Socio-Cultural Perspective of Dalihan Na tolu in Pre-Diabetes Care In Padangsidimpuan City: A Phenomenological Study

Abstract

Introduction : Diabetes is a health problem that continues and is increasing in incidence. The incidence of diabetes is always preceded by the incidence of prediabetes. Prediabetes that is not treated properly will cause diabetes and other complications. The purpose of this study was to explore in depth the socio-cultural perspective of dalihan na tolu in the treatment of prediabetes in the city of Padangsidimpuan. Methodes: The research design was phenomenology. The data collection method was carried out by in-depth interviews. Participants in this study were 15 people who were selected using purposive sampling techniques. Participants in this study consisted of prediabetes sufferers, traditional leaders, community leaders, health workers and elements of dalihan na tolu in the city of Padangsidimpuan. Results: The results of the transcribed interviews were analyzed using content analysis. The results of this study found 4 themes that reflected the phenomenon being studied. The themes are Prediabetes care behavior, Family support (elements of dalihan na tolu) in prediabetes care, Socio-cultural influence of the Batak Angkola tribe in prediabetes care, Government efforts in preventing the development of prediabetes into diabetes mellitus. Conclusions: In the Batak Angkola socio-culture, kinship involvement (Dalihan Na tolu) is very important in efforts to increase awareness of prediabetes sufferers so that it can prevent the development of prediabetes into diabetes mellitus. It is recommended to the Padangsidimpuan City government to involve elements of dalihan na tolu, traditional leaders, community leaders, health workers in efforts to prevent the development of prediabetes into diabetes mellitus.