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Rehabilitation Practice and Science

Translated Title

胃造廔管於台灣中風後合併吞嚥障礙病人之使用狀況：部分醫療人員觀點調查

Abstract

Background and aims: People with dysphagia may require long-term tube feeding to maintain adequate nutrition. In Taiwan, nasogastric (NG) tubes are more commonly used than gastrostomy tubes. This practice is inconsistent with international treatment guidelines. Medical professionals' attitudes toward treatment may influence patients' decisions. Therefore, we designed a questionnaire to assess whether medical professionals' conceptions of gastrostomy are consistent with current international treatment principles. Methods: We used an online questionnaire hosted on ＂Google Forms＂ to collect medical professionals' conceptions of gastrostomy. Societies related to dysphagia distributed copies of the questionnaire to their members. The professionals included specialists (physiatrists, otolaryngologists, oral surgeons, nonoral surgery dentists, neurologists, oncologists, pediatricians, gastroenterologists, gastrointestinal surgeons, other physicians, and other surgeons), dietitians, speech therapists, and nurses. The questionnaire responses were compared with current treatment guidelines to identify where major differences existed. Results: Between May and July 2018, we collected a total of 500 questionnaire responses. Among the respondents, 81.8% had recommended gastrostomy to patients. The most commonly reported primary reason for recommending gastrostomy was that the NG tube may never be removed (80.9% of the professionals reported this as a primary reason). Of the surveyed professionals, 26.8%, 25.3%, 20.1%, 16.7%, 2.3%, and 1.0% believed that the most suitable time at which patients with stroke should receive gastrostomy was 3 months, 6 months, 1 year, 1 month, 2 weeks, and 1 week after stroke onset, respectively. Conclusions: The results of this study revealed that the surveyed professionals exhibited appropriate conceptions regarding gastrostomy tube placement but significantly different attitudes with respect to the timing of gastrostomy tube placement in patients with dysphagia after stroke.

Language

Traditional Chinese

First Page

87

Last Page

98

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