BACKGROUND: The increasing of diabetes mellitus cases in Indonesia may be due to changes in people’s lifestyles, which is lack of exercise. Factors that may contribute to the high prevalence of diabetes mellitus sufferers other than genetics are exacerbated by environmental factors. Exercise interventions have been effective in counterbalancing diabetes complications. Yoga exerts a beneficial effect on insulin kinetics and the resulting lipid profile. Yoga helps redistribute body fat and reduces obesity which may lead to insulin resistance. In addition, other types of physical activity that can be done by diabetes mellitus patients are adequate morning walking while having scenery leisure for 30 min or more. AIM: This study was conducted to determine the effect of yoga therapy and walking therapy on diabetes mellitus patients in the community. METHODS: Quantitative research using randomized control trial, conducted in Gedongan Village, Baki Subdistrict, Sukoharjo Regency, involving 54 samples divided into three groups. Inclusion criteria: Patients with type 2 diabetes mellitus, fasting glucose levels of 126 mg/dl, no complication, and no insulin therapy or diabetes medication. The outcome measured was fasting blood sugar levels. The intervention group performed therapy for 12 weeks with a duration of 3 times a week. RESULTS: The average fasting sugar levels in the yoga group pre (217.00) post (187.72) p (0.001), the walking group averaged pre (209.89) post (193.83) p (0.001), and the control group averaged pre (221.50) post (225.17) p (0.067). CONCLUSION: There was an effect of yoga therapy and walking therapy on reducing fasting glucose levels.

BACKGROUND: Diabetes mellitus is a serious disease that affects more than 340 million people and causes approximately 20% of diabetic ulcer cases worldwide. Wound healing is a complex and dynamic process in restoring cellular structures and tissue layers. It consists of four continuous overlapping phases that are precisely programmed AIM: This study aims to examine the adjuvant administration of bitter melon leaf extract to increase the healing of diabetic foot ulcers (DFU). METHODS: This study used a randomized, double-blind, and placebo-controlled trial. A total of 30 DFU patients with a perfusion, extent, depth, infection, and sensation (PEDIS) score of 1–8 who met the criteria were divided into two groups, namely, the treatment group with adjuvant administration of bitter melon leaf extract at a dose of 6 g/day as many as 15 patients and the control group 15 patients with placebo. This intervention was carried out for 4 weeks. DFU cure was measured by PEDIS scores at baseline, weeks 2, 3, and the end of week 4. Data were analyzed using paired t-test and independent t-test. RESULTS: After 4 weeks of treatment, the PEDIS score in the treatment group decreased at week 2 (0.9 ± 1.8), but not significant (p = 0.19), decreased at week 3 (1.9 ± 1.9) and significant (p = 0.01), decreased in week IV (2.3 ± 2.1) and significantly (p = 0.001). The control group experienced a decrease in week 2 (0.3 ± 2.3), but not significant (p = 0.71), decreased in week 3 (1.2 ± 2.5), but not significant (p = 0.18), decreased in week 4 (1.9 ± 2.7) and significantly (p = 0.03), and there was an effect of adjuvant administration of bitter melon leaf extract on the cure of DFU (p = 0.004). CONCLUSION: Adjuvant administration of bitter melon leaf extract has been shown to increase the healing of DFU.

Self-care is an essential factor that affects the improvement of the health conditions of patients with heart failure. It is known that several variables affect self-care, including self-efficacy, family support, social support, distress, age, duration of illness. However, there are still few studies that have addressed these variables together. This study aimed to determine the factors that affect self-care among heart failure patients. This research used an analytic observational research design through a cross-sectional approach. The sampling method used an accidental sampling technique and resulted in 73 respondents who were selected based on pre-determined sample criteria.Participants were asked to fill out questionnaires, including self-care, selfefficacy, family support, anxiety, and demography variables. The data analysis included bivariate (Pearson) and multivariate regression analysis to estimate the correlation between self-care and self-efficacy, family support, anxiety, age, and disease length. 73 patients with heart failure in this study had an average self-care score of 31.33, which means that patients can do self-care well. From the five variables carried out in the multivariate analysis, there were only two variables (family support and self-efficacy) that had a significant effect on patient self-care. Family support is the main factor affecting self-care (β= 1,949, p= 0.000), followed by self-efficacy (β= 0.226, p= 0.001), then self-efficacy, where both had a positive correlation. The results indicated that a strategy is needed to improve self-care for heart failure patients, which includes family support and self-efficacy to achieve optimal results.

INTRODUCTION: Thirst sensation in Congestive Heart Failure (CHF) patients is caused by diuretic administration and fluid consumption  limitation.  Unhandled thirst sensation leads to  a  disobedient  patient  in  fluid  consumption limitation   that   causes   the   patient   condition   to   worsen.   This   research   aimed   to   analyse   the   frozen strawberries administration's   effects   on   the   thirst   sensation   in   a   patient   with   CHF . MATERIAL AND METHOD: The  method  used  was  a  quasi-experiment  with  a  pre-test  and  post-test  control  group  design.  The number of respondents was 34 patients divided into two groups: 17 respondents in the intervention group and 17 respondents in  the  control  group.  The  sampling  technique  was  stratified  random  sampling  based  on  NYHA classification  in  the  respondents.  Frozen  strawberries  were  given  to  the  intervention  group,  while  ice  cubes  were given  to  the control group. All the data were  analyzed  using a t-test.RESULT:The results showed that the mean score of the thirst intensity of the intervention and control group was 4.44 and 2.35, respectively. The independent t-test of the mean difference of thirst intensity pre and post-test between the intervention and control groups was p=0.001.  According  to  the  paired  t-test  analysis,  the  thirst  intensity  score  between  pre-test  and  post-test  was p<0.001, from moderate to low thirst  intensity. CONCLUSION:Frozen  strawberries were statistically effective in reducing the thirst intensity in a patient with CHF.

Introduction: Psychological problems in patients with heart failure are the result of a combination of the influence of behavior and interactions with physiological responses, which if not handled properly will contribute to worsening clinical symptoms and have a higher risk of rehospitalization. The objective of the study was to evaluate the effects of cognitive behavior therapy (CBT) on psychological symptoms among CHF patients.Methods: This was a quasi-experimental, pretest-posttest control study that applying a CBT to overcome depression, anxiety, and stress. Thirty eligible respondents were recruited and were randomly divided into a case group and waiting list group. Psychological symptoms of respondents were measured using Depression, Anxiety and Stress Scale – 21 questionnaires (DASS-21). Chi-square was used to compare demographic data between groups and T-test analysis was used to describe changes in mean scores between and within groups. Both groups had similar characteristics and psychological symptoms level at baseline.Results: The mean score of depression, anxiety and stress showed a significant difference within the group after the intervention (p<0.05).Conclusion: A recent study found that CBT was effective to reduce psychological symptoms among CHF patients. Based on the study results it can be highlighted that it is important for nurses to provide brief CBT to hospitalized patients in an effort to reduce short term psychological symptoms.