重度失智者管路餵食決策困難及介入處置

Difficulty of Tube Feeding Decision among Persons with Advanced Dementia and Intervention

黃秀梨(Hsiu-Li Huang) ； 許淑美(Shu-Meei Hsu) ； 王寶英(Bow-Yin Wang) ； 許貴英(Kuei-Ying Hsu) ； 廖慧媛(Huei-Yuan Liao) ； 鍾美蘭(Mei-Lan Chung)

《長期照護雜誌》 20卷2期 (2016/09) Pp. 185-198

https://doi.org/10.6317/LTC.20.185

摘要

失智症至今仍被認為是一種無法治癒的末期疾病，失智者在漸進地神經退化過程，經常會出現不同程度的進食問題，照顧者經常會面臨是否要使用管路餵食提供人工營養支持的決策兩難挑戰。目前管路餵食已不再被認為是處理失智者進食問題的標準照護，照護專業人員應提供管路餵食實證結果，以確保失智者及其家屬有充足訊息做知情選擇，並協助發展失智友善飲食計畫，提供以舒適為主的餵食，增進失智者的生活品質。

關鍵字

重度失智症 ； 管路餵食 ； 失智友善飲食 ； 決策過程

並列摘要

Dementia is still considered an incurable terminal illness to date. The persons with dementia are often with varying degrees of eating problems in progressively neurodegenerative process. Caregivers often face decision dilemma if using tube feeding to provide artificial nutrition support for their relative with dementia. Currently, tube feeding is no longer considered a standard of care for eating problem of dementia. The care providers should provide evident results about tube feeding to ensure those persons with dementia and their caregiver to be informed with sufficient information to make feeding decisions. In addition, care providers should to develop the dementia friendly diet plan, and provide comfort feeding to enhance the quality of life of those with dementia.

並列關鍵字

advanced dementia ； tube feeding ； dementia-friendly diet ； decision making

參考文獻

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