A Study of the Care of Buddhist Monks with Chronic Kidney Disease: from Delaying of Kidney Progression, Hemodialysis and Improving Efficacy of Monks’ Activities
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Abstract
This research article aims to : 1) to study the care of monks to delay kidney deterioration 2) to compare the quality of life between monks and laymen with end-stage chronic kidney disease during hemodialysis 3) to study the improvement of efficacy of monks’ activities. A survey research was done in 30 monks and 30 general patients, receiving > twice-weekly hemodialysis, at Monk Hospital. They were asked to complete a standard questionnaire about the quality of life (SF36). Blood results data and the hemodialysis record of vital signs during hemodialysis were collected. The statistics covered were the calculation of the Mean and Standard Deviation and statistical significance by using t-test.
The following results were found : 1 The care of monks were to delay the kidney deterioration including decreased weight gain, food habits, exercise, blood pressure control, reduction of protienuria, avoidance of substances or drugs that can harm the kidney and referral of monks to a nephrologist. 2 The quality of life, assessed by SF36 overall was significantly better in monks compared to laymen. (Total SF36; Monks=109.4±13.0, Laymen=93.8 19.2; p-value < 0.001). The serum phosphate levels and systolic blood pressure were also significantly lower in monks. Such an improvement might be due to the following topic 3 The improving efficacy of monks’ activities consisted of 4 factors (HEMS), which are holistic type of care (H), the combined care between the treatment team, caregivers and patients, direct experience (E) gained from Youtube, Tiktok, Google etc., multidisciplinary assistance of caret team (M) and by self-management (S) by choosing appropriate food, controlling the amount of water and minerals consumed, prevention of complications, caring for the AV fistula, exercise and self-care of mind and body according to the Dhamma Vinaya and regular hemodialysis.
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