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J Transcult Nurs. 2013 Oct;24(4):340-7. doi: 10.1177/1043659613493327. Epub 2013 Jul 8.

Cultural meanings of musculoskeletal diseases in Chile's Mapuche Population.

Author information

1
Department of Public Health-CIGES, Universidad de La Frontera, Manuel Montt 112, Temuco, Chile. amalarc@ufro.cl

Abstract

INTRODUCTION:

Eight out of 10 Mapuche indigenous women have a musculoskeletal disorder (MSD) and do not seek early medical aid.

PURPOSE:

To study both the cultural meanings and implications of MSD from the Mapuche worldview.

DESIGN:

Ethnographic study carried out from 2008 to 2011 on indigenous reserves in southern Chile. Sixty-four Mapuches participated in comprehensive interviews, which were transcribed and analyzed by the research team.

FINDINGS:

Five cultural domains: (a) foro kutran/bone disease is the general denomination of MSD; (b) Re-Rume Kutran/progressive and incurable course, refers to the course of the disease; (c) Kalül fücha mawiza/body is an old tree, describes internal manifestations such as worn bones, dry body, weak blood, and spiritual weakness; (d) witrür tripai foro/deformation is the external manifestation of MSD; and (e) Reñma ka lof kutran/family and community suffering refers to the impact of MSD.

CONCLUSIONS:

The explanation of MSD is consistent with the integrated body-nature-spirit worldview of the Mapuche.

PRACTICE IMPLICATIONS:

To provide cultural nursing health care so that patients receive prompt diagnosis and care.

KEYWORDS:

Mapuche society; cultural care; musculoskeletal disorder or disease; transcultural nursing

PMID:
24014488
DOI:
10.1177/1043659613493327
[Indexed for MEDLINE]

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