— 基本照護與舒適 · EASY · MCQ —
為病人背部進行熱敷，下列護理措施何者適當？
Which nursing intervention is appropriate when applying a hot pack to a client's back?
- AApply the pack directly to the skin將熱敷包直接置於皮膚上
- BLeave the pack on for two hours for maximum effect將熱敷包留置兩小時以達最大效果
- CCheck the temperature of the pack before application✓ 正解使用前檢查熱敷包的溫度
- DApply the pack to an area with impaired sensation將熱敷包應用於感覺受損區域
— Explanation · 中文詳解 —
熱敷前務必確認溫度以防燙傷，尤其對循環不良或感覺障礙者。熱敷應間隔一層毛巾，不可直接接觸皮膚；熱敷時間過長（如兩小時）會導致反彈性血管擴張或皮膚損傷，通常建議 20-30 分鐘；感覺障礙區應避免熱敷，因為病人無法自覺燙傷。
The temperature of a hot pack must always be checked before application to prevent burns, especially in patients with poor circulation or impaired sensation. The pack should be separated from the skin by a layer of toweling and never applied directly. Application that is too prolonged (e.g., two hours) can cause rebound vasodilation or skin damage; the usual recommendation is 20-30 minutes. Heat should be avoided over areas of impaired sensation, since the patient may not perceive burning.
✦ 台美臨床差異
美台對熱敷的規範一致，皆強調「安全與評估」優於治療本身。