— 基本照護與舒適 · MEDIUM · MCQ —
護理師採取哪項行動可協助預防長期臥床病人的垂足(Foot drop)?
Which action by the nurse helps prevent foot drop in a bedridden client?
- AEncouraging the client to wear heavy shoes in bed鼓勵病患在牀上穿厚重的鞋子
- BPlacing a heavy blanket over the feet在雙腳上放置厚重的棉被
- CUsing a footboard to keep the feet in dorsiflexion✓ 正解使用腳踏板以保持足背屈
- DKeeping the bed in a high position constantly持續將床墊保持在高位
— Explanation · 中文詳解 —
垂足是因為足部長期處於蹠屈(Plantar flexion)狀態導致跟腱縮短。使用腳踏板(Footboard)將足部固定於背屈(Dorsiflexion)位置,可防止韌帶攣縮。重物(B)反而會加重垂足壓力。
Foot drop occurs when the foot is held in prolonged plantar flexion, resulting in shortening of the Achilles tendon. Using a footboard to maintain the foot in dorsiflexion prevents ligament contracture. A heavy blanket (B) actually increases pressure that contributes to foot drop.
✦ 台美臨床差異
美台臨床皆視垂足為長期臥床的關鍵護理目標,台灣常搭配護具(如後跟保護器)。