目前全世界已有200萬人接受過永久性心律調節器治療，且每年仍在不斷增加中，心律調節器為一人工能量輸出系統，包括激博器、電極及連接二者間的導線三部分。本文主在介紹心律調節器各個組成在現今科技的發展情形，護理及居家照護教導上的改變及運用。期使護理人員對心律調節器有更完整的認識，並能對病患及家屬做正確的教導及護理，減輕病患的焦慮及縮短適應期。

Currently, approximately 2 million people worldwide have permanent pacemakers. The number of devices implanted is expected to increase each year. A pacemaker consists three pails: the generator. the electrode, and the lead. This purpose of this article is to describe the current technological development of each component and to discuss the required patient teaching and home care, Such information will help nurses understand new developments in pacemakers, improve patient and family education and nursing care, reduce patient and family anxiety, and shorten their adaptation period after pacemaker implantation.