— 基本照護與舒適 · MEDIUM · MCQ —
一位病人臥床中。哪項護理措施有助於預防血栓形成？
A client is on bed rest. Which nursing intervention helps prevent thrombus formation?
- AEncouraging regular leg exercises✓ 正解鼓勵規律的腿部運動。
- BKeeping the bed in a high position保持床鋪在高位置。
- CMaintaining a static posture all day全天維持固定姿勢。
- DRestricting fluid intake significantly顯著限制液體攝取量。
— Explanation · 中文詳解 —
臥床病人因缺乏肌肉收縮，靜脈回流變差，易形成深部靜脈栓塞（DVT）。規律的足部與腿部運動（如踝關節幫浦運動）能促進靜脈血回流，降低血栓風險。限制水分會增加血液黏稠度；固定姿勢會造成血液鬱積，皆應避免。
Bedridden patients have reduced muscle contraction, which impairs venous return and predisposes them to deep vein thrombosis (DVT). Regular foot and leg exercises (such as ankle pump exercises) promote venous return and reduce thrombus risk. Fluid restriction increases blood viscosity, and prolonged static positioning causes venous stasis; both should be avoided.
✦ 台美臨床差異
美國醫護對於臥床預防 DVT 的物理措施（如 SCDs）使用率極高，台灣亦同。