- 學位論文
老人照護醫療系統之開放式平台設計與實作
Design and Implementation of an Open System Platform for Nursing Home Medical Information System
摘要
台灣社會已慢慢走向人口負成長以及邁向高齡化社會的現象，據內政部發布的「老人狀況調查報告」指出，全台老人罹患慢性病的比例為56％，日常生活起居活動困難的有9％，至94年10月底止，我國老年人口計220萬人，占總人口之9.7％，到2030年，預估將會拉升至20％，也就是說2030年的老人約460萬人，日常生活起居活動困難的有9％，大約每10位老人就有一位需人長期在旁照顧。目前社會結構以小家庭、雙薪為主，老人家一旦生病，若要使晚輩其中一人停止工作，專職照顧無法自理的長輩，整個家人力、財力都將拉警報，在這樣的情況下，照顧機構能扮演個重要的角色，將長輩安置於安養中心，不但有專業的護理人員能照護長輩的生活起居，晚輩也不用因此停止工作，能讓家庭財力狀況不至於陷入窘境。 根據內政部統計處統計資料得知，至94年10月底止，國內老人長期照護、養護及安養機構計有915所。在過去的安養中心與親屬的連繫上，不外乎是使用電話通知、電話關心的方式，安養中心要告知親屬，老人最近的狀況，需透過電話通知，親屬若無法抽空探視長輩，也是要透過電話關心，這樣的方式，不但不經濟且不即時。 本論文將建置一套老人照護醫療之開放式系統，提供與老人照護相關的多種功能。在論文研究的初始，先與指導教授拜訪豐原田園安養中心，進行雙方面的溝通，並參觀安養中心的資訊系統，實際了解照護人員的工作內容，例如：照護人員需每日尋問、觀察老人的健康狀況並填寫表格建立資料檔案等工作，依此設計出開放式系統平台，包括前台客戶端、後台控制端及資料庫，不但提供了老人照護資訊系統及RSS機制，更提供了日後添加與老人照護有關之新功能的系統平台。 此系統架構下每個家屬端只要訂閱本系統提供的RSS，透過Web Server系統，就能掌握長輩最新的訊息，透過這個網頁也能讓家屬提供意見或尋問，達到有效、迅速、方便、簡易、低成本的溝通平台。
並列摘要
In Taiwan, the growth of population has been declining steadily and the society is changing into an aging population society. According to the “survey report on aging population” from the Ministry of the Interior, 56% of the elder persons have some types of long term illness, and 9% have difficulty in daily life activities. At the end of October of 2005, the count of aging population is 2.2 million people, representing 9.7% of the total population in Taiwan. This aging population is projected to rise to 20% by 2030. In other words, there will be about 4.6 million elder persons by 2030 and one elder person in ten will need long-term care. Nowadays small family and two income family are the norm of new society structure. Once an elder person is ill, if one of the younger generation family member needs to stop working and take care of him or her full-time, the whole family and their financial resources will certainly be under severe stress. Under this scenario, the long-term elder care institution will play an important role to look after those elder persons instead. Not only there will be professional nurses to take care of them, but also the family members can continue working without break. According to the statistical information from the Ministry of the Interior, there are currently 915 long-term elder care and rehabilitation centers in Taiwan at the end of October of 2005. As a common practice in the past, elder care and rehabilitation centers contact relatives of the elder persons by telephone to inform them current status of their loved ones every so often. But using telephone is neither economical nor prompt. This research paper will describe the design and implementation of an open system platform for Elder care Medical Information System that will provide variety of functions related to elder care and rehabilitation. At beginning of the research, my advising professor and I visit Fong-Yan Elder cane and Rehabilitation enter. We studied their current medical information system in the center and find out the center’s daily work flow. For instance, the care workers need to observe and document elder patient’s health condition and fill out forms accordingly etc. According to the work flow process, we designed an open system platform, including front-end client and back-end server and the related database subsystem. This design not only provided system platform for elder care medical information system and RSS functions, but also provided a mechanism for adding new system functions later on. For RSS function under this platform, all concerned family member just need to set up the RSS reader with the Center. Then they can get the most current news concerning their loved ones, provide suggestions and ask related questions through the Web Server, thereby achieving effective, fast, convenient, easy and low cost communication platform.