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All Journal The Indonesian Journal of Infectious Diseases Malahayati International Journal of Nursing and Health Science
Islamia, Ina
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Determinants of fatigue in children and adolescents with type 1 diabetes mellitus: A systematic review Ningsih, Risna; Islamia, Ina; Agustini, Nur; Ramadhani, Dewi Astika; Adawiyah, Robiyatul; Huda, Mega Hasanul; Hayati, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.850

Abstract

Background: Fatigue is one of the most common non-specific symptoms experienced by children and adolescents with type 1 diabetes mellitus (T1DM), yet it often goes unnoticed by clinicians. It can affect quality of life, learning ability, and engagement in daily activities. Fatigue in T1DM patients is not only related to glycemic control, but is also influenced by a complex range of physical, psychological and social determinants. A comprehensive understanding of the factors that contribute to fatigue in this population is essential for the development of more effective and holistic intervention strategies. Purpose: To determine fatigue among children and adolescents with Type 1 Diabetes Mellitus. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The article search was conducted systematically using the keywords: “Child” AND “Children” AND “Adolescent” AND “Adolescence” AND “Teenagers” AND “Diabetes Mellitus Type 1” AND “Type 1 Diabetes” AND “IDDM” AND “Type 1 Diabetes Mellitus” AND “Juvenile Onset Diabetes” AND “Psychosocial Problem” AND “Psychosocial Support System” AND “Psychological Support System” AND “Social Support System”. This study is registered on PROSPERO (CRD42024618445). Results: Aside from anxiety, depression, and behavioral disorders, other psychosocial issues—specifically self-management difficulties—are also observed in children with T1DM. These challenges are often associated with fatigue, which can negatively affect a child's motivation, focus, and ability to consistently carry out essential diabetes care tasks such as taking insulin, monitoring blood sugar levels, managing diet, and engaging in physical activity. Conclusion: The findings related to fatigue as a psychosocial issue may offer evidence-based support for the early identification and intervention of psychosocial challenges in children and adolescents with T1DM.
Digital Medication Reminders to Improve Antiretroviral Therapy Adherence in Children Living with HIV: Literature Review Rahmawani, Atika; Islamia, Ina; Ningsih, Risna
The Indonesian Journal of Infectious Diseases Vol. 11 No. 1 (2025): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v11i1.275

Abstract

Background: Antiretroviral treatment is the treatment for people infected with human immunodeficiency virus (HIV) using anti-HIV combinations that are used for life. The main factors determining the success of ARV treatment are sustained and optimal adherence to therapy. Adherence to ARV treatment can be challenging for children and especially adolescents with HIV because ARVs must be taken for life. There are several ways to improve adherence to ARV medication directly, namely through comprehensive educational pressure, other ways can be done by utilizing technology that uses medication reminder applications such as the use of smartphones, android-based application development, electronic monitoring, Short Message Service (SMS), social media-based support, and mass media campaigns. This paper reviews the scientific evidence on technology-based ARV treatment adherence. Methods: This article is based on scientific journal searches conducted through online databases, namely Scopus, Proquest, PubMed, and Scholar, published in 2019-2023. Results: showed that using technology as a reminder to take medication can improve adherence of children with HIV in taking ARV drugs. Conclusion: The use of technology can improve adherence in children with HIV, can also reduce viral load rates, and increase CD4 levels
Co-Authors Adawiyah, Robiyatul Dewi Hayati, Dewi Mega Hasanul Huda Ningsih, Risna Nur Agustini Rahmawani, Atika Ramadhani, Dewi Astika