長期呼吸器依賴者對醫療照顧系統是一項沈重的負擔，不但醫療費用 增加，也會造成病人及家屬在精神及經濟上的壓力，如何幫助這些長期呼吸器依 賴者儘早脫離呼吸器，是臨床護理人員的一大挑戰。本文目的將描述長期呼吸器 依賴者無法脫離呼吸器所引發常見的問題，並提出呼吸器脫離計劃供臨床護理人 員在評估病人的準備度是否可以進行呼吸器脫離之參考。

　　　　　Weaning the long-term ventilator-dependent patient creates a major challenge to clinical staff. Patients experiencing difficulty in weaning place an enormous burden on the health care system. The purpose of this article is to consolidate the literature on this topic and identify common problems in this area. In addition, a bedside weaning protocol will be presented for use in assessing their readiness to wean.