Aim: Chronic kidney disease (CKD) is an emerging major public health issue that leads to end-stage kidney disease (ESRD). Factors influencing the self-management and self-efficacy of ESRD patients are still under investigation. The objective of this study is to evaluate the association of depression and anxiety with self-management and self-efficacy in patients with pre-ESRD. Methods: Patients in the department of nephrology of a regional hospital in Taiwan were invited to participate and were included in our study if they had a confirmed diagnosis of early-stage CKD, were more than 20 years old, and could converse in Mandarin Chinese or Taiwanese. Patients diagnosed with depression, who could not execute self-care, or who had cognitive deficits were excluded. In total, this cross-sectional study included 112 pre-ESRD patients. We used the Chinese versions of the hospital anxiety and depression scale (HADS), the chronic kidney disease self-efficacy instrument (CKD-SE), and the chronic kidney disease self-management instrument (CKD-SM) as the questionnaire. Spearman’s rank correlation and logistic regressions were used to analyze the data. Results: The top quartile of self-management and self-efficacy scores (28 patients) was defined as high self-management and -efficacy, respectively, and the lower three quartiles as low self-management and -efficacy. The logistic regression analysis showed that having depression decreased the odds of having high self-management by 75.4% and high self-efficacy by 75.1%. Having an education level of senior high school or above increased the odds ratios for having high self-management and high self-efficacy to 4.47 and 3.56 (all p-values < 0.05). Conclusion: Controlling depression as well as increasing the level of education can potentially increase self-management and self-efficacy in pre-ESRD patients.

Diabetes is a prevalent disease with a high risk of complications. The number of people with diabetes worldwide was reported to increase every year. However, new integrated individualized health care related to diabetes is insufficiently developed. Purpose: The objective of this study was to conduct a literature review and discover precision health care elements, definitions, and strategies. Methods: This study involved a 2-stage process. The first stage comprised a systematic literature search, evidence evaluation, and article extraction. The second stage involved discovering precision health care elements and defining and developing strategies for the management of patients with diabetes. Results: Of 1337 articles, we selected 35 relevant articles for identifying elements and definitions of precision health care for diabetes, including personalized genetic or lifestyle factors, biodata- or evidence-based practice, glycemic target, patient preferences, glycemic control, interdisciplinary collaboration practice, self-management, and patient priority direct care. Moreover, strategies were developed to apply precision health care for diabetes treatment based on eight elements. Conclusions: We discovered precision health care elements and defined and developed strategies of precision health care for patients with diabetes. precision health care is based on team foundation, personalized glycemic target, and control as well as patient preferences and priority, thus providing references for future research and clinical practice.

BACKGROUND: Dysmenorrhea is pain during the menstrual period caused by uterine muscle cramps. The Dysmenorrhea prevalence in Indonesia is categorized as high at 64.25%. The dysmenorrhea symptom could be very disruptive and even decrease women’s productivity. Related to this problem, abdominal stretching is one of the alternatives to reduce pain from dysmenorrhea. AIM: This research was aimed to find out the effect of abdominal stretching on the pain intensity of menstrual cramps. METHODS: It was a quasi-experimental research with a pre-test post-test control group design. The sample was 130 female adolescents that were taken by total sampling. The sample was divided into two groups, which were the intervention group and the control group. RESULTS: The research finding, with a 0.000 (p < 0.005) significance value was obtained by using the Wilcoxon test. CONCLUSION: It means abdominal stretching exercise is significantly effective to reduce pain intensity from menstrual cramps (dysmenorrhea) in female adolescents. It is suggested to implement abdominal stretching as nursing care for menstrual cramps.

Background: Two common triage systems have been widely used in mass casualty incidents (MCIs) and disaster situations, namely START (simple triage algorithm and rapid treatment) and SALT (sort, assess, lifesaving, intervention, and treatment/transport). There is currently controversy regarding the effectiveness of SALT over the START triage system.Purpose: This systematic review aims to compare the accuracy of the SALT and START triage systems in disaster and MCI settings.Methods: The literature was searched using a systematic search strategy for articles published from 2009 to 2020 in the Medline, CINAHL, Web of Science, Scopus, PubMed, ProQuest databases, and the grey literature. This review included simulation-based and medical record-based studies investigating the accuracy and applicability of the SALT and START triage systems in adult and child populations during MCIs and disasters. All types of studies were included. The PRISMA flowchart was used to retain the articles, and the Joanna Briggs Institute critical appraisal tools were used to assess the quality of the reviewed studies.Results: Of 1,450 articles identified in the search, 10 articles were included. It was found that the START triage system had a wide range and inconsistent levels of accuracy (44% to 94.2%) compared to the SALT triage system (70% to 83%). The under-triage error of the START triage system ranged from 2.73% to 20%, which was slightly lower than the SALT triage system (7.6% to 23.3%). The over-triage error of the START triage system (2% to 53%) was slightly higher than the SALT triage system (2% to 22%). However, the time taken to apply START triage system (70 to 72.18 seconds) was faster than for the SALT triage system (78 seconds).Conclusion: The START triage system was simpler and faster than SALT. Conversely, the SALT triage system appeared to be slightly more accurate, more consistent, and had a lower rate of under- and over-triage error than START. It appears that neither the SALT nor the START triage system is superior to the other. Further research is needed to establish the most appropriate disaster and MCI triage system, especially for the Indonesian context.

Active religious practice is central to the lives of Muslims. Few studies have examined how religious engagement by Muslims who are coping with cancer affects their psychological health during treatment. Objective: To determine how and the extent to which religion and spirituality are employed as coping mechanisms by Muslims through a literature review. Methods: The electronic Medline, Cinahl, Google Scholar, and PubMed databases were used to identify relevant articles. Grey literature, including websites, was also looked over. Studies including patients with cancer of all types and stages were included. Results: Eight articles were included in the review. Key topics of interest were how the characteristics of Muslim religiosity and spirituality are involved in coping with cancer, including whether they further enable a Muslim to give meaning to cancer, how cancer affects the religious beliefs of Muslim patients with cancer, and whether religion influences treatment considerations. Conclusion: Religion and spirituality are crucial for Muslim patients to find meaning in cancer, and both are used as primary means of coping. Thus, nurses must be aware of and sensitive to the importance of religion in caring for such patients.

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic could increase stress which will impact the student’s achievement during the pandemic situation. AIM: The purpose of the study was to analyze stress among Indonesian nursing students’ after giving the interventions of behavioral activation (BA), mindfulness exercises (ME), and loving-kindness meditation exercise (LKME) during the COVID-19 pandemic. METHODS: This study was a quasi-experimental study with a one-group pre-test-post-test design. Data collection has been conducted in 4 weeks’ period on April–May 2021 using consecutive sampling. The sample of this study was 83 respondents in Level II of Indonesian nursing students at Stikes Kesdam IV/Diponegoro who have fulfilled the inclusion criteria. The instrument used was the Perceived Stress Scale. RESULTS: The majority of respondents are women, namely, 64 respondents (77.1%). After being given the intervention of BA, ME, and LKME, respondents decreased their stress with a mean of 16.66 became 14.76. The dependent t-test showed that the p value was 0.000 (p < 0.05), which means that there was a significance difference in stress pre- and post-intervention. The mean difference was 1.90 and the paired difference t-test was 0.000 (p < 0.05). CONCLUSION: BA, MEs, and LKME are recommended as stress coping mechanisms for Indonesian nursing students during the COVID-19 pandemic.