護理師照護一位全髖關節置換術後病人,為防止髖關節脫位,護理師應優先採取哪項措施?
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which action should the nurse prioritize to prevent dislocation of the new hip joint?
- AAssist the client to bend at the waist to put on shoes協助病人彎腰穿鞋
- BUse an abduction pillow when the client is in bed✓ 正解病人在床上時使用外展枕
- CEncourage the client to cross legs while sitting鼓勵病人坐著時翹二郎腿
- DKeep the hip flexed at 110 degrees保持髖關節屈曲110度
全髖關節置換術(Total Hip Arthroplasty, THA)後的護理重點在於預防人工關節脫位。術後早期的核心禁忌包含:髖關節屈曲超過90度、內收(Adduction)以及內旋(Internal rotation)。護理師應優先確保病人在休息時維持適當的外展(Abduction)姿勢,防止患側腿部越過身體中線,這是術後安全護理的首要步驟。
After total hip arthroplasty (THA), the priority is preventing prosthetic dislocation. The major early precautions are to avoid hip flexion beyond 90 degrees, adduction (crossing midline), and internal rotation. The nurse should ensure the client rests with the operative leg in abduction (e.g., abduction pillow), preventing the leg from crossing the midline. This is the first step in safe postoperative care.
美國醫院在 THA 術後常配備專業的「術後輔具包(Hip kit)」,包含長柄鞋拔、長柄抓取器,以避免病人彎腰。台灣部分醫院亦有提供,但美國病房護理師通常會主動評估病人使用輔具的能力,確保居家安全。