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Using qualitative methods to explore lay explanatory models, health-seeking behaviours and self-care practices of podoconiosis patients in North-West Ethiopia

机译：使用定性方法探索埃塞俄比亚西北部波多虫病患者的外行解释模型，健康行为和自我保健做法

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Background: Podoconiosis (endemic non-filarial elephantiasis) is a chronic, non-infectious disease resulting from exposure of bare feet to red-clay soil in tropical highlands. This study examined lay beliefs about three under-researched aspects of podoconiosis patients’ care: explanatory models, health-seeking behaviours and self-care. Methods: In-depth interviews and focus group discussions were undertaken with 34 participants (19 male, 15 female) between April-May 2015 at podoconiosis treatment centres across East and West Gojjam regions in north-west Ethiopia. Results: Explanatory models for podoconiosis included contamination from blood, magic, soil or affected individuals. Belief in heredity or divine punishment often delayed clinic attendance. All participants had tried holy water treatment and some, holy soil. Herbal treatments were considered ineffectual, costly and appeared to promote fluid escape. Motivators for clinic attendance were failure of traditional treatments and severe or disabling symptoms. Patients did not report self-treatment with antibiotics. Self-care was hindered by water being unavailable or expensive and patient fatigue. Conclusion: A pluralistic approach to podoconiosis self-treatment was discovered. Holy water is widely valued, though some patients prefer holy soil. Priests and traditional healers could help promote self-care and “signpost” patients to clinics. Change in behaviour and improving water access is key to self-care.
机译：背景：Podoconiosis（地方性非丝虫性象皮病）是一种慢性，非传染性疾病，是由于赤脚暴露于热带高地的红粘土所致。这项研究调查了关于波多虫病患者护理的三个尚未深入研究的方面的信条：解释模型，寻求健康的行为和自我护理。方法：2015年4月至5月，在埃塞俄比亚西北部东西部Gojjam地区的对症治疗中心，与34名参与者（19名男性，15名女性）进行了深入访谈和焦点小组讨论。结果：尘肺病的解释模型包括血液，魔术，土壤或受影响个体的污染。相信遗传或神圣的惩罚常常会延迟就诊时间。所有参与者都尝试了圣水处理和一些圣土。草药治疗被认为是无效的，昂贵的并且似乎促进了液体的逸出。参加临床活动的动机是传统治疗失败和严重或致残的症状。患者未报告使用抗生素进行自我治疗。由于缺乏水或价格昂贵以及患者疲劳，阻碍了自我保健。结论：发现了多种方法来治疗尘肺病。圣水得到了广泛的重视，尽管有些患者更喜欢圣土。牧师和传统的治疗师可以帮助促进自我保健和“竖立路标”患者到诊所。改变行为方式和改善取水途径是自我保健的关键。

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