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中医药研究论丛
 212.21 居家医疗整合照护之中医经验与展望
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TJ TCM.21(2) : 245-254, 2018
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居家医疗整合照护之中医经验与展望
Experience and Future Prospect of Integrated Home Health Care in Traditional Chinese Medicine
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黄奎祐1,2,3 叶裕祥2,4* 谢惠婷5 李育贤6 黄伯瑜1,2 许中华1,2,3
1 台北市立联合医院林森中医昆明院区中医内科，台北，台湾
2 台北市立联合医院中医医学部，台北，台湾
3 国立阳明大学传统医药研究所，台北，台湾
4 台北市立联合医院林森中医昆明院区中医伤科，台北，台湾
5 台北市立联合医院林森中医昆明院区家庭医学科，台北，台湾
6 台北市立联合医院林森中医昆明院区肝胆肠胃科，台北，台湾
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【摘要】
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台湾的人口逐年老化，多重疾病以及失能的健康照护成为当前的重要议题，以病人为中心的跨领域居家医疗整合照护势必成为一个重要的医疗照护潮流，中医如何在现行的居家医疗的基础上发展具有中医特色的居家医疗是目前全中医界所关注的问题，中西结合的居家医疗整合团队必定能为病人带来全方位的居家医疗照护。本文以一社区个案为例，分享失能患者的中医居家医疗照护经验，居家医疗整合团队的中医师提供中药处方、伤科推拿、针灸治疗；西医师提供西药处方；还有其他如心理师、物理治疗师、药师、护理师、社工师以及营养师等等各领域专业人员一起合作照护病人，文中并讨论中医介入居家医疗照护的优势、挑战与未来的展望。透过中、西医师以及各领域专业医疗人员对病人健康状况的全面了解，针对病人不同的身体不适，采取适切的治疗方法。居家医疗团队的照护内容包括对个案及其家属的医疗照护、心理支持及友谊建立。总之，提供以病人为中心、跨专业合作、全面性、连续性的人性化医疗服务必将是居家医疗照护的发展方向。
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【关键词】居家整合医疗、中医、中药、推拿、针灸、跨领域
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Kuei-Yu Huang1,2,3Yuh-Hsiang Yeh2,4*Hui-Ting Hsieh5
Yu-Hsien Li6Po-Yu Huang1,2Chung-Hua Hsu1,2,3
1Division of internal Chinese medicine, Linsen Chinese Medicine and Kunming Branch,
Taipei City Hospital, Taipei, Taiwan
2Department of Chinese medicine, Taipei City Hospital, Taipei, Taiwan
3Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan
4Division of Traumatology in Chinese Medicine, Linsen Chinese Medicine and Kunming
Branch, Taipei City Hospital, Taipei, Taiwan
5Division of Family Medicine, Linsen Chinese Medicine and Kunming Branch, Taipei City
Hospital, Taipei, Taiwan
6Division of Gastroenterology & Hepatology, Linsen Chinese Medicine and Kunming Branch,
Taipei City Hospital, Taipei, Taiwan
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【Summary】
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With the increase of elderly population in Taiwan, the health care for people with multiple diseases and disability becomes an important issue. The patient-centered, interdisciplinary integrated home health care must be a consequential trend of medical care. Physicians of TCM begin to concern the development of home health care of traditional Chinese medicine (TCM) in the existing home health care team of western medicine. The integration of TCM and WM in home health care will bring more comprehensive care to the patients in community. In this article, we share the experience of home health care of TCM in integrated home health care team for a disable patient in community. The interdisciplinary collaborative home health care for the patient include Chinese herbal medicine, manipulation, acupuncture by physicians of TCM, medicine by physicians of WM, and other efforts from psychologists, physiotherapists, nurses, social workers, dietitians and so on. We also discuss the advantages, challenges and future prospects of TCM in integrated home health care. Physicians of TCM and WM provide different treatments for various discomforts of patient through a comprehensive understanding of her health conditions. The team of integrated home health care provided medical treatment, spiritual support, and companionship for patient and her family members. The team of integrated home health care provided medical treatment, spiritual support, and companionship for patient and her family members. In sum, humanized medical service which provides patient-centered, interdisciplinary collaborative, comprehensive, persistent, and medical service for patients will be the direction of development of home health care.
【Keywords】integrated home health care, traditional Chinese medicine, Chinese
herbal medicine, manipulation, acupuncture, interdisciplinary
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