Pharmacy Department, Austin Health, Melbourne, Vic., Australia.
Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Vic., Australia.
Aust Health Rev. 2022 Jun;46(3):346-354. doi: 10.1071/AH21392.
Objective To explore Australian Muslim patients' perceptions and experiences surrounding medication management practices during Ramadan. Methods This was a qualitative exploration of the views and experiences of Muslim patients who were hospitalised during or shortly prior to Ramadan 2021. Data comprised comments obtained from a cross-sectional telephone or face-to-face questionnaire about medications and Ramadan fasting at a tertiary-referral hospital in Melbourne, Australia. A purposeful criterion sampling approach was employed for participant recruitment. Data were analysed using thematic analysis. Data were coded inductively and subthemes and themes were developed via an iterative process. Results Comments were provided by 88 patients born in a wide range of countries and with a variety of medical and surgical co-morbidities. Themes identified included interpretation of Ramadan fasting, altering medications to facilitate fasting, perceptions about healthcare professionals and health knowledge. Many patients altered their medications to facilitate Ramadan fasting and there was considerable variability in interpretation of what breaks the fast. Patients' perceptions and previous experiences with healthcare professionals determined whether they sought advice about managing their medications during Ramadan or dismissed advice and/or self-managed their medications, sometimes inappropriately. Conclusions This exploration of Australian Muslim patients found diverse views and experiences around medication practices during Ramadan - past relationships with healthcare professionals influenced this practice. As there are ramifications for physical, spiritual and family wellbeing, it is imperative that healthcare professionals partner with their Muslim patients to optimise their medication management and health outcomes for Ramadan.
目的 探索澳大利亚穆斯林患者在斋月期间对药物管理实践的看法和体验。
方法 这是对在 2021 年斋月期间或之前住院的穆斯林患者的观点和体验的定性探索。数据包括在澳大利亚墨尔本的一家三级转诊医院通过横断面电话或面对面问卷获得的关于药物和斋月禁食的评论。采用有针对性的标准抽样方法招募参与者。使用主题分析方法分析数据。通过迭代过程对数据进行归纳编码，并开发子主题和主题。
结果 评论由 88 名来自不同国家、患有各种医疗和外科合并症的患者提供。确定的主题包括对斋戒的解释、改变药物以促进斋戒、对医疗保健专业人员的看法和健康知识。许多患者改变药物以促进斋戒，对打破斋戒的解释存在很大差异。患者对医疗保健专业人员的看法和以往的经验决定了他们是否在斋月期间寻求管理药物的建议，或者是否拒绝建议和/或自行管理药物，有时是不适当的。
结论 对澳大利亚穆斯林患者的这项探索发现，他们在斋月期间的药物实践存在不同的观点和体验——过去与医疗保健专业人员的关系影响了这种实践。由于对身体、精神和家庭幸福都有影响，医疗保健专业人员必须与他们的穆斯林患者合作，以优化他们的药物管理和斋月期间的健康结果。
