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題名 | 建構癌症中西醫療照護整合模式計畫書=Construction of Integrative Medicine Model in Treating Cancer Patients |
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作者 | 戴承杰; Tai, Chen-jei; |
期刊 | 中醫藥年報 |
出版日期 | 20141200 |
卷期 | 3 2014.12[民103.12] |
頁次 | 頁(55)1-(55)31 |
分類號 | 413.3 |
語文 | chi |
關鍵詞 | 癌症; 中西醫照護; 群集分析; 健康相關生活品質; 治療成本; Integrative care; Traditional Chinese medicine; Cancer; |
中文摘要 | 研究目的:透計畫建構癌症病人的中西醫結合醫療標準臨床路徑,中醫治療癌症病人之資訊,及中西醫師在癌症病人中西醫結合醫療上的合作模式及教育訓練,期望能搭起中西醫師的合作橋樑,共同為病人福祉努力。 研究方法:本研究計畫為癌症中心 (血液腫瘤科、放射腫瘤科)與傳統醫學科共同合作,研究對象為肝癌、肺癌、乳癌、腸癌照護病患,蒐集癌症病患在化學治療前、化學治療當天及化學治療第一、二週的,生理檢驗、化學治療藥物、生活品質相關資料、中西醫療照護滿意度與中西醫結合治療癌症之治療成本分析,研究收案自 2011年 3月至 11月,共收案 87位,完成 307人次的訪問調查。 結果與討論:本研究中疾病與治療的症狀包括疼痛、疲勞、噁心、睡眠紊亂、鬱悶、呼吸急促、健忘、胃口差、昏昏欲睡、口乾、難過、嘔吐、麻木感、呼吸困難、咳嗽等,由於在不同治療時間點的受訪人數不同在症狀總分的趨勢變化圖顯示,疲勞、鬱悶、難過、咳嗽在治療前、治療後第 1、2、3、4次評值的嚴重度有顯著差異(F=4.97, 3.49, 3.06, 3.23; p<0.05),於其他症狀無顯著差異。 Scheffe事後分析檢定結果顯示在中醫治療後第 2次評值的嚴重度較治療前為改善( p<0.05)。生活干擾的變項包括一般活動、情緒、工作、他人關係、行走能力與生活樂趣等,結果顯示癌症病患的各項干擾程度與干擾程度總分在治療不同時間點無顯著差異。 結論:結果顯示病患在化學治療時,有中醫藥介入,可改善病患因化學治療的症狀,而當副作用症狀受到控制與緩解,進而可使病患可保有原來的生活品質。 |
英文摘要 | AIM: In the present study, patients receiving chemotherapy or radiotherapy in Taipei Medical University Hospital will concurrently be treated with traditional Chinese medicine. The aim of this study is to construct integrative treatment model in cancer patients. Integrative treatment teams, standard consultation flowchart, traditional medicine data bank, integrative treatment training courses and experts conferences have been setup in this study. METHOD: To evaluate the effectiveness of integrative treatment, we will collect data in patients receiving concurrently both modern medicine and traditional Chinese medicine. Patients’ background data, Lab data during treatment, symptoms and signs during treatment courses and life quality will be documented in this study. In addition, we have setup standard consultation flowchart, traditional medicine data bank, integrative treatment training courses and experts conferences in this study. RESULTS & DISSCUSSION: In this study we have recruited 87 patients, in which there are 25 lung cancer cases, 24 breast cancer cases, 23 colon cancer patients and 15 hepatoma cases. Nine times of different integrative treatment training courses have been called by experts of various fields. Besides, national experts from different institutes and hospitals have met together to share their experiences and address their comments in this study. CONCLUSION: In this study, we have successfully established an integrative treatment model. These results provide us an evidence of integrative care in cancer victim. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。