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經皮內視鏡胃造口之介紹及其護理

Percutaneous Endoscopic Gastrostomy (PEG): Overview and Nursing Care

摘要


由於人口老化,於長期照護的病患中,合併有吞嚥困難而需使用鼻胃管灌食的病患相當普遍,進而可能導致反覆性吸入性肺炎和營養不良的問題。經皮內視鏡胃造口術(percutaneousendoscopic gastrostomy, PEG)是目前最有效且廣泛使用於各種病患的腸道營養方法。本文藉由說明PEG的定義、適應症、禁忌、併發症、優缺點及護理,並以臨床案例說明,協助讀者深入了解經皮內視鏡胃造口術之護理。

並列摘要


The dramatic increase in the elderly population in Taiwan has made dysphagia an increasingly prevalent problem in long-term care. While tube feeding is mandatory for patients unable to take food orally, this approach increases recurrent aspiration pneumonia and malnutrition risks. Percutaneous endoscopic gastrostomy (PEG) is currently the most effective and prevalent approach to enteral nutrition. This article introduces the definition, indications, contraindications, complications, advantages and disadvantages of PEG and its clinical nursing care protocols. The author hopes that this narrative description of a nurse’s experience providing appropriate nursing care to a PEG patient will help enhance reader understanding of PEG care.

參考文獻


葉日貴、黃洽鑽(2003).無法自口進食的病患另一個選擇:經皮內視鏡骨造口術(percutaneous endoscopic gastrostmy, PEG).基層醫學,18(1),252-255。
劉茂森、浦秀瑾(2006).經皮內視鏡胃造口術在老年人腸道餵食的角色.台灣老年醫學雜誌,2(2),82-91。
葉莉莉(2008).經皮內視鏡胃造口-長期營養支持的較佳選擇.長期照護雜誌,12(1),116-125。
黃美溶、林捷忠、鄭淑玲(2004).實施經皮內視鏡胃造瘻術病童之照護.護理雜誌,51(3),76-80。
Anis, M. K., Abid, S., Jafri, W., Abbas, Z., Shah, H. A., Hamid, S., & Wasaya, R. (2006). Acceptability and outcomes of the percutaneous endoscopic gastrostomy (PEG) tube placement-patients' and care givers' perspectives. BMC Gastroenterology, 24(6), 37-42. doi:10.1186/1471-230X-6-37

被引用紀錄


楊鎮宇、楊曉菁、陳姮卉(2021)。運用醫病共享決策照護一位反覆吸入性肺炎病人之護理經驗高雄護理雜誌38(1),62-71。https://doi.org/10.6692/KJN.202104_38(1).0006
陳秋曲、蘇瑋琳、李愛誠、林欣怡(2015)。降低復健病房鼻胃管滑脫率之改善專案護理雜誌62(3),5-12。https://doi.org/10.6224/JN.62.3S.5

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