— 降低風險 · EASY · MCQ —
護理師照護一位剛完成全髖關節置換術的病人。為了預防人工關節脫位，應採取哪種擺位原則？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which position is essential to prevent prosthesis dislocation?
- APosition the client in a side-lying position on the operative side讓患者以手術側為下的側臥姿勢
- BEncourage the client to cross their legs while sitting鼓勵患者坐著時交叉雙腿
- CKeep the hip flexed at 110 degrees保持髖關節屈曲 110 度
- DMaintain hip abduction using an abduction pillow✓ 正解使用外展枕維持髖關節外展
— Explanation · 中文詳解 —
全髖關節置換術後，人工關節處於不穩定狀態，極易因動作不當造成脫位。術後護理的核心是預防髖關節過度屈曲（>90度）、內收（Adduction）及內旋（Internal rotation）。使用外展枕（Abduction pillow）將雙腿維持於外展位，能確保股骨頭穩固地置於髖臼內。護理師必須確保病人在臥床、翻身或坐起時，均遵循此擺位原則，直到組織癒合穩定。
After total hip arthroplasty the prosthesis is unstable; nursing care prevents hip flexion >90 degrees, adduction, and internal rotation. An abduction pillow keeps the legs apart so the femoral head remains seated in the acetabulum. The nurse must enforce these positioning rules during turning, sitting, and ambulation until tissue healing stabilizes the joint.