Cultural, Belief, And Lifeway Factors in Diabetes Patients: An Ethnonursing Study
https://doi.org/10.47836/mjmhs.18.6.21
- Author:
Yosephina Elizabeth Sumartini Gunawan
1
;
Maria Christina Endang Sukartiningsih
2
;
Domianus Namuwali
3
;
Tantut Susanto
4
Author Information
1. Medical Surgical Nursing Department, Waingapu Nursing Study Program, Health Polytechnic of Ministry of Health in Kupang, East Nusa Tenggara, Indonesia
2. Basic Nursing Department, Waingapu Nursing Study Program, Health Polytechnic of Ministry of Health in Kupang, East Nusa Tenggara, Indonesia
3. Community, Family and Gerontic Nursing Department, Kupang Nursing Study Program , Health Polytechnic of Ministry of Health in Kupang, East Nusa Tenggara, Indonesia
4. Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Jawa Timur, Indonesia
- Publication Type:Journal Article
- Keywords:
Diabetes, Culture, Belief, Transcultural Care Model, Ethnonursing
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.6):148-157
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The people of Sumba prefer traditional medication from shamans as they believe that diabetes they
suffer from the Marapu, hence uncurable by modern medical means. This study aimed to derive a picture regarding
diabetes patients’ cultural values, beliefs, and lifeways in the East Sumba ethnic of Indonesia. Methods: This study
uses a qualitative design with an ethnographic approach which was conducted in 2018. The main participants in
the study were seven diabetic patients, were determined purposively. Focused discussions were held with the person
in charge of the non-communicable disease program from seven Public Health Centers. Data were collected from
interviews, focus group discussions, field notes and observation sheets. All data were analyzed by content analysis
method corresponding to the 4 phases in ethnonursing. Results: Five themes were generated in this study with details of three themes describing the cultural values of diabetic patients (subthemes traditional ceremonies, chewing
happa, and traditional medicine), one theme describing the beliefs of diabetic patients (subthemes perceptions about
diabetes) and one theme describing the lifestyle of diabetic patients (subthemes eating/drinking patterns, spiritual
values, rest/sleep habits, and daily activities). The culture of diabetics depicted in adat ceremonies, happa or betel
nut chewing, and traditional medication, which is still thick in East Sumba and their beliefs on the disease they suffer from, exert influence on their daily lives, including their eating or drinking patterns, spiritual values, resting or
sleeping patterns, and daily activities. Conclusion: This finding can be helpful for the effort to improve nursing for
diabetes patients by cultural approaches.
- Full text:11.2022my1371.pdf