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頁籤選單縮合
題 名 | 建立中醫預防及延緩失能照護計畫=Chinese Medicine Is Excepted to Delay Construction and Disability Prevention Model of the Care Plan |
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作 者 | 何宗融; | 書刊名 | 中醫藥年報 |
卷 期 | 12 2023.10[民112.10] |
頁 次 | 頁(5)1-(5)38 |
分類號 | 413.28 |
關鍵詞 | 中醫; 衰弱; 失能; 老化; 太極拳; Chinese medicine; Weakness; Disability; Aging; Tai chi; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的: 以中醫療法建立中醫預防及延緩失能照護方案,提供長期照顧需求者 多元照顧選擇,並供相關單位政策規劃參考。 研究背景: 慈濟 50 年前已經在做現在所謂的長照,「苦難的人走不出來,我們就 走進去」不論是在慈善端還是在醫療端,這是我們最常聽見的一句話,一路 走來我們將慈善、醫療結合一起,如實地走進苦難家庭,用生命陪伴生命。 接下來要透過中醫,結合政府、醫院與慈善以打造「可近性」、「有效性」、 「普及性」之中醫預防及延緩失能照護照護模式,做到醫療資源與長照計劃 無縫接軌。 研究方法: 本計畫採前瞻性研究設計,兩年期間分別在花蓮慈濟醫院、「巷弄長照 站(C 級)」、日 間中心、部落文化健康站等執行中醫預防及延緩失能照護 方案模組。計畫分成實驗組與對照組,實驗組:健康者、亞健康;控制組: 衰弱及輕(中)度失能者,方案以期為單位:1 期 12 週,每週 1 次,每次 2 小 時。介入方式以中醫治療、養生功法(太極八法)、中醫衛教進行,預期使用 中醫治療後進一步能延緩失能老人快速惡化,增加其健康餘命。 結果與討論: 本研究計畫以輕安居為第一個執行據點,109 年 5 月中解說並收案,共 收案 27 人。介入活動為此 12 週,每週 1 次,每次 2 小時。從 5 月 21 日開 始介入直到 8 月 13 日。本研究計畫共有四次資料收集,分別為前測、期中、期末及結束 1 個月追蹤測驗。第一次前測資料收集於 5 月 11 日進行,共回 收 27 份問卷。後續三次的資料收集,因有長者出院,以致回收樣本數減少, 分別為期中資料收集 26 份、期末資料收集 24 份及結束後一個月資料收集 23 份。 本研究計畫將長者參與活動前及後進行比較,發現長者日常生活活動 功能參與活動後,狀況是有改善的,儘管期中測驗數據呈現下滑的狀態,但 後續後測和結束後一個月都有明顯的進步。在工具性日常生活活動能方面, 將前及後對比發現,長者的工具性日常生活活動能力都較未參與活動前好。 結論: 本研究計畫將男性與女性分別對比,發現中醫介入後男性從前測日常 生活活動獨立 3 人(佔 11.11%),增加結束後一個月增加至 4 人(佔 17.39%); 女性則由 6 人(佔 22.22%)增加至 11 人(佔 47.83%)。由此可見中醫的介入能 改善長者的日常活動能力。 |
英文摘要 | Aim: TCM treatment for the prevention and delay of disability care programs for TCM, and the provision of multiple care options for long-term care needs, and reference by relevant units in policy planning. Background: Tzu Chi was already doing long-term care 50 years ago. Along the way, we will combine charity and medical care, and walk into the suffering family faithfully, accompanying life with life. Method: The project is based on a prospective study design. During the two years, the implementation of TCM prevention and delay of disability care was carried out in Xiangxiangzhuang Station, Day Center, and Tribal Culture & Health Station. The plan was divided into experimental group and control group, experimental group: healthy person, sub-health; control group: debilitated and light (middle) disabled. The plan is based on the period: 1 period, 12 weeks, one time per week, 2 hours each time. The intervention method is carried out by Chinese medicine treatment, health practice method (Tai Chi), and traditional Chinese medicine education. It is expected that the use of Chinese medicine treatment can further delay the rapid deterioration of the disabled elderly and increase their health. Results & Discussion: The project set Qing-An Ju as first station, and collect 27 sample. The involvement is 12 weeks long, once a week, and 2 hours each time. The involvement start from 21st of May and end on 13rd of August. There four times of data collecting,which is baseline, midterm, final and follow up. The number of data collect inbaseline is 27.Because the exit of the old adults,the number of data collect decrease, which is 26 data collected in midterm,24 data collected in final and 23 data collected in follow up. The project has compare the situation of old adults, before and after participate in. As result, the activity of daily living (ADL) has improved. Although in midterm the marks of ADL is decreased compare with baseline, but both of final and follow up situation are improved. While in instrumental activities of daily living(IADL), it shown that the marks of old adults is better than the baseline. Conclusion: Besides, the project compared the effect of gender in activity of daily living (ADL)。From that we realized that the number of completely independent increase from 3(11.11%) to 4(17.39%)people in male, while from 4(22.22%) increase to 6(22.22%) people in female. This shown that the involvement of TCM can improve the ADL in old adults. |
本系統中英文摘要資訊取自各篇刊載內容。