護理師照護一位剛完成全髖關節置換術的病人。哪項護理措施對預防人工關節脫位至關重要？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which nursing intervention is essential to prevent dislocation of the prosthesis?
- AEncourage the client to cross legs while sitting鼓勵個案坐著時交叉雙腿
- BPlace the client in a high-Fowler's position讓個案採高福勒氏臥位
- CMaintain abduction of the affected hip✓ 正解維持患側髖關節外展
- DInstruct the client to bend at the waist to put on shoes指示個案彎腰穿鞋
全髖關節置換術（Total Hip Arthroplasty, THA）術後的核心護理目標是預防人工關節脫位（Dislocation）。髖關節在術後初期極不穩定，過度屈曲（>90度）、內收（Adduction）或內旋（Internal rotation）均會導致股骨頭假體脫出髖臼。護理師需透過擺位與輔具使用，嚴格執行防脫位原則。
The core nursing goal after total hip arthroplasty (THA) is to prevent dislocation of the prosthesis. The hip joint is highly unstable in the early postoperative period; excessive flexion (>90 degrees), adduction, or internal rotation can cause the femoral head prosthesis to dislocate from the acetabulum. The nurse must strictly implement dislocation precautions through positioning and the use of assistive devices.
美國臨床極度重視 THA 術後的「防脫位衛教（Hip Precautions）」，通常會由物理治療師（PT）與護理師共同在術前即開始教育，並要求病人使用高架馬桶座（Raised toilet seat）至少 6-12 週，以維持髖關節角度。