Skip to main content
Log in

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

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

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’.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bai, Y.-L., Chiou, C.-P., & Chang, Y.-Y. (2009). Self-care behaviour and related factors in older people with Type 2 diabetes. Journal of Clinical Nursing, 18(23), 3308–3315.

    Article  PubMed  Google Scholar 

  • Bodenheimer, T., & Bhuyan, K. K. (2004). Health promotion through self-care and community participation: Elements of a proposed programme in the developing countries. BMC Public Health, 4(11), 12.

    Google Scholar 

  • Bowen, A. B. (2008). Naturalistic inquiry and the saturation concept: A research note. Qualitative Research, 8(1), 137–152.

    Article  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.

    Article  Google Scholar 

  • Coleman, C. L., Holzemer, W. L., Eller, L. S., Corless, I., Reynolds, N., Nokes, K. M., et al. (2006). Gender differences in use of prayer as a self-care strategy for managing symptoms in African Americans living with HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 17(4), 16–23.

    Article  PubMed  Google Scholar 

  • Creswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks: Sage Publishing.

    Google Scholar 

  • Creswell, J. W. (2014). Research design. Qualitative, quantitative, and mixed methods approaches (4th ed.). London: Sage.

    Google Scholar 

  • de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complication, a meta analysis. Psychosomatic Medicine, 63(4), 619–630.

    Article  PubMed  Google Scholar 

  • Geertz, C. (1995). The Javanese family. United Nations University Press, Tokyo. http://archive.unu.edu/unupress/unupbooks/uu13se/uu13se09.htm.

  • Grace, C., Begum, R., Subhani, S., Kopelman, P., & Greenhalgh, T. (2008). Prevention of type 2 diabetes in British Bangladeshis: Qualitative study of community, religious, and professional perspectives. BMJ. https://doi.org/10.1136/bmj.a1931.

    Article  PubMed  PubMed Central  Google Scholar 

  • Heaney, C. A., & Israel, B. A. (2008). Social Networks and Social Support. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education (4th ed.). San Fransisco: Wiley.

    Google Scholar 

  • Holdcroft, B. (2006). What is religiosity? Catholic Education: A Journal of Inquiry and Practice, 10(1), 15.

    Google Scholar 

  • Hussain, A., & El-Alami, K. (2005). Faith guides for higher education. A guide to Islam. Leeds: The Subject Centre for Philosophical and Religious Studies.

    Google Scholar 

  • International Diabetes Federation (IDF). (2007). IDF Diabetes Atlas-2007 (3rd ed.).

  • International Diabetes Federation (IDF). (2012). IDF-guideline-for-type-2-diabetes. Belgium: IDF.

    Google Scholar 

  • International Diabetes Federation (IDF). (2017). IDF Diabetes Atlas-2017 (8th ed.).

  • Koenig, H. G. (2002). The connection between psychoneuroimmunology and religion. In H. G. Koenig & H. J. Cohen (Eds.), The link between religion and health. Psychoneuroimmunology and the faith factor. New York: Oxford University Press, Inc.

    Chapter  Google Scholar 

  • Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 1–33.

    Article  Google Scholar 

  • Koentjaraningrat. (1985). Javanese culture. Singapore: Oxford University Press.

    Google Scholar 

  • Krentz, A. J., & Bailey, C. J. (2001). Type 2 diabetes in practice. London: Royal Society of Medicine Ltd.

    Google Scholar 

  • Levin, J. S., & Taylor, R. J. (1997). Age differences in patterns and correlates of the frequency of prayer. The Gerontologist, 37(1), 75–88.

    Article  CAS  PubMed  Google Scholar 

  • Lin, E. H. B., Katon, W., Von Korff, M., Rutter, C., Simon, G. E., Oliver, M., et al. (2004). Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care, 27(9), 2154–2160. https://doi.org/10.2337/diacare.27.9.2154.

    Article  PubMed  Google Scholar 

  • Mardiyono, M., Songwathana, P., & Petpichetchian, W. (2011). Spirituality intervention and outcomes, corner stone of holistic nursing practice. Nurse Media Journal of Nursing, 1(1), 11.

    Google Scholar 

  • Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews [63 paragraphs]. Forum Qualitative Sizialforschung/Forum: Qualitative Social Research, 11(3). http://nbn-resolving.de/urn:nb:de:0114-fqs100387.

  • Naeem, A. G. (2003). The role of culture and religion in the management of diabetes: A study of Kashmiri men in Leeds. Perspectives in Public Health, 123(2), 6.

    Google Scholar 

  • Newlin, K., Melkus, G. D., Tappen, R., Chyun, D., & Koenig, H. G. (2008). Relationships of religion and spirituality to glycemic control in Black women with type 2 diabetes. Nursing Research, 57(5), 331–339. https://doi.org/10.1097/01.NNR.0000313497.10154.66.

    Article  PubMed  Google Scholar 

  • Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1998). Religion and the problem-solving process: Three styles of coping. Journal for the Scientific Study of Religion, 27(1), 90–104.

    Article  Google Scholar 

  • Parsons, S. K., Cruise, P. L., Davenport, W. M., & Jones, V. (2006). Religious beliefs, practices and treatment adherence among individuals with HIV. AIDS Patient Care STDS, 20(2), 16.

    Article  Google Scholar 

  • Perkeni. (2011). Konsensus Pengelolaan dan Pencegahan Diabetes Melitus tipe 2 di Indonesia 2011 (the 2011 53 Indonesian Consensus on the Management on type II Diabetes Mellitus).

  • Polzer, R. L., & Miles, M. S. (2007). Spirituality in African Americans with diabetes: Self-management through a relationship with God. Qualitative Health Research, 17(2), 176–188. https://doi.org/10.1177/1049732306297750.

    Article  PubMed  Google Scholar 

  • Samuel-Hodge, C. D., Headen, S. W., Skelly, A. H., Ingram, A. F., Keyserling, T. C., Jackson, E. J., et al. (2000). Influences on day-to-day self-management of type 2 diabetes among African-American women: Spirituality, the multi-caregiver role, and other social context factors. Diabetes Care, 23(7), 928–933.

    Article  CAS  PubMed  Google Scholar 

  • Seybold, K. S., & Hill, P. C. (2001). The role of religion and spirituality in mental and physical health. Current Directions in Psychological Science (Wiley-Blackwell), 10(1), 21–24.

    Article  Google Scholar 

  • SSDC. (2013). Diabetes champion (Pandu diabetes). SS Diabetes Care. Retrieved from 10 June, 2013. http://ssdiacare.com/?prm=profil&id=35.

  • Toljamo, M., & Hentinen, M. (2001). Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. Journal of Advanced Nursing, 34(6), 780–786. https://doi.org/10.1046/j.1365-2648.2001.01808.x.

    Article  CAS  PubMed  Google Scholar 

  • Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950. https://doi.org/10.2337/diacare.23.7.943.

    Article  CAS  PubMed  Google Scholar 

  • Yuniarti, K. W., Dewi, C., Ningrum, R. P., Widiastuti, M., & Asril, N. M. (2013). Illness perception, stress, religiosity, depression, social support, and self management of diabetes in Indonesia. Yogyakarta, Indonesia: Universitas Gadjah Mada.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Iman Permana.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Permana, I., Ormandy, P. & Ahmed, A. Maintaining Harmony: How Religion and Culture are Interwoven in Managing Daily Diabetes Self-Care. J Relig Health 58, 1415–1428 (2019). https://doi.org/10.1007/s10943-019-00819-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-019-00819-5

Keywords

Navigation