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基本照護與舒適 · MEDIUM · MCQ

病人術後感到腹脹排氣困難。哪項護理措施有助於促進排氣?

A client is experiencing flatulence after surgery. Which nursing intervention can help promote the passage of gas?

  • AAssisting the client with ambulation✓ 正解
    協助病患下床活動
  • BOffering carbonated beverages
    提供碳酸飲料
  • CDrinking through a straw
    使用吸管飲水
  • DApplying an abdominal binder tightly
    緊密綁紮腹部束帶
Explanation · 中文詳解

術後病人常因麻醉藥物、手術創傷和腸道蠕動減緩而出現腸脹氣(flatulence)和排氣困難。這不僅引起腹部不適和疼痛,還可能影響恢復進程。促進腸道蠕動是解決術後脹氣的關鍵,而活動是其中最有效且非侵入性的方法之一。透過下床活動(ambulation),身體姿勢的改變和重力作用能刺激腸道肌肉收縮,加速腸內容物和氣體的移動,從而緩解脹氣症狀。護理師應鼓勵並協助病人在術後早期逐步下床活動,以促進腸功能恢復。

Postoperative clients often experience flatulence and difficulty passing gas due to anesthetic agents, surgical trauma, and slowed bowel motility. This causes abdominal discomfort and pain and can delay recovery. Promoting peristalsis is the key to resolving postoperative gas, and ambulation is one of the most effective and non-invasive methods. Through ambulation, positional changes and gravity stimulate intestinal smooth muscle contraction, accelerating the movement of bowel contents and gas, thus relieving distention. The nurse should encourage and assist the client to ambulate progressively in the early postoperative period to promote return of bowel function.

✦ 台美臨床差異

美國術後強調「Early ambulation」;台灣家屬常擔心傷口疼痛而讓病人過度臥床休息。

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