Background: abundant evidence exists worldwide with regards to how religiosity and/or spirituality plays a role in influencing people with Type 2 diabetes manage their daily self-care activities. Indonesia is the most populous Muslim country in the world and research suggeststhat Indonesia has among the highest incidence of diabetes in the world. However, paucity of evidences was found about the relationship of religiosity and/or spirituality to the self-care of diabetes.Methods: The objective of this structuredreview is to identify, appraise and synthesise the best available evidence worldwide, including Indonesia, related to how people with diabetes perceives the role of religion and/or spirituality in managing daily self-care. CINAHL, Ovid MEDLINE and Garuda, an Indonesian search portal were accessed to find evidence regarding self-care, religion and diabetes using the keywords 'religion', 'religiosity', 'spirituality', 'selfcare', 'self-management', 'self-efficacy', 'diabetes'. A critical appraisal using an adapted CASP tool was utilized. Results: The first attempt collected 51,722 articles from CINAHL, 11,346 from OvidMEDLINE, 62 from ISJD, 4 from Google Cendikia and nothing from Garuda. Second attempt was done with the inclusion of 'linked full text', 'references available', 'abstract available ', '1970-2012', age range of '19-65' and revealed a total of 298 articles. Third attempt was done using several inclusion criteria, such as: self-management in chronic illness, quality of life in chronic illness, coping with diabetes, structured education in diabetes, and health behaviour determinants. Criteria exclusion was applied, such as: mental health, psychosis, nutrition intervention, chronic renal diseases, nurse's coping, and dying patients. Finally, thirtyone studies were retrieved to be analysed. Several themes emerged from the evidence these included: relationship with God or the transcendent, religion or spirituality as coping methods; religious practices; and, social support.
The lingering culture among Javanese people cannot be separated from religion, influencing how they perceive any factors that might play a role in managing any health condition. This present study aimed in exploring the perceptions and experiences of religion and culture in performing daily self-care among Javanese Muslim with type 2 diabetes. A qualitative study with thematic content analysis method utilizing in-depth semi-structured interviews was undertaken to explore the perceptions and experiences of Javanese Muslim with diabetes managing their daily self-care activity. Convenient samples of 24 participants were selected to gain a richer understanding of self-care activity. The study identified one main theme of 'maintaining harmony' with comprised of two sub-themes: 'surrender and accept', and 'keep trying and leave the rest to Allah, a concept of tawakkal'. The first sub-theme consists of categories of: nerimo ing pandum, or accepting with sincerity, and tepo seliro, or being tolerance with others. The second sub-theme consists of three categories: being independent, social ties, and embracing Allah. The study also reveals the importance of Pengajian and Persadia as social resources in enhancing the capability to better self-care the condition. Thus, it also reveals the need to further develop diabetes education programmes in collaboration with religious leaders and health professionals to promote self-care to complement religious practice: Tawakkal or 'Keep trying and leave the rest to Allah'.
Penelitian terkait kasus bullying pada anak usia sekolah dasar masih terbatas. Tujuan dilakukan penelitian ini untuk menganalisis faktor-faktor perilaku bullying di Sekolah Dasar Negeri Pungkuran Pleret Bantul. Penelitian ini menggunakan desain studi kasus. Teknik total sampling dipilih dalam penelitian ini. Responden adalah 102 siswa dan seorang kepala sekolah.Wawancara penelitian dilakukan pada 10 partisipan siswa yang diambil dengan purposive sampling.Instrument yang digunakan termasuk kuesioner kebiasaan siswa di sekolah, pedoman wawancara, telepon dan lembar observasi. Tingkat perilaku bullying mayoritas dalam kategori bullying sedang dilakukan 62,31% siswa laki-laki . Jenis bullying verbal kategori sedang banyak ditemukan pada 42,16% siswa laki-laki. Sebanyak 39,22% siswa laki-laki cenderung melakukan bullying fisik tingkat rendah. Bullying relasional kategori sedang dilakukan oleh 48,04 % siswa laki-laki. Bullying yang terjadi disekolah terjadi karena kurangnya empati pelaku bullying dan pencegahan yang dilakukan oleh sekolah. Pemicu bullying dikalangan siswa adalah ketidakpedulian. Ketidaktersediaan standar operasional prosedur dan guru konseling menjadi faktor rantai bullying yang berkelanjutan. Kata kunci: perilaku, bullying; sekolah dasar LACK OF BULLIES EMPATHY AND PREVENTIONAT SCHOOL ABSTRACTResearch related cases of bullying in elementary school-age children has limited. The purpose of this study was to analyze the factors of bullying behavior at Pungkuran Pleret Public Elementary School in Bantul. This study uses a case study design. We applied a total sampling technique. All respondents were 102 students and a principal. We also conducted interviews with ten students obtained by purposive sampling. The instruments used included questionnaires for student habits at school, interview guidelines, telephones and observation sheets. The level of bullying behaviour in the majority in the category of bullying is being done by 62.31% male students. The type of verbal bullying category is mostly found in 42.16% male students. Almost 39.22% of male students are likely to conduct low physical bullying, and most relational bullying found are done by 48,04 % these male students. Bullying that occurs in schools occurs because of a lack of empathy perpetrators of bullying and prevention carried out by the school. The trigger for bullying among students is indifference. Moreover, the unavailability of standard operational procedures and counselling teachers are found becoming the factors in the continued chain of bullying. Keywords: behavior, bullying, elementary school
Introduction The comorbidity of tuberculosis and diabetes mellitus (TB-DM) is a looming global co-epidemic problem. Despite the Indonesian Government’s ongoing effort to impose regulation for collaborative TB-DM management, the involvement of private primary care providers (PPCs) has not been considered before the COVID-19 pandemic. This study aimed to capture the PPCs’ existing practices and explore their challenges, opportunities, and potential roles in the collaborative TB-DM services and control. Methods A descriptive qualitative research design was used to collect data. Two Focus Group Discussions (FGDs) were conducted with 13 healthcare workers (HCWs) from different private clinics and eight private/solo general practitioners (GPs) from Yogyakarta City, Indonesia. We triangulated these data with data from FGDs of HCWs community health centers (CHCs) and in-depth interviews of three regional health regulators, five hospitals staff members, and a representative of national health insurance. The discussions were audio-recorded, transcribed verbatim, and subjected to thematic analysis. Results PPCs have not been initiated into the implementation of the collaborative TB-DM programme. The themes identified in this study were health system-related barriers, knowledge and perception of HCWs, lack of implementation of bi-directional screening, and needs of multisector role. The potential roles identified for PPCs include involvement in health promotion, bi-directional screening, patient referral, and data reporting according to the TB-DM programme indicators. However, more thorough improvement of PPCs’ capacity and logistic supplies are needed to provide comprehensive TB treatment. Conclusion Although PPCs’ involvement in implementing collaborative TB-DM services has yet to be considered, their potential role should not be neglected. Therefore, it is essential to increase their involvement by enhancing their capacity and improving the Public-Private Mix. PPCs’ engagement should be initiated and maintained to ensure the sustainability of the programme.
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