尼日利亚镰状细胞性贫血治疗中的信仰疗法

IF 1.3 Q2 SOCIAL WORK Global Social Welfare Pub Date : 2024-01-04 DOI:10.1007/s40609-023-00323-5
Musediq Olufemi Lawal, Olawale Olufemi Akinrinde, Ayodele Samuel Jegede
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引用次数: 0

摘要

镰状细胞性贫血(SCA)患者往往需要接受多种治疗,并辅以自我护理。在尼日利亚,每年有超过 10 万名婴儿出生时患有镰状细胞性贫血。这种疾病在尼日利亚的高发病率是由于缺乏足够的相关知识造成的。有数据表明,西医和传统医学在治疗包括镰状细胞性贫血在内的多种疾病方面发挥了作用,但对信仰疗法却知之甚少。因此,本研究考察了信仰疗法在医疗环境之外治疗镰状细胞性贫血的技术。本研究采用韦伯的社会行动理论和健康信念模型作为解释框架,通过滚雪球式抽样技术获得定性数据,涉及奥孙州的七个地方政府辖区(LGAs)--阿塔库莫萨西部、博里佩、奥索格博、伊费东部、伊费达约、伊莱萨西部和伊拉。共进行了二十次关键信息提供者访谈,并从受访者中产生了三个案例研究。研究显示,治疗方法包括祈祷、使用草药、占卜和咨询。研究指出,患者和护理人员之所以不能坚持治疗,是因为他们的精神受到了创伤。祈祷和咨询是控制病情的有效疗法。基督教和穆斯林神职人员都将祈祷和斋戒作为治疗方法,尽管他们也认识到现代医疗服务的必要性。传统治疗师通过占卜来诊断疾病,并使用草药和符咒来安抚被认为致病的灵魂。穆斯林神职人员也使用草药。大多数从业者认识到,情感创伤问题(对坚持治疗和取得积极健康结果的主要威胁)最好通过祈祷和斋戒来解决。因此,在治疗方面,总的趋势是通过祈祷和斋戒进行信仰治疗、灵性咨询和接受现代医学的做法相结合,将严重急性呼吸系统综合症患者转诊到医院。因此,本文认为,文化和社会为了解疾病的预防和治疗提供了背景。
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Faith Healing Techniques in the Management of Sickle Cell Anaemia in Nigeria

People living with sickle cell anaemia (SCA) tend to experience multiple sources of therapy complemented by self-care practices. In Nigeria, over 100,000 babies are born yearly with sickle cell anaemia. High prevalence of this disease in Nigeria is attributed to lack of adequate knowledge about it. Data exist on the role of Western medicine and traditional medicine in the management of several diseases including sickle cell anaemia but little is known about faith therapy. This study therefore examined faith healing techniques in the management of SCA outside the medical settings. Using Weber’s Social Action Theory and Health Belief Model as explanatory framework, qualitative data were obtained through snowball sampling technique which cut across seven local government areas (LGAs) of Osun State—Atakumosa West, Boripe, Osogbo, Ife East, Ifedayo, Ilesa West, and Ila. A total of twenty Key Informant Interview sessions were held while three case studies were generated from the respondents. The study revealed that treatment techniques include prayer, application of herbs, divination, and counselling. Poor adherence to treatment was noted to be due to emotional trauma being experienced by patients and caregivers. Prayer and counselling were effective therapy to manage the condition. Both Christian and Muslim clerics engaged used prayer and fasting as treatment techniques, even though they also recognized the need for modern medical services. Traditional healers diagnosed the disease with divination and applied herbs and charms as well as appease the perceived spirit causing the disease. The Muslim clerics also use herbs. Majority of the practitioners recognized that the problem of emotional trauma (the major threat to adherence to treatment and positive health outcomes) is best surmounted through prayer and fasting. In terms of treatment, the general trends thus entail combination of faith healing through prayer and fasting, spiritual consultation, and the practice of embracing modern medicine where SCA patients are referred to hospitals. This paper therefore concluded that culture and society provide the context for understanding the prevention and treatment of diseases.

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来源期刊
Global Social Welfare
Global Social Welfare SOCIAL WORK-
CiteScore
3.30
自引率
0.00%
发文量
31
期刊介绍: This journal brings together research that informs the fields of global social work, social development, and social welfare policy and practice. It serves as an outlet for manuscripts and brief reports of interdisciplinary applied research which advance knowledge about global threats to the well-being of individuals, groups, families and communities. This research spans the full range of problems including global poverty, food and housing insecurity, economic development, environmental safety, social determinants of health, maternal and child health, mental health, addiction, disease and illness, gender and income inequality, human rights and social justice, access to health care and social resources, strengthening care and service delivery, trauma, crises, and responses to natural disasters, war, violence, population movements and trafficking, war and refugees, immigration/migration, human trafficking, orphans and vulnerable children.  Research that recognizes the significant link between individuals, families and communities and their external environments, as well as the interrelatedness of race, cultural, context and poverty, will be particularly welcome.
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