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264.3 中醫遠距醫療於台灣新冠肺炎之研究

TJ TCM.26(4) : 31-46, 2023

DOI : 10.6516/TJTCM.202309_26(4).0003

DOI : 10.6516/TJTCM.202312_26(4)

中醫遠距醫療於台灣新冠肺炎之研究

Telemedicine of Traditional Chinese Medicine

during the COVID-19 Pandemic in Taiwan

林冠良 1,* 林奕丞 2 蔡全德 1 蔡德能 1 張永明 2 曾泓翔 3 陳函儀 4 蘇韻如 5 蔡育庭 6 陳思翰 7 何欣儒 1 黃佩渝 1

1 一品堂中醫診所沙鹿總院，台中市，台灣

2 一品堂中醫診所豐原分院，台中市，台灣

3 一品堂中醫診所斗六分院，雲林縣，台灣

4 一品堂中醫診所虎尾分院，雲林縣，台灣

5 一品堂中醫診所新竹分院，新竹市，台灣

6 一品堂中醫診所北屯分院，台中市，台灣

7 一品堂中醫診所竹北分院，新竹縣，台灣

【摘要】

2022 年 5 月以來，台灣本土新冠肺炎疫情大爆發，為保全醫療量能，政府宣布確診患者依輕重症分流原則收治並擴大辦理「視訊診療照護」。台灣中醫基層醫療機構（診所）因應疫情發展，參與分流收治輕症患者，此舉改變了過去台灣民眾對於中醫門診的醫療行為與認知。為剖析病患於此次新冠疫情之醫療行為以及新冠肺炎症狀於中醫藥輔助下之變化，我們以問卷形式共募集了 1404 名病患進行研究。給予中藥處方後，病患前後的症狀變化，可供醫師針對輕症急性期以及新冠後遺症患者之臨床治療參考。我們的研究結果指出在使用中藥後，高達 87.6%的病患同意「病情進步」；此外，「經過此次的用藥經驗，若未來身體不適，會選擇使用中醫藥」的意願佔 89.5%；而 94.5% 的病患認為「視訊診療對自己有幫助」。整體而言，病患對於此次中醫分流的輔助診療滿意度極高，未來亦很願意就診中醫。

【關鍵詞】新冠肺炎、遠距醫療、清冠一號、中醫藥、新冠肺炎後遺症（長新冠）

Kuan-Liang Lin1,* Yi-Cheng Lin2 Chuan-Te Tsai1 Te-neng Tsai1 Yung-Ming Chang2 Hung-Shiang Tseng3 Han-Yi Chen4 Yun-Ju Su5 Yu-Ting Tsai6 Szu-Han Chen7 Hsin-Ju Ho1 Pei-Yu Huang1

1 EPT Shalu Chinese Medicine Clinics, Taichung, Taiwan

2 EPT Fengyuan Chinese Medicine Clinics, Taichung, Taiwan

3 EPT Douliu Chinese Medicine Clinics, Yunlin, Taiwan

4 EPT Huwei Chinese Medicine Clinics, Yunlin, Taiwan

5 EPT Hsinchu Chinese Medicine Clinics, Hsinchu, Taiwan

6 EPT beitun Chinese Medicine Clinics, Taichung, Taiwan

7 EPT Zhubei Chinese Medicine Clinics, Hsinchu, Taiwan

【Summary】

The pandemic of Coronavirus Disease 2019 (COVID-19) has broken out in Taiwan since May 2022. In order to preserve the medical capacity, the government announced that the patients with confirmed diagnosis of COVID-19 will be admitted and treated according to the principle of triage. The “telemedicine and virtual appointment” will be hold and used for patients with mild symptoms. In response to the outbreak of the pandemic, TCM(Traditional Chinese Medicine) primary medical institutions (clinics) participated in the admission of patients with mild symptoms and provided the treatment for them, which changed the behavior and cognition of people towards TCM clinics. To investigate the behavior of patients during the COVID-19 pandemic and the changes in the symptoms of COVID-19 after the treatment of traditional Chinese medicine, a total of 1404 patients were enrolled to participate in this study and were evaluated using the questionnaire. The change of symptoms in patients after the treatment of TCM prescription collected in this study can be used as reference by physicians for future clinical treatment in patients with mild acute stage of COVID-19 and its sequelae. Our results indicate that after TCM treatment, up to 87.6% of the patients agree with the "improvement of the disease"; in addition, 89.5% of the patients are willing to use traditional 46 Chinese medicine after this medication experience, and 94.5% of the patients believed that telemedicine consultation was helpful. Taken together, the patients were very satisfied with the auxiliary treatment of TCM and are willing to have TCM treatment in the future.

【Keywords】

COVID-19; Telemedicine; NRICM101; Traditional Chinese Medicine; long COVID

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