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026). This finding showed the importance of family participation in taking care of children with cancer undergoing chemotherapy in order to increase their quality of life.

Arthritis can cause physical and psychological complaints which affect patients' quality of life. This study aims to determine the effect of Arthritis Self-Care Management Education (ASCME) and Home-Based Exercise (HBE) to self-efficacy and Activities of Daily Living (ADL).

This research utilized quasy-experimental research design, using pre-test and post-test on non-randomized control group. The samples in this study were 198 arthritis patients divided into 3 groups.

The findings of the research indicated that there were differences of self-efficacy as well as ADL before and after intervention with p-value of 0.000 on each intervention group respectively. The results of the analysis found that both the ASCME and HBE had a significant influence to self-efficacy and ADL with p-value of 0.000.

It is concluded that ASCME and HBE are significant to increase self-efficacy and also improve ADL. Nurses are suggested to function these interventions as part of independent nursing intervention and also for improving arthritis self-care for patients and the family.

It is concluded that ASCME and HBE are significant to increase self-efficacy and also improve ADL. Nurses are suggested to function these interventions as part of independent nursing intervention and also for improving arthritis self-care for patients and the family.

Unmet need for KB (family planning) is a multidimensional problem due to the influences of various factors such as demographic characteristics, socio-economic, attitudes and access to services. Therefore, this research was conducted with the aim of knowing the relationship between parity and patriarchal culture with unmet need for family planning in the Gadungan Village in order to reduce the percentage of unmet need based on the causes.

This study employed a cross-sectional survey study which was carried out from August 2018 to February 2019. The researcher also utilized simple random sampling to select the sample. The number of samples taken were 54 eligible women in Desa Gadungan. Data collection was conducted using a questionnaire filled in by respondents. Further, the data analysis was done by administering Chi-square test.

This study finds out that there is a significant correlation between parity and patriarchal culture with the unmet need for family planning in eligible women in Gadungan Village, Selemadeg Timur Tabanan District, Bali with p-values of 0.03 and 0.02. There needs to be counseling about unmet need for family planning and its impact so that public knowledge improves of unmet need.

This study finds out that there is a significant correlation between parity and patriarchal culture with the unmet need for family planning in eligible women in Gadungan Village, Selemadeg Timur Tabanan District, Bali with p-values of 0.03 and 0.02. There needs to be counseling about unmet need for family planning and its impact so that public knowledge improves of unmet need.

To determine factors related to parental willingness about HPV vaccination in adolescents.

Descriptive method and quantitative study that included 98 respondents. Demographic questionnaires, HPV vaccine willingness, knowledge of cervical cancer and HPV, attitude, health beliefs and self-efficacy were included in the instruments. Data were analyzed using chi-square and Fisher tests.

There were no associations between demographic characteristic such as religion (0.869), mother's occupation (0.75), family income (0.780), history of pap smear (0.742) with parental willingness. There were no associations between knowledge (0.780), parent's health belief (0.320) and self-efficacy (0.122) with parental willingness but there were associations between parental's attitude with parental willingness (0.027).

Parental attitudes were one of the main factors that influence the willingness to take HPV vaccination in adolescents.

Parental attitudes were one of the main factors that influence the willingness to take HPV vaccination in adolescents.The high mortality in intensive care unit (ICU) requires health workers to be able to provide palliative care so that patients die in peace and help the patient's family face the grieving process. The implementation of palliative care must be organized and assessed for the quality of its implementation. The aim was to describe the quality of palliative care in ICU "X" Hospital. The research used Mixed Methods. The first was the quantitative with descriptive research. The sample was 38 nurses and 4 doctors to obtain data on the quality of palliative care with The Self-Report Questionnaire (0-10). The second of qualitative methods to deepen quantitative data with achieved data saturation in 5 nurses and 2 doctors. Retrieval of data from May to July 2019. The results were the quality of palliative care performed by nurses had a score of 6.68, for doctors were 5.19. The lowest score (5.29) was found in the emotional support, and organizational domain for ICU clinicians for nurses with the theme of the role of coworkers and the desire to act alone, for doctors the lowest score (3.93) was spiritual support for patients family with the theme of the absence of operational standards of spiritual support procedures and knowledge and experience of spiritual support. The conclusion is the quality of palliative care services performed by nurses has a score of 6.68 and for doctors was 5.19.Fatigue among patients with diabetes mellitus (DM) should be taken seriously because it requires complex and sustained management. Despite commonly experienced by DM patients, healthcare providers often overlook fatigue and its underlying factors. What should be noted is that poorly treated fatigue will negatively impact daily activities, lower the ability to concentrate and may even cause mood swings. All these may deteriorate health, increase the risk of complications and reduce life quality in general. Selleck Oxidopamine This study aims to describe fatigue among DM patients in Denpasar Community Health Centre. The research design is cross-sectional in nature. The participants were 50 DM patients treated at Denpasar Community Health Centre, selected by using a purposive sampling technique with inclusion and exclusion criteria. The results show that 74 per cent of the patients experienced moderate, 18 per cent mild and 8 per cent severe fatigue. The practical implication is nurses are expected to be able to identify risk factors for fatigue among DM patients so that they can provide appropriate treatment and minimise further complications.