Background: Physical activity and fear of childbirth (FoC) are recognized as influential factors on QoL. However, the interplay of these factors remains underexplored in the Indonesian context, where cultural and healthcare settings differ from high-income countries. Objective: To investigate the relationships between physical activity, fear of childbirth, and quality of life among pregnant women in Indonesia. Methods: This cross-sectional study involved 250 pregnant women recruited through convenience sampling from healthcare facilities in Indonesia. Data were collected using validated instruments: the Physical Pregnancy Activity Questionnaire (PPAQ), Wijma Delivery Expectation Questionnaire (WDEQ-A) for FoC, and Quality-of-Life Gravidarum (QOL-GRAV) questionnaire. Multiple regression analysis was employed to assess the relationships among physical activity, FoC, and QoL, adjusting for confounders. Results: The mean age of participants was 28.4 years (SD = 5.6), with 67.6% reporting moderate physical activity levels. FoC was prevalent, with 45.2% experiencing high levels, while 34.8% reported high QoL. Physical activity was positively associated with QoL (r = 0.52, p < 0.001), while FoC was negatively associated (r = -0.61, p < 0.001). Multiple regression revealed that physical activity (β = 0.39, p < 0.001) and FoC (β = -0.46, p < 0.001) were significant predictors of QoL, explaining 42.5% of the variance (R² = 0.425, p < 0.001). Conclusion: These findings underscore the importance of incorporating physical activity promotion and FoC mitigation into antenatal care to enhance maternal well-being.

Introduction: The coaching clinic is one of the strategies designed to increase nurses' knowledge in conducting genetic counseling for patients and families of thalassemia patients. Nurses will not only be given information, but they will also be taught how to communicate and how to use genetic counseling to make sure the coaching clinic's goals are met. Objective: This study aims to describes the effect of a simple coaching clinic on nurses' knowledge of genetic counseling implementation in thalassemia care. Methods: This research used a quantitative approach and was conducted on August 20th–21st , 2022. The design of this study was quasi-experimental without a control group. This study obtained a total sample of 29 nurses using a proportional sampling technique and inclusion criteria. The inclusion criteria in this study were nurses with a diploma degree, an undergraduate education background, and registered nurses. The data collection instrument was a 30-questions genetic counseling questionnaire. IBM SPSS version 25.0 was used to analyze the data using the Wilcoxon test. Results: Simple coaching clinic proved to have a significant effect in improving the knowledge level of nurses in general with p-value = 0.004. Knowledge level improvement can be seen from Mean (+SD) 53.67 (+13.64) to 69.67 (+8.26). Likewise with nurses' knowledge about thalassemia, genetic counseling and bio-informatics, the majority of respondents experienced positive changes. In contrast to the genetic topic, the majority of respondents did not experience a change in their level of knowledge so that a p-value >0.05 was obtained. Conclusions: Changes in level of knowledge indicated that the coaching clinic's effects on level of knowledge are significant and have an impact on health services across a variety of health institutions, including clinics and hospitals. As a result, it is critical to have a health strategy that promotes the accessibility of genetic counseling services for patients with thalassemia and other genetic illnesses.

Aims: The prevalence of stunting in Indonesia is one of the crucial problems that will have an impact on the next generation, so it needs to be prevented. Increasing stunting prevention knowledge and attitudes in adolescents related to health investment in the first 8000 days of life is important in reducing stunting rates. The aims of the study to identify the effect of investment education for the first 8000 days of life with animated videos as an effort to break the stunting cycle. Methods: This study used the Quasi Experiment method with a two-group pre-posttest design with 214 respondents divided into an intervention group and a control group with 107 people in each group. The research analysis used Wilcoxon Rank and Manova. Results: This study after being given the intervention showed that there were significant differences in the knowledge and attitude scores between the control group and the intervention group with a p-value of 0.000 (p <α 0.05). Conclusion: This study shows that providing education on health investment in the first 8000 days of life with animated videos affects increasing knowledge and attitudes of young women in preventing stunting.

Aims: Critical patients in ICU and HCU often experience poor sleep due to excessive stress and various symptoms like environmental factors, pain, noise, anxiety, and physical discomfort. Foot massage and natural music interventions can help meet their sleep needs, providing a relaxing effect and improving physical and psychological conditions. The purpose of this study is to determine the effect of providing combination therapy of foot massage and natural music therapy in Dr. Hospital's peacock room Salamun 2023. Methods: This type of research is pre-experimental with a pre-post test of one group and uses the Richard Champbell Sleep Questionnaire (RCSQ). Then the data was processed using a paired sample T-test. The sample in this study is 16 respondents. Results: The results of the statistical test obtained a p-value of 0.01, meaning that there was an effect between the pretest and posttest of the combination of foot massage and natural music therapy on the quality of sleep in critical patients in the peacock room at Dr. Salamun Hospital, Bandung City, 2023. Conclusions : the conclusion of this study is that there is an effect of foot massage therapy and natural music on the sleep quality of critical patients as shown by the results of measuring the quality of critical patients before and after consecutive interventions with massage of both feet combined with natural music. For 10 minutes it has been proven to be able to improve sleep quality in critically ill patients so that this intervention can be applied as a therapy to improve sleep quality.

Aim: This study aims to determine the effect of digital problem-solving therapy (DPST) on the quality of life (QOL) of pregnant women who are victims of domestic violence. Methods: The research was conducted using a quasi-experimental design with two groups: an intervention group receiving digital problem-solving therapy and a control group receiving standard care. The study took place over three months at the National Commission on Violence Against Women service centers and referral hospitals in Bekasi City, West Java. The intervention involved four sessions per month focusing on psychological well-being and QOL. A total of 100 pregnant women participated, meeting the criteria of being over three months pregnant, having experienced domestic violence, owning a smartphone, and living with their husbands. Results: The results showed a statistically significant increase in QOL scores within the intervention group after the therapy, with a t-score of 13.76 and a p-value of 0.001. Additionally, the intervention group exhibited a larger improvement in QOL at post-test compared to the control group (ß = 8.20, p < 0.001). Conclusion: Digital problem-solving therapy significantly improves the quality of life of pregnant women experiencing domestic violence. Future studies should explore the effectiveness of this intervention among more diverse research groups, focusing on participants with varied mental health and psychological characteristics.

Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues. Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally. Results: Inlcusion criteria was performing HD at least twice a week, age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups. The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size. The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group. Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints.

Aims: Nursing care documentation is an essential part and integrated within the nursing process. The previous study described incomplete nursing records, reflecting the quality of nursing care and implementation of patient safety. This study aim is to explore the relationship between knowledge, motivation and supervision toward nursing documentation. Method: A descriptive-quantitative research method with a crosssectional approach was implemented. A total of 64 respondents are agreed to participate with the convenience sampling method in one month in December 2020. Data collection used a self-report questionnaire and observational form with the accepted value of validity and reliability. Data analysis by bivariate with Chi-square and multivariate with Logistic. Results: Nurses showed good knowledge (n=57; 89.1%) and motivation (n=35;54.7 %) whilst poor supervision (n=31;48.4) and documentation (n= 40; 62.5%) Supervision is statistically significant had relationship with nursing documentation OR 3.333 (1.151-9.650) p-value < 0.05 and strong associated with nursing documentation β = 3.517 (1.182-10.469). Conclusion: Increasing knowledge, motivation, supervision is needed to protect both nurses and patients. Supervision activities are the tools to evaluate the nursing process and ensure continuity of care.