護理師照護一名全髖關節置換術後的病人。哪項措施對預防深部靜脈栓塞 (DVT) 最有效？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is most effective in preventing deep vein thrombosis (DVT)?
- AEncouraging strict bed rest for 48 hours鼓勵嚴格臥床休息 48 小時
- BMassaging the lower extremities frequently頻繁按摩下肢
- CAdministering oral aspirin twice daily每日兩次給予口服阿斯匹靈
- DApplying sequential compression devices (SCDs)✓ 正解使用間歇性氣壓加壓裝置 (SCDs)
全髖關節術後病人屬 DVT 高危險群。SCDs 可持續促進下肢靜脈回流，是預防 DVT 的物理性首選。嚴格臥床反而會增加靜脈淤滯風險；按摩患肢可能導致血栓脫落引發肺栓塞；阿斯匹靈通常作為輔助，非單一最有效措施。
Patients undergoing total hip arthroplasty are at high risk for DVT. Sequential compression devices (SCDs) continuously promote lower-extremity venous return and are the mechanical intervention of first choice for DVT prevention. Strict bed rest actually increases the risk of venous stasis, massaging the affected limb may dislodge a thrombus and precipitate pulmonary embolism, and aspirin is generally used as an adjunct rather than a single most-effective measure.
美國醫院廣泛落實 SCDs 應用；台灣臨床對下肢手術病人亦採用，但執行頻率與監測記錄依病房常規而異。