Srinagarind Hospital, Khon Kean, Thailand.
Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.
J Adv Nurs. 2023 Sep;79(9):3609-3621. doi: 10.1111/jan.15661. Epub 2023 Mar 28.
The aim was to study medication use, effects of medication and perspective of participants involved in medication use among hospitalized older Buddhist monks.
An embedded mixed-method study.
This study included 71 hospitalized older Buddhist monks and 23 participants involved in medication use. Quantitative data were collected from medical and medication records. Meanwhile, qualitative data were collected by using in-depth interviews. Data were analysed using descriptive statistics and content analysis. The study lasted from February to July 2021.
Over 77% of the monks had chronic diseases. The median of medicine use was seven medicines/person and 6 days of use. Effects of the medication were as expected (52.04%), not as expected (2.22%) and unmeasurable results (45.74%). Unexpected results were hypo-hyperglycaemia, nausea/vomiting, high blood pressure and confusion. From the interview, participants perceived and did not perceive unique practices and medication use in Buddhist monks. In addition, the Buddhist monks received medication following standards and Buddhist doctrine. Finally, recommendations for medication use were adhering to the standard, following Buddhist doctrine and being flexible as deemed necessary.
The results revealed medication use problems and medication effects among hospitalized older Buddhist monks.
Older adults and Buddhist monks have specific needs and practices related to culture and religion, affecting typical treatment, especially medication use. Cultural diversity and sensitivity should be a concern for healthcare staff. The results can be utilized to promote an understanding of cultural diversity and increase the safety of medication administration for hospitalized older Buddhist monks.
Patient and public contributions were involved in this study. Participants involved in medication use were interviewed to answer the research objective. Moreover, a senior Buddhist monk at Wat Thai Washington D.C. reviewed content related to the Pali Canon for the final draft of the manuscript.
研究住院老年佛教僧侣的用药情况、药物作用以及参与者对用药的看法。
嵌入式混合方法研究。
本研究纳入了 71 名住院老年佛教僧侣和 23 名参与用药的参与者。通过医疗和用药记录收集定量数据，同时通过深入访谈收集定性数据。使用描述性统计和内容分析对数据进行分析。研究时间为 2021 年 2 月至 7 月。
超过 77%的僧侣患有慢性病。每人用药中位数为 7 种药物，用药天数为 6 天。药物作用符合预期（52.04%）、不符合预期（2.22%）和无法测量（45.74%）。意外结果包括低血糖/高血糖、恶心/呕吐、高血压和意识混乱。从访谈中可以看出，参与者感知到并感知到了佛教僧侣的独特实践和用药方式。此外，佛教僧侣按照标准和佛教教义接受药物治疗。最后，对药物使用的建议是遵循标准、遵循佛教教义，并根据需要灵活处理。
研究结果揭示了住院老年佛教僧侣的用药问题和药物作用。
老年人和佛教僧侣在文化和宗教方面有特定的需求和做法，这会影响典型的治疗，尤其是用药。医疗保健人员应该关注文化多样性和敏感性。研究结果可用于促进对文化多样性的理解，并提高对住院老年佛教僧侣的药物管理安全性。
患者和公众参与了这项研究。参与用药的参与者接受了采访，以回答研究目标。此外，华盛顿特区 Wat Thai 的一位资深佛教僧侣审查了与巴利文经典相关的内容，以完成手稿的最终草稿。
