فهرست مطالب yusran haskas

Diabetes mellitus in indigenous people has increased globally. This disease develops very quickly and has a higher prevalence among indigenous people. When caring for diabetes, indigenous people face many obstacles that worsen their condition. However, only a few studies have comprehensively reviewed such a condition and investigated various tribal backgrounds of indigenous people. This study aimed to identify diverse challenges and opportunities in caring for diabetes in indigenous people.

This scoping review was conducted from March to August 2022 by searching for manuscripts on PubMed, Science Direct, Cochrane Library, Wiley, Directory of Open Access Journals, ProQuest, GARUDA, and Grey Literature databases to identify challenges and opportunities in caring for diabetes mellitus in indigenous people. Three reviewers independently screened the results, and the extracted data were then mapped, categorized, and summarized.

This study identified eight categories of challenges and three opportunities. Trust, language, health literacy, access to health services, and costs are challenges for indigenous people in caring for diabetes. In addition, three aspects were considered opportunities to care for diabetes in indigenous people: support from health workers who are from the indigenous communities to solve trust issues, intervention modification based on culture, language, and technology, and support from health authorities.

Challenges to the indigenous people’s religious and cultural factors should be addressed seriously to care for diabetes. However, this action requires different approaches and cannot be generalized to all indigenous communities.

 Nurses worldwide face serious challenges to deal with infectious diseases. A transmission prevention model is expected to be a strategy to overcome these challenges. To date, most of the available models are in the form of disease prevention models primarily implemented to detect infections. In contrast, only a few models are implemented to improve disease transmission prevention behavior, especially in nurses. This study aims to find a model of infection transmission prevention adopted from the aids risk reduction model.

Methods & Materials: 

This study was an analytic observational study and employed a cross-sectional approach. This study was conducted in two hospitals in Makassar City and involved 123 respondents. The data were analyzed using multiple linear regression tests.

 This study finds that there is a correlation between organizational factors and nurses' commitment (b=.268) (p=.003); there is a correlation between self-justification and nurses’ self-labelling as at-risk individuals of contracting the disease (b=-.180 )(p=.049); there is a correlation between labeling and actions to reduce the risk of disease transmission (Enactment) (b=.255)(p=.001); there is a correlation between nurses' commitment and enactment (b=.651)(p=.001).

 The risk reduction model could represent the nurses' disease transmission prevention behavior.