一位腹部手術後的病人表示疼痛嚴重，護理師採取下列何項措施最能促進舒適？
A client is recovering from an abdominal surgery and reports severe pain. What is the most appropriate action by the nurse to promote comfort?
- ARestrict physical activity until the sutures are removed在縫線拆除前限制身體活動
- BSplint the incision with a pillow during deep breathing and coughing✓ 正解深呼吸和咳嗽時用枕頭支撐切口
- CAdminister pain medication strictly every four hours嚴格每四小時給予止痛藥物
- DEncourage the client to remain in a supine position鼓勵病人保持仰臥姿勢
術後疼痛管理的核心在於減輕腹部張力，利用枕頭或毛巾支撐傷口，可減少咳嗽或移動時對腹壁肌肉產生的牽扯感，進而減輕疼痛並促進傷口癒合。固定時間用藥並非最佳策略，應根據病人疼痛評估結果給藥；平躺會導致肺擴張不佳且不一定減緩腹部張力；早期下床活動有利於胃腸蠕動恢復及深部靜脈血栓預防。
The core of postoperative pain management lies in reducing abdominal tension. Using a pillow or towel to splint the wound reduces tension on the abdominal muscles during coughing or movement, thereby relieving pain and promoting wound healing. Fixed-schedule dosing is not the best strategy; medications should be given based on the patient's pain assessment. Lying flat impairs lung expansion and does not necessarily relieve abdominal tension; early ambulation promotes recovery of gastrointestinal motility and prevents deep vein thrombosis.
美台臨床對於術後早期下床的觀念一致，但美國護理師執行止痛藥給藥彈性較高，台灣多需醫師開立 PRN 醫囑。