:::

詳目顯示

回上一頁
題名:腦中風病人吞嚥訓練改善方案
書刊名:榮總護理
作者:柯麗芬周美香陳秀英林妙璦
作者(外文):Ko, Li-fenChou, Mei-hsiangChen, Hsiu-yingLin, Miaw-i
出版日期:2010
卷期:27:1
頁次:頁36-42
主題關鍵詞:腦中風吞嚥訓練Cerbrovascular accidentSwallowing dysfunction
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:1
本專案旨在提升病房護理人員對腦中風留置鼻胃管的病人做吞嚥訓練的執行率,減少吞嚥障礙發生嗆食的不良影響。本單位回溯60本病歷資料,護理人員對腦中風鼻胃管留置病人做吞嚥訓練執行率僅40%,分析執行率低的主因為:65%的護理人員對吞嚥訓練缺乏知識與技巧、醫護間對吞嚥訓練沒有共識、家屬擔心病人嗆食而中斷。針對上述擬定對策:實施護理人員在職教育訓練、製作吞嚥訓練執行步驟、與醫師共同討論並製作吞嚥訓練篩選表及稽核。對策實施後護理人員吞嚥訓練執行率提升到90%,更增加護理專業附帶效益,移除病人鼻胃管。
In order to improve the execution rate of swallow training, we carried out a site training program for nurses, established swallow training guidelines, and discussed with doctors to create swallow training "swift and check" forms. After the abovementioned interventions were performed, the swallow training performing rate increased to 90% and hence, allowing patients' NG tube to be removed earlier. Swallow training can reduce incidents of chocking. In our unit, we reviewed 60 patients' medical histories and found that only 40% of nurses had performed swallow training on CVA patients with a nasogastric tube. After this research, we indicated the factors causing low performing rate were: Insufficient knowledge or professional skills of nurses in swallow training (65%) and inadequate consensus between doctors and nurses. Moreover, manyfamilymemberswereconcernedaboutpatientsbeingchockduringtraining, therefore, the training was stopped. The main purpose of this project is to improve the execution rate of swallow training by nurses for cerebralvascular accident (CVA) patients with a nasogastric tube (NG tube).
期刊論文
1.Finestone, H. M.、Greene-Finestone, L. S.(2003)。Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients。Canadian Medical Association Journal,169(10),1041-1044。  new window
2.周惠玲、陳惠娟、江玲玲、吳惠東(20050000)。長期使用呼吸器病患吞嚥機能不全之訓練。臺灣呼吸治療期刊,4(1),79-89。  延伸查詢new window
3.Werner, H.(2005)。The benefits of the dysphagia clinical nurse specialist role。Neuroscience Nursing,37(4),212-215。  new window
4.楊孝友、陳晶瑩、盛華、陳慶餘(20051200)。吞嚥障礙的評估與處理。基層醫學,20(12),316-321。  延伸查詢new window
5.杜國賢、孫淑芬、許耕豪、王志龍(20060300)。右腦中風半側忽略和吞嚥功能的關聯性。臺灣復健醫學雜誌,34(1),55-59。  延伸查詢new window
6.黃乃炯、魏大森、劉森永(20060300)。中風患者鼻胃管的使用對憂鬱傾向及功能預後的影響。臺灣復健醫學雜誌,34(1),19-26。  延伸查詢new window
7.鄧伊茜(2005)。怎麼照護中風患者。台大醫網,25,14-15。  延伸查詢new window
8.薛漪平(2005)。腦中風與復健治療。台大醫網,25,12-13。  延伸查詢new window
9.簡世霖、厲家珍、梁忠詔(20060800)。安寧療護中的語言治療。慈濟醫學,18(4)(增刊),11-15。  延伸查詢new window
10.Holman, C.、Roberts, S.、Nicol, M.(2006)。Promoting adequate nutrition: Using artificial feeding。Nursing Older People,17(10),31-32。  new window
11.Lin, L.、Wang, S.、Chen, S.、Wang, T.、Chen, M.、Wu, S.(2003)。Efficacy of swallowing training for residents following stroke。Journal of Advanced Nursing,44(5),469-478。  new window
12.Perry , L.(2001)。Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses。Journal of Clinical Nursing,10,463-473。  new window
其他
1.行政院衛生署(20051230)。台灣地區主要死亡原因,http://www.doh.gov.tw/statistic/data/死因摘要/94年/表1.xls。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top