— 基本照護與舒適 · MEDIUM · MCQ —
一位大腸切除術後的病人主訴嚴重脹氣痛，護理師應建議哪項措施？
A nurse is caring for a client who is postoperative following a bowel resection. The client reports severe gas pain. Which intervention should the nurse recommend?
- AEncourage frequent ambulation✓ 正解鼓勵頻繁下床活動
- BPlace the client in a supine position讓病人採取仰臥姿勢
- CRestrict all oral intake for 24 hours禁食 24 小時
- DProvide a carbonated beverage提供碳酸飲料
— Explanation · 中文詳解 —
術後脹氣多因腸蠕動恢復緩慢引起，鼓勵下床活動（early ambulation）能利用物理性蠕動刺激腸道排氣，是緩解脹氣最有效的非藥物措施。碳酸飲料會增加氣體，仰臥位不利腸道活動，而完全禁食則需視醫囑，通常鼓勵少量飲水與活動。
Postoperative gas pain is often caused by slowed peristalsis, and early ambulation is the most effective non-pharmacological intervention to stimulate bowel motility and promote flatus expulsion. Other options like supine positioning or carbonated beverages may worsen gas retention or inhibit intestinal activity.
✦ 台美臨床差異
美方積極推動 ERAS（術後加速康復），台灣部分外科醫師對術後飲食仍相對保守，但護理師應鼓勵早期活動以改善脹氣。