護理師針對 72 歲全髖關節置換術後的個案進行出院衛教,應指導個案執行哪些動作以預防脫位?(選所有適合的)
A nurse is providing discharge instructions to a 72-year-old client who has recently received a total hip arthroplasty. Which actions should the nurse teach the client to prevent dislocation? (Select all that apply.)
- AUse an elevated toilet seat✓ 正解使用加高的馬桶座
- BAvoid crossing your legs or ankles✓ 正解避免翹腳或交叉雙腿
- CKeep the operated hip in a position of adduction使手術側髖關節保持內收位置
- DUse a reacher to put on socks and shoes✓ 正解使用取物夾穿襪子和鞋子
- ESleep with an abduction pillow between the legs✓ 正解睡覺時雙腿間夾著外展枕
全髖關節置換術(THA)後,預防脫位(Dislocation)的原則是限制髖關節活動度(Hip Precautions)。術後需避免髖關節過度屈曲(>90度)、內收(Adduction)與內旋(Internal rotation)。所有輔助器具的使用皆是為了確保個案在日常生活中能維持髖關節的穩定位置。
After total hip arthroplasty (THA), the principles for preventing dislocation are based on limiting hip joint motion (hip precautions). Postoperatively, the client must avoid excessive hip flexion (greater than 90 degrees), adduction, and internal rotation. The use of assistive devices is intended to help the client maintain a stable hip position during activities of daily living.