護理師正在照護一位行全髖關節置換術後準備出院的病人,病人出現何種行為代表衛教已達成目標?
A nurse is caring for a client who is being discharged after a total hip arthroplasty. Which action by the client indicates that teaching has been effective?
- AThe client crosses their legs while sitting in a chair病人坐著時交叉雙腿
- BThe client leans forward more than 90 degrees to put on shoes病人彎腰超過 90 度穿鞋
- CThe client uses a raised toilet seat✓ 正解病人使用加高馬桶座圈
- DThe client sleeps on the operative side病人睡在手術側
全髖關節置換術後需預防脫位,重點在於維持髖關節屈曲角度小於 90 度且不內收內旋。使用加高馬桶座可避免髖關節過度屈曲,是術後安全守則之一。其他選項皆為禁止動作,如交叉雙腿(內收)、彎腰過度(屈曲)及壓迫患側皆會增加脫位風險。
After Total Hip Arthroplasty, dislocation prevention is essential, with emphasis on keeping hip flexion less than 90 degrees and avoiding adduction and internal rotation. Using a raised toilet seat avoids excessive hip flexion and is one of the standard post-operative safety practices. The other options all represent prohibited movements: crossing the legs (adduction), leaning forward beyond 90 degrees (flexion), and lying on the operative side all increase the risk of dislocation.
美國常使用各類輔具(如加高馬桶、助行器)出院配置;台灣則多需家屬自行購置,護理師需確認家中有無適當環境。