護理師為準備接受處置的病人調整姿勢。針對呼吸窘迫的病人,下列哪種擺位最合適?
A nurse is preparing a client for a procedure and needs to position them for comfort and safety. Which position is most appropriate for a client with respiratory distress?
- ASim’sSim氏側臥位
- BTrendelenburg特倫德倫堡氏位
- CHigh-Fowler’s✓ 正解高福勒氏位
- DSupine仰臥位
呼吸窘迫(respiratory distress)的處理首重改善氣體交換效率。High-Fowler’s 位(床頭抬高 60-90 度)透過重力作用,使橫膈膜下移,減輕腹部臟器對胸腔的壓迫,並擴張胸廓以增加肺活量(vital capacity),是臨床緩解呼吸困難的標準介入。此擺位能有效改善通氣,提升氧合狀態,是護理師在面對呼吸急促或困難時應優先採取的姿勢。
The management of respiratory distress focuses on improving gas exchange efficiency. The High-Fowler's position (head of bed elevated 60-90 degrees) uses gravity to allow the diaphragm to descend, relieving pressure of the abdominal organs on the thoracic cavity and expanding the chest to increase vital capacity; it is the standard clinical intervention for relieving dyspnea. This position effectively improves ventilation and oxygenation status, and should be the nurse's first-line positioning when faced with tachypnea or respiratory difficulty.