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[吞咽困难的概念分析]

[Concept analysis of dysphagia].

作者信息

Chen Miao-Yen, Lin Li-Chan

机构信息

Institute of Clinical and Community Health Nursing, National Yang Ming University, ROC.

出版信息

Hu Li Za Zhi. 2010 Feb;57(1):100-5.

Abstract

Swallowing is a complex process. Dysphasia may interrupt normal life activities such as having meals with family and friends and enjoying food. Consequently, patients with dysphasia are less likely to attend social activities, which may lead to social isolation and frustration. A review of the literature in Taiwan revealed a lack of recent systematic analysis on dysphasia. The purpose of this article was to discuss dysphasia within the concept analysis framework provided by Walker and Avant (2004). This article verified and confirmed the conceptual characteristics of dysphasia; identified antecedents and consequences; and elaborated on previous cases (including model, borderline, contradictory, and related cases). Empirical referents of dysphasia were also explored. It is hoped that this paper may provide a better understanding of the concept of dysphasia, which nurses may apply to clinical practice.

摘要

吞咽是一个复杂的过程。吞咽困难可能会干扰正常的生活活动,比如与家人和朋友一起用餐以及享受美食。因此,吞咽困难患者参加社交活动的可能性较小,这可能会导致社会隔离和沮丧情绪。对台湾地区文献的回顾显示,近期缺乏对吞咽困难的系统分析。本文的目的是在沃克和阿凡特(2004年)提供的概念分析框架内探讨吞咽困难。本文验证并确认了吞咽困难的概念特征;确定了其前因和后果;并阐述了先前的案例(包括典型案例、临界案例、矛盾案例和相关案例)。还探讨了吞咽困难的实证指标。希望本文能增进对吞咽困难概念的理解,以便护士将其应用于临床实践。

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