經皮內視鏡胃造瘻之臨床護理

Nursing Care fot the Patient with Percutaneous Endoscopic Gastrostomy

經皮內視鏡胃造廔在西方國家使用超過二十年，它是當病人不能由口進食時，提供長期管灌的另一種選擇。不過，由於文化及對該技術認知的影響，國內的使用率仍有待加強。為加強護理人員對該技術的認知，提升長期管灌的病人的生活品質，本文從經皮內視鏡胃造?適應症、決策過程、與臨床照護、和合併症，做整體性介紹，以提供臨床護理人員照護之參考。

Percutaneous endoscopic gastrostomy(PEG) has been widely used in western countries in the past two decades. PEG tube feeding is an alternative to provide long-term enteral nutrition when oral intake is infeasible. Due to the influences of culture and recognition about this technique, its utility in Taiwan, however, is limited. To enhance nurses' knowledge toward PEG and increase the quality of life in patients with long-term tube-feeding, this article addresses the indications, the decision making process, the principles of clinical management, and the complications regarding clinical applications of PEG.