The Life Diabetes Conversation Map Improves Control of Diabetes Among the Elderly: Challenges and Modifications for the Indonesian Community - An Integrative Review

The number of people who have diabetes has been increasing rapidly. Diabetes is a chronic illness that requires continuous intervention to prevent long-term complications and lower the financial burden of treatments. In the elderly, diabetes is linked to higher mortality, reduced functionality, and increased risk of hospitalization. Educational tools that cater to the elderly need to be used to improve the quality and outcomes of patient education among those with diabetes. This paper discussed strategies for improvement using the Life Diabetes Conversation Map in diabetes self-management education among the elderly with diabetes. We conducted a non-systematic search to find evidence from online databases using the keywords: diabetes conversation map, diabetes education, and elderly. Then, we discussed and conducted an integrative review of the Life Diabetes Conversation Map based on how it works, and the benefits and the feasibility or challenges for the Indonesian community. Our findings suggested that the Diabetes Conversation Map was an innovative patient educational tool that used interactive group participation to empower people with diabetes to become actively involved in managing the disease. The maps are a series of pictorial guides through which people engage in discussion and share their beliefs and their experiences of living with diabetes which has many benefits. Challenges for the Indonesian community included needing further innovation for proper language and cultural adjustment and integration into the Public Health Centers’ activities as a primary health care service. Along with these activities, elders could join cooking activities or regular aerobic exercise. Keywords: self-management education, Diabetes conversation maps, public health center activity, elderl

Relationship Between Behavioral Handwashing With Diarrhea Incidence of School Age Children

Introduction:The Relationship between Children's Behavior Handwashing with Diarrhea Incident at School Age Malang. Handwashing behavior Considered unimportant thing in the community, whereas Handwashing can Contribute to improve the health status of the community. School-age children have the habit paying less attention to the need for Handwashing in everyday, especially when in the school environment. The behavior could effect and Contribute to the occurrence of diarrhea disease. Handswashing is the most important fundamental technique in the prevention and control of infection transmission.Methods: This study was the correlation analysis. Research subjects are of school age children in Malang with cluster sampling technique that is equal to 300 respondents. Data analysis is using Spearman. Results:school age children Handwashing behavior in Malang are in good categories (53.7%), moderate (41.7%) and poorly (4, 6%). While the incidence of diarrhea in children of school age in Malang in the low category (59.3%), moderate (37.7%) and high (3%). Relationship between Handwashing and diarrhea incidence Obtained p value = 0.000 is smaller than 0:05 and r = 0792, Conclusion:statistically it Proves that there was a significant relationship between the incidence of diarrhea and Handwashing. Keywords : Behavioral Handwashing, Diarrhea Incidenc

Associations between Dependency Behavior and Management Ability in a Cross-Sectional Study of Mother who Care for Children with Avoidant Restrictive Food Intake Disorder

ARFID phenomena commonly found on children are strongly dependent on parental behaviors. A dependency behavior shown by parents constitutes a specific behavior that helps the parents fulfill children’s needs. This kind of behavior will define a parental management ability in dealing with eating disorder phenomena on their children. This research, therefore, was set to analyze parental dependency behavior on parental management ability in dealing with eating disorder phenomena. A cross-sectional design was occupied to accommodate the research. A total of 245 families were selected to be the respondents, especially those who were taking care of children with ARFID. Data were collected using self-administered questionnaire. For descriptive data analysis, Manne-Whitney U test, one-way analysis of variance, Kruskal-Wallis, correlation product moment, and multiple linear regression were employed.  Parental dependency behavior was closely related to parental management ability in dealing with eating disorder phenomena, especially in taking care of children with ARFID (r = 0.354; p = 0.000 < 0.05). This dependency behavior encompassed parents calming children down (with p = 0.000 < 0.05), giving hug to children (p = 0.000 < 0.05), listening to children (p = 0.001 < 0.05), solving children’s problems (p = 0.000 < 0.05) and fulfilling needs of food and drink (p = 0.000 < 0.05). On top of that, parental management ability in dealing with eating disorder occurrence was perceived referring to the result of multiple linear regression analysis, which was said to be mainly influenced by a predictor of parental dependency behavior in solving children’s problems (with β = 0.211; p = 0.001) and fulfilling children’s needs of food and drink (with β = 0.134; p = 0.047).Parental management ability in dealing with eating disorder was necessarily influenced by parental dependency behavior in solving children’s problems and fulfilling children’s needs of food and drink. Therefore, we suggest that nursing intervention be provided in respect of this case upon the population of families taking care of children with ARFID