The cultural point of view becomes even more important when adjusting the intervention of Western countries in Asia. For example, in Thai, it is important to take care of people's roles and the concept of Buddhist karma is influencing Thai people's confidence and the way of thinking and living. Although the population and economy and society has changed dramatically in the past decade in Thai massage, family members who remain in the pillar of support for the elderly [42] living with parents who are older than the show respect and care they receive regular consideration of family life, and are highly valued in the country, Thai. Therefore, education programs related to both the patient and the caregiver has the potential to raise the quality of life of patients with HF and for their family support [43]
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