中醫婦科住院之推動及優質照護之相關研究(2-1)

賴榮年
陽明醫學大學
中醫住院的有無將影響各專科中醫師的培育制度與人才的養成，為了台灣中醫要能現代化、國際化，爭取中醫住院制度，勢在必行，相關於中醫住院的軟、硬體應配合中醫的理論及看病的習慣，以及一連串標準化的醫療照護工作需要建立，應及早作規劃。本研究第一年將調整、採買中醫婦科專科住院所需的硬體及軟體，以及規劃出中醫婦科住院病患給藥照護、服藥遵從性、服藥指導等，一連串的醫療照護工作與品項，入出院將分類中醫婦科住院病人的相關證型，並將分析住院病人之中醫婦科證型，對照修正貴委員會於92年完成的”中醫婦科共識手冊”中的相關病症及內容，編印成新版具實證基礎的中醫婦科共識手冊，完成修訂的書，將作為國內中醫婦科教育推廣教材。第二年將針對提昇中醫婦科住院病患照護品質與生活品質提昇成效、療效之評估。結果將能完成部分中醫婦科證型分類與用藥之追蹤觀察型臨床研究，研究成果將能提供爭取中醫住院制度有力的實證資料，並且可作為教學上學生信賴的客觀實證論據。
關鍵字：中醫婦科、證型、住院、療效、生活品質

The Study of Healthcare Quality for Gynecological Inpatient Use Traditional Chinese Medicine (2-1)

Lai, Jung-Nien
The hospitalization in TCM may affect the cultivation of TCM Specialist a lot. In order to modernize and internationalize TCM in Taiwan, hospitalization in TCM is bound to be a key issue. The software and computer hardware in TCM should be fit with the theory of TCM and customs in diagnosis of TCM. Moreover, a series of standardization of medical cares should be constructed and planed early. In the first year, the study plans to purchase and adjust the software and hardware that the gynecology in TCM needs and formulate directions of the medical cares and drug taking.Furthermore, diseases will be analyzed and classified by TCM patterns in patients’ admission and discharge and according to the handbook of gynecology in TCM that have already published in 2003, we will edit the new handbook in which evidence-based gynecology in TCM will be include. This handbook will be a material for spread the gynecology in TCM. In the second year, we plan to enhance the quality of medical care of patience in gynecology in TCM, the quality of life and the measurement of curative effect. These two steps will complete the pattern-classification in gynecology in TCM and the observational clinical trial of drug. And the result of research can provide the powerful evidence-based information to strive for the hospitalization in TCM and the information can be the objective and reliable material in teaching.
關鍵字：gynecology in TCM; patterns in TCM; hospitalization; curative effect; quality of life