Maintaining Harmony: How Religion and Culture are Interwoven in Managing Daily Diabetes Self-Care

J Relig Health. 2019 Aug;58(4):1415-1428. doi: 10.1007/s10943-019-00819-5.

Abstract

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'.

Keywords: Diabetes; Javanese; Maintaining harmony; Self-care; Tawakkal.

MeSH terms

  • Adult
  • Aged
  • Culture*
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Humans
  • Indonesia / epidemiology
  • Interviews as Topic
  • Islam / psychology*
  • Middle Aged
  • Qualitative Research
  • Self Care*
  • Self-Management / psychology
  • Social Support
  • Socioeconomic Factors