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整合性心臟照護中心之規劃設計

Design of an Integrated Cardiac Care Center

摘要


自民國八十七年起,心臟疾病首度超越事故傷害,成為國人第三位主要死亡原因;在美國與德國,心臟疾病也早已超越惡性腫瘤,成為十大死亡原因之第一位(1999年)。隨著人口年齡結構老化、飲食習慣西化等的影響,因心臟疾病所致之死亡率必將逐年遞增,有關心臟疾病治療與照護的重要性也與日俱增。心臟疾病之治療與照護有賴於檢查單位、心臟內科與心臟外科之通力合作;然而在現今之醫療照護體系下,心臟內科與心臟外科在行政上分別隸屬於內科部與外科部,其合作程度與反應速度難免受到影響。為提供病患便捷、有效率之醫療服務,除了心臟內科與心臟外科在軟體上的整合外,各心臟照護相關單位在空間硬體上的整合也非常重要。本文針對整合性心臟照護單位(中心)的規劃設計做一探討。整合性心臟照護單位(中心)應有下列的功能單位:門診區、非侵襲性檢查區(包括超音波檢查室、心電圖室及病患報到區、等候區、病患更衣室與置物櫃等)、侵襲性處置區(包括心導管室、心臟手術室、病患等候區、準備室、恢復室與工作人員更衣室等)、心臟加護病房、心臟復健中心、及行政單位與後勤支援單位等。在設計上應遵循以「病患為中心的照護」理念來設計,其空間設計應儘量塑造有利於療養的氣氛,期望能創造一個有助於病患康復的優質環境。

並列摘要


Cardiovascular disease has become the third leading cause of death since 1998 in Taiwan. In the U.S. and Germany, the cardiovascular disease has been the number one killer since 1999. As the results of population ages and westernization of food consumption in Taiwan, it can be expected that the death rate caused by cardiovascular disease will also increase in the future. Therefore, treatment and care about the cardiovascular disease become more and more important. This has increased demand for sophisticated cardiovascular diagnostic and treatment services. Cares of cardiovascular patients rely on cooperation among cardiovascular surgeons, cardiologists and radiologists. However, in current system, cardiologists usually report to the department of medicine; cardiovascular surgeons report to the department of surgery; radiologists report to the department of radiology. Generally, overall responsibility is not determined for cardiac care. To provide convenient and effective services for cardiac patients, it is important to integrate different functional services both in organizational structure and spaces. This study was to discuss the design of an integrated cardiac care center. An integrated cardiac care center should include the following functional areas: outpatient clinics, non-invasive cardiology (including EKG, ECHO, reception and waiting area, patient lockers/changing areas), invasive cardiology (including cardiac catheterization lab, cardiovascular operating room, reception/registration and waiting areas, patient preparation and recovery room, staff lockers and changing areas), cardiac intensive care unit (CICU), cardiac rehabilitation, administrative areas, and logistical areas. When designing an integrated cardiac care center, it is important to follow the concepts of patient-centered care. The design and utilization of spaces should be able to create a healing environment for patient recovery.

被引用紀錄


林毅志(2012)。地區醫院應用平衡計分卡導入心導管中心的模式探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2012.00992
姜智馨(2008)。成人加護病房空間用後評估〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-2207200800352300

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