Abstract

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.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.185-193

Highlights

  • This paper forms part of a larger study concerning how religiosity influences people with diabetes in managing their daily activities

  • Self-Care and Health Evidence Synthesis, themes extracted from the review This review revealed several themes that are how religiosity might influence individual with diabetes in managing their condition, which includes: religiosity and self-care, religious belief, relationship with God or the transcendent, religion or spirituality as coping mechanism, social support and religious practices

  • Summary Self-care is considered as a concept which is ‘led, owned and done by the community’ whichentailsactionsthatareembeddedintothedaily lifeofpeoplewithchronicconditions[57].Itisacomplex concept which involves a wide range of behaviours in maintaining well-being, consisting of health promotion and disease prevention; treatment; and, monitoring and rehabilitation 57, 58

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Summary

Introduction

This paper forms part of a larger study concerning how religiosity influences people with diabetes in managing their daily activities. Search strategy A preliminary search was conducted in date to identify existing systematic reviews and protocolsin database, including: CINAHL, Ovid MEDLINE and Garuda, an Indonesian search portal. The latter search engine was developed by the Higher Education of the Indonesian Ministry of Education which is an abbreviation for Garba Rujukan Digital (http:// jurnal.dikti.go.id/) or Digital References Portal which serves access to the scientific research by Indonesian researchers or academics. It contains of domestic-journals, final student theses and research reports. The last one is a scientific search engine developed by

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