HEALTH REHABILITATION MODEL OF MONKS AND PEOPLE PATIENT FROM STROKE OF MONKS HEALTH CENTER HIS HOLINESS THE 19th SUPREME PATRIARCH

Abstract

The objectives of this research were: 1) To evaluate the stroke rehabilitation model for patients at the Sangha Health Center under the Patronage of the 19th Supreme Patriarch of Thailand; 2) To develop a rehabilitation model for stroke patients; and 3) To analyze the results of implementing the developed rehabilitation model. This study employed a Participatory Action Research (PAR) approach. The research instruments included in-depth interviews, focus group discussions, and observational records. A total of 38 key informants and participants were involved. Data were analyzed using content analysis. The research findings revealed that the stroke rehabilitation model at the Sangha Health Center was appropriate and effective. The model integrates modern physical therapy, traditional Thai medicine, and Buddhist-based health practices. The rehabilitation process consists of four components: 1) Paying homage to the Buddha, chanting, and meditation, 2) Physical therapy using modern medical equipment, 3) Traditional Thai medicine, and 4) Mindfulness practice while using the "alternating pulley" physiotherapy bed. All four rehabilitation activities are provided to the patients on the same day. The implementation results showed that stroke patients experienced improvements in both physical and mental health and developed hope for returning to everyday life. The new body of knowledge emphasizes a three-dimensional rehabilitation approach: 1) For patients, focusing on "mindfulness practice" to promote both physical and mental recovery through mindful physiotherapy; 2) For service providers, emphasizing "rehabilitation planning"; and 3) For community networks, focusing on "collaborative care" with the involvement of temple caregivers (Phra Khilanupatthaka) and village health volunteers (VHV) who follow up and provide home visits to the patients.