— 基本照護與舒適 · EASY · MCQ —
護理師照護一位鼻胃管病人。為了預防吸入性肺炎，病人應採取何種姿勢？
A nurse is caring for a client with a nasogastric tube. Which position is most appropriate for the client to prevent aspiration?
- AProne position俯臥姿勢
- BSupine position仰臥姿勢
- CSemi-Fowler's position✓ 正解半坐臥姿勢（Semi-Fowler's position）
- DTrendelenburg position特倫德倫堡姿勢（Trendelenburg position）
— Explanation · 中文詳解 —
鼻胃管灌食或留置時，為了防止胃內容物反流進入呼吸道，病人需採取半坐臥姿（Semi-Fowler's position，通常為 30-45 度）。仰臥或俯臥會增加壓力，Trendelenburg 姿勢則會使胃酸更容易逆流至食道與喉頭。
When a nasogastric tube is in place or being used for feeding, the client should be placed in a semi-Fowler's position (typically 30-45 degrees) to prevent reflux of gastric contents into the airway. Supine or prone positioning increases pressure, and the Trendelenburg position makes gastric acid more likely to reflux into the esophagus and pharynx.
✦ 台美臨床差異
美台皆將床頭抬高 30 度視為標準護理常規，台灣臨床常見病患或家屬常自行調低床位，護理師需持續巡視。