Education and Leadership in Glocalization : What does “think globally, act locally” mean for education around the world?
21-24
2014
442
Health practices and integration of local wisdom into self- care of Muslim with diabetic mellitus in three southern border provinces.
Pornpen Pataranutaporn
Assistant Professor, Faculty of Education, Prince of Songkla University, Pattani Campus. pornpen.ppgmail.com
Somkiat Suknantapong
Assistant Professor, Faculty of Education, Prince of Songkla University, Pattani Campus. Ssomkiatbunga.pn.psu.ac.th.
1. Abstract
The aims of this study were to explore health practices, describe the integration of local wisdom
into self-care of Muslim with Diabetic Mellitus in three southern border provinces
and propose guidelines for the self-care of Muslim with diabetic
mellitus in three southern border provinces. This study use both qualitative and quantitative
methods.The study’s participant consisted of 330 of diabetic mellitus. Interviews including the following
aspects, Perception of being a diabetes; Response to diabetes; Being a diabetic cause change in life style;
Learning to achieve self-care; Seeking and gaining knowledge for self-care and Learning Pros and Con of
diabetes. The finding may provide useful knowledge to health care professionals, thereby allowing them to
effectively incorporate southern wisdom with in health care programs, A kinds of herbs were used in
control blood sugar levels, as well as religious principles were used in control stress. The results of
data offer a reasonable approach in the health care of people with diabetes in the three Muslim southern
provinces. Keywords: health practices, local wisdom, self-care,
Diabetic mellitus, southern border provinces
2. Background
Diabetes mellitus is a growing public health challenge for Thailand, also one of the most common
chronic diseases in the three southern border provinces.
One in 13 adult Thais has diabetes, a lifelong illness that increases the risk to suffer heart
attacks and strokes at an early age and can lead to premature death. Overtime, diabetes can damage the
heart blood vessels, eyes, kidneys, and nerves. Diabetes also exacerbates the impact of infectious
disease such as tuberculosis, malaria and AIDS. Diabetes occurs either when the body does not
produce enough insulin
the hormone that regulates blood sugar or cannot effectively use the insulin it
produces. The body’s response to excess glucose in the blood is to get of it through frequent urination.
To prevent and control the disease, the World Health Organization announced that 80 percent of people
with diabetes can be prevented by modification their lifestyle,
the government of Thailand developed a strategy to prevent and control the disease, The
strategy also looks at way to provide social and emotional support to people with diabetes.
Therefore, it is important to understand the way of life, health behaviors, especially self-care with coping
and management in the perspective by themselves, in the context of the Muslim way in the three southern
border provinces of Thailand. To explore health practices and integrate with the multi-cultural area,
believes, religious and local wisdom, In addition to propose a reasonable approach in the health care of
people with diabetes in the three Muslim southern provinces. The benefit of this study will be helpful to
those with diabetes having the guideline for the proper care.
3.
Objectives.
1. Explore self-care behaviors of Muslim with diabetic mellitus in three southern border provinces.
2. Describes the integration of local wisdom into self- care of Muslim with diabetic mellitus in three
southern border provinces. 3. Propose guideline for the self-care of Muslim
with Diabetic Mellitus in three southern border provinces.
4. Framework
Ideally, patients with diabetes travel along several paths at the same time while taking care of their
disease: 1. Learning about diabetes and self-management
2. Getting recommended care and tests
Education and Leadership in Glocalization : What does “think globally, act locally” mean for education around the world?
21-24
2014
443
3. Keeping diabetes under control Therefore; this research aims to explore self-care
behaviors and describe the integration of local wisdom into self - care of Muslim with diabetic
mellitus in three southern border provinces, need to review the theories and related research:
1. Their knowledge about diabetes. 2. Lifestyle affecting to the illness.
3. Health behavior, self-care of the Muslim diabetes.
4. The integration of local wisdom into self- care
Figure 1. Research’s Framework
5. Methodology
Quantitative and qualitative methods were used in this study. There are 3 stages as follows.
Phase 1 This objective is to study the self-care of Muslim with diabetes in the context of the three
southern border provinces. The sample group, selected by using the purposive sampling technique,
was 330 of Muslim with diabetes at the hospital in Pattani, Yala and Narathiwat Provinces, in addition to
this research’s criteria. The structured questionnaire about general data and self-care behaviors were used
for collecting information and self-behavior score. The data in this phase was analyzed by percentage
and frequency distribution. Phase 2 This objective is to study the experience of
their illness, way of life and the use of local wisdom in health care. The sample is 50 patients who have
high level and low level of the self-care behaviors score in the first group. Qualitative method was used
by in depth interview including the following aspects: perception of being diabetes; responsibility; being a
diabetic cause change in life style; learning to achieve self-care; seeking and gaining knowledge for self-care
and learning pros and con of diabetes. Then data was analyzed by the method of content analysis.
The main questions consist of 1. Did you know about your diabetes symptoms
and warning signs? 2. What did you feel when you have diabetes in the
early stages? 3. What did your changes effect lifestyle after
diabetes? 4. How did you take care of yourselves?
5. What have you learnt about modern treatment or traditional medicine approach?
6. Did you have any problems to control yourselves and how to solve it?
Phase 3 This objective is to propose guidelines for the self-care of Muslim with diabetic mellitus in three
southern border provinces. The analysis of the quantitative data and qualitative data to determine
factors that supporting self-care behaviors of the samples in the high score group, the factors that
disturb self-care behaviors of the samples in the low score group. Then data was analyzed by content
analysis technique. To draft guidelines for the self- care of Muslim with diabetic mellitus in three
southern border provinces. The three experts in related field approved this guideline before do
conclusion.
6. Results
