A study on constructing a home care medical decision making system using micro telecare system : post-surgery patients with abdominal aortic aneurysm as an example

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题名:	A study on constructing a home care medical decision making system using micro telecare system : post-surgery patients with abdominal aortic aneurysm as an example
其它题名:	應用微型遠距行動照護系統建構居家照護醫療決策系統 :
作者:	黃南競;Hwang, Nan-Ching
贡献者:	淡江大學資訊工程學系博士班葛煥昭
关键词:	遠距照護系統;慢性疾病;醫療決策;腹主動脈瘤傳統手術;Telecare System;Chronic Disease;Medical Decision;Abdominal Aneurysm Surgery
日期:	2014
上传时间:	2015-05-04 09:59:20 (UTC+8)
摘要:	台灣衛生署統計台灣99年10大死因，心血管疾病中的心臟疾病和腦血管疾病更是佔居第二和第三名之高；面對高齡化社會，老年人口比例不斷上升，心血管疾病已經是台灣不可忽視之疾病。動脈瘤就是心血管疾病之一，動脈瘤可以區分為五種類型，其中腎動脈下腹主動脈瘤最為常見，佔所有主動脈瘤80% 左右。在主動脈瘤的外科治療方法中主要是傳統剖腹手術和主動脈內人工支架血管置放手術。為了讓病患有更好的術後生活品質，在家自行測量生理參數已是一重要趨勢，但若能加入專業判斷的服務，相信更將具有疾病預防的效益，而可以提供遠距監測功能的遠距健康照護系統是其中一個很好的應用工具。在本研究我們提出一個主動式微型的生命跡象與活動感測器及多種通訊頻道整合而成的非侵入性微型遠距照護系統，利用此系統讓腹主動脈瘤病人可在戶外活動，擁有更安全放心的術後生活，也可減少因為醫護人力或家庭成員無法協助照護而發生憾事；再者，在持續長期的生理監控下，如非必要不必再回診，更能省下可觀的交通來回時間與醫療成本。 Statistics from Taiwan''s Department of Health show that, among the 10 leading causes of death in 2010, heart disease and cerebrovascular disease in cardiovascular disease came in second and third place. Confronted by an aging society, the elderly population is rising, and cardiovascular disease is an disease that can no longer be ignored. A kind of cardiovascular disease, the aneurysm can be classified into 5 types, of which renal artery abdominal aortic aneurysm is most common and accounts for approximately 80% of all aortic aneurysms. In the surgical treatment of aortic aneurysms, traditional laparotomy and artificial vascular stent placement surgery are widely accepted. In order to let patients have a better post-surgery life, measuring physiological parameters at their own home is becoming an important trend. But if professional judgment of the service can be added, it would be of help to disease prevention. And offering a Telehealth system with remote monitoring capability is one of the good application tools. In this study, we a non-invasive micro Telecare system that integrates proactive tiny signs of life and activity sensors and variety of communication channels. This system allows abdominal aortic aneurysm patients to go outdoors and have a safer and securer post-surgery life. This also can reduce regrets due to no timely assistance from healthcare manpower or family. Besides, under continued long-term physiological monitoring, non-essential follow-ups can be spared, which can save considerable travel time and healthcare costs.
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