— 降低風險 · EASY · MCQ —
護理師照護一位剛接受全髖關節置換術的病人，下列何種擺位最為合適？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which position is the most appropriate for the nurse to maintain?
- AAdduction of the affected hip患側髖關節內收
- BInternal rotation of the affected leg患側下肢內旋
- CFlexion of the hip to 100 degrees髖關節屈曲至 100 度
- DAbduction of the affected hip with an abductor pillow✓ 正解患側髖關節外展並使用外展枕
— Explanation · 中文詳解 —
全髖關節置換術後預防脫位是護理重點。術後應使用外展枕保持雙腿外展，避免患側髖關節內收、過度屈曲（>90度）或內旋。這些動作極易導致人工關節脫位，增加病人的痛苦與再次手術風險，因此擺位教學是復健與出院準備的關鍵。
Prevention of dislocation is a nursing priority following total hip arthroplasty. After surgery, an abduction pillow should be used to maintain the legs in abduction, and adduction, excessive flexion (>90 degrees), or internal rotation of the operative hip must be avoided. These motions can dislodge the prosthesis, leading to increased pain and possible reoperation, making positioning education a key part of rehabilitation and discharge preparation.
✦ 台美臨床差異
美台臨床對於術後輔具的使用一致，但台灣護理師更常使用床邊約束帶預防躁動病人自行拆除輔具。