— 基本照護與舒適 · MEDIUM · MCQ —
下列哪項護理措施有助於預防臥床病人的「垂足」？
Which action by the nurse helps to prevent 'foot drop' in a bedridden client?
- AMassaging the calf muscles hourly每小時按摩小腿肌肉
- BPositioning the feet in plantar flexion將腳 positioning 於蹠屈位
- CKeeping the bed linens tight across the feet使覆蓋足部的床單保持緊繃
- DUsing a footboard or high-top sneakers✓ 正解使用足托板或高筒運動鞋
— Explanation · 中文詳解 —
垂足（Foot drop）源於長時間足部蹠屈造成肌肉攣縮與神經受壓。預防關鍵在於維持足部背屈（Dorsiflexion），可使用足托板（Footboard）或高筒球鞋固定。棉被過緊會壓迫腳尖導致蹠屈，應鬆開。按摩小腿無法預防結構性攣縮。
Foot drop results from prolonged plantar flexion of the foot, which causes muscle contracture and nerve compression. The key to prevention is maintaining dorsiflexion of the foot, which can be achieved with a footboard or high-top sneakers. Tight bed linens press on the toes and force plantar flexion and should be loosened. Massaging the calves cannot prevent structural contracture.
✦ 台美臨床差異
美國臨床多由物理治療師評估需求，台灣護理師常需自行運用枕頭或輔具進行擺位。