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題 名 | 脈診儀對紅斑性狼瘡患者居家照護可行性研究--中醫應用於保健與居家照護之研究子計畫 (1)=A Study of Home Health Care for SLE Patients Based on TCM Pulse Diagnosis Instrument |
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編 次 | (2-1) |
作 者 | 張恒鴻; | 書刊名 | 中醫藥年報 |
卷 期 | 光碟版1:1 2012.10[民101.10] |
頁 次 | 頁192-210 |
專 輯 | 中醫診斷基準及臨床照顧相關研究 |
分類號 | 413.025 |
關鍵詞 | 紅斑性狼瘡; 居家照護; 脈診儀; Systemic lupus erythematosus; Home health care; Pulse diagnosis instrument; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:本研究擬以中醫醫療服務與產品相互結合的概念,發展出一套可以輔助中醫醫療的相關產品與服務平台,應用中醫專業知識,協助患者居家實施自我健康管理,提供紅斑性狼瘡患者於中醫居家照護之可行性研究。 研究方法:利用新發展的可攜式脈診儀為工具,針對紅斑性狼瘡患者之脈象進行紀錄,以瞭解日常脈象變化狀況,並結合遠距醫療技術,建構以病患為中心之居家照護輔助網站,協助紅斑性狼瘡患者於居家期間評估病情變化,並給予患者中醫衛教指導。 結果與討論:目前已初步完成居家照護輔助網站,依次包括:基本資料、症狀記錄、中醫健康管理與中醫衛教指導等。脈象紀錄方面,以澀脈(63%)、弦脈(52%)、數脈(41%)為最常見。症狀記錄方面,由患者試填書面問卷(與網站內容相同),並完成紅斑性狼瘡患者 40人(120次)之資料庫,由兩位醫師分別診察患者,完成問卷之校正與修訂。患者填寫電腦問卷時,如發現當時症狀與上次問卷症狀變化差異過大,則建議患者返院回診,與主治醫師聯繫是否需要調整用藥。本項研究並依據紅斑性狼瘡患者常見之五種體質,分別設計養生膳食,以供日常保健之參考。 |
英文摘要 | AIM: We propose to integrate the TCM diagnosis instruments into medical service. Through this system, it can provide the professional knowledge of TCM for patients to do their health care at home. We evaluate the feasibility of this system applied in SLE patients. METHOD: In this study, we design a portable pulse diagnosis instrument according to TCM to record the pulse of SLE patients to evaluate the variation of their pulse. Besides, we also use the technology of telemedicine to set up a website for patients to record their symptoms and pulse. Through this way, we help SLE patients to evaluate their condition at home and give them the suggestion for their quality of life. RESULTS & DISCUSSION: We have set up a website for home health care to provide patients the basic data, symptoms, TCM pattern identification and instruction. According to our 120 SLE patient records, rough pulse (63%), string pulse (52%) and Rapid pulse (41%) are the most common pulses among these patients. SLE patients are asked to answer the questionnaire for recording the symptoms, and then they are examined separately by two doctors to exam the questionnaire. If the symptoms of patients varied too much from the last conditions, this website system would suggest them go back to the clinic and contact with the doctors to adjust their medications. Based on the most common five patterns of SLE patients, we designed different healthy meals to provide the suggestion for food. |
本系統中英文摘要資訊取自各篇刊載內容。