— 生理適應 · EASY · SATA —
髖關節置換手術後的病人，下列哪些護理措施可預防脫位？（選所有適合的）
Which of the following interventions are appropriate for a client recovering from a total hip arthroplasty to prevent dislocation? (Select all that apply.)
- APlace an abduction pillow between the legs when in bed✓ 正解在床上時於雙腿之間放置外展枕
- BUse a raised toilet seat✓ 正解使用加高的馬桶座圈
- CAvoid bending the hip more than 90 degrees✓ 正解避免髖關節彎曲超過90度
- DKeep the legs crossed while sitting坐著時雙腿交叉
- EAvoid sleeping on the operative side initially✓ 正解初期避免睡在手術側
— Explanation · 中文詳解 —
全髖關節置換術（total hip arthroplasty）後，預防脫位（dislocation）是護理重點。人工髖關節在術後初期極易脫位，必須嚴格限制特定的活動範圍，包括避免髖關節屈曲超過 90 度、避免內收（adduction）以及避免內旋（internal rotation）。所有護理措施皆圍繞著維持關節穩定度與避免過度伸展的角度展開。
After total hip arthroplasty, preventing dislocation is the central nursing concern. The prosthesis is highly susceptible to dislocation early after surgery, requiring strict avoidance of certain motions: hip flexion greater than 90 degrees, adduction, and internal rotation. All nursing interventions are directed toward maintaining joint stability and avoiding extreme angles.