常見疾病住院病人中醫藥臨床路徑及其案例運用之研究

陳建仲
中國醫藥大學附設醫院
為因應住院病患中西醫照護模式之執行，以促進中醫教考用政策之一貫性，中醫住院整體醫療體系、中醫住院見實習醫師之臨床教學環境以及護理人員中醫相關知識實有待系統性的建立及加強。故本研究目的將針對肝炎、癲癇、慢性阻塞性肺病和亁癬等幾種常見疾病之中醫臨床路徑之建立，再而推動中醫住院患者照護之進行，以達到整合本院中醫整體醫療團隊、落實中醫住院見實習醫師之臨床教學訓練體系之運作及護理人員中醫照護與教學模式之進行；再以住院患者作病例討論會，進而製作成教案,作為學校臨床課程之教案，以及中醫師訓練之教案。在本研究中，將完成：一、住院軟硬體設施建設，包括設置中醫住院病房和病床、籌設住院必要設備、建立住出院流程、以及各項制度的建立和中醫住院相關制度的檢討。二、照護團隊建立，包括住院醫師常見疾病住院照護訓練、護理人員中醫訓練和中藥師流程配合等。三、訂定臨床路徑，包括制定常見疾病臨床指引、訂定常見疾病臨床路徑等。四、收治住院病患，包括依據臨床路徑收治病患、落實團隊照護和臨床教學。五、編寫臨床教案，包括召開住院案例討論會議、編寫臨床教案等。
關鍵字：中醫；住院；臨床路徑；肝炎；癲癇；慢性阻塞性肺病；乾癬

Research on TCM Clinical pathway of common diseases for in-patients and cases application

Jian Jung Chen
CHINA MEDICINE UNIVERSITY HOSPITAL
In order to execute the Chinese medicine & doctor care mode of the hospitalizations patient. We hope to promote the consistence of the policy of the Chinese medicine teaching and testing. Then, to establish and strengthen the whole Chinese medical treatment system, which as clinical teaching environment for the Chinese medical hospitalizationsintern, and the related knowledge of Chinese medicine for the nurse. Therefore, the purpose of this research will be aimed at the common diseases, which as hepatitis, epilepsy, chronic obstructive pulmonary disease and psoriasis. We wish to set up the clinical path of the Chinese medicine, and to proceed the Chinese medical hospitalization care system with patient. Hope to reach the integration of the whole medical treatment team. The implementation of the clinical teaching and train system for the Chinese medical hospitalizations intern, and the Chinese medical care & teaching mode with the nurse. We will use the hospitalizations patient as the case for the colloquium, then make it to be the clinical teaching plan, which will be the clinical course of school, and the training course of traditional Chinese medical doctor. In this research, will complete: A, to build up the software & hardware facilities and construction of the Chinese medical hospitalization, include establish the Chinese medicine hospitalization sickroom, sickbed and the necessary equipment.
關鍵字：Chinese medicine；Hospitalization；Clinical path；Hepatitis；Epilepsy；Chronic obstructive pulmonary disease；Psoriasis