BACKGROUND: Diabetic foot ulcers (DFU) caused physical and psychosocial problems and the risk of amputations and death. AIM: The aim of the study was to overview the feelings of diabetes mellitus patients with DFU. METHODS: A phenomenological qualitative study design was undertaken from January to April 2020. A total of 25 patients with DFU were determined through the purposive sampling technique. The study was conducted among the patients undertaking home-based wound care in Bojonegoro, Indonesia. The proposed discussion guidelines were used to collect the data through in-depth interviews. Colaizzi’s technique was used to analyze the data and it was managed by NVIVO. RESULTS: We emerged two themes: Psychological and physiological response of patients with DFU and coping mechanisms in caring DFU. Among the patients with DFU, we determined their psychological responses and coping mechanisms as reported in this study. CONCLUSIONS: Patients with DFU are expected to be able to control themselves psychologically. Health workers such as doctors and nurses can provide interventions by considering the psychological condition of patients with DFU. A good psychological condition can ensure that their blood sugar is regulated properly.

Introduction: Diabetic foot ulcers can have an impact on the individual responses related to the disease process and healing. The response depends on the perception of the disease, its severity, the environmental factors and the level of family support. The response that often occurs is the existence of fear and anxiety which is due to the stress experienced by the individual. The purpose of this study was to explore the experience of patients with diabetic foot ulcers.Methods: This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. The methods used to arrange this systematic review included (1) the identification of the variables in the literature, (2) the identification of the relevant literature based on the topic and title, (3) obtaining the literature in full-text form and (4) conducting an analysis of the results from the literature. The databases used to identify suitable articles were Scopus, Google Scholar, Pubmed, ProQuest and Ebscohost.Results: Based on the 15 articles reviewed, the results explains that the majority of patients who experience DM with the complication of diabetic ulcers experience stress, depression and anxiety. They also have a financial burden, feel helplessness, blame themselves and feel that there is uncertainty their life. They need support from their family and wider social support.Conclusion: However, from the experience of the patients with diabetic foot ulcers, they must be able to adapt to a limited life. They must also have a good coping style and an adaptive response in order to survive and heal their diabetic ulcers.

Background: Constipation is one of the most common problems in stroke due to inactivity and immobility.Objective: To compare one hour and every two-hour turning regimens in the prevention of constipation in patients with stroke.Methods: This was a quasi-experimental research with pretest posttest with control group design. There were 39 participants assigned in intervention group (n=17) and control group (n=22). The intervention group turned every one hour, while control group turned every two hours. The turning regimen was implemented for five days. A bowel score was used to measure constipation. McNemar Test and Fisher Test were used to measure and compare the bowel score between the two groups.Results: There was no significant difference in the effect of two turning regiments on constipation (p > .05). However, based on a descriptive result, there was a slight decrease in the number of constipation from 47% to 29.4% in the intervention group, and from 32% to 27% in the control group.Conclusion: Turning might still become an effective way to prevent constipation in patients with stroke either every one hour or two hours without diet modification.

Introduction: Positive self affirmation is one of the psychological interventions that can be applied to the treatment of coronary heart disease; its effect is currently unknown. The purpose of this study was to prove the effect of self affirmation on anxiety, troponin I and LDH in coronary heart disease patients.Methods: The type and design of the study was quasi-experimental with a non-randomized post-test control group design. Thirty patients with coronary heart disease who were treated in the Camelia room of Dr Soetomo Hospital who had been selected were divided into 2 groups. The first group was given self affirmation twice / day for 20 minutes and the second group had standard care as the control group. After the intervention, anxiety measurements were taken, in addition to the measurement of troponin I and LDH.Results: The results showed that self affirmation reduced anxiety (ρ = 0.03), decreased troponin I (ρ = 0.003) and decreased the lactate dehydrogenase (LDH) levels (ρ = 0.006).Conclusion: Self-affirmation improves the client’s emotions, preventing damage to the heart muscle cells. This is reflected by a decrease in the troponin I and LDH levels which are indicators of heart muscle damage.

Introduction: Polycystic ovarian syndrome (PCOS) is characterized by infrequent or absent ovulation as well as elevated levels of androgens and insulin (hyperinsulinaemia). The purpose of this study was to determine the efficacy of endocrine treatment in improving reproductive and metabolic outcomes in women with PCOS.Methods: We searched the following databases from inception to Maret 2020: PubMed, Proquest, ScienceDirect, Scopus and CINAHL. We investigated at metformin, clomiphene citrate, metformin plus clomiphene citrate, D-chiro-inositol, statins, and resveratrol as treatments. We compared them to each other, as well as to a placebo or no therapy. The quality of the evidence ranged from extremely low to moderate. The risks of bias (poor reporting of technique and inadequate outcome data), imprecision, and inconsistency were the limitations.Results: Although the evidence quality was low, our latest evaluation indicated that metformin alone may be superior to placebo for live birth. Data for live birth were equivocal when metformin was compared to clomiphene citrate, and our conclusions were hampered by a paucity of evidence. Body mass index (BMI) varies in the results, emphasizing the need of stratifying data by BMI.Conclusion: Clinical pregnancy and ovulation improvements demonstrate that clomiphene citrate is still preferred to metformin for ovulation induction in obese women with PCOS.