Serveur d'exploration sur le lymphœdème

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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 : 001D19

Health-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 :

RBID : PMC:4324917

Abstract

Background. 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. Methods. A cross-sectional study was conducted using qualitative methods in three endemic districts. Twenty-three patients with current Lymphoedema were recruited in the study. Results. 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. Conclusions. 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.


Url:
DOI: 10.1155/2015/260359
PubMed: 25694785
PubMed Central: 4324917


Affiliations:


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Le document en format XML

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<name sortKey="Paudel, Rajan" sort="Paudel, Rajan" uniqKey="Paudel R" first="Rajan" last="Paudel">Rajan Paudel</name>
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<nlm:aff id="I1">Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu</wicri:regionArea>
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<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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<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>
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<list>
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<li>Népal</li>
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<name sortKey="Adhikari, Ram Kumar" sort="Adhikari, Ram Kumar" uniqKey="Adhikari R" first="Ram Kumar" last="Adhikari">Ram Kumar Adhikari</name>
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<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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</record>

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