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題名:失智患者進食困難探討
書刊名:護理雜誌
作者:王守訥張佳琪李碧霞 引用關係
作者(外文):Wang, Shou-naChang, Chia-chiLee, Pi-hsia
出版日期:2016
卷期:63:4
頁次:頁128-134
主題關鍵詞:失智症進食困難老人DementiaEating difficultyThe elderly
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(2) 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:2
  • 共同引用共同引用:8
  • 點閱點閱:48
失智症人數隨著人口老化亦逐年增加,而隨著失智症疾病進展,有一半以上的患者會面臨進食困難的問題,這也是造成家屬困擾的問題之一。病因大多是錯綜複雜,一旦病患有進食困難問題,緊接而來的是體重下降、營養不良、吸入性肺炎住院增加,甚至死亡。本文藉由失智症進食困難文獻回顧,將進食過程分為四個階段,如:辨識食物、拿取食物放入口中、咀嚼、吞嚥的過程,分別探討患者在各階段出現進食困難可能的因素及可能出現行為徵象,進而介紹改善進食困難問題的方法,提供給有進食困難問題的失智症患者或照顧者多項選擇方法。希望除了提升醫療人員及照顧者對失智症進食困難原因及呈現徵象更加了解外,更期待醫療團隊應該更謹慎評估病患整體狀況,提供最適切介入措施,讓病患獲得最舒適及最非侵入性的進食方式,改善病患進食品質,也使病患與家屬可獲得心靈安適。
The number of people living with dementia is growing as the average age of the population rises. Eating difficulties are a common problem for dementia patients and their caregivers. The etiology of these difficulties is often complicated. Weight loss, poor nutrition, aspiration pneumonia, and associated medical admissions or even mortality may occur as soon as an eating difficulty develops. This paper presents a literature review of the eating difficulties of dementia patients. The process of eating involves four stages: recognizing food, taking food into the mouth, chewing, and swallowing. We discuss the causes and clinical manifestations of eating difficulties at each of these stages and introduce an intervention for overcoming eating difficulties, aiming at providing choices of methods to improve eating behavior. The author hopes that this review will help medical personnel / caregivers enhance their understanding of the etiology and the clinical manifestation of eating difficulties in dementia patients, evaluate the overall condition of their patient(s), and provide an appropriate intervention in order to help these patients experience the most comfortable and non-invasive ways of eating or feeding, improve their quality of eating, and realize with their family improved spiritual well-being.
期刊論文
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3.吳樺姍、林麗嬋(20121000)。間時提取訓練於失智患者之應用。護理雜誌,59(5),79-83。new window  延伸查詢new window
4.施至遠、陳人豪(20081200)。老年人吞嚥障礙之評估與處置。長期照護雜誌,12(4),337-346。  延伸查詢new window
5.American Geriatrics Society Ethics Committee and Clinical Practice and Models of Care Committee(2014)。American geriatrics society feeding tubes in advanced dementia position statement。Journal of the American Geriatrics Society,62(8),1590-1593。  new window
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7.Chang, C. C.、Roberts, B. L.(2011)。Strategies for feeding patients with dementia。American Journal of Nursing,111(4),36-44。  new window
8.Clarke, L. H.、Korotchenko, A.(2011)。Aging and the body: A review。Canadian Journal on Aging/La Revue canadienne du vieillissement,30(3),495-510。  new window
9.Dunne, T. E.、Neargarder, S. A.、Cipolloni, P. B.、Cronin-Golomb, A.(2004)。Visual contrast enhances food and liquid intake in advanced Alzheimer's disease。Clinical Nutrition,23(4),533-538。  new window
10.Edahiro, A.、Hirano, H.、Yamada, R.、Chiba. Y.、Watanabe, Y.、Tonogi, M.、Yamanel, G.(2012)。Factors affecting independence in eating among elderly with Alzheimer's disease。Geriatrics & Gerontology International,12(3),481-490。  new window
11.Hanson, L. C.、Ersek, M.、Lin, F. C.、Carey, T. S.(2013)。Outcomes of feeding problems in advanced dementia in a nursing home population。Journal of the American Geriatrics Society,61(10),1692-1697。  new window
12.Hsiao, H. C.、Chao, H. C.、Wang, J. J.(2013)。Features of problematic eating behaviors among community-dwelling older adults with dementia: Family caregivers' experience。Geriatric Nursing,34(5),361-365。  new window
13.Lin, L. C.、Huang, Y. J.、Watson, R.、Wu, S. C.、Lee, Y. C.(2011)。Using a Montessori method to increase eating ability for institutionalised residents with dementia: A crossover design。Journal of Clinical Nursing,20(21/22),3092-3101。  new window
14.Liu, W.、Cheon, J.、Thomas, S. A.(2014)。Interventions on mealtime difficulties in older adults with dementia: A systematic review。International Journal of Nursing Studies,51(1),14-27。  new window
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16.Shinagawa, S.、Honda, K.、Kashibayashi, T.、Shigenobu, K.、Nakayama, K.、Ikeda, M.(2016)。Classifying eatingrelated problems among institutionalized people with dementia。Psychiatry and Clinical Neurosciences,70(4),175-181。  new window
17.Simmons, S. F.、Keeler, E.、Zhuo, X.、Hickey, K. A.、Sato, H. W.、Schnelle, J. F.(2008)。Prevention of unintentional weight loss in nursing home residents: A controlled trial of feeding assistance。Journal of the American Geriatrics Society,56(8),1466-1473。  new window
18.Smith, H. A.、Kindell, J.、Baldwin, R. C.、Waterman, D.、Makin, A. J.(2009)。Swallowing problems and dementia in acute hospital settings: Practical guidance for the management of dysphagia。Clinical Medicine,9(6),544-548。  new window
19.Suominen, M. H.、Kivisto, S. M.、Pitkala, K. H.(2007)。The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards。European Journal of Clinical Nutrition,61(10),1226-1232。  new window
20.van Bruchem-Visser, R. L.、Oudshoorn, C.、Raso, F. U. M.(2014)。Letter to the editor/case report: Why should we not tube-feed patients with severe Alzheimer dementia?。Best Practice & Research Clinical Gastroenterology,28(2),255-256。  new window
21.陳妙言、林麗嬋(20100200)。吞嚥障礙之概念分析。護理雜誌,57(1),100-105。new window  延伸查詢new window
22.Chang, C. C.(2012)。Prevalence and factors associated with feeding difficulty in institutionalized elderly with dementia in Taiwan。The Journal of Nutrition, Health & Aging,16(3),258-261。  new window
23.Chang, C. C.、Roberts, B. L.(2008)。Cultural perspectives in feeding difficulty in Taiwanese elderly with dementia。Journal of Nursing Scholarship,40(3),235-240。  new window
24.Lin, L. C.、Huang, Y. J.、Su, S. G.、Watson, R.、Tsai, B. W. J.、Wu, S. C.(2010)。Using spaced retrieval and Montessoribased activities in improving eating ability for residents with dementia。International Journal of Geriatric Psychiatry,25(10),953-959。  new window
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圖書
1.Grealy, J.、McMullen, H.、楊詠仁、蔡佳芬、高靜玲、湯麗玉、柯宏勳、張文芸(2009)。實用圖解失智症照護指引。台北市:合記圖書。  延伸查詢new window
其他
1.台灣失智症協會(2016)。失智人口多少?,http://www.tada2002.org.tw/tada_know_02.html#01。  延伸查詢new window
2.American Health Care Association(2009)。OSCAR data report: Nursing facility patient characteristics report,http://www.ahcancal.org/research_data/oscar_data/Pages/LTC%20Stats.aspx。  new window
 
 
 
 
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