— 基本照護與舒適 · EASY · MCQ —
護理師照顧一位行動不便的老年人。哪項措施對維持關節活動度最有效？
A nurse is caring for an older adult with impaired mobility. Which intervention is best to maintain joint range of motion?
- AEncouraging the client to avoid all movement鼓勵病人避免所有活動
- BPerforming passive range-of-motion exercises daily✓ 正解每日執行被動關節活動範圍運動
- CApplying tight restraints to stabilize limbs使用緊束帶固定肢體以維持穩定
- DMaintaining the client in a side-lying position constantly使病人持續保持側臥姿勢
— Explanation · 中文詳解 —
對於行動不便的老年人，維持關節活動度（Range of Motion, ROM）是預防攣縮（Contracture）及維持日常生活功能的核心護理目標。被動關節運動（Passive ROM）由護理師協助病人活動關節，能有效防止關節囊纖維化與肌肉廢用性萎縮。臨床上，應遵循「安全第一」原則，在病人可耐受範圍內進行，並結合主動運動（Active ROM）以達最佳效益。
For older adults with limited mobility, maintaining range of motion (ROM) is essential to prevent contractures and preserve functional ability. Passive ROM, performed by the nurse, prevents joint capsule fibrosis and disuse muscle atrophy. Care should follow the safety-first principle, performed within the client's tolerance, and combined with active ROM whenever possible for optimal results.