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研究生：	蔡明諭 Tsai, Ming-Yu
論文名稱：	以互動式網頁呈現多媒體之醫學教案系統 An Interactive Multimedia Web-Based Medical Teaching Case System
指導教授：	陳立祥 Chen, Lih-Shyang
學位類別：	碩士 Master
系所名稱：	電機資訊學院 - 電機工程學系碩士在職專班 Department of Electrical Engineering (on the job class)
論文出版年：	2004
畢業學年度：	92
語文別：	中文
論文頁數：	67
中文關鍵詞：	模擬看診、醫學教案
外文關鍵詞：	Problem Base Learning, Teaching Case
相關次數：	點閱：104 下載：0
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　　醫學院的學生，除了藉由書本及教師授課來學習知識，還必須接受嚴格的實習訓練才能成為正式的醫師。在求學的過程中，教師在課堂上講授醫院實際發生的案例，卻難給學生深刻的印象。而學生也無法隨時可以實地操作，實踐所學，加深記憶。所以為幫助未來醫生的養成教育，我們設計了一套互動式教學系統－HINTS－來彌補傳統教育上的不足。
　　我們是以三層式主從架構配合Document/View的方式來設計HINTS。我們整合了Web及資料庫的技術，並提供了一個互動式的學習環境。學生在這個學習環境中是扮演醫生的角色，而且須幫病人看病。而教師也可在學生完成教案的操作後，評估學生學習的效果及了解學生的想法。因此HINTS中提供了三種功能來達到這個目的：第一、醫學教案操作流程控制。第二、多樣貌呈現多媒體教案內容。第三、使用者操作分析。
　　當這套系統第一次應用在成功大學醫學院小兒科的教學上，我們看到了學生提高了他們的學習興趣與效果，而且教師也很容易地了解學生的想法。我們希望這套系統對於輔助教師的教學及提高其學生的學習效果，可以發揮最大的功用。在未來，也希望可以進而將HINTS系統應用到各種不同領域的教學上。

　　Medical students gained their theoretical background about medical diagnoses from textbooks and teachers give instruction. They need to have strict training before they become physicians. Although teachers can give lectures on real clinical cases to the class, it is still hard to impress the students. Students have no chance to really practice those teaching cases by themselves to get a deeper understanding. In order to help students to understand how to apply their knowledge to clinical cases, we design and implement an interactive learning system - HINTS (Health Information Network Teaching System).
　　HINTS architecture is a three tired client/server and document/view architecture. We make use of internet web and database technologies to provide an interactive learning environment that student can play the physicians’ role to diagnose and treat a virtual patient. The system can evaluate student’s performance and help the teachers to understand student’s thinking processes. To achieve these tasks, HINTS has three major functions: teaching case operating sequence control method, multimedia presentations with different methods, and the user operation analysis.
　　The system is currently installed in the pediatrics department of Cheng-Kung University Hospital for some trials. Students have found that the system can make their leaning more interesting and effective and teachers can see students’ thinking process more easily. We believe that HINTS can really assist teachers’ instruction and improve students’ learning effectiveness. The system can be applied not only to the medical education, but also to other education fields with similar discipline in the future.

第一章、緒論.......................................................................................... 11
1 概述............................................................................................ 11
2 研究動機及目的........................................................................ 11
第二章、背景與研究理念...................................................................... 13
1 背景........................................................................................... 13
2 設計理念................................................................................... 13
2.1 醫生看診........................................................................ 13
2.2 三層式主從架構............................................................ 14
2.3 文件／瀏覽（Document/View）................................. 15
2.4 網際網路技術.............................................................. 16
第三章、系統需求與架構...................................................................... 17
1 需求分析.................................................................................... 17
1.1 流程控制........................................................................ 17
1.2 內容呈現........................................................................ 17
1.3 操作記錄與統計結果.................................................... 18
1.4 Internet Server 與Database Server............................... 18
2 資料庫架構................................................................................ 18
3 網頁操作控制機制.................................................................... 18
4 教案呈現架構............................................................................ 19
5 教案操作分析............................................................................ 20
第四章、設計與實做.............................................................................. 22
1 資料庫........................................................................................ 22
1.1 教案資料......................................................................... 22
1.2 操作記錄......................................................................... 24
1.3 操作結果分析................................................................. 26
2 操作流程控制............................................................................ 27
2.1 流程編排........................................................................ 27
2.2 資料庫的架構................................................................ 28
2.2.1 教案操作模式..................................................... 28
2.2.2 教案區段呈現順序............................................. 29
2.2.3 教案內容呈現方式............................................. 30
2.3 用戶端流程控制............................................................ 30
2.4 伺服端教案流程控制.................................................... 31
3 教案呈現.................................................................................... 33
3.1 直述型............................................................................. 33
3.1.1 Basic information ................................................. 33
3.1.2 Chief complain ..................................................... 34
3.2 問診形式......................................................................... 34
3.2.1 Present illness....................................................... 34
3.2.2 Past history ........................................................... 35
3.2.3 Family history ...................................................... 36
3.2.3 資料庫架構......................................................... 37
3.3 理學檢查......................................................................... 39
3.3.1 呈現..................................................................... 39
3.3.2 資料庫架構.......................................................... 40
3.4 檢查與檢驗項目............................................................. 41
3.4.1 呈現與操作......................................................... 41
3.4.2 資料結構............................................................. 45
3.5 染色................................................................................. 48
3.5.1 呈現與操作......................................................... 48
3.5.2 資料結構............................................................. 50
3.6 診斷結果......................................................................... 51
3.6.1 Tentative Diagnosis .............................................. 51
3.6.2 Final Diagnosis..................................................... 52
3.6.2 資料結構............................................................. 53
3.7 Learning Point ................................................................. 55
3.7.1 呈現..................................................................... 55
4 操作分析.................................................................................... 57
4.1 流程................................................................................ 57
4.2 畫面呈現........................................................................ 58
4.3 架構................................................................................ 59
第五章、結論.......................................................................................... 62
1 研究成果.................................................................................... 62
2 未來發展.................................................................................... 62

                                    

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