Complementary Therapies Used Among Adult Patients with Type 2 Diabetes Mellitus in Aceh, Indonesia

Purpose: This study aimed to reveal Complementary Therapies (CT) use among adult patients with type 2 diabetes mellitus (T2DM) in Aceh, Indonesia, and to determine the reasons of using the CT.Methods: A descriptive, cross-sectional study was undertaken using a self-reported questionnaire. One hundred and fifty four adult patients with T2DM has been completed the questionnaire. Descriptive statistics was used to analyze the data.Results: Herbs as a part of biological based therapies were the most popular of CT use among subjects in this study (100%) followed by mind-body intervention (94.2%), manipulation and body based methods (19.5%) and alternative medical methods (3.9%). The reasons for using each CT based on the belief in effects of CT on lowering blood sugar (100%), maintaining healthy body (76.6%), and relieving symptoms of DM (35.7%). Relatives and friends (98.7%) were main resources to obtain the CT information, and the family members (91.0%) were main support of CT use. While, the nature (89.0%) was the easiest source to access a CT product, followed by local markets (36.4%).Conclusion: This study found that herbs were believed by all subjects could reducing blood glucose, maintaining healthy body, and relieving symptoms of DM. Family members and easy to access the CT products from nature took the important role in influencing a person to use CT. More experimental studies examining effects of each CT especially herbal medicine and mind-body intervention are needed in the future

Correlation Between Coping Strategies and Quality of Life Among Myocardial Infarction Patients in Nepal

Objective: To examine the correlation between coping strategies and quality of life (QoL) among patients with myocardial infarction (MI) Method: A descriptive correlational design was used to examine the relationship between coping strategies and QoL among 88 patients with MI who were older than 18 years, 2 months after the initial diagnosis of MI. QoL was assessed using the cardiac version of the Quality of Life Index. Coping strategy was assessed using Jalowiec Coping Scale. Problem-focused coping and emotion-focused coping were also compared in male and female patients.Results: Problem-focused coping was significantly positively associated with overall QoL (r = .41, p = <.01), particularly the health and functioning dimension (rs = .39, p = <.01) and socio-economic dimension (rs = .46, p = <.01) but not with psychological & spiritual and family dimension. Men used more problem-focused coping strategies than women. The problem-focused coping score was significantly different between men and women (t = 4.9, p <.05).Conclusion: The results revealed that patients who used more of problem-focused coping had better QoL than patients who used less problem-focused coping. Educating patients to enhance the use of appropriate coping strategies may be useful to promote the QoL of Nepalese patients with MI

The Effect of Dietary and Exercise Self-Management Support Program on Dietary Behavior Exercise Behavior and Clinical Outcomes in Muslim Patients with Poorly Controlled Type 2 DM in a Community Setting in Indonesia

Purpose: The objective of this study was to examine the effect of dietary and exercise self-management support program on the dietary behavior, exercise behavior, and clinical outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia. Methods: This study was a quasi-experimental, two group, pre-test and post-test design. The experimental group received the dietary and exercise self-management support program and usual care, whereas the control group only received the usual nursing care.Result: 35 subjects in the experimental group and 35 subjects in the control group completed the program, respectively. The findings indicated that there are significantly differences in dietary behavior (p=.00), exercise behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00), cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the experimental group and control group. However, for the BMI status (p=.84) and diastolic blood pressure (BP) (p=.32) were no significant differences between two groups. Conclusion: The dietary and exercise self-management support program was effective for improving the dietary behavior, exercise behavior, FBG, and total cholesterol level for individuals with poorly controlled type 2 diabetes mellitus. Further studies should be replicated using larger groups over a longer time frame