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台湾科技大学护理学学士毕业生的中医能力调查。

An investigation into competence in TCM of BSN graduates from technological universities in Taiwan.

作者信息

Yeh Yi-Chun, Chung Ue-Lin

机构信息

Military Office, Hungkuang University.

出版信息

J Nurs Res. 2007 Dec;15(4):310-8. doi: 10.1097/01.jnr.0000387627.25801.12.

Abstract

The purpose of this study was to determine what competences in Traditional Chinese Medicine (TCM) should be possessed by Bachelor of Science in Nursing (BSN) graduates from technological universities in Taiwan. There were two phases in this study: focus groups and expert panel discussion. First, we held four focus groups, and interviewed 31 participants, including consumers, nursing staff and clinical nursing faculty. The interview tapes were transcribed verbatim, were proofed for accuracy and the content was analyzed. The results were then discussed by four academic experts in a panel discussion. Results indicated that the TCM competences of BSN graduates from technological universities should include the following: (1) to understand the basic concepts of TCM, including Yin/Yang, the Five Evolutive Phases, holistic view, the Five Viscera and Six Bowels, Meridians, etiology, and concepts of therapy and health preservation; (2) to recognize the cold and hot nature of food; (3) to illustrate the common dietetic care for immune enhancement in the four seasons, and the foods that help postnatal and postoperative physical regeneration; (4) to illustrate the properties, indications, and administration of common Chinese medicines, including: Ginseng, Lycium, Astragalus, Angelica sinensis (danggui), Chrysanthemum, Pinellia, Zizyphi fructus; (5) to describe the properties, indications, adverse effects, and administration of Siwutang and Shenghuatang; (6) to describe basic principles of administering both Chinese medicine and Western medicine; (7) to describe the indications and cautions of the following techniques: acupuncture, scraping therapy, and cupping; (8) to implement acupressure as a measure for promoting comfort under the following conditions: pain, vomiting, insomnia, palpitations; and (9) to demonstrate an open mind and cautious attitude to respect consumers using TCM. Results of the study can serve as a reference for nurse educators when training BSN graduates from technological universities in TCM competences.

摘要

本研究旨在确定台湾科技大学护理学学士(BSN)毕业生应具备哪些中医能力。本研究分为两个阶段:焦点小组讨论和专家小组讨论。首先,我们举办了四个焦点小组,采访了31名参与者,包括消费者、护理人员和临床护理教师。访谈录音逐字转录,校对准确性并分析内容。然后由四位学术专家在小组讨论中讨论结果。结果表明,科技大学BSN毕业生的中医能力应包括以下方面:(1)理解中医的基本概念,包括阴阳、五行、整体观、五脏六腑、经络、病因以及治疗和养生概念;(2)认识食物的寒热性;(3)说明四季增强免疫力的常见饮食护理以及有助于产后和术后身体恢复的食物;(4)说明常见中药的特性、适应证和用法,包括:人参、枸杞、黄芪、当归、菊花、半夏、酸枣仁;(5)描述四物汤和生化汤的特性、适应证、不良反应和用法;(6)描述中西医给药的基本原则;(7)描述以下技术的适应证和注意事项:针灸、刮痧疗法和拔罐;(8)在以下情况实施指压作为促进舒适的措施:疼痛、呕吐、失眠、心悸;以及(9)对使用中医的消费者表现出开放的心态和谨慎尊重的态度。研究结果可为护理教育工作者培训科技大学BSN毕业生的中医能力提供参考。

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