collected by using in- depth interviews, participant observation, and field note takings. Data analysis used the ethnonursing data analysis method. Results: Findings of the study revealed four categories that reflect meanings of and how informants care for themselves and how Islamic teachings and cultural values influences them. The categories emerged from the study are meaning of self-caring, actions in self-caring, Islamic influences to self-caring living and cultural influences to self-caring living. Conclusions: Muslims on hemodialysis performed any activities or actions that reflected their efforts to perform their self-caring in order to survive or be healthy based on their own perspective. Islamic teachings were used as guidance in selecting treatments and performing their self-caring. Family members, nurses and other healthcare professionals should considered Islamic teachings in assisting and delivering care for Muslims on hemodialysis.

Keywords: Ethnography, Muslims on hemodialysis, Qualitative, Self-caring.

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

FACTORS AFFECTING THE PERFORMANCE OF PUBLIC HEALTH NURSES IN FAMILY NURSING CARE

Sovia1, Suharti2, Yellyanda3, Abbasiah4, Debbie Nomiko5 1, 2, 3,4,5Nursing Department, Jambi Health Polytechnic of Health Ministry Email: [email protected]

Abstract

Objective: To determine factors that influence the nurses’ performance in family nursing care in public health centers in Jambi City. Method: A cross-sectional study was conducted from April to October 2016 using questionnaire with public health nurses as participants. The survey included questions on knowledge, attitude, self-confidence, motivation, personality, and nurses’ performance in family nursing care, and was completed by 114 nurses. Data analysis used for this study were chi-square test and logistic regression. Results: The factors affecting the nurses’ performance in family nursing care were attitudes (p 0.003; 95% CI 1.583 - 9.823), motivation (p 0.002; 95% CI 1.672 - 9.972), and personality (p 0.005; 95% CI 1.466 - 8.830). Conclusions: Need efforts to improve the attitude, motivation, and personality of nurses in providing family nursing care, such as training, supervision, and rewards.

Keywords: performance, public health nurses, family nursing care

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EMERGENCY NURSES’ KNOWLEDGE ON TRIAGE

Vicky Setiarini1, Wan Nishfa Dewi2, Darwin Karim3 1,2,3Faculty of Nursing, Universitas of Riau Email: [email protected]

Abstract

Objective: One of the positive predictors of efficient case handling in the hospital emergency room (ER) is the nurses’ triage knowledge itself. This study aims to identify nurses’ emergency knowledge about triage. Method: This study was conducted in ER Arifin Achmad Hospital. Descriptive study was used with total sample of 31 emergency nurses. Triage knowledge was measured using questionnaire developed by the researcher with triage indicators: understanding of triage; the purpose of triage; triage principal and triage documentation and has been tested for its validity and reliability. Descriptive analysis was used to describe nurses’ knowledge of triage. Result: The findings of this study show that in general emergency nurses have better understanding of triage with 51,6%, but there are still 48,6% of nurses who do not understand about triage. Conclusion: This study suggests that nurses knowledge related to triage is at a good level.

Keywords: Emergency room, ER, knowledge, nurses, triage, Emergency nurses

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

SELF-CARE PRACTICE OF CONGESTIVE HEART FAILURE PERSONS ARIFIN ACHMAD HOSPITAL

Dwi Rahayu Nengsih¹, Wan Nishfa Dewi², Fathra Annis Nauli³ 1Student of Faculty of Nursing, Universityof Riau 2,3Lecturer of Faculty of Nursing, Universityof Riau Email: [email protected]

Abstract

Objective: This study aim to determine self-care for congestive heart failure. Method: The research sample was 44 patients with congestive heart failure in who were taken based using accidental sampling technique in Arifin Achmad Hospital. The measuring instrument used is the Self-care of Heart Failure Index (SCHFI) that had been tested for validity and reliability. The analysis used is descriptive analysis. Result: Findings of the study show that all of self-care dimensions are valued at good with 56,8% constitutes for self-care maintenance; 56,9% for self-care management, and 68,2% for self-care confidence. Conclusion: It is essential to establish self-care in patient with heart failure to improve self- care behavior. Nurses play an important role in this improvement. Keywords: Congestive heart failure, developing country, Nursing, Self-care

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Oral Presentation Riau International Nursing Conference 2018 RINC 2018

EFFECT OF TEPID SPONGE ON CHANGES IN BODY TEMPERATURE IN CHILDREN UNDER FIVE WHO HAVE FEVER DR. ACHMAD MOCHTAR BUKITTINGGI HOSPITAL

Hendrawati1, Mariza Elvira2 Akademi Keperawatan Nabila Padang Panjang [email protected]

Abstract

Objective: The purpose of the study was to determine the effect of Tepid Sponge on changes in body temperature in children aged under five who had a fever in Dr. Achmad Mochtar Bukittinggi hospital. Method:This research is Quasi Experiment with one group pretest - posttest research design. Done at Dr. Achmad Mochtar Bukittinggi Hospital in April 2018. Respondents of children under five who suffered from fever were 12 people. Samples in Non- probability Sampling with Systematic Sampling. The kind of systematic sampling is type of sample based on the order of members of the population who have been given an even number starting from number 2. The statistical test used is paired sample t-test. Results:Before being given Tepid Sponge all children under five experience high temperatures (100%) of 12 respondents, after being given Tepid Sponge one time gift, the temperature of all respondents becomes normal (100%). Statistical test results showed a significant effect of giving Tepid Sponge to changes in body temperature with p = 0,000 ( 0.05). Conclusion: It can be concluded that there was effect of Tepid Sponge on changes in body temperature. Health workers are expected to provide Tepid Sponge for children under five who have increased body temperature.

Keywords: Body Temperature, Children Under Five, Tepid Sponge

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

PERCEPTIONS OF STUDENTS, LECTURERS AND STAFF ON ESTABLISHING A SMOKE-FREE CAMPUS

Febriana Sabrian1, Wasisto Utomo2 1,2School of Nursing Universitas Riau Email: [email protected]

Abstract

Objective: This study aimed to identify students, lecturers and staff perceptions regarding smoke-free campus policy. Method: A survey was conducted in Universitas Riau by administering a set of questionnaire to 880 students, 102 lecturers and 209 staff that were recruited using convenience sapling technique. Samples were taken from all faculties in the university. Information was obtained pertaining to demographics, smoking and non- smoking behaviors and experiences, and perceptions regarding smoke-free campus policy. Results: Of survey groups and respondents, 58% were females, 84.3% were non-smokers, and 66.1% reported exposure to cigarette smoke in university campus everyday or several days a week. All groups reported they were affected by cigarette smoke with no significant difference in the proportion (p = .540). The proportions of students and lecturers were similar in terms of their agreements on smoking prohibition in campus environment (81.7% and 84.3% respectively), while the proportion was different with staff (p = .004). All groups indicated strong agreement on establishing a smoke-free campus (81.9% of students, 85.3% of lecturers, 77.7% of staff) with no significant difference in the proportion (p = .079). Conclusions: The majority of students, lecturers and staff were very supportive of creating a smoke-free campus. Therefore, there is a call to action for university leaders and decision makers to implement smoke-free campus policy.

Keywords: perception, policy, smoke-free campus

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

ANALYSIS OF ELECTROCARDIOGRAM RECORDING LEAD II IN PATIENT WITH CARDIOVASCULAR DISEASE

1 2 3 Safri , Wan Nishfa Dewi , Erwin 1,2,3Nursing Faculty of Universitas Riau Email: [email protected]

Abstract

Background: Electrocardiogram (ECG) is currently an important diagnostic to monitor and evaluate patients with cardiovascular disease. Purpose: This study aims to determine and analyse ECG recording patients with cardiovascular disease and analyse the specific characteristics of ECG for each cardiovascular diseases with and without complication. Methods: This study applied descriptive study with 23 sample of outpatient with cardiovascular disease with and without complication which selected using purposive sampling technique. Data collected was analysed using descriptive analysis. Findings: This study results shows that P wave is normal with a width of 0.12 seconds (100%) and a height of <0.3 mV (100%), the width of the QRS complex is between 0.04-0.12 seconds (91.4%), PR interval width 0,12-0,20 seconds (100 %), Q wave width is majority <0.04 seconds and Q wave depth 1/3 R (95.7%). The ST segment on the lead II recorded, 52.17% of patients have ST Elevation and very little patient identify with wide QRS complex and abnormal Q wave. Conclusion: Most experienced ischemia that was shown by the average patients having myocardial ischemia. This could slow down the repolarization process. Some experience ischemia as shown by the ST Elevation segment which can slow down the repolarization process. However, there were respondents who did not experience ischemia and were abnormal in ECG recording. This is likely to be influenced by several factors including proper handling at the first ischemia attack, age and patient adherence to treatment given that respondents are patients is always control to poly- outpatients.

Keywords: Cardiovascular disease, Electrocardiogram (ECG), Ischemia, CAD, lead II

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EFFECT OF HEALTH EDUCATION USING THE REDI GAME TOWARDS KNOWLEDGE IN PREVENTING PREMARITAL SEX BEHAVIORS OF FEMALE TEENAGERS Pratiwi Ningsih1, Sri Utami2, Nurul Huda3 1Student of Faculty of Nursing University of Riau 2,3 Faculty of Nursing University of Riau Email: [email protected]

Abstract Premarital sex behavior can cause a variety of negative effects on teenagers as unwanted pregnancies and abortion. Lack of knowledge can affect teenagers knowledge about the effect and prevent premarital sex. Health education can change their knowledge. This study aims to determine the knowledge related to prevent premarital sex behaviors of young women through health education using the REDI game method (Wheel of Education and Inspirtion) in the Labuh Baru Barat Payung Sekaki Pekanbaru District. This research used quasi experiment design with the non-equivalent control group. The sample of this research was 34 respondents taken based on the inclusion criteria using purposive sampling technique, divided into experimental group and control group. The score of knowledge was measured by using a questionnaire that has been tested for validity and reliability. The analysis used was univariate and bivariate analysis using Wilcoxon test, dependent t-test, and Mann Whitney test. The results showed a significant increase in teenagers knowledge about premarital sex prevention after being given health education through the REDI game method (Wheel of Education and Inspiration) with the p-value (0.000) < alpha (0,05). The results show that health education through the REDI game method (Wheel of Education and Inspiration) is effective to increase teenagers knowledge for premarital sex prevention. The result of this study can be an alternative for nursing intervention to increase adolescents knowledge to premarital sex prevention. Keywords: Health education, knowledge, premarital sex, redi game method, teenagers

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

HEMOGLOBIN LEVEL AND FETAL WEIGHT OF PREGNANT WOMEN IN PAGAR DEWA WEST LAMPUNG

Aryanti Wardiyah1, Rilyani2, Suryani3 1,2School of Nursing, University of Malahayati, Lampung 3 Puskesmas Pagar Dewa, West Lampung Email : [email protected]

Abstract

Objective: To know the relation between hemoglobin level and estimated fetal weight in pregnant mother at Puskesmas Pagar Dewa Lampung Barat. Method: Quantitative research type, using cross sectional approach. The population in this study is pregnant women at Pedi Dermat Puskesmas West Lampung a number of 70 pregnant women. The sample is taken by using the total population technique to get 70 respondents. Data collection techniques were performed by measuring hemoglobin levels and estimated fetal weights. The statistical test used is Chi Square test. Result: Hemoglobin level in 70 respondents with anemia as much as 38 respondents (54.3%) and no anemia 32 respondents (45.7%) Fetal weight estimate of 70 respondents, with estimated weight of inappropriate 40 respondents (57.1%) and 30 respondents (42.9%). The result of chi square statistic test obtained p-value 0.000 (<0.05). Conclusion: There is a relation between hemoglobin level and estimated fetal weight in pregnant women in Pagar Dewa Lampung Barat working area in 2018. With the value of OR 8.250 which means that respondents who have low Hb value (anemia) will be eight times the risk of having fetal weight estimation with TBJ is not appropriate Suggestions are expected to increase awareness of pregnant women about the importance of routine pregnancy examination. As well as routinely consume Fe tablets provided by the officer, and pay attention to nutritional intake during pregnancy, in order to avoid nutritional anemia, thus causing the baby born with a low BB.

Keywords: Hemoglobin Level, Fetal Weight Estimated

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

IDENTIFICATION SLEEP PROBLEMS IN EPILEPSY CHILDREN

Novrita Riawan Putri1, Riri Novayelinda2, Yufitriana Amir3 1Student of Faculty Nursing University Riau 2,3Lecturer Faculty of Nursing University of Riau Email: [email protected]

Abstract

Objective: This study aims to determine sleep problem in epilepsy children. Method: The research sample was 38 children with epilepsy who were taken based using purposive sampling technique in Arifin achmad Hospital. The measuring instrument used is the questionnaire The Sleep Disturbance Scale for Children (SDSC) that had been tested for validity and reliability. The analysis used is descriptive analysis. Result: The results found that 25 respondents (65,8%) had generalized seizure type and 21 respondents (55,3%) experienced sleep disturbances. The most types of sleep disturbances were disorders of initiating and maintaining sleep with 20 respondents (52,6%) followed by sleep-wake transition disorders with 19 (50%) and sleep breathing disorders with 11 respondents (28,9%). Conclusion: It is expected for parents to fulfill children’s sleep need so that sleep problems can be reduced.

Keywords: children, epilepsy, SDSC, sleep problems

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE CORRELATION BETWEEN KNOWLEDGE AND ATTITUDE ABOUT HEALTHY SNACKS WITH CHOOSING FOOD BEHAVIOR AT 4th AND 5th GRADES IN PUBLIC ELEMENTARY SCHOOL 121 PEKANBARU

Estri Mailinda1, Raja Fitrina Lestari2 1,2School of Nursing, University of STIKes Hang Tuah Pekanbaru E-mail: [email protected].

Abstrak

Objective: Snacks of school children have an important role in fulfill the adequacy of energy and nutrients for the growth and development of children. The objective of this research is to know the relationship between knowledge and attitude about healthy snacks with behavior of choosing at the 4th grade and 5th grade students in public elementary school 121 Pekanbaru. Method: This research used descriptive correlational method with cross sectional approach where study independent and dependent variable are simultaneously. The Data were collected from 74 samples by distributing questionnaires using simple random sampling technique with the variables were studied knowledge about healthy snacks and attitude about healthy snacks and choosing snack behavior. Result: Most of students have good knowledge (68,9%) and have a negative attitude (55,4%) about healthy snacks and have good behavior (67,6%) in choosing snacks. Conclusions: The conclusion in this research was found that there was no correlation between knowledge about healthy snacks with the behavior of choosing snacks (p value = 1,000) and there was no relationship of attitude about healthy snacks with choosing snack behavior (p value = 0,369). It is suggested to the school, although the result of this research was no correlation, the school always need to control of all types of snacks that is sold in the school.

Keywords : Knowledge, Attitude, Behavior, Healthy Snacks, Children of School

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

SOCIODEMOGRAPHIC CHARACTERISTICS AND PSYCHOSOCIAL WELLBEING OF ELDERLY WITH CHRONIC ILLNESSES WHO LIVE WITH FAMILY AT HOME

Reni Zulfitri1, Febriana Sabrian2, Herlina3 1,2,3School of Nursing Universitas Riau Pekanbaru, Riau, Indonesia Email: [email protected], [email protected]

Abstract

Objective: This study aimed to explore sociodemographic characteristics and psychosocial wellbeing of elderly with chronic illnesses who live with family at home. Methods: This is a descriptive correlational study that was conducted in Pekanbaru. This study involved 85 elders that were recruited using purposive sampling technique. Data were obtained by using questionnaires. Results: Descriptive analysis using a computer software showed that 96.5% of elderly were Muslim, 48,2% were from Minang tribe, 55.3% were female, 56.5% were married, 78.8% were low-educated, 83.5% were unemployed, and 84.7% had experience of losing a spouse, and showed that 56,5% of elderly have high psychosocial wellbeing state, whichreflected psychological health and the ability to interact socially.Of all sociodemographic characteristics of the elders, all indicated higher psychosocial wellbeing state except for single elders or don't have a life partner and unemployed elders. Chi-square test showed no significant relationship between educational level, marital status, employment status, and bereavement experience with psychosocial wellbeing of the elders (p > 0.05). Conclusions: The majority of the elderly with chronic illnesses who live with family at home were at good psychosocial wellbeing. Measures are needed to improve psychosocial wellbeing of single elders or don't have a life partner and unemployed elders.

Keywords: chronic illness, elderly, psychosocial wellbeing, sociodemographic characteristics

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

AN OVERVIEW OF PHYSICAL ACTIVITIES AMONG FAMILY MEMBERS WITH RISK OF TYPE 2 DIABETES MELLITUS IN PEKANBARU

Gamya Tri Utami1, Siti Langga Lubis2 1,2Faculty of Nursing, Universitas Riau Email: [email protected]

Abstract

Objective: Genetic has interrelated with the development of type 2 diabetes mellitus (DM). Individuals at high risk of type 2 DM have a strong family history of DM and physical inactivity in their lifestyle. This study was aimed to determine physical activity among family members with high risk of type 2 DM in Pekanbaru. Method: Design of the study was descriptive study. Number of sample were 128 respondents, which has taken by purposive sampling technique based on the inclusion criteria. This study was considered for respondent’s comfort, privacy and confidentiality. The measuring tool for physical activity was modified Baecke Questionnaire, which has been tested for validity and reliability. It consists of work index, sport index, and leisure index. The analysis of this study was univariate analysis with frequency distribution in percentage form. Results: The result showed that in adolescent age, 51.9% have middle activity, 27.8% have high activity, and 20.3% have low activity. In adult age, 61.2% have middle activity, 24.5% have low activity, and 14.3% have high activity. Conclusion: This study recommends for family members who have risk of type 2 DM to start a healthier life by maintaining their physical activity especially in sport activities.

Keywords: family member, physical activity, risk of type 2 diabetes mellitus

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EFFECTIVENESS OF HEALTH EDUCATION USE AUDIOVISUAL MEDIA ON INCREASING FAMILY KNOWLEDGE IN PREVENTION OF DENGUE HEMORRHAGIC FEVER (DHF)

Arneliwati 1, Agrina2, Ari Pristiana Dewi3 Fakultas Keperawatan, Universitas Riau Email: [email protected]

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease caused by an infection transmitted through the Aedes Aegypti mosquito. This study aims to determine the effectiveness of health education through audiovisual media on improving family knowledge in the prevention of dengue fever (DHF). This study used a Quasy Experiment research design with a research design of Non-Equivalent Control Group. The study was conducted in the community with a sample of 40 people, consist of 15 for experimental group and 15 for control group. Purposive sample collection method. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The analysis used is univariate analysis and bivariate analysis using t-dependent test and t-independent test. The results showed a significant increase in changes in the level of knowledge, attitudes and actions of families in the prevention of dengue fever by using audiovisual media (p = 0.00), (p = 0.000), (p = 0,000). Based on the results of this study recommend to health workers to provide health education by using audiovisual media in the prevention of dengue fever

Keywords: Dengue Hemorrhagic Fever (DHF), Knowledge, Attitudes and Actions

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

CLAY HANDBUILDING AMONG CHILDREN WITH SPINAL CORD INJURIES: TOWARDS EDUCATIONAL PROTOCOL DEVELOPMENT

Jerry V. Manlapaz, RN, PhD, EdD1 1School of Nursing, Saint Paul University Manila, Philippines 2School of Nursing, University of Santo Tomas, Manila Philippines [email protected]

Abstract

Objectives: This study identifies and describes children with spinal cord injury with paraplegia and examines an intervention that can contribute to nursing education and practice. Methods: This qualitative Hermeneutic phenomenological research with multiple triangulations which include data, method, and investigator triangulation, with iterative approach in data analysis were utilized in data collection and analysis. A total of 8 children with their parents or guardians were purposively selected. A semi structured interview, storytelling and clay hand building was used to collect data. Analysis of molded clay figures was done by the child’s personal interpretations and further interpreted by an expert in the field of psychology and art therapy. Results: The experiences of children have revealed five themes and seven categories. The children’s experiences are as follows; happy memories, representation of illness and hospital confinement, love for family, faith, and hope. Conclusions: Based on the results, an educational protocol for clay hand building was found effective.

Keywords: Clay hand building, children, spinal cord injuries, Educational protocol

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE ASSOCIATION BETWEEN PEER CONFORMITY WITH DEVIANT BEHAVIOR IN ADOLESCENT Gilang Sri Mentari1, Jumaini2, Arneliwati3 1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract Objective: Adolescence is a very critical period in human development stage, where multi dimension change happens such as biologic, cognitive, psychological and social change. Many changes in this period make adolescent find more problems that could be a kind of deviant behavior. Method: The design of this research was descriptive correlation using cross sectional approach. The sample of this research was 201 students of SMP N 15 Pekanbaru using stratified random sampling technique. The instrument used was a questionnaire that has been tested for validity and reliability. Result: The result of chi- square test showed p value (0,000 and 0,041) < α (0,05) for light deviant behavior and medium deviant behavior. It can be conclude there were significant relationships between peer conformity with deviant behavior. Conclusions: This research statically showed there is a significant impact of peer conformity in adolescent. School has to warn and give educated punishment to student and also strengthen Counseling teacher participation, so it will decrease the risk of deviant behavior in adolescent. Keywords: Adolescent, deviant behavior, peer conformity

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

SPIRITUALITY AND HEALTH STATUS AMONG ELDERLY IN NURSING HOME IN RIAU, INDONESIA Herlina, Agrina Nursing Faculty, Riau University Email: [email protected]

Abstract BACKGROUND Spirituality is animportant factors for older adults life. An aging process majorly makes the elderly person facing health problem, then can occur an indication which can obstruct the individual’s process of worship or spiritual. The purpose of this study was to examine the relationship between sprituality and health status outcome in nursing home (PSTW Khusnul Khotimah) in Pekanbaru, Riau-Indonesia. METHODS This study was a cross-sectional study with 36 elderly as samples and it was taken by total sampling technique. JAREL Spiritual Well-Being Scale was used to assess elderly sprituality level. Univariate and bivariate to use nonparametric analyses were performed to determine the relationship between elderly sprituality and self-reported health status. RESULTS Majority marital status of respondent (85,8%) were divorce with their couple. Seventy two poin two percent elderly health status was not good and 52,8% (The results spiritual statement of indicates elderly : When I was sick , I reduced spiritual welfare 33,3%, I cannot accept changes in my life 27,8%) of them have less sprituality. This study also found that the elderly who has the low spirituality level more likely have health problems. There was significant correlation between sprituality and elderly health status in nursing home (P= 0,035). CONCLUSIONS It was importance to increase the elderly sprituality to prevent health status degradation in older adult in nursing home. Keywords: Spirituality , Health Status, Elderly in Nursing Home

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EXPERIENCES OF PATIENTS UNDERGOING ORAL CHEMOTHERAPY : WHAT A PATIENT WANTS FROM NURSE

Nurul Huda1, Rismadefi worferst2, Wan Nishfa Dewi3, Yulia Rizka4, Aulia Rika5 1,2,3,4,5School of Nursing, University Of Riau, Riau, Indonesia Email : [email protected]. [email protected]

Abstract Objectives : This research was conducted to get illustration regarding patient’s experience when receiving oral chemotherapy at home. Method: This study using qualitative study design with phenomenology approach. Data were collected by semi structured interviewed. Study gathered from 7 participants who meet inclusion criteria. This research has obtained approval by Nursing Faculty of Riau University and Ethical clearance from Ethical Board for Medicine & Health Research of The faculty of Medicine, University Riau Results: The result of study showed what patients felt are lacked information about oral chemotherapy management.Therefore they want at least three things. First, they are provided with information about oral chemotherapy. Second, they are provided with information about compliance and side effect of oral chemotherapy and the third, they are provided with information about safe handling. Conclusions : Nurses are expected to give more attention and tailored education about management oral chemotherapy and safe handling of oral chemotherapy agents at home setting. Providing tailered information will not only help patient to manage care and protect themselves when dealing with oral chemotherapy but also will increase their adherence. Keywords : Experiences, Oral Chemotherapy, Qualitative Study, Education

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

HIV/AIDS HEALTH EDUCATION TOWARD ENHANCING KNOWLEDGE AND HIV PREVENTION EFFORTS IN HOUSEHOLD WIFE

Yulia Irvani Dewi1, Yufitriana Amir2, Fathra Annis Nauli3 1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract Objectives: this study aimed to identify the influence of health education about HIV/AIDS toward enhancing knowledge and HIV prevention efforts in household wives. Method: A quasi experimental design with pretest and posttest nonequivalent control group study was conducted among housewives in Rumbai Pekanbaru, Riau Province from March to August 2018. A systematic random sampling technique was used to select 144 housewives. A total of 72 intervention groups and 72 control groups. The intervention group was given health education with videos and leaflets. A questionnaire that it tested for validity and reliability has been applied. The Paired-Samples T-Test and Independent Samples T-Test were applied to analyze data. Results: There were differences of pretest and posttest preventive knowledge and prevention behavior scores on HIV in the intervention group (p-value = 0.000). However, there was no significant difference of prevention behavior in the control group (p-value = 0.0120). Conclusions: Based on this results, it can be concluded that health education can increase the knowledge and behavior of prevention of HIV /AIDS in household wives (p-value = 0.000). The health education on HIV/AIDS counseling and testing are key interventions for reducing number of HIV/AIDS cases. It is recommended that housewives to conduct HIV status on health services, and for HIV program holders are expected to increase the frequency of health education by using attractive media and VCT mobile services in order to reach more housewives. Keywords: Education, HIV, Knowledge, Prevention, Videos, Women

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

A CONCEPT ANALYSIS OF MATERNAL ROLE IN PREGNANT ADOLESCENT

Erika1, Nongnut Boonyoung2 1Lecturer at Faculty of Nursing, University of Riau, Indonesia 2Lecturer at Faculty of Nursing Prince of Songkla University, Thailand E-Mail: [email protected]

Abstract

Objectives: The purpose of this paper is to clarify the concept of maternal role in pregnant adolescent for developing an instrument. Method: Using Walker and Avant’s method of concept analysis (2005). Results: Adolescent pregnancy is still a problem in terms of the ability to perform their maternal roles as a prospective mother. An analysis of the concept of maternal role in pregnant adolescent was carried out for further developing an instrument.The attributes are accepting pregnancy in their young age, bonding and attachment with their unborn baby, taking care of unborn baby, recognizing risk related to their pregnancy, dealing with emotions, and preparing for labor. The antecedents are consisted of three reasons: personal factor (pregnancy condition, wanted or unwanted child, knowledge, and cultural / belief), environmental factors (social support and socioeconomic), and psychological factors (stress and anxiety). The consequences are improving adolescent health during pregnancy, increasing confidence in pregnancy at a young age, reducing the high risk of pregnancy at a young age, and giving birth safely. Empirical references to maternal roles of pregnant adolescent are including their responsibility of her pergnancy, protecting unborn baby from harm, knowledge all about pregnancy, changing behavior, and emotional well-being. Further depictions of attributes will help the author for developing instrument about ability of pregnant adolescent in performing maternal role during pregnancy.

Keywords: Maternal role, pregnant adolescent, concept analysis

37

Oral Presentation Riau International Nursing Conference 2018 RINC2018

INCREASED KNOWLEDGE OF THE MOTHER AGAINST OF CERVICAL CANCER RISK THROUGH PEER GROUP HEALTH EDUCATION

Sri Utami1, Wice Purwani2 1,2Faculty of Nursing University of Riau Email: [email protected]

Abstract

Cervical cancer is a disease that is characterized by the growth and spread of abnormal network and will have metastases in cervical and even to other organs that can cause death.The purpose of this research is Increased Knowledge of The Mother Against of Cervical Cancer Risk Through Peer Group Health Education. This research used quasy experimental design with non-equivalent control group. This research was conducted in Surya Indah and Beringin Indah Pangkalan Kuras, Pelalawan, with 128 samples of the mother's risk of cervical cancer, which divided into 64 as experimental group and 64 as control group and chosen by stratified random sampling technique. The knowledge was measured by using questionnaires by Anggraini (2014). The analysis used univariate by using frequencies and bivariate using the Wilcoxon and Mann Whitney test. The results of this study showed that an increase knowledge in the group experiments with 40.70 % with p value 0.000 (p < 0.05). Analyse statistics show that significant levels of increasing knowledge after providing interventions for group experiments. The conclusion is a health education increases knowledge about cervical cancer on mother's risk of cervical cancer. And health education about cervical cancer is recommended to improve the knowledge of the mother so that the mother can avoid the risk of cervical cancer.

Keywords: cervical cancer, health education, mother, peer group

38

Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE EFFECTIVENESS OF SIMULATION HEALTH EDUCATION TO BREASTFEEDING MOTHER’S SKILL IN RURAL AREA OF RIAU, INDONESIA

Agrina1, Febriana Sabrian2, Reni zulfitri3, Arneliwati4, Herlina5, Ari Pristiana Dewi6 1,2,3,4,5,6Nursing Faculty, Riau University Email: [email protected]

Abstract

Objective: To evaluate the effect of health education by simulation for improving breastfeeding mother’s skill in Rural area in Riau. Methods: This study was quasi experimental posttest-only control design . Purposive sampling was used to recruit 26 mothers who have breastfeeding experience in Posyandu (child and mothers health post) in Perambahan village as rural area in Riau, Indonesia. Thirteen respondents as intervention group and 13 respondents as control group in this study. Two weeks after implementing the breastfeeding educational through simulation technique in the intervention group, observed checklist to assess mother skill was completed by researcher. Results: Fifty- three point eight percent of respondents were 20-35 years old, 80.8% mothers education level were low education in junior and senior high school level and 96.2% of them didn’t have any formal job outside at the home. There was a significant of mean difference in the breastfeeding mother’s skill between intervention and control groups, 7.0 and 4.5 respectively (p < .01). Conclusions: Health education technique was important thing to increase the breastfeeding mother’s skill. The simulation is appropriate as one of the methods in health education for mothers.

Keywords: simulation health education, breastfeeding skill, rural mothers.

39

Oral Presentation Riau International Nursing Conference 2018 RINC2018

DOES EXCLUSIVE BREASTFEEDING CORRELATE WITH THE INFANT EARLY LANGUAGE MILESTONE?

Riri Novayelinda1, Nafia ramadhani Nursing Faculty, Riau University Email : [email protected]

Abstract

Breastfeeding is one the best feeding method for infant. It has positive impact for infant growth and development and in the later life. However, the study about the effect of breastfeeding on the infants early development is still limited. This study aims to assess the relationship between the exclusive breastfeeding with the infant early language development. The design of this study is the correlational study with cross sectional method. This study examined 57 infants who lived around Harapan Raya Community Health Center Pekanbaru. The age of the infants was 6 months old during the data collection. The breastfeeding status was examined based on mothers recall. The infants early language development were assessed by using the questionnaire which was modified from ELM Scale 2 (Early Language Milestone Scale 2). The data was analyzed by using the chi square or fisher exact test to assess the correlation of exclusive breastfeeding status with each milestone on the 6 months infants language development. The study found that exclusive breastfeeding status has correlated significantly with two language milestones which are the infant ability to produce mono babbling (0.04) and the infant inhibit to ‘no’ (0.01). Further study needed to be done to assess the effect of breastfeeding for infants with the bigger scale of population.

Keywords : Infant, early language milestone, breastfeeding

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

A QUALITATIVE STUDY: THE PROMOTION OF EXCLUSIVE BREASTFEEDING BY INTEGRATED SERVICE POST (ISP) CADRES IN SUBURBAN CITY

Widia Lestari1 , Hari Kusnanto2, Ira Paramastri3, Widyawati4 1School of Nursing, University of Riau 2,3,4School of Medicine, University of Gajah Mada [email protected]

Abstract

Objective: This study aims to explore exclusive breastfeeding promotion activities that have been carried out by ISP cadres during this time in the work area of the public health center in Rumbai Pesisir Pekanbaru Riau. Research method: The design of this study is a qualitative method with a phenomenological approach. Respondents in this study were ISP cadres with the determination of respondents using a purposive sampling approach, in order to obtain 11 respondents who appropriate the inclusion criteria as follows: cadres who are active in promoting exclusive breastfeeding, cooperatives, aged ≤ 55 years, become a cadre for at least 2 years. Data collection methods in this study are through focus group discussion (FGD). Data processing from the FGD were analyzed according to the Colaizzi method. Results of the study: The results of the data analysis found five themes, namely: 1) Exclusive breastfeeding promotion activities carried out by ISP, 2) cadre behavior in exclusive breastfeeding promotions, 3) cadres' ability to promote exclusive breastfeeding, 4) constraints in carrying out exclusive breastfeeding promotions, 5) cadre needs in improving the implementation of exclusive breastfeeding promotions. Conclusion: There is a need for exclusive breastfeeding promotion training and guidebook for cadres, as well as ongoing supervision and guidance by community health centers in the implementation of this exclusive breastfeeding promotion. In addition, strict rules should be applied for health workers who do not support exclusive breastfeeding.

Keywords: integrated service post (ISP) cadre, exclusive breastfeeding promotion, public health center

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

EFFECTIVENESS OF USING SIALANG HONEY ON WOUND BED PREPARATION IN DIABETIC FOOT ULCER

Sukhri Herianto Ritonga, Nanda Masraini Daulay¹ ¹Lecturer in Stikes Aufa Royhan Padangsidimpuan [email protected]

Abstract

The aim of this study is to determine the effectiveness of sialang honey on wound bed preparation in diabetic foot ulcer. The design of this research was quasy experiment with one group pre test post test design approach. The population in this study was all patients with diabetic foot ulcer in Padangsidimpuan city. The sampling technique used was consecutive sampling, where respondents were selected based on the criteria that had been planned. Number of respondents who involved in this study were 8 people. Instrument used in this study was wound bed score, where the measurement results will be analyzed using wilcoxon test with 95% confidence level. Result of this study was average wound bed score before intervention was 2.75 and became 9.25 after the intervention on a scale of 0 to 16. Wilcoxon test in this study obtained p value 0.011 with the conclusion that sialang honey had a significant effect on wound bed preparation in diabetic foot ulcer.

Keyword: sialang honey, wound bed preparation, diabetic foot ulcer, wound bed score

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

INFLUENCE ABDOMINAL STRETCHING EXERCISE AGAINST INTENSITY OF DYSMENORRHOE

Annisa Syafna1, Yulia Irvani Dewi2, Siti Rahmalia Hairani Damanik3 1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract

Objective: This study was aimed to determine the influence of abdominal stretching exercise against intensity of dysmenorrhoe. Method: The design of this research study was "Quasi experimental" using "Non-equivalent control group" which is divided into an experimental group and a control group. The study was conducted on student Daarun Nahdhah boarding school. Total sample was 34 female students who fit the inclusion criteria and using simple purposive sampling technique. Measuring instruments are used sheets observation numeric rating scale. The analysis used univariate and bivariate analysis using independent sample T-test and dependent sample t test. Results: The results was showed a decrease in the intensity of dysmenorrhoe in the experimental group after given abdominal stretching exercise with p value (0.000) <α (0.05). Conclusions: This means that abdominal stretching exercise was effective to reduce the intensity of dysmenorrhoe. Abdominal stretching exercise can reduce dysmenorrhe in non- pharmacological which can be practiced independently, so it was suggested to students who have other family members or neighbors can use complementary therapies to reduce pain intensity of dysmenorrhoe.

Keywords: abdominal stretching exercise, dysmenorrhoe, menstruation

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE RATU’s MODEL: A PREVENTIVE MEASURE OF POSTPARTUM DEPRESSION

Ratu Kusuma1, Budi Anna Keliat2, Yati Afiyanti3, Evi Martha4 1Departement of Nursing, Baiturrahim School of Health 2Faculty of Nursing, Universitas Indonesia 3Faculty of Nursing, Universitas Indonesia 4Faculty of Public Health, Universitas Indonesia [email protected]

Abstract

Introduction: The Ratu’s Model is a nursing model to prevent postpartum depression, is a product of Ratu’s disssertation. Depression is one of the common psychological problem experienced by postpartum women. The number is estimated to reach 20% in Indonesia and 15-20% in the Province of Riau, and must to be pressed to 1%. Objectives: This study aims to identify the effectiveness of The Ratu’s Model to prevent postpartum depression. Method: The study by quasi-experiment research alongside with the pre-post test analysis of the control group, the number of the respondents was undergone among 54 women pragnant and the spouses in each intervention and control group. The educational intervention was given towards the intervention group for three times, with three times monitoring session, and three times measurement. Result: The study showed that there was a significant correlation between the Ratu’s Model with lowered postpartum depression incidence. Conclusion: The Ratu’s Model is effective lowering the incidence of postpartum depression.

Keywords: A Prevention Model of Postpartum Depression, The Ratu’s Model.

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

THE EFFECT OF OROMUSCULAR STIMULATION ON NEONATE LATCH SCORE

Oswati Hasanah, Riri Novayelinda, Hellena Deli Nursing Faculty, Riau University Email : [email protected]

Abstract

Oral stimulation is defined as sensory stimulation of the lips, jaw, tongue, palate, pharynx, larynx and respiratory muscles which have an influence on the physiological mechanism of the oropharynx to improve its function, including breastfeeding process. In neonates the ability to suck is an important factor for sustainability of the exclusive breastfeeding. The aim of this study was to determine the effect of oral stimulation on breastfeeding on neonates. Study design used for this study was one group pretest – posttest, with 16 neonates age 1-14 days wich selected using purposive sampling technique. All the sample were born without complication. Data was collected using oromuscular stimulation intervention and Lacth score for breasfeeding ability. Finding of this study revealed that The mean of Latch score before the intervention was 7.3 points and after intervention was 9.3 points. Analysis with the Wilcoxon test showed an increase in the ability of breastfeeding after an intervention of 2 point (p-value = 0.001). Oromuscular stimulation can be suggested as an alternative therapy to sustain breastfeeding ability in neonates.

Keywords: nurse, oromuscular stimulation, neonate, breastfeding

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Oral Presentation Riau International Nursing Conference 2018 RINC2018

DIFFERENT TRIAGE CATEGORIZATION USING EMERGENCY SEVERITY INDEX (ESI) METHOD IN EMERGENCY DEPARTMENT Mariza Elsi1, Iswenti Novera2 1Baiturrahmah Padang Nursing Academy 2Baiturrahmah Padang Nursing Academy [email protected]

Abstract

Objective:Triage is basically a categorization process to prioritizevarious treatmentsfor patients based on the types of disease, severity, prognosis and resource availability. However, the term triage is more appropriate to be used in the context of natural disaster or mass casualties. Within the context of emergency situation in emergency department, , the term triage refers to a method used to assess the severity of patients’ condition, determine the level of priority, and mobilizethe patients to the suitable care unit. ESI is a new concept of triage using five scales in classifying the patients in emergency department. The real implementation of this concept demands nurses have to immediately make assessment about patients’ condition right away, besides they must give their final decision, whether to move the patients to the ward or to let them leave the hospital. Method:This research was done using Pretest-Posttest one Group Design, involving 21 nurses in the Emergency Department of RSUD Pariaman as research respondents. Before respondents were introduced to ESI method, their basic skills had been previously evaluated, which evaluation results were compared to the after-treatment results. A set of questionnaires consisting of 10 cases were used as research instrument. Results: The result of this research showed that the value or rank difference between common triage and ESI triage categorization was positive (N). The mean rank was found at 11.00, while the sum of positive rank was 231.0 as shown in asimp.sign (2tailed) score of 0.00 lower than 0.05. Therefore, the null hypothesis was rejected. Conclusions: There were differences in triage categorization before and after respondents were introduced to ESI method.

Key words: triage categorization, emergency severity index method

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Abstract of Poster Presentation Poster Presentation Riau International Nursing Conference 2018 RINC2018

COMPONENT OF ADOLESCENT SELF-CONCEPT IN ISLAMIC BOARDING SCHOOL

Reftesa Indriani1, Fathra Annis Nauli2, Ari Pristiana Dewi3 1Student of Faculty Nursing University Riau 2,3Lecturer Faculty of Nursing University of Riau Email: [email protected]

Abstract

Objective: This study aims to explore the component of adolescent self-concept in Islamic Boarding School. Method: This research uses a descriptive method. This research were using 135 adolescents for samples, based on inclusive criteria using stratified random sampling method. This research was located in SMA Babussalam Pekanbaru. This research were using 40 questionnaires that have been tested by using validity test and reability test. This research were using univariat analyze to explain the frequency table. Result: The final result of this research showed that the samples tend to be positive than negative, 69 adolescent (51.1%) have positive self-concept and 66 adolescent (48.9%) have negative self-concept. Conclusion: Based on the result of this study, it is suggested to Islamic Boarding School to maintain and developing mentality program, that adolescent tend to have a positive effect for self-concept.

Keywords: Adolescent, Islamic Boarding School, self-concept

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE CORRELATION OF BREASTFEEDING PATTERN WITH THE DEVELOPMENT OF INFANTS AGED 6 - 12 MONTHS

Suci Hati Mumtaz1, Agrina2, Ari Pristiana Dewi3 1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract

Objective: Breastfeeding is one of the first early childhood development interventions, in order to prepare children for a prosperous future. This research aimed to determine the relationship between breastfeeding patterns with infants aged 6-12 months development at Payung Sekaki Health Center area, Pekanbaru City. Methods: A cross sectional correlation research design was used for this study. Purposive sampling techniques were used to a total of 85 mothers with 6-12-month-old infant. Questionnaire and a sheet of the Denver Development Screening Test (DDST) are used as child developmental assessment. Results: Univariate and bivariate analysis with chi-square test showed that 48.2% infants were partially breastfed and 63.5% had a normal development. The results of bivariate analysis showed that the majority of infants with normal development had an exclusive breastfeeding pattern (85.0%) and predominantly breastfed babies are up to 83.3% with p value (0.000) <α (0.05). Conclutions: There is a connection between breastfeeding pattern and the development of infants aged 6-12 months.

Keywords: Breastfeeding Pattern, DDST, Infant Development.

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE DESCRIPTION OF NURSING STUDENT’S SELF CONFIDENCE LEVEL IN LEARNING METHOD WITH SEVEN JUMP TECHNIQUE

Tiara Suci Iswandhie1, Veny Elita2, Rismadefi Woferst3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected]

Abstract

Objective: One of learning method in Faculty of Nursing University of Riau that focus to improved argument’s skill about some problems in little group discussion called Seven Jump technique. In discussion, students were required to give an opinion on some problems. Advantage of this discussion was to improved self-confidence of students. If student hadn’t confidence to explain and resolve some problem, it can make them hard to understand the topic of problem. The aimed of this research was to identify the description of student’s self confidence level in learning method with Seven Jump technique. Method: This research was conducted at Faculty of Nursing University of Riau during May – June 2018 by using simple descriptive method. Sample selection method used in this research was proportionate stratified random sampling with a total of samples were 209 respondents. Data collection was done by using questionnaires and data processing was done by computerization process which was displayed in the form of frequency distribution and percentage. Questionnaires get from Holly Kristine Jones in his Thesis with the title Academic Self Confidence Scale: A Psychological Study in Two Parts include inside it four aspect. Results: The results was showed that Nursing Faculty’s student in Riau University had high self confidence in learning aspect (49,8%) and behaving aspect (59%), low self confidence in thinking aspect (38,3%) and highest self confidence in performing aspect (88,5%). Conclusions: It was suggested to Nursing Faculty’s students in University of Riau to maintain and improved self-confidence of students then the students can get good self-confidence in academic.

Keywords: nursing students, self-confidence, seven jump

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND HYPERTENSION STAGE

Marya Nasti Wandira1, Sofiana Nurchayati2, Safri3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected]

Abstract

Background:Hypertension is one of deadly disease, which need family supportto succeed patients disease care. Objective : this study was aimed to determine how family support (emotional, instrumental, informational, appreciation), assess hypertension stage in hypertensive patient, and examine correlation the family supportand stage of hypertension among hypertensive patient Method: This study used descriptive correlation with cross sectional approach. Data was collected from 73 respondents by using family support questionnaire to measure condition of the hypertensive patients for the last month. Meanwhile, hypertension stage was measured by blood pressure valuesbased on the current measurement during the study. Result: Univariate analysis shown that majority of participants age 46-55 years are 27 respondents (37%), woman 48 responden (65,8%), length of hypertensive >5 years 29 respondents (39,7%), good family support 42 respondents (42%) and stage 1 hypertension are 37 respondents (50,7%). Bivariate analysis (chi-square) shownthatp value (0,014) which is less than < α (0,05), it concluded there is arelationship betweenfamily support and hypertension stage. Conclusions: It can be conclude that family support in the management of hypertension to reduce the patient's blood pressure.

Keywords:Blood Pressure, Family Support, Hypertension Stage.

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

EFFECTS OF FOOT REFLECTION MASSAGE AND ACUPRESSURE FOR PATIENT WITH HYPERTENSION

Santi Melisa 1, Darwin Karim 2, Veny Elita 3 1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract

Hypertension is a risk factor of cardiovascular disease. The study aimed to evaluating the effectiveness of foot reflection massage and acupressure on blood pressure with hypertensive patient. The therapy was applied to 34 patients of foot reflection massage and acupressure are chosen by aged 30 to 60 years old attending Health Center Rejosari. Statistic analysis of bivariate was used. Approval on the study was obtained from the Ethical Review Board for Medical and Health Research, Medical Faculty, University of Riau. Mean systolic and diastolic blood pressure pre-test reflection massage (150,49/96,58 mmHg) and acupressure (156,08/102,07 mmHg) and post-test reflection massage (144,42/92,12 mmHg) and acupressure (147,18/95,54 mmHg) decreased at 15 minute after theraphy. There was significant difference of systolic and diastolic blood pressure after the two therapies (p<0,05). Foot reflection massage and acupressure can lower blood pressure in hypertensive patients and may be included in the for hypertension.

Keywords : Acupressure, blood pressure, foot reflection massage, hypertension

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

A DESCRIPTION OF PEOPLE'S BEHAVIOR TOWARDS THE PREVENTION OF DENGUE HEMORRHAGIC FEVER (DHF)

Ruvida Ulfa1, Arneliwati2, Erwin3 1,2,3School of Nursing, University of Riau [email protected]

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus infection which is transmitted by Aedes Aegypti mosquito which is a very dangerous disease that causes death. The highest incidence rate in Pekanbaru City is found in Bukit Raya Sub-district with 91 participants, especially in the Air Dingin Village, which are 27 patients in 2017. This study aims to find out the description of behavior consisting of knowledge, attitudes, and actions of the community towards the prevention of DHF. The study was conducted in the community using a descriptive method with a cross sectional approach. This research was conducted on 100 samples using non probability sampling techniques. The choice of area is taken according to a place that is endemic to the incidence of DHF which consists of 3 RWs which are found in Air Dingin Village. The measuring instrument used is a questionnaire sheet that has been tested for validity and reliability tests. Data analysis used in this study consisted of univariate analysis. The results showed that the community of Air Dingin Village had good majority knowledge of 54 respondents (54%), most of them had negative attitudes of 51 respondents (51%), and most of the negative community actions were against prevention of dengue as many as 55 respondents (55%). It is suggested to the community to be able to further increase their knowledge so that the community can encourage better attitudes and actions in the prevention of dengue.

Keywords: Dengue Hemorrhagic Fever (DHF), behavior

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

NOMOPHOBIA: INCIDENTS AND LEVELS AMONG INDONESIAN TEENAGERS

Astari Rezki1, Ganis Indriati2, Erwin3 1Student of Faculty of Nursing, University of Riau 2,3Lecturer of Faculty of Nursing, University of Riau Email: [email protected]

Abstract Objective: Nomophobia is a phobia of the modern era and the result from the interaction between humans and new technology, because now smartphones have taken over the cellular phone market and almost replaced cell phones. This study aims to identify nomophobiaincidence and levels among teenagers. Method: This research is a quantitative research with descriptive-evaluative research design. The sample of the study consisted of 260 respondents purposively selected using proportionate stratified random sampling technique. A valid and reliable Nomophobia Questionnaire (NMP-Q) was utilized to capture data prior to analysis using descriptive statistics. Result: The study found out that (78.1%) of the respondents are moderately nomophobic. Conclusion: The study reveals initial incidence of nomophobia among a select group of Indonesian adolescents, and recommends orientation to new technologies and further studies.

Keywords: nomophobia, teenager, smartphone

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

ORGAN FAILURE OF PASIENTS WITH USING VENTILATOR BASED ON THE SEQUENCTY ORGAB FAILURE ASSESMENT SCORE (SOFA) WHO ADMITTED IN INTENSIVE CARE UNIT

Siti Rahmalia HD1, Gamya Tri Utami2, Sofiana Nurcahyati3, Safri4 1,2,3,4School of Nursing, University of Riau,Indonesia Email: [email protected]

Abstract Objective: To describe the relation between score of sequence organ failure assessment with Using Ventilator of Patient Hospitalized in Intensive care unit. Method: This research is analytic observational with cross sectional design. Data collected included age, sex, diagnosis medic, length of stay in ICU, length using of ventilator and score of SOFA. The component SOFA is respiratory, platelet, liver. Neurology, cardiovascular, renal and urine output in 24 hours. The data platelet and liver were collected based on the new data. The respiratory data used FiO2/ SaO2, Neurological data used Glow Coma Scale value and cardiovascular data used mean atrial pressure value (MAP). Each organ system is assigned a point from 0 to 4. The SOFA score range 0 to 24. The highest score is defined as the worst condition. This instrument created by created by The European Society of . The number of sample was 40 patients who admitted in ICU at minimal 2 days. The data was collected in 2 months by team. Data collected was analyzed by percentage, mean, and fisher exact to see the relationship of SOFA score and duration to use ventilator. The data was analyzed by Fisher exact statistic because there are three cells have expected account less than 5. Results: Majority the respondents were admitted in ICU caused of neurological function with mean SOFA score 7.78 (score minimum is 4 and score maximum 12). The duration used ventilator majority less than 3 days (55%). The result show that there was relationship between score of SOFA with duration to use ventilator (p.value <0.01). The highest score of SOFA is indicating of more severity of the function of organ respiratory. Conclusions: SOFA score is one instrument for evaluating the severity and prognosis of patient. Keywords: ICU, Organ Failure, SOFA, Ventilator

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE DESCRIPTION OF GYMNASTICS ACTIVITY AND COGNITIVE FUNCTION ON ELDERLY Lina Maria Siagian1, Arneliwati2, Siti Rahmalia Hairani Damanik3 1Student of Faculty of Nursing University of Riau 2,3Faculty of Nursing University of Riau Email: [email protected]

Abstract

Objective: The elderly experience the aging process resulting in decreased function of the body such as cognitive function. Method: The design of research was descriptive. The sample of this research was 40 respondents taken based on inclusion criteria using total sampling technique that are elderly aged over 60 years, elderly who lived in the working area of community health centers, and the elderly who do gymnastics. Montreal Cognitive Assessment sheet (MoCa-Ina) applied to measure cognitive performance and a questionnaire for their exercise program with frequency distribution statistics. Results: The results showed there were 21 respondents (52.5%) did gymnastics 3 times a week, 34 respondents (85%) did gymnastics 20-60 minutes per session, 19 respondents (47.5%) did fitness for elderly, and as much as 28 respondents (70%) had cognitive impairment. Conclusions: Based upon this studies, the researcher suggest to increasing physical activity with promoting memory exercises for elderly in order to reduce risk of poor cognition. Keywords: Cognitive function, Elderly, Gymnastics

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND CENTRAL OBESITY IN ADULTHOOD

Vera Permata Sari1, Herlina2, Reni Zulfitri3 1Student of Faculty of Nursing Universitas Riau 2,3Faculty of Nursing Universitas Riau Email: [email protected]

Abstract

Objective:Physical activity is a body movement that increases energy and burning of calories. Less of physical activity caused food substance in the body not digest and occurs as fat at stomach, it called central obesity. Central obesity is fat that collected in stomach. This study aims to determine the relationship of physical activity to central obesity in adulthood. Method: The sample of this study is 82 employees of Rectorate University of Riau Pekanbaru, the criteria inclusion are age between 26-45 and not in chronic illness. it taken by using purposive sampling technique. The measuring instrument in this study used a physical activity questionnaire and a tape measure meter to determine the value of central obesity that has been tested for validity and reliability. Results:The result of Chi Square statistic test showed that P value(0,009) < α(0,05) it can be concluded that there is significant correlation between physical activity and central obesity in adulthood. Conclusions: Based on the results of this study it is expected that civil staff to carry out physical activities outside of work so that they can release an energy and can reduce central obesity

Keywords: Adult, physical activity, obesity central

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE RELATIONSHIP BETWEEN MOTHER’S KNOWLEDGE AND GIVING OF COMPLEMENTARY FOOD FOR BREAST MILK IN INFANTS AGED 6 – 12 MONTHS.

Ganis Indriati1, Yufitriana Amir2, Yulia Irvani Dewi3. 1,2,3 Lecturer of Faculty Nursing, Universitas Riau [email protected]

Abstract

Complementary food for breast milk is a food or drink that is given to babies after the baby age more than 6 months old. Giving the appropriate complementary food, in number, frequency, and type, will meet the nutritional needs of the baby. Mother's knowledge about complementary food for breast milk will influence her in giving complementary food to her baby. This research is a descriptive correlation study that aims to identify the level of mother’s knowledge about complementary food and giving of complementary food in infant aged 6-12 months. The sample in this study were mothers who had infant aged 6 - 12 months in the work area of Public Heatlh Comunity of Rumbai Pesisir Pekanbaru. Sample were selected according to the research’s inclusion criteria and after Public Health Comunity of Rumbai Pesisir Pekanbaru given permittion to collecting data. Data analysis used was the Pearson chi square test. The results found that there is a relationship between mother’s knowledge about complementary food and giving of complementary food for beast milk in infants aged 6-12 months (p value = 0.000; α = 0.05). This study recommends mothers to increase her knowledge about complementary food so they can provide complementary food that is appropriate for her baby's age, and the baby will get adequate nutrition to support its growth and development.

Keywords: Infants 6 -12 months, complementary food of breast milk, mother’s knowledge.

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE EFFECT OF INDIVIDUAL HEALTH EDUCATION USING FLIPBOOK ON SELF-EFFICACY OF HYPERTENSIVE PATIENTS IN CONTROLLING DIET Nurpatri Ramadhani1, Gamya Tri Utami2, Juniar Ernawaty3

1,2,3School of Nursing, University of Riau Email: [email protected]

Abstract Objective: Health educatin is one of educationa intervention to help hypertensive patients improve their health by increasing their knowledge and behavior. Self-efficacy is a principle connection between knowledge and behavior and also can affect the choice of behavior. This research was purposed to determined the effect of individual health education using flipbook on self-efficacy of hypertensive patients in controlling diet. Method: The 34 respondents devided into two categories, randomly assigned to a control and an experimental group. Patients in experimental groups received information about Dietary Approaches to Stop Hypertension (DASH) diet. The measuring tool was a self- efficacy questionnaire which has been tested for validity and reliability. The analysis of this research were univariate and bivariate analyzes using t-test. Results: Self-efficacy was increased in experimental groups after giving health education using flipbook with p value (0,000) < α (0,05). Conclusions: The was an influence of individual health education using flipbook on self-efficacy of hypertensive patients in controlling diet. This research recommend health providers to provide individual health education using flipbook media as one of intervention in maintance patients health status.

Keywords : Flipbook, health education, hypertension diet, self-efficacy

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

THE COMPARISON OF WARM WATER FEET-SOAKING HYDROTHERAPY AND ACUPRESSURE MASSAGE ON THE BLOOD PRESSURE OF PRIMARY HYPERTENSION PATIENTS

Nur Sella1, Erwin2, Riri Novayelinda3 1Student of School of Nursing, Universitas Riau 2School of Nursing, Universitas Riau Universitas Riau Email: [email protected]

Abstract

Objective: Hypertension is a condition when the blood pressure rises chronically above 140/90 mmHg. If it isn't treated in the long-term basis, hypertension can cause stroke and coronary heart disease. Nonpharmacological therapy that can be used to lower the blood pressure is warm water feet-soaking hydrotherapy and acupressure massage. The purpose of this study was to compare warm water feet-soaking hydrotherapy and acupressure massage on the blood pressure in primary hypertension. Method: This research used quasi experimental design with time series design approach. The research was conducted at Panti Sosial Tresna Werda (PSTW) Khusnul Khotimah Pekanbaru with 32 samples with the criteria for inclusion of the elderly of 60 years, in the pra hypertension and hypertension stage 1 and 2, divided into 16 intervention group I and 16 intervention group II with purposive sampling technique. The intervention group I was given warm water feet- soaking hydrotherapy for 15 minutes and the intervention group II was given an acupressure massage for 30 seconds. The measuring instrument is a digital sphygmomanometer and observation sheet. The analysis used was univariate analysis to see the frequency and percentage, and bivariate analysis with Wilcoxon Sign test and Mann Whitney test. Results: The results showed the average lowering of systole and diastole blood pressure on intervention group I of 13.45 mmHg and 7.72 mmHg and the intervention group II of 6.5 mmHg and 2.49 mmHg. Statistical test results for intervals I and II showed mean difference of blood pressure systole with p value (0,033) < (0,05) and diastole with p value (0,038) < (0,05). Conclusions: That warm water feet-soaking hydrotherapy was more effective than acupressure massage to lower the blood pressure on primary hypertension patients.

Keywords: Primary hypertension, warm water feet-soaking hydrotherapy, acupressure massage, blood pressure

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Poster Presentation Riau International Nursing Conference 2018 RINC2018

MATERNAL AND CHILD HEALTH SERVICES IN KURANJI PADANG CITY TOWARDS SDG’s

Mitayani1, Zulmardi2 1Departement of Nursing STIKES MERCUBAKTIJAYA PADANG-Indonesia 2Health Faculty of the University of Muhammadiyah West -Indonesia E-mail: [email protected]

Abstract Objective the first pillar in achieving SDG's goals in Indonesia was health and well being, including maternal and child, adolescent, and elderly. For this reasons research was carried out using survey, interview, and questionnaire methods. Data were analyzed descriptive qualitative of 843 women of productive age consisting of: fertile couples (PUS) 552 people, married 355 people, 29 pregnant women, 95 breastfeeding mothers, infant (age 0-1 years) 65 babies, toddlers (ages 1-5 years) 302 people, 479 teenagers, 405 elderly people, and health services. This research conducted in Kelurahan Korong Gadang Kecamatan Kuranji, Kota Padang held on January to March 2016. The results showed that the pregnancy distance of <2 years was 38%, pregnant women and disease sufferers were 6.9%, pregnant women had 93.1% prenatal care, pregnant women had TT immunization 51.7%, the menu of pregnant women was less protein 44.8%, and PUS does not have family planning (KB) 40.6%. Meanwhile babies suffered from 48.8% fever and exclusive breastfeeding mothers only 29.2%. Other services are PUS not participating in family planning by 40.6%, children not to Posyandu 49.7%, and the habit of buying unofficial medicine 36.7%. The conclusion of the study shows that several indicators of maternal and infant health do not meet national averages, such as PUS not participating in the National KB number of 17.63%.

Key words: services, health, maternal and child, SDG’s, Kuranji, Padang

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