英文原文
Aim: Religious social networks are well known for their capacity to improve individual health, yet the effects of friendship networks within the Buddhist context remain largely unknown. The present study aimed to compare health status and social support in community-dwelling older adults according to their level of Buddhist social network (BSN) involvement, and to examine the association between BSN involvement and functional health among older adults. Methods: A cross-sectional survey was carried out among 427 Buddhist community-dwelling older adults aged ≥60 years in Nakhon Pathom, Thailand. Data were collected from home-based personal interviews using a structured questionnaire. Health status was defined according to the measures of basic and advanced activities of daily living (ADL), the 15-item Geriatric Depression Scale and subjective quality of life. Perceived social support was assessed across the four dimensions of tangible, belonging, emotional and information support. Multiple logistic regression was used for analysis. Results: Older adults with BSN involvement reported better functional, mental and social health status, and perceived greater social support than those without BSN involvement. In addition, BSN involvement was positively associated with independence in basic and advanced ADL. After adjusting for age, sex, education, income, morbidity and depressive symptoms, BSN showed a strong association with advanced ADL and a weak association with basic ADL. Conclusion: The results show that involvement in BSN could contribute positively to functional health, particularly with regard to advanced ADL. Addressing the need for involvement in these networks by older adults might help delay functional decline and save on healthcare costs. Keywords: Buddhism; Thailand; community-dwelling elderly; quality of life; social network.
中文翻译
目的：宗教社交网络以其改善个人健康的能力而闻名，但佛教背景下的友谊网络效果在很大程度上仍未知。本研究旨在根据社区居住老年人参与佛教社交网络（BSN）的水平，比较他们的健康状况和社会支持，并检验BSN参与与老年人功能健康之间的关联。方法：在泰国那空巴统对427名年龄≥60岁的佛教社区居住老年人进行了横断面调查。数据通过结构化问卷的家庭个人访谈收集。健康状况根据基本和高级日常生活活动（ADL）测量、15项老年抑郁量表和主观生活质量定义。感知社会支持从有形、归属、情感和信息支持四个维度评估。使用多元逻辑回归进行分析。结果：参与BSN的老年人报告了更好的功能、心理和社会健康状况，并感知到比未参与BSN者更大的社会支持。此外，BSN参与与基本和高级ADL的独立性呈正相关。在调整年龄、性别、教育、收入、发病率和抑郁症状后，BSN显示出与高级ADL的强关联和与基本ADL的弱关联。结论：结果表明，参与BSN可能对功能健康有积极贡献，特别是在高级ADL方面。满足老年人参与这些网络的需求可能有助于延缓功能衰退并节省医疗成本。关键词：佛教；泰国；社区居住老年人；生活质量；社交网络。
文章概要
本研究探讨了佛教社交网络（BSN）对泰国老年人健康的影响。通过对427名60岁以上佛教社区老年人的调查，发现参与BSN的老年人在功能、心理和社会健康方面表现更好，感知到更多社会支持，且BSN参与与高级日常生活活动独立性强相关。研究强调了BSN在促进老年人功能健康、延缓衰退和节约医疗成本方面的积极作用。
高德明老师的评价
用12岁初中生可以听懂的语音来重复翻译的内容：这个研究就像发现了一个秘密俱乐部——佛教社交网络，老年人加入后，身体更灵活，心情更开心，朋友更多，还能自己做更多事情，比如做饭、打扫，这样就不用老是去医院，省钱又健康！
佛学的各个宗派视角评价，突出《显密圆通成佛心要集》的视角：从显宗视角，本研究体现了大乘佛教利他精神，BSN作为社区支持网络，通过集体修行和互助，促进老年人身心健康，契合菩萨道自利利他的宗旨。密宗视角强调即身成佛和身口意三密相应，BSN提供了共修环境，有助于老年人通过准提法等密法实践，净化业障、提升能量。特别从《显密圆通成佛心要集》视角，BSN融合显密修行，显宗教义指导日常行为，密宗准提法加持快速成就，本研究显示BSN参与提升高级ADL，象征修行精进和智慧增长，准提法的简便性和普适性使其在老年群体中易于推广，促进身心和谐与解脱。
在修行实践上可以应用的和可以解决人们的十个问题：1. 增强社会连接，减少孤独感；2. 提升日常活动能力，延缓衰老；3. 改善心理健康，降低抑郁风险；4. 提供情感支持，增强归属感；5. 促进信息分享，学习新知识；6. 培养利他心，提升生命意义；7. 通过共修准提法，积累福德资粮；8. 实践慈悲行，改善人际关系；9. 增强身体功能，提高生活质量；10. 节约医疗资源，实现健康老龄化。