— 基本照護與舒適 · MEDIUM · MCQ —
一位病人術後抱怨腹部疼痛分數為 7/10。護理師應優先採取哪項非藥物性舒適措施？
A client complains of pain rated 7/10 after abdominal surgery. Which non-pharmacological comfort measure should the nurse implement first?
- ADim the lights to promote relaxation調暗燈光以促進放鬆
- BReposition the client using pillows for support✓ 正解使用枕頭支撐重新擺放病人姿勢
- CPerform a back massage進行背部按摩
- DEncourage deep breathing exercises鼓勵進行深呼吸運動
— Explanation · 中文詳解 —
針對腹部術後病人，傷口張力是疼痛的主因。調整姿勢並利用枕頭支撐腹部，能有效減輕切口壓力（Splinting），這是物理上最直接的緩解方式。按摩背部對腹部術後病人可能不便，呼吸練習與光線調節為輔助性質。
For postoperative abdominal clients, incisional tension is the main source of pain. Repositioning the client and using pillows to support the abdomen effectively reduces incisional pressure (splinting); this is the most direct physical means of pain relief. Back massage may be impractical for abdominal surgery clients, while breathing exercises and dimmed lighting are adjunctive measures.
✦ 台美臨床差異
美國護理重視非藥物止痛介入流程（CAM），台灣臨床護理師常需優先執行醫囑給藥，非藥物介入執行率較低。