裝置氣切發聲閥病患之護理

Nursing Care of Patients Fitted with a Tracheostomy Speaking Valve

隨著呼吸器依賴人數的增加，使得氣管造口術亦漸趨普遍，然而無法口語溝通及由口進食，一直是病患的主要困擾，也使得必須接受此項手術的患者望之卻步因而耽誤病情的進展。PMV氣切發聲閥的問世成功克服上述問題，目前臨床應用漸趨廣泛，本文茲將臨床經驗與相關文獻彙整，藉由瞭解氣切發聲閥之原理構造、適應症、優劣以及相關護理原則提供同儕參考，以期能促進對PMV氣切發聲閥的認識，確保病患安全及提升醫療品質。

As the number of patients who are ventilator dependent increase, the tracheostomy has become an increasingly popular procedure. Inability to either communicate verbally or take food and liquids orally constitute the main distress symptom of patients, which can delay progress in treating the conditions of patients undergoing tracheostomies. Passy-Muir speaking valves (PMV) succeed in overcoming the abovementioned problems and clinical practice is gradually broadening. This article introduces the relevant underlying principles, indications, advantages, disadvantages and nursing principles of PMV. We hope this article can provide new information related to the PMV speaking valve and, as a result, help improve patient's security and medical quality.