頁籤選單縮合
| 題 名 | 建構中醫特色與智慧醫療模式--建立失智症中西醫整合照護計畫=Dementia Care of Integrated Chinese and Western Medicine |
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| 作 者 | 張順昌; | 書刊名 | 中醫藥年報 |
| 卷 期 | 13 2024.10[民113.10] |
| 頁 次 | 頁(5)1-(5)58 |
| 分類號 | 413.2 |
| 關鍵詞 | 失智症; 中醫; 中西醫整合; Dementia; Traditional Chinese medicine; Integrated medicine; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 研究目的: 依衛生福利部委託台灣失智症協會進行之失智症流行病學調查結果,台灣 65 歲以 上老人每 12 人即有 1 位失智者。高齡醫學講求跨領域專業整合,中藥醫是已經使用數 千年傳統醫學,具有豐富的老年養生保健與疾病防治知識,可在高齡照護中扮演重要的 角色。本計畫擬建置一中西醫整合照護模式,以延緩失智失能者病程的進展,提升生活 品質及降低照顧成本。 研究方法: 擬以「極輕度~中度失智」個案為失智症中西醫整合照護模式介入對象,在照護模 式中,除西藥常規治療及認知刺激課程外,中醫照護包含雷射針灸、氣味刺激、膳食調 養與養生功法。使用「心率變異度分析測量儀」及「舌診儀」、「台灣簡明版世界衛生組 織生活品質問卷」、「家庭照顧者壓力量表」、「認知功能障礙篩檢量表」、「精神行為量表」、 「簡易老人憂鬱量表」與「高齡者衰弱量表」等進行個案評估。 結果與討論: 累積收案 39 人。初步分析認知功能障礙 CASI 量表評估結果,其總分在介入後有提 升,尤其在長期記憶面向有顯著進步;照護者壓力量表有提升,顯示家庭照顧者之壓力 益趨增大,未來應積極思考與擬訂失智症照護模式。中西醫整合照護對失智症個案延緩 認知功能延緩,仍值得進一步研究。 |
| 英文摘要 | Aim: Based on the results of the epidemiological survey in Taiwan, there is 1 dementia for every 12 people over 65 years old. Traditional Chinese medicine (TCM) has been used for thousands of years for disease prevention and treatment, which could play an important role in the care of the elderly. This study will set up an integrated care model for dementia. Method: Patient with very mild dementia to moderate dementia will be enrolled. A 12-week integrated care model including laser acupuncture, aromatherapy, tai-chi and Chinese medical nutrition supplyment will be used. General characteristics, tongue diagnosis, pulse diagnosis, heart rate variability, dementia assessment scale, WHOQOL-BREF, CASI (Cognitive Ability Screening Inventory), NPI (Neuropsychiatric Inventory), and GDS-15 (Center for Epidemiologic Studies Depression Scale) will be collectd before and after intervention. Results & Discussion: 39 patients was included. There seems mild improvent in the CASI scale, especially in longterm memory. However, caregiver stress scale is worsend after 12 weeks. More research are needed to find out if integrated care model is effective. |
本系統中英文摘要資訊取自各篇刊載內容。