— 照護管理 · HARD · SATA —
護理師規劃全髖關節置換病人的出院指導，應包含哪些？（選所有適合的）
A nurse is planning discharge care for a client who had a total hip arthroplasty. Which discharge instructions should be included? (Select all that apply.)
- AAvoid flexing the hip more than 90 degrees✓ 正解避免髖關節彎曲超過 90 度
- BUse an elevated toilet seat✓ 正解使用加高馬桶座
- CCross legs when sitting坐著時交叉雙腿
- DKeep a pillow between legs when turning✓ 正解翻身時在雙腿之間放置枕頭
- EApply weight-bearing as tolerated only if instructed僅在指示下允許承受疼痛範圍內的負重
— Explanation · 中文詳解 —
全髖關節置換術（Total Hip Arthroplasty, THA）後的衛教重點在於預防關節脫位（Dislocation）。病人術後需嚴格遵守髖關節預防措施（Hip precautions），包括避免髖關節過度屈曲、內收與內轉。護理師需確認病人理解如何使用輔具，並在日常活動中維持適當的髖關節角度，以確保植入物穩定。
The focus of education following total hip arthroplasty (THA) is preventing dislocation. After surgery, clients must strictly observe hip precautions, including avoiding excessive hip flexion, adduction, and internal rotation. The nurse must verify that the client understands how to use assistive devices and maintains an appropriate hip angle during daily activities to ensure prosthesis stability.