中醫居家照護病患之病種、體質及可行性之敘述

2015年臺灣開始推行居家醫療照護整合計畫，中醫作為傳統醫學但有其獨到的醫療價值，適合參與此全人照顧系統。中醫師與西醫、護理師、藥師等居家醫療團隊出訪，同時進行病患體質資料收集。至2019年3月中為止，針對家訪病人資料進行分析，發現以國際疾病分類標準歸類，循環系統類疾病比率最多，其次是消化系統類、肌肉骨骼系統與結締組織類疾病，再其次是精神（心智）與行為疾患類、內分泌營養與（新陳）代謝類及神經系統類疾病；家訪病人的體質則是氣虛出現比率最高，其次是血瘀質，第三是陽虛質。針對這次分析當中，較多數疾病，如高血壓、高血糖、高血脂、巴金森氏症、失智症等，或是少數重症，如腫瘤、腦血管疾病、脊髓損傷、末期腎病等，都可以有中醫相關研究實證中醫治療療效；另外，中醫可利用辨體質論治方法來給與家訪病人幫助。

關鍵字

中醫；居家醫療；體質；國際疾病分類標準

並列摘要

In 2015, Taiwan began the project of home health care with medical integration. Although Traditional Chinese Medicine (TCM) has its unique medical value, it is suitable for participating in this holistic health care system. The team of home health careinhospitalincluding physicians, nurses, pharmacists, etc. could visit patients, and chinese medicine doctor would go with them andcollect the patient's TCM constitution data. Until mid-March 2019, the analysis of data aboutthose patients found that the most proportion of diseases by ICD-10 is circulatory system diseases, followed by digestive system, musculoskeletal system and connective tissue diseases, the third is a mental and behavioral disorder, endocrine nutrition and metabolic diseases,and neurological diseases; inchinese constitution, it is the highest rate of qi deficiency, followed by blood stasis, and the third is yang deficiency. For most of the common diseases, such as hypertension, diabetes, hyperlipidemia, Parkinson's disease, dementia, or a few serious diseases, such as tumors, cerebrovascular diseases, spinal cord injury, end stage renal disease, etc. TCM-related research demonstrates the efficacy of TCM treatment; in addition, TCM coulduse theTCM constitution to help patients in home health care.

並列關鍵字

Traditional Chinese Medicine (TCM) ； HomeHealthCare ； Constitution ； International Classification of Diesease

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中醫居家照護病患之病種、體質及可行性之敘述

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