頭頸癌病人安全吞嚥照護流程之建立

The Establishment of Swallowing Safety Process in Head and Neck Cancer Patients

10.6142/VGHN.28.4.372

謝沛珊(Pei-Shan Hsieh)；李雅惠(Ya-Huey Lee)；曾麗華(Li-Hua Tseng)；連靖婷(Ching-Ting Lien)；朱以岑(Yi-Tsen Chu)；邱秀渝(Katie Shiu-Yu C. Lee)

吞嚥功能 ； 吞嚥困難 ； 頭頸癌 ； swallowing function ； dysphagia ； head and neck cancer

榮總護理

28卷4期（2011 / 12 / 01）

372 - 377

繁體中文

吞嚥為一連續動作，包含合併嘴、咽、喉及食道的活動。頭頸部癌症病人因腫瘤侵犯口腔組織或治療方式之合併症，進而直接影響病人的進食行為及營養功能，甚至增加吸入性肺炎的危險性。顯現頭頸癌病人的吞嚥問題形成複雜且症狀多元。本文藉文獻查證了解吞嚥測試儀器、吞嚥評估與吞嚥困難症狀，建立了照護流程，以提供臨床護理人員在照顧有吞嚥障礙病人時，早期篩選吞嚥問題，進一步使病人在吞嚥過程中能執行安全吞嚥，減少吸入性肺炎或上呼吸道感染之合併症。

Swallowing is a continuous motion, which includes actions related to the lip, pharynx, throat and esophageal. A tumor invasion or treatment complications impact eating behaviors, nutrition status, and increase the risk of aspiration pneumonia for head and neck cancer patients. These show that swallowing problems are complex and multi-dimensional. The purpose of this article is to introduce the tools, assessments, symptoms, and to establish the procedure that nurses can provide early screen for problems of swallowing process and make sure that the patients swallow safely in order to reduce aspiration pneumonia or upper respiratory tract infection.

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