一位病人術後兩天表示腹部疼痛明顯。護理師應優先採取哪項非藥物措施以提升舒適度?
A client complains of significant pain 2 days after an abdominal surgery. Which non-pharmacological intervention should the nurse implement first to promote comfort?
- AProvide a back massage提供背部按摩
- BDim the lights and play soft music調暗燈光並播放柔和音樂
- CApply a warm compress to the abdomen在腹部敷熱敷包
- DReposition the client to a Fowler’s position✓ 正解將個案重定位為福勒氏體位(半坐臥姿)
術後腹部疼痛常因切口張力、腸蠕動恢復不全或姿勢不良引起。護理的首要原則是透過非藥物方式減輕物理性壓力。Fowler's position(半坐臥姿)能有效放鬆腹部肌肉,減少切口處的牽拉感,並有助於呼吸擴張。在臨床護理中,非藥物介入常與藥物治療合併使用,護理師應先嘗試調整姿勢等簡單措施,以評估是否能緩解不適,再決定是否需要給予止痛藥。
Postoperative abdominal pain often arises from incisional tension, incomplete recovery of bowel motility, or poor positioning. The first nursing principle is to reduce physical stress through non-pharmacological means. Fowler's position effectively relaxes the abdominal muscles, reduces tension on the incision, and facilitates respiratory expansion. In clinical nursing, non-pharmacological interventions are often combined with pharmacological treatment; the nurse should first attempt simple measures such as repositioning to assess whether discomfort is relieved before deciding whether analgesics are required.