Molla Israel Bekele, Hagger Virginia, Rothmann Mette Juel, Rasmussen Bodil
Institute of Health, School of Nursing, Jimma University, Jimma, Ethiopia.
The Centre for Quality and Patient Safety, School of Nursing and Midwifery, Faculty of Health, Deakin University, Melbourne, Australia.
J Relig Health. 2025 Jan 24. doi: 10.1007/s10943-024-02233-y.
To examine the evidence for the role of community organisations, religion, spirituality, cultural beliefs, and social support in diabetes self-management, we undertook an integrative literature review utilising MEDLINE, APA PsycINFO, CINAHL, and grey literature databases. The selected articles were appraised for quality, and the extracted data were analysed thematically. The search yielded 1586 articles, and after eliminating duplicates, 1434 titles and abstracts were screened, followed by a full-text review of 103 articles. Ultimately, 47 articles met the inclusion criteria for the review, utilising various study designs, including qualitative, quantitative, mixed-methods, and nonrandomised clinical trials. These findings indicate that spirituality and religiosity can positively affect diabetes self-management by providing motivation, coping skills, social support, and guidance for healthy behaviours. A strong social support system enhances diabetes self-management and glycaemic control for individuals with diabetes. However, some aspects of religion and culture, such as beliefs about medications, may also pose challenges or barriers to diabetes self-management. Adherence to medication, food choices, physical activity, and the use of complementary or alternative medicine can be influenced by sociocultural factors. Additionally, cultural beliefs and social norms influence understanding diabetes aetiology, management, and symptom reactions. The findings highlight that it is crucial to understand the cultural, religious, or spiritual influences that can either assist or impede self-management habits in individuals with diabetes and could inform interventions that support personalised and effective care.
为了研究社区组织、宗教、精神信仰、文化信仰和社会支持在糖尿病自我管理中的作用证据，我们利用医学文献数据库（MEDLINE）、美国心理学会心理学文摘数据库（APA PsycINFO）、护理学与健康领域数据库（CINAHL）以及灰色文献数据库进行了一项综合性文献综述。对所选文章进行质量评估，并对提取的数据进行主题分析。搜索共得到1586篇文章，去除重复项后，筛选了1434篇文章的标题和摘要，随后对103篇文章进行了全文审查。最终，47篇文章符合综述的纳入标准，这些文章采用了各种研究设计，包括定性研究、定量研究、混合方法研究和非随机临床试验。这些研究结果表明，精神信仰和宗教信仰可以通过提供动力、应对技巧、社会支持以及健康行为指导，对糖尿病自我管理产生积极影响。强大的社会支持系统可增强糖尿病患者的自我管理能力和血糖控制。然而，宗教和文化的某些方面——比如对药物的看法，也可能给糖尿病自我管理带来挑战或障碍；用药依从性、食物选择、体育活动以及补充和替代医学的使用，都会受到社会文化因素的影响。此外，文化信仰和社会规范会影响对糖尿病病因、管理及症状反应的理解。研究结果凸显出，了解那些可能有助于或阻碍糖尿病患者自我管理习惯养成的文化、宗教或精神信仰影响因素至关重要，这些因素可为支持个性化有效护理提供干预依据。
