— 安全與感染控制 · MEDIUM · MCQ —
護理師準備餵食一位有吞嚥困難的病人，最安全的姿勢為何？
A nurse is preparing to feed a client with dysphagia. What is the safest position?
- AHigh Fowler's (upright)✓ 正解高福勒氏體位（直立）
- BSupine仰臥
- CSemi-Fowler's (30 degrees)半福勒氏體位（30 度）
- DSide-lying側臥
— Explanation · 中文詳解 —
吞嚥困難（Dysphagia）病人的主要安全隱憂是吸入性肺炎（Aspiration pneumonia）。採取直立姿勢（High Fowler's position）利用地心引力幫助食團順利進入食道，並降低胃內容物逆流至咽喉的風險。此外，進食時應鼓勵病人下巴微收（Chin-tuck），以閉合氣道，確保安全吞嚥。
The primary safety concern for patients with dysphagia is aspiration pneumonia. An upright position (high-Fowler's position) uses gravity to help the bolus pass smoothly into the esophagus and reduces the risk of gastric reflux into the pharynx. In addition, patients should be encouraged to perform a chin-tuck while eating to close the airway and ensure safe swallowing.