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Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda Cover

Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda

Open Access
|Aug 2021

Figures & Tables

Table 1

Participant characteristics.

CHARACTERISTICFREQUENCYPERCENT
Age group
    35–49526%
    50–59842%
    60 and above632%
Gender
    Male1053%
    Female947%
Education
    No education211%
    Primary842%
    Secondary737%
    Tertiary211%
Occupation
    Peasant farmer1053%
    Business526%
    Other421%
Table 2A

Practices in place of missed medicines (when conventional medicines are not available).

ACTION/PRACTICEREASON OR TRIGGER (SYMPTOM OR SIGN)INTERPRETATION OF TRIGGERPERCEIVED OUTCOME
Soak feet in salt waterSwelling of feetHigh BPPrevents likely complication
Sleep on a cold surfaceBurning sensations in bodyHigh BPRelieved
Drink cold waterHeat in the body and feetHigh BPCooled body
Undress or sleep on a cold surfaceHeat in the body and feetHigh BPCooled body
Eat raw carrotsItchy feeling/tinglingHigh BPPartial relief
Use herbal teas or herbal coffeeChest pain, joint painsHigh BPPartial relief
Drink waterPalpitationsHigh BPPsychological relief
Take herbal medicinesNo medicines at expected time for swallowing the medicinesHigh BPReduced BP
Take oral rehydration salt (ORS)No medicines at expected time for swallowing the medicinesHigh sugarTemporary relief
Walk aroundNumbness of feet or toesHigh sugarReduced numbness
Take herbal medicinesErectile dysfunctionHigh sugarSubstitute medicines
Eat bitter tomatoesItchingHigh sugarPartial relief
Take oral rehydration salt (ORS)No medicines at expected time for swallowing the medicinesHigh sugarPartial relief
Table 2b

Use of traditional medicines alongside conventional medicines (when conventional medicines are available).

ACTION/PRACTICEREASON OR TRIGGER OF (SYMPTOM OR SIGN)INTERPRETATION OF TRIGGERREPORTED OR PERCEIVED OUTCOME
Takes traditional medicinesPalpitations, Swollen face, heavy eyesHigh BPPartial relief
Takes traditional medicinesFeeling weakHigh sugarPartial relief
Adds traditional herbal condiment to foodWeight gainLots of fat in the body, clogged blood vesselsBreaks down fat, herbs cleanse the veins
Takes locally prepared herbal mixturesTold that traditional herbs cureDesire for cureHerbs may cure
Decocts and takes herbal teas or coffee or syrupsSevere headache, joints pains, chest painHigh BPNo effect but some relief
Takes Arabic herbal medicinesFeeling dizzyLow sugarRaised sugar level
Table 3

Practices to supplement treatments.

ACTION/PRACTICEREASON OR TRIGGER (SYMPTOM OR SIGN)INTERPRETATION OF TRIGGERREPORTED OR PERCEIVED OUTCOME
Takes time off from peopleStressed or unhappyCauses BP or sugar levels to increaseFeels better
Swallows some anti-bioticFeeling dizzyHigh BPGets some relief
Avoids worrying, takes off time to sleepLack of strength, general body weakness, palpitationsHigh BPFeels better, palpitations stopped
Avoid eating food (fasting)Hearing the heart beatsHigh BPTo reduce weight
Takes a walkFeeling weakHigh BPTo improve blood circulation
Swallows some painkillers (analgesic)Swelling of feet, numbness of feet or legsHigh BPSwelling reduced, feels better
Takes a walkBreathing heavilyHigh BPTo sweat and reduce fat
Drinks lots of waterConstant headache, constantly feeling thirsty, frequent urinationHigh sugarGets some relief
Eats food and takes a walkCloudy visionHigh sugarFelt better
Increases the medicine dosageWhen the urine is yellowHigh sugarGets some relief
Massages legs with warm water, stretch legs morning and eveningParalysis of feet and kneesHigh sugarPerceived to help straighten blood vessels, gets some relief
Uses worm waterItchesHigh sugarGets some relief
Walks barefooted on small stonesNumbness of feetHigh sugarFeels good
Digging, walking and household choresMain physical activitiesImprove blood circulationBody functions well
Eats sugar or takes something sweet (e.g., sweet bananas)Foaming in mouth, Cloudy vision, body weakness, or temporarily unable to speakLow sugarStabilized, got better
Taste own urineAnxious about sugar levelSweet taste implies high sugarPerceives the sugar level
DOI: https://doi.org/10.5334/aogh.3308 | Journal eISSN: 2214-9996
Language: English
Published on: Aug 19, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Andrew K. Tusubira, Christine K. Nalwadda, Ann R. Akiteng, Evelyn Hsieh, Christine Ngaruiya, Tracy L. Rabin, Anne Katahoire, Nicola L. Hawley, Robert Kalyesubula, Isaac Ssinabulya, Jeremy I. Schwartz, Mari Armstrong-Hough, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.