Background: Honey known as wound healer, but the use of honey for diabetes population is lack. Scientific studies needed to provide enough evidence to justify the benefits of honey for the treatment of diabetic foot ulcers. Aims: To identify the benefit of honey as healing diabetic foot ulcer. Methods: The author was used PICO question as the first step of this study, then the second step was searching the articles from several databases. The inclusion and exclusion criterias were using only honey as a diabetic foot treatment on human, randomized control trial study or quasy experimental study, published less than 10 years ago (2009 – 2019), available in English and provide full text. Meanwhile, for the exclusion criteria were literature review, systematic review or meta-analysis study, using honey as a treatment to animal such as rat and rabbit, combine honey with another treatment. By using PRISMA guideline, researchers were systematically review several articles from 4 databases. Results: After conducted search strategy by using Boolean search strategy, 4 articles were included. The articles used different types of honey and the population ranged from 8 to 63 peoples. According to the results, majority of study showed honey is effective as wound healer and safe Conclusion: Honey wound dressing is an option for managing diabetic foot Recommendation: As a nurse, we can offer the honey as an effective treatment or intervention tools for targeted patients or populations
Background: thirst is the most common symptom burden among patients with hemodialysis. Thirst among patients with hemodialysis caused by fluid restriction lead to stress and depression, especially among patients who consume diuretics. Aim: This study aims to analyze the benefit of sucking ice cubes among patients with hemodialysis according to empirical studies in the last ten years. Method: The articles were obtained from several databases such as Scopus, ProQuest, Google Scholar, ScienceDirect, and the National Library of Indonesia. There were five articles reviewed by the authors. Results: According to the five articles, ice cubes effectively reduce thirst among patients with hemodialysis. Patients with hemodialysis can suck the ice cubes maximum of three to four times a day. Discussion: Sucking the ice cubes can reduce thirst because it has a cold effect which can freshen and reduce the thirst longer. Nurses can provide and educate this alternative intervention which is effective to reduce thirst among patients with hemodialysis. Sucking the ice cubes can be conducted by the patients in the hospital also in the patient's home with the family's help.
Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzedthe symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptomassessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden.The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively.This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruitedfrom the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto MangunkusumoNational Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) wasused. For the data analysis, descriptive analysis was used. Total 320 subjects were collected. This study foundthat lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%),severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27).Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions:occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency(mean = 3.70, SD = 3.65). Lack of energy and decreased interest in sex were consistently the highest symptomburden among patients with hemodialysis. Creating appropriate interventions and managing the symptomsexperienced by patients with hemodialysis comprehensively is very important to improve their quality of life.
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