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摘要


此篇文章應用Walker與Avant提出的概念分析方法,探討吞嚥困難之概念定義,包括特徵、前因後果、實例與測量工具。吞嚥困難使人處於營養不良和吸入性肺炎的高危險狀態,過去文獻較少對吞嚥困難之概念進行分析,本文分析結果顯示吞嚥困難(dysphagia)與吞嚥障礙(impaired swallowing)是可互換的詞,吞嚥困難被定義為食物很難從口腔通達到胃。吞嚥困難的定義性特徵可分為口腔、咽喉及食道三類;原因與機能不全、構造異常及其它因素有關;造成的影響為營養不良、脫水、吸入性肺炎及生活品質低下。

並列摘要


This article discusses conceptual definitions of dysphagia, including characteristics, antecedents and consequences, constructing examples, and empirical measurements using Walker & Avant's methodology of concept analysis. People with dysphagia condition are at high risk of malnutrition and aspirated pneumonia. There are limited resources in literature on the concept analysis of dysphagia. Dysphagia is interchangeable with impaired swallowing in the literature. It is defined as passage difficulty of food from mouth to stomach and is divided into three attributes: oral, pharyngeal and esophageal. The causes of dysphagia include malfunction, structural abnormalities and other problems; the influences of dysphagia such as malnutrition, dehydration, aspirated pneumonia and poor quality of life.

被引用紀錄


卓美妤、王妍懿、黃正儀、李淑瓊(2019)。提升頭頸癌病人自我吞嚥訓練執行率腫瘤護理雜誌19(2),77-90。https://doi.org/10.6880/TJON.201912_19(2).06
劉梅英、王昭慧、朱宗藍、吳教恩、林怡欣、簡淑慧(2018)。應用「吞嚥障礙問題分析曁照顧樹狀圖」對改善食道癌吸入性肺炎及治療完成率之探討新臺北護理期刊20(2),9-21。https://doi.org/10.6540/NTJN.201809_20(2).0002
林利蓁、王惠貞、李淑秋、鄭麗華(2023)。一位嚴重特殊傳染性肺炎重症病人之照護經驗長庚護理34(),1-12。https://doi.org/10.6386/CGN.202304/SP_34_1.0001
潘怡旻(2020)。一位重症肌無力個案面臨初次重症肌無力危象之護理經驗長庚護理31(3),395-403。https://doi.org/10.6386/CGN.202009_31(3).0008
陳茜、郭菊紅、徐小鳳、周焱、張銀、胡秀英(2018)。護士主導跨團隊介入對住院老年吞咽障礙患者成效的研究護理雜誌65(4),73-83。https://doi.org/10.6224/JN.201808_65(4).10

延伸閱讀


  • 陳妙言、林麗嬋(2010)。吞嚥障礙之概念分析護理雜誌57(1),100-105。https://doi.org/10.6224/JN.57.1.100
  • 許寶鶯、鄭綺、陳靜敏(2000)。吞嚥障礙護理措施之探討新臺北護理期刊2(1),25-36。https://doi.org/10.6540/NTJN.2000.1.003
  • 郭雅婷、陳慧君(2018)。吞嚥困難者之備餐長期照護雜誌22(3),235-244。https://doi.org/10.6317/LTC.201812_22(3).0002
  • 陳芷萱、劉睿菁(2019)。吞嚥困難知多少?彰基醫療健康防治季刊(38),29-30。https://doi.org/10.6527/PVMN.201912_(38).0010
  • 郭嘉琪、林秋菊、馬淑清(2007)。Appraisal: A Concept Analysis護理雜誌54(2),68-72。https://doi.org/10.6224/JN.54.2.68

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