Hyperglycemia in patients with Diabetes Mellitus (DM) can lead to complications such as diabetic foot ulcers. Therefore, efforts are needed to prevent this chronic complication through proper foot care. This study aimed to determine the behavior of patients with type 2 diabetes mellitus (T2DM) in performing blood glucose monitoring and correct foot care. This study is a descriptive cross-sectional study, with a sample size of 125 patients with T2DM from the Community Health Center in Surabaya Indonesia. Data was collected with the use of a self-made questionnaire from May to October 2018. The variables of the study were patient characteristics, random blood glucose levels, blood glucose monitoring and foot care skills. The data analysis used was Spearman rho to determine the factors associated with foot care behaviors.  Fifty-six percent (56%) of the participants have poor behavior on foot care, 36 % have moderate and only 7.2% have good.  Factors that were significantly associated with foot care behavior were signs and symptoms (p = 0.023), blood glucose monitoring (p = .000), and random blood glucose levels (p = 0.040). The behaviors of patients with T2DM in blood glucose monitoring and foot care need to be improved to prevent complications from diabetic foot ulcers. Nurses must provide health education about the importance of regular foot care to patients and their families. The results of this study can be used to further improve the programs and services to prevent DM and delay the progression of chronic complications like diabetic foot ulcers at the community level.

This study was performed to examine effect of PMR on health related quality of life domains in breast cancer women received adjuvan chemotherapy, with one group pre-test post-test design. It was conducted among 15 breast cancer women received adjuvan chemotherapy who met the ctriteria for inclusion in the study with consecutive sampling in surgical outpatient of Wahidin Sudiro Husodo Hospital. The participants were instructed practice PMR for 12 days twice a day. First day and thirteenth day EORTC QLQ-30 version 3.0 questionnaires used to collected data. Average range of all obtained EORTC QLQ-30 symptom scales improved significantly: fatigue, nausea-vomiting, pain, insomnia, lack of appettite; except for dyspnea. Dyspnea are initially mild to no complaints at all, whereas cognitive function requires a longer period to be optimal return. PMR improved domains of health related quality of life among breast cancer women received adjuvan chemotherapy.

Diabetes mellitus type 2 patients who have a tendency to use herbs, are based on the patient's health belief that herbal medicine is a natural ingredient that has efficacy and is safe. This study aimed to explore health beliefs as predictors of herbal use as a complement to diabetes self-care. A cross-sectional study was conducted on 230 patients with type 2 diabetes mellitus who had been clinically diagnosed, received medical treatment and used herbs. The data was collected using a questionnaire at seven community health centers (Puskesmas) in Surabaya City. Data analysis using Partial Least Square. The indicator of health belief variables has a loading factor value>0.5: perceived vulnerability and severity (0.820), perceived benefits (0.739), perceived barriers (0.822), sense of self-efficacy (0.695). Health beliefs have a significant effect on the use of herbs as a complement to diabetes self-care, the value of T>1.97 (T>10.07). Health beliefs consisting of perceived vulnerability and severity, perceived benefits, perceived inhibition, and perceived self-efficacy were strong predictors associated with the use of herbs as a complement to diabetes self-care. Nurses as part of health workers must pay attention to patient health beliefs in providing education to patients.

Diabetes mellitus (DM) is a chronic disease that requires treatment or management in the long term. DM patients have a tendency to seek other treatment besides medical treatment. The use of herbs is one of the choices for DM patients in complementing self-care, especially in the treatment component. This study aims to explore in depth about self-care behavior in DM patients who use herbs as a complement to medical treatment. This study used a qualitative design with a phenomenological method approach. Participants were determined by purposive sampling technique as many as 9 participants. Data collection was carried out in August and October 2015 with in-depth interview techniques. Data analysis using Interpretative Phenomenological Analysis. The data validation was done by using triangulation technique. There are three themes generated in this study, namely: 1) reasons for going to health services, 2) patient expectations after being diagnosed with diabetes, and 3) diabetes self-care. DM patients who have a tendency to use herbs as a complement to medical treatment must continue to carry out self-care regularly so that their blood sugar levels are controlled. The pattern of diabetes self-care behavior needs the attention of health workers, so that DM patients continue to carry out self-care regularly when using herbs as a companion to medical treatment. Keywords: diabetes mellitus; herbs; self-care

Background: People with Diabetes Mellitus (DM) tend to seek herbal medicine or complementary drugs in their treatments. But, unfortunately, the existing nursing assessment forms have not prepared the format for the use of complementary medicine. Objective: This study aimed to develop a nursing assessment form in patients with DM based on the Chronic Care Model (CCM) approach. Methods: This study employed a Research and Development study design, which consists of ten stages. The nursing assessment form was developed based on CCM theory and integrated complementary medicines into the assessment form. A content validity test was done by four experts and calculated using Aiken's V formula. Face validity among 12 nurses through Focus Group Discussions (FGDs) was also employed to test the quality of the nursing assessment form based on three aspects: functionality, efficiency, and usability. In addition, nine nurses were included for pilot testing of the form. Data were analyzed using descriptive analysis. Results: The nursing assessment form demonstrated a good content validity, with Aiken's V value of 0.94. The form was categorized based on four components of CCM: self-management support, decision support, social activities, and clinical information. Additionally, all nurses could fill the form properly. Conclusion: The nursing assessment form is valid. It can be used for nurses to assess patients with DM based on the CCM with an additional component to evaluate the use of complementary medicine. Funding: This research received financial support from Politeknik Kesehatan Kemenkes Surabaya, Indonesia, through a superior applied research program.