— 基本照護與舒適 · MEDIUM · MCQ —
一位側臥病人，護理師評估其皮膚壓傷風險，下列何處風險最高？
A nurse is assessing a client for skin breakdown. Which area is at high risk for pressure injury in a side-lying position?
- ASacrum薦骨
- BOcciput枕骨
- CTrochanter✓ 正解大轉子
- DHeel足跟
— Explanation · 中文詳解 —
側臥位（Side-lying）時，身體重量集中在側邊的骨突處，特別是轉子（Trochanter）。薦骨（Sacrum）在平躺時風險最高；足跟（Heel）兩者皆有，但在側臥時與轉子相比，轉子的壓力面積較小且骨突更突出。枕部（Occiput）則在平躺抬頭時最易受壓。
The greater trochanter is at high risk for pressure injuries in the side-lying position due to concentrated body weight on this bony prominence. While other areas like the sacrum are at risk in supine positions, the trochanter is specifically vulnerable when the patient lies on their side.
✦ 台美臨床差異
美國護理指引建議側臥應採 30 度角以避開大轉子直接受壓；台灣醫院亦逐漸推廣此防護技巧。