- 期刊
初次罹患腦梗塞併吞嚥困難與溝通障礙之護理經驗
Nursing experience of caring for a first stroke patient with difficulties swallowing
摘要
本文為照護一位65歲男性由於首次腦梗塞導致吞嚥困難及溝通障礙，面臨主要照顧者缺乏照護技巧，導致多次居家進食後嗆咳情形。護理期間自2016年11月12日到2016年11月23日，筆者採用Gordon十一項功能性健康型態評估，藉由身體評估、觀察、會談方式收集資料，確立個案有吞嚥困難、言辭溝通障礙、照顧者角色緊張之健康問題。經由吞嚥及語言跨團隊訓練，運用吞嚥訓練手冊及多媒體光碟協助個案吞嚥肌力的訓練，並加強個案進食及吞嚥技巧，與個案及家屬建立統一的溝通手勢，並藉由識字卡及圖卡做為溝通工具，強化個案的溝通能力，經由社工與出院準備服務之介入，提供照顧者居家照護技巧以減輕焦慮及壓力，恢復個案由口進食能力，成功解除鼻胃管置入危機，進而提升個案病人的生活品質。
並列摘要
This paper presented a nursing experience of a 65-year-old man with dysphagia and communication difficulties due to stroke. The caregiver lacked care skills, with the patient choking after eating many times. The care period was from 12 November to 23 November 2016. The Gordon 11 functional health patterns system was used as guidance to collect patient data, including physical assessment, observation, and interview. Three issues were identified, including dysphagia, dysarthria, and caregiver's role strain. Through swallowing and language training, using swallowing training manuals and multimedia CD to assist in the training of swallowing muscles and enhancing the patient's food intake and swallowing skills, establishing a unified communication gesture with the patient and family, and using literacy cards and map cards as communication tools, the communication skills of the patient, caregiver and family were strengthened. Through further intervention of the social worker and discharge preparation services, the caregiver's homecare skills were enhanced to alleviate anxiety and stress, resume the patient's self-ability to eat by mouth and successfully relieve the nasogastric tube placement crisis, thereby improving the patient's quality of life.
參考文獻
延伸閱讀
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