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花蓮縣太魯閣族的傳統醫療 Traditional medicine of the Truku in Hualien, Taiwan
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| 作者 |
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馬維駿 |
| 學校系所 |
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慈濟大學原住民健康研究所 |
| 地點 |
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全臺 全部
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| 研究內容 |
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[ 摘要 ]
本研究目的在探討太魯閣族人對傳統醫療的認知與醫療利用，研究方法以半結構訪問及參與觀察為主。研究結果發現：太魯閣族人的疾病觀和對傳統草藥療法的認知，大多和受訪者的教育程度、年齡或家庭生活的傳統程度密切相關，教育程度越低、年齡較大者、家庭生活比較傳統者，對傳統醫療的知識比較豐富。但質性資料分析也發現：傳統醫療不只涵蓋個人的生理層面，它與太魯閣族的傳統宗教信仰與社會規範有難以區分的關係。當太魯閣族人遭遇到西方主流醫學無法歸因或是治療的疾病、無法歸因的意外或是災害時，就會尋求傳統醫療。另一方面，今日的太魯閣族傳統醫療也與周邊的族群，外來宗�氻為吽A並且正處在一個轉變的狀態。本研究建議：制定太魯閣族公共衛生政策時，必須將太魯閣族的自我意識列為主要考量，而在宣導社區健康及防止意外傷害的策略上，可適度運用族人的傳統醫療觀念和相關的因素。
關鍵字：太魯閣族、傳統醫療、疾病認知、醫療利用
[ 英文摘要 ]
This study explores the Truku’s cognition of traditional medicine and medical utilization with the methods of semi-structural interview and participant observation. The results illustrate that the educational level, age and traditionality of family life are among the most closely related factors to their traditional medical knowledge: the less the educational level, the older in age, and the more traditional in family life, the more traditional medical knowledge. In the meantime, the analyses of qualitative data also demonstrate that Truku’s traditional medicine is not solely concerned with physiological problems, but is interlocked with their traditional religious ideology and social norms. Some Trukus tend to seek the helps from traditional medicine while they experienced unexplainable serious accidents or physical problems that western medicine could not be effectively identified or cured. Given this scenario, the Truku’s traditional medicine is right in the stage of transformation as they can’t help but interact with the majority Chinese nearby. It is recommended to take into consideration the indigenous health belief in public health policy and apply their knowledge of traditional medicine and related sociocultural factors in the promotion of community health and prevention of fatal accidents.
Key words: the Truku, traditional medicine, disease perception, medical utilization
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