1例长期留置鼻肠管伴吞咽障碍的老年患者逐渐实现经口进食的护理

One Case of Elderly Patient Who Has Long-Term Restrictions of Nasal and Intestinal Tube Accompanied by Swallowing Disorders Gradually Realizes the Care of Eating through the Mouth

摘要: 总结1例长期留置鼻肠管伴吞咽障碍的老年患者逐渐实现经口进食的护理经验。护理要点包括：组建吞咽障碍小组，多学科团队参与，联合–阶段性的吞咽管理，提升照护者的照护能力，出院后的延续性护理。经过一个月的全程、精细化的治疗和护理，患者可以少量经口进食，满足了患者在生理和心理上的需求，在此期间无误吸等并发症的发生。伴随着照护者的照护能力的提升，患者安心出院。随访3个月，患者的病情、营养状况良好，患者和家属均对此表示感激。

Abstract: Summarize one case of the elderly patient who has long-term kernel tubes with swallowing disorders gradually realizes the care experience of eating through the mouth. The main points of nursing include: forming a swallowing disorder group, participation in multi-disciplinary teams, combined-phased swallow management, improving the caregiver’s care ability, and continuing care after discharge. After a month of full process, refined treatment and care, patients can eat a small amount of mouth, which meets the patient’s physiological and psychological needs, during this period, no complications such as aspiration occurred. With the improvement of the caregiver’s care ability, patients were discharged at ease. After three months of follow-up, the patient’s condition and nutrition were in good condition, and both patients and family members expressed gratitude.