從實證醫學及文獻初探中醫藥運用於「預防老人失能」的發展性

Preliminarily Study of the Application to "the Prevention of the Disabled Elderly" by Research the Evidence-Based Medicine and Literature of Chinese Medicine

初探中醫藥運用於「預防老人失能」的發展性，期能取中醫藥之長項，運用於長期照護前之網絡，共同提升高齡者晚年之生活品質。搜尋「PubMed醫學資料庫」及「Airiti Library華藝線上圖書館」國內外文獻資料庫，納入與中醫藥相關等級較高之實證醫學及老人相關性較高之醫案文獻，依循國民健康署2008年訂定之「2020健康國民衛生政策白皮書」中，老人疾病前四項評估指標:「老人衰弱及失能防治」、「老人跌倒及骨折防治」、「老人憂鬱症自殺之防治」、「老人復健及中風後失能之防治」、「老人預立指示之簽署與執行」為主軸作串聯討論。臺灣已屆高齡化社會，隨著高齡失能者的比例漸增及其附加之長期照護醫療社會成本，既中醫藥在各指標項目中皆具備可接續發展的正面效益，建議政府及民間單位持續推廣，並進行嚴謹之實證研究，以提供強度更高的臨床佐證。

According to the study titled: Healthy People 2020 published by the Health Promotion Admi-nistration, Ministry of Health and Welfare in 2008, Taiwan has become an aging society. Due to the increasing population in disabled elderly and its cost of long-term medical care, five evaluation indexes have been established: 1) the prevention of frailty and mentally or physically disabled elderly, 2) the prevention of falls and fracture, 3) the prevention of elderly suicide due to depression, 4) the prevention of elderly rehabilitation and care after a stroke, 5) signing and implementation of pre-established instructions by the elderly. We focus on the first four Indexes, and research the evidence-based medicine and literature related to Traditional Chinese Medicine (TCM). As preliminary research in the application to "prevention of the disabled elderly," we expect to discover the benefits of TCM and exert its efficacy on the stage before the long-term care network, improving the quality of life for the elderly.