一位急性胰臟炎病人主訴上腹部劇烈疼痛。護理師應建議採取哪種姿勢以緩解疼痛？
A client with acute pancreatitis reports severe epigastric pain. Which position should the nurse encourage to help alleviate the pain?
- AProne position俯臥位
- BSide-lying position with knees flexed✓ 正解側臥位並屈曲膝蓋
- CSupine position with legs extended仰臥位並伸直雙腿
- DHigh-Fowler's position with legs flat高福勒氏臥位（High-Fowler's position）並伸直雙腿
急性胰臟炎病人因胰臟發炎腫脹，會造成腹腔內壓力增加，導致劇烈腹痛。側臥屈膝位（Side-lying with knees flexed，亦稱胎兒姿勢）能有效減輕腹部肌群張力，並減少對後腹腔結構的壓迫，從而緩解胰臟炎引起的疼痛。這種姿勢是非藥物減輕疼痛的有效方式。其他姿勢如仰臥位，會拉扯腹部肌群，加重疼痛感，因此應鼓勵病人採側臥姿。
In acute pancreatitis, inflammation and swelling of the pancreas increase intra-abdominal pressure, producing severe pain. The side-lying position with the knees flexed (fetal position) effectively reduces tension in the abdominal musculature and decreases pressure on retroperitoneal structures, thereby relieving pain caused by pancreatic inflammation. This is an effective non-pharmacologic strategy for pain relief. Other positions, such as supine, stretch the abdominal muscles and exacerbate pain, so the patient should be encouraged to assume the side-lying position.