護理師照護全髖關節置換術後病人,應採取哪些措施以預防併發症?(選所有適合的)
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which actions should the nurse include in the care plan to prevent complications? (Select all that apply.)
- APlace an abduction pillow between the legs when in bed✓ 正解卧床時在雙腿間放置外展枕
- BEncourage the client to cross their legs while sitting鼓勵病人坐著時交叉雙腿
- CMaintain hip flexion less than 90 degrees✓ 正解保持髖關節屈曲小於 90 度
- DApply sequential compression devices to both legs✓ 正解對雙腿使用順序加壓裝置
- EAssist the client to turn toward the operative side協助病人轉向患側
全髖關節置換術後的核心目標是預防脫臼與血栓。應使用外展枕固定雙腿防止內收,維持髖關節屈曲不超過 90 度以防假體脫位。使用序列式氣壓加壓器可有效預防深層靜脈栓塞。交叉雙腿或翻向患側都會增加關節脫位風險,應嚴格禁止。
The core goals after total hip arthroplasty are to prevent dislocation and thromboembolism. An abduction pillow should be used to keep the legs apart and prevent adduction, and hip flexion should be maintained at less than 90 degrees to prevent prosthetic dislocation. Sequential compression devices are effective for preventing deep vein thrombosis. Crossing the legs or turning toward the operative side increases the risk of joint dislocation and must be strictly avoided.
美國常見由物理治療師主導復健運動指導;台灣則由病房護理師與醫師共同衛教。