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探索葡萄牙穆斯林的健康相关行为:对日常社区药房实践有何影响?

Exploring Muslims' Health-Related Behaviours in Portugal: Any Impact on Quotidian Community Pharmacy Practice?

作者信息

Omar Aisha, Dramce Grishma, Lakic Dragana, Cavaco Afonso

机构信息

Department of Pharmacy, Pharmacology and Health Technologies (Social Pharmacy), Faculty of Pharmacy, University of Lisbon, Av. Prof. Gama Pinto, 1640-003 Lisboa, Portugal.

Department of Social Pharmacy and Pharmacy Legislation, Faculty of Pharmacy, University of Belgrade, Vojvode Stepe 450, 11221 Belgrade, Serbia.

出版信息

Pharmacy (Basel). 2022 May 20;10(3):55. doi: 10.3390/pharmacy10030055.

Abstract

Muslims are a growing community in European countries. General health habits, including therapy-related behaviours, have been described, though implications to pharmacy practice might vary with the local dominant culture and setting. This exploratory study aimed to describe Muslims’ prevalent health and medication-related practices and possible implications for culturally competent community pharmacy practice. A descriptive cross-sectional survey was administered to a convenient sample of 100 participants at Lisbon Central Mosque, Portugal. Demographics, dietary, Traditional Arabic and Islamic Medicine (TAIM) and religious practices were examined, including health conditions and conventional biomedical treatments. Participant reported ailments (26%) were aligned with prevalent conditions in the general population. Ill participants were significantly associated with TAIM and Islamic dictates (p < 0.05), particularly Zam-Zam water and milk thistle usage. Participants’ orientation to dietary options and Qur’an restrictions were observed regarding forbidden substances in medication, raising issues on medication adherence for some oral dosage forms. TAIM and religious beliefs supplement illness recovery and health improvement instead of replacing conventional healthcare in a religious minority well integrated within the dominant culture. Portuguese community pharmacists should not neglect religious specificities if seamless care is delivered, enhancing professionals’ collaboration skills with multicultural patients.

摘要

穆斯林在欧洲国家是一个不断壮大的群体。人们已经描述了包括与治疗相关行为在内的一般健康习惯,不过对药学实践的影响可能因当地主流文化和环境而异。这项探索性研究旨在描述穆斯林普遍的健康和用药相关行为,以及对具有文化胜任力的社区药学实践的可能影响。对葡萄牙里斯本中央清真寺的100名方便抽样参与者进行了描述性横断面调查。调查内容包括人口统计学、饮食、传统阿拉伯和伊斯兰医学(TAIM)以及宗教习俗,还包括健康状况和传统生物医学治疗。参与者报告的疾病(26%)与普通人群中的常见疾病相符。患病参与者与TAIM和伊斯兰教教义显著相关(p<0.05),尤其是赞姆赞姆水和水飞蓟的使用。在药物中的禁用物质方面,观察到参与者对饮食选择和《古兰经》限制的倾向,这给一些口服剂型的用药依从性带来了问题。在很好地融入主流文化的宗教少数群体中,TAIM和宗教信仰补充疾病康复和健康改善,而不是取代传统医疗保健。如果要提供无缝护理,葡萄牙社区药剂师不应忽视宗教特殊性,应提高专业人员与多元文化患者的合作技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e6/9150020/ac0d21dd4b42/pharmacy-10-00055-g001.jpg

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