Multidisciplinary rehabilitation nursing of a patient with amyotrophic lateral sclerosis undergoing percutaneous endoscopic gastrostomy using balloon dilation

This article summarizes the multidisciplinary rehabilitation nursing experience of a patient with amyotrophic lateral sclerosis (ALS) after percutaneous endoscopic gastrostomy (PEG). Based on the International Classification of Functioning, Disability and Health framework, a multidisciplinary team led by neurology was formed to implement comprehensive interventions such as stepwise respiratory training, balloon dilation therapy, nutritional support, and swallowing function rehabilitation on the basis of routine nursing. The multidisciplinary rehabilitation model can effectively improve swallowing function and nutritional indicators in ALS patients after PEG surgery, reduce the risk of complications, and improve quality of life. (本文总结1例经皮内镜下胃造瘘术(PEG)术后肌萎缩侧索硬化症(ALS)患者的多学科联合康复护理经验。基于《国际功能, 残疾和健康分类》(ICF)框架, 组建了以神经内科为主导的多学科团队, 在常规护理的基础上, 实施了包括阶梯式呼吸训练、球囊扩张治疗、营养支持及吞咽功能康复等综合干预措施, 有效减轻患者吞咽功能障碍程度, 营养状况明显改善, 并发症风险降低, 生存质量提升。)