Health-Seeking Behaviors and Self-Care Practices of People with Filarial Lymphoedema in Nepal: A Qualitative Study
Identifieur interne : 001D18 ( Main/Exploration ); précédent : 001D17; suivant : 001D19Health-Seeking Behaviors and Self-Care Practices of People with Filarial Lymphoedema in Nepal: A Qualitative Study
Auteurs : Ram Kumar Adhikari [Népal] ; Jeevan Bahadur Sherchand [Népal] ; Shiva Raj Mishra [Népal] ; Kamal Ranabhat [Népal] ; Amrit Pokharel [Népal] ; Pramila Devkota [Népal] ; Durga Mishra [Népal] ; Yadu Chandra Ghimire [Népal] ; Khageshwor Gelal [Népal] ; Rajan Paudel [Népal] ; Rajendra Raj Wagle [Népal]Source :
- Journal of Tropical Medicine [ 1687-9686 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/260359
PubMed: 25694785
PubMed Central: 4324917
Affiliations:
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<author><name sortKey="Sherchand, Jeevan Bahadur" sort="Sherchand, Jeevan Bahadur" uniqKey="Sherchand J" first="Jeevan Bahadur" last="Sherchand">Jeevan Bahadur Sherchand</name>
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<author><name sortKey="Pokharel, Amrit" sort="Pokharel, Amrit" uniqKey="Pokharel A" first="Amrit" last="Pokharel">Amrit Pokharel</name>
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<author><name sortKey="Devkota, Pramila" sort="Devkota, Pramila" uniqKey="Devkota P" first="Pramila" last="Devkota">Pramila Devkota</name>
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<author><name sortKey="Ghimire, Yadu Chandra" sort="Ghimire, Yadu Chandra" uniqKey="Ghimire Y" first="Yadu Chandra" last="Ghimire">Yadu Chandra Ghimire</name>
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<author><name sortKey="Paudel, Rajan" sort="Paudel, Rajan" uniqKey="Paudel R" first="Rajan" last="Paudel">Rajan Paudel</name>
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<country xml:lang="fr">Népal</country>
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<author><name sortKey="Wagle, Rajendra Raj" sort="Wagle, Rajendra Raj" uniqKey="Wagle R" first="Rajendra Raj" last="Wagle">Rajendra Raj Wagle</name>
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<country xml:lang="fr">Népal</country>
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<series><title level="j">Journal of Tropical Medicine</title>
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<front><div type="abstract" xml:lang="en"><p><italic>Background</italic>
. Lymphatic filariasis is endemic in Nepal. This study aimed to investigate health-seeking behaviors and self-care practices of people with filarial Lymphoedema in Nepal. <italic>Methods</italic>
. A cross-sectional study was conducted using qualitative methods in three endemic districts. Twenty-three patients with current Lymphoedema were recruited in the study. <italic>Results</italic>
. Hydrocele was found to be a well-known condition and a major health problem in the studied communities. People with Lymphoedema primarily sought health care from traditional healers, whereas sometimes home-based care was their first treatment. Later Ayurvedic and allopathic hospital-based care were sought. Respondents reported various psychological problems such as difficulty in engaging in sexual intercourse, anxiety, worry and stress, depression, low self-esteem, feeling weak, fear of being abandoned, and fear of transmitting disease to the children. Standard foot care practices except washing were largely absent. <italic> Conclusions</italic>
. Lymphoedema in the limbs and hydrocele were found to be major health problems. The traditional health care providers were the first contact of care for the majority of respondents. Only a few patients had been practicing standard foot care practices.</p>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Népal</li>
</country>
</list>
<tree><country name="Népal"><noRegion><name sortKey="Adhikari, Ram Kumar" sort="Adhikari, Ram Kumar" uniqKey="Adhikari R" first="Ram Kumar" last="Adhikari">Ram Kumar Adhikari</name>
</noRegion>
<name sortKey="Devkota, Pramila" sort="Devkota, Pramila" uniqKey="Devkota P" first="Pramila" last="Devkota">Pramila Devkota</name>
<name sortKey="Gelal, Khageshwor" sort="Gelal, Khageshwor" uniqKey="Gelal K" first="Khageshwor" last="Gelal">Khageshwor Gelal</name>
<name sortKey="Ghimire, Yadu Chandra" sort="Ghimire, Yadu Chandra" uniqKey="Ghimire Y" first="Yadu Chandra" last="Ghimire">Yadu Chandra Ghimire</name>
<name sortKey="Mishra, Durga" sort="Mishra, Durga" uniqKey="Mishra D" first="Durga" last="Mishra">Durga Mishra</name>
<name sortKey="Mishra, Shiva Raj" sort="Mishra, Shiva Raj" uniqKey="Mishra S" first="Shiva Raj" last="Mishra">Shiva Raj Mishra</name>
<name sortKey="Mishra, Shiva Raj" sort="Mishra, Shiva Raj" uniqKey="Mishra S" first="Shiva Raj" last="Mishra">Shiva Raj Mishra</name>
<name sortKey="Paudel, Rajan" sort="Paudel, Rajan" uniqKey="Paudel R" first="Rajan" last="Paudel">Rajan Paudel</name>
<name sortKey="Pokharel, Amrit" sort="Pokharel, Amrit" uniqKey="Pokharel A" first="Amrit" last="Pokharel">Amrit Pokharel</name>
<name sortKey="Ranabhat, Kamal" sort="Ranabhat, Kamal" uniqKey="Ranabhat K" first="Kamal" last="Ranabhat">Kamal Ranabhat</name>
<name sortKey="Sherchand, Jeevan Bahadur" sort="Sherchand, Jeevan Bahadur" uniqKey="Sherchand J" first="Jeevan Bahadur" last="Sherchand">Jeevan Bahadur Sherchand</name>
<name sortKey="Wagle, Rajendra Raj" sort="Wagle, Rajendra Raj" uniqKey="Wagle R" first="Rajendra Raj" last="Wagle">Rajendra Raj Wagle</name>
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