— 降低風險 · EASY · MCQ —
護理師照護一位接受全髖關節置換術的病人。為了預防脫位，護理師應採取何種擺位？
A nurse is caring for a client who has undergone a total hip arthroplasty. Which position should the nurse prioritize to prevent dislocation?
- AKeep the hip flexed at 45 degrees保持髖關節屈曲 45 度
- BMaintain abduction using an abduction pillow✓ 正解使用外展枕維持外展姿勢
- CEncourage crossing the legs while sitting鼓勵坐姿時交叉雙腿
- DTurn the client to the affected side frequently頻繁讓病人轉向患側
— Explanation · 中文詳解 —
全髖關節置換後，髖關節脫位是常見併發症。術後應持續採取外展姿勢，使用外展枕可確保雙腿分開，防止內收導致人工關節脫出。過度屈曲與交叉雙腿均會破壞關節穩定度，應嚴格限制。患側側臥亦會增加脫位風險，術後早期應避免。
Hip dislocation is a common complication after total hip arthroplasty. Postoperative abduction should be maintained; an abduction pillow keeps the legs apart, preventing adduction-induced dislocation. Excessive flexion and crossing legs disrupt joint stability and must be strictly avoided. Lying on the affected side also increases dislocation risk and should be avoided in the early postoperative period.
✦ 台美臨床差異
美台臨床皆強調髖關節衛教，但美方更重視術後早期復健師介入與輔具使用之評估。