Perception and Educational Needs in the Self-Management Type 2 Diabetes Mellitus Patients: A Phenomenological Study Based on Local Wisdom
DOI:
https://doi.org/10.31965/infokes.Vol21.Iss4.1340Keywords:
Education, Local Wisdom, Self-ManagementAbstract
Lack of knowledge, misperceptions, and the absence of a diabetes management culture pose challenges to providing social support, particularly within families. This is a qualitative phenomenological study aimed at identifying factors contributing to self-management, unearthing the influence of a patrilineal culture, and uncovering the educational needs for local wisdom-based diabetes mellitus self-management in type 2 patients. Data were collected through in-depth interviews and analyzed thematically. The study population consisted of type 2 diabetes mellitus patients living within patrilineal families. The sample size was 10 female individuals aged between 40 and 60 years. The duration of type 2 DM ranged from 6 to 15 years. Four themes emerged from the research: (1) Insufficiency in self-management, (2) Beliefs and perceptions about type 2 diabetes mellitus, (3) The influence of patrilineal families on self-management, and (4) The need for the development of educational programs for self-management type 2 DM management rooted in local culture. According to the results, people with Type 2 Diabetes Mellitus may not be capable of managing their health. Though there are many different opinions and views regarding Type 2 DM, there are frequently gaps in our knowledge. The management of diabetes is greatly impacted by patrilineal family systems. Participants express a significant need for educational programs that are culturally sensitive and improve their ability to control their diabetes.
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References
American Diabetes Association. (2017). 4. Lifestyle Management. Diabetes Care, 40(Supplement_1), S33–S43. https://doi.org/10.2337/dc17-S007
American Diabetes Association. (2022). 6 . Glycemic Targets : Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Supplement_1), S83–S96. https://doi.org/10.2337/dc22-S006
Alaofè, H., Yeo, S., Okechukwu, A., Magrath, P., Amoussa Hounkpatin, W., Ehiri, J., & Rosales, C. (2021). Cultural Considerations for the Adaptation of a Diabetes Self-Management Education Program in Cotonou, Benin: Lessons Learned from a Qualitative Study. International Journal of Environmental Research and Public Health, 18(16), 8376. https://doi.org/10.3390/ijerph18168376
Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., Kolb, L. E., Lavin-Tompkins, J. M., MacLeod, J., Maryniuk, M., Mensing, C., Orzeck, E. A., Pope, D. D., Pulizzi, J. L., Reed, A. A., … Wang, J. (2018). 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educator, 44(1), 35–50. https://doi.org/10.1177/0145721718754797
Bennich, B. B., Røder, M. E., Overgaard, D., Egerod, I., Munch, L., Knop, F. K., Vilsbøll, T., & Konradsen, H. (2017). Supportive and non-supportive interactions in families with a type 2 diabetes patient: An integrative review. Diabetology and Metabolic Syndrome, 9(1), 1–9. https://doi.org/10.1186/s13098-017-0256-7
Bhandari, P., & Kim, M. (2016). Self-Care Behaviors of Nepalese Adults with Type 2 Diabetes: A Mixed Methods Analysis. Nursing Research, 65(3), 202–214. https://doi.org/10.1097/NNR.0000000000000153
Emara, R. A., Hamed, M., Awad, M., & Zeid, W. (2021). Effect of diabetes self-management education program on glycemic control in diabetic patients attending the family medicine outpatient clinic, Suez Canal University Hospital, Ismailia, Egypt. The Egyptian Journal of Internal Medicine, 33(1), 1-6. https://doi.org/10.1186/s43162-021-00058-9
Estacio, E. V., McKinley, R. K., Saidy-Khan, S., Karic, T., Clark, L., & Kurth, J. (2015). Health literacy: why it matters to South Asian men with diabetes. Primary Health Care Research & Development, 16(2), 214–218. https://doi.org/10.1017/S1463423614000152
IDF. (2015). International Diabetes Federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium: International Diabetes Federation. International Diabetes Federation. https://doi.org/10.1289/image.ehp.v119.i03
Juanamasta, I. G., Aungsuroch, Y., Gunawan, J., Suniyadewi, N. W., & Nopita Wati, N. M. (2021). Holistic Care Management of Diabetes Mellitus: An Integrative Review. International Journal of Preventive Medicine, 12, 69. https://doi.org/10.4103/ijpvm.IJPVM_402_20
Juanamasta, I. G., Wati, N. M. N., & Widana, A. A. G. O. (2020). Covid-19: A Balinese Viewpoint. Belitung Nursing Journal, 6(4), 143-144. https://doi.org/10.33546/BNJ.1133
Kementerian Kesehatan Republik Indonesia. (2018). Hasil utama RISKESDAS 2018. Jakarta: Kementerian Kesehatan Republik Indonesia.
Lamb, C., Babenko-Mould, Y., Evans, M., Wong, C. A., & Kirkwood, K. W. (2019). Conscientious objection and nurses: Results of an interpretive phenomenological study. Nursing Ethics, 26(5), 1337–1349. https://doi.org/10.1177/0969733018763996
Lamptey, R., Davies, M. J., Khunti, K., Schreder, S., Stribling, B., & Hadjiconstantinou, M. (2022). Cultural adaptation of a diabetes self-management education and support (DSMES) programme for two low resource urban settings in Ghana, during the COVID-19 era. BMC Health Services Research, 22(1), 996. https://doi.org/10.1186/s12913-022-08390-8
Lv, F., Gao, X., Huang, A. H., Zu, J., He, X., Sun, X., Liu, J., Gao, N., Jiao, Y., Keane, M. G., Zhang, L., Yeo, Y. H., Wang, Y., & Ji, F. (2022). Excess diabetes mellitus-related deaths during the COVID-19 pandemic in the United States. EClinicalMedicine, 54, 101671. https://doi.org/10.1016/j.eclinm.2022.101671
Mikhael, E. M., Hassali, M. A., Hussain, S. A., & Shawky, N. (2019). Self-management knowledge and practice of type 2 diabetes mellitus patients in Baghdad, Iraq: A qualitative study. Diabetes, Metabolic Syndrome and Obesity, 12, 1–17. https://doi.org/10.2147/DMSO.S183776
Murphy, K., Chuma, T., Mathews, C., Steyn, K., & Levitt, N. (2015). A qualitative study of the experiences of care and motivation for effective self-management among diabetic and hypertensive patients attending public sector primary health care services in South Africa. BMC health services research, 15, 1-9. https://doi.org/10.1186/s12913-015-0969-y
Omodara, D. A., Gibson, L., & Bowpitt, G. (2022). Exploring the impact of cultural beliefs in the self-management of type 2 diabetes among Black sub-Saharan Africans in the UK–a qualitative study informed by the PEN-3 cultural model. Ethnicity and Health, 27(6), 1358–1376. https://doi.org/10.1080/13557858.2021.1881764
Pamungkas, R. A., Chamroonsawasdi, K., & Usman, A. M. (2021a). Unmet basic needs and family functions gaps in diabetes management practice among Indonesian communities with uncontrolled type 2 diabetes: A qualitative study. Malaysian Family Physician, 16(3), 23–35. https://doi.org/10.51866/oa1123
Pamungkas, R. A., Chamroonsawasdi, K., & Usman, A. M. (2021b). Unmet basic needs and family functions gaps in diabetes management practice among Indonesian communities with uncontrolled type 2 diabetes: A qualitative study. Malaysian Family Physician, 16(3), 23–35. https://doi.org/10.51866/oa1123
Pamungkas, R. A., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A systematic review: family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behavioral Sciences, 7(3), 62. https://doi.org/10.3390/bs7030062
PERKENI. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2021. PB PERKENI.
Pesantes, M. A., Del Valle, A., Diez-Canseco, F., Bernabé-Ortiz, A., Portocarrero, J., Trujillo, A., Cornejo, P., Manrique, K., & Miranda, J. J. (2018). Family Support and Diabetes: Patient’s Experiences From a Public Hospital in Peru. Qualitative Health Research, 28(12), 1871–1882. https://doi.org/10.1177/1049732318784906
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.
Rahmawati, N. (2016). Perempuan Bali dalam Pergulatan Gender. Jurnal Studi Kultural, 1(1), 58–64. http://journals.an1mage.net/index.php/ajsk
Ritruechai, S., Khumwong, W., Rossiter, R., & Hazelton, M. (2018). Thematic analysis guided by Max van Manen: Hermeneutic (interpretive) phenomenological approach. Journal of Health Science Research, 12(2), 39–48. https://he01.tci-thaijo.org/index.php/JHR/article/view/164236/119020
Shakibazadeh, E., Larijani, B., Shojaeezadeh, D., Rashidian, A., Forouzanfar, M. H., & Bartholomew, L. K. (2011). Patients’ perspectives on factors that influence diabetes self-care. Iranian journal of public health, 40(4), 146.
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders, 12(1), 1-5. https://doi.org/10.1186/2251-6581-12-14
Sohal, T., Sohal, P., King-Shier, K. M., & Khan, N. A. (2015). Barriers and facilitators for type-2 diabetes management in south asians: A systematic review. PLoS ONE, 10(9), 1–15. https://doi.org/10.1371/journal.pone.0136202
Spence, D. G. (2017). Supervising for Robust Hermeneutic Phenomenology: Reflexive Engagement Within Horizons of Understanding. Qualitative Health Research, 27(6), 836–842. https://doi.org/10.1177/1049732316637824
Suardana, I. W., Yusuf, A., Hargono, R., & Juanamasta, I. G. (2023). Spiritual Coping “Tri Hita Karana” among Older Adults during Pandemic COVID-19: A Perspective of Balinese Culture. Universal Journal of Public Health, 11(3), 297–304. https://doi.org/10.13189/ujph.2023.110303
Sudarta, W. (2017). Pengambilan keputusan gender rumah tangga petani pada budidaya tanaman padi sawah sistem subak di perkotaan. Jurnal Manajemen Agribisnis, 5(2), 59-65.
Stone, M. A., & Drake, L. (2006). Cultural awareness in diabetes education. Practice Nursing, 17(6), 1-5.
Tan, C. C. L., Cheng, K. K. F., Sum, C. F., Shew, J. S. H., Holydard, E., & Wenru, W. A. N. G. (2018). Perceptions of diabetes self-care management among older Singaporeans with type 2 diabetes: A qualitative study. Journal of Nursing Research, 26(4), 242-249. https://doi.org/10.1097/jnr.0000000000000226
Tewahido, D., & Berhane, Y. (2017). Self-care practices among diabetes patients in Addis Ababa: a qualitative study. PloS one, 12(1), e0169062. https://doi.org/10.1371/journal.pone.0169062
Todres, L., & Wheeler, S. (2001). The complementarity of phenomenology, hermeneutics and existentialism as a philosophical perspective for nursing research. International Journal of Nursing Studies, 38(1), 1–8. https://doi.org/10.1016/S0020-7489(00)00047-X
van Manen, M. (2016). Researching Lived Experience, Second Edition. New York: Routledge. https://doi.org/10.4324/9781315421056
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