吞嚥障礙居家整合照護

吞嚥障礙是現今社會中相當常見的健康問題，尤其在年長者身上更為常見。許多疾病及內外在因素，譬如：腦中風、神經性障礙及老化等，均易造成吞嚥障礙的狀況，間接導致鼻胃管放置率居高不下。本文藉由介紹台北市立聯合醫院吞嚥小組針對吞嚥障礙病人所推出的整合居家吞嚥照護模式及其成效，希望能發揮拋磚引玉的效果，讓社會大眾以及醫療體系之專業人員，對吞嚥障礙有更深入的理解，整合各專業共同投入醫療資源及人力，協助吞嚥障礙患者達到安全經口進食的目標，同時提升其生活品質，避免不必要的管路久置所可能引發的問題。

關鍵字

吞嚥障礙；吞嚥訓練；整合照護；管路移除

並列摘要

Oropharyngeal dysphagia (OD) has become one of most common health care issues in modern society, especially among the elderly. It can be influenced by many extrinsic and intrinsic factors, for examples, stroke, neurological disorder, and aging per se., and resulting in high rate of long-term placement of nasogastric tube. In this article, we introduce a swallowing assessment and intervention model in home setting for patients with OD in the Taipei City hospital and its outcome. We hope to draw attentions from the general public and medical professionals to this emerging health care issue, and work together to help the OD patients so that they can increase their oral intake safely, improve their long-term quality of life, and avoid possible problems arisen from unnecessary long-term placement of nasogastric tube.

並列關鍵字

dysphagia ； swallowing training ； integrated care ； tube removal

被引用紀錄

王琬詳、余佳倫、宋惠娟（2022）。跨團隊鼻胃管照護三部曲。護理雜誌，69(1)，33-40。https://doi.org/10.6224/JN.202202_69(1).06

陳靜瑤、王婷怡、張佩琪、李紫萍、王淑敏、吳昭燕、林淑麗、吳徐慧（2021）。提升高齡長者進食安全指導執行率。護理雜誌，68(4)，72-80。https://doi.org/10.6224/JN.202108_68(4).09

鄭鈺郿、呂美卿、黃詩珊、余筱甜、葉亭彣、朱怡蓁（2023）。吞嚥困難照護小組介入居家個案移除鼻胃管之成效。北市醫學雜誌，20(1)，30-41。https://doi.org/10.6200/TCMJ.202303_20(1).0004

國際替代計量

吞嚥障礙居家整合照護

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