— 基本照護與舒適 · EASY · MCQ —
病人預計接受手術，護理師對於採取半坐臥姿的病人，應採取哪些舒適措施？
A client is scheduled for a surgical procedure. Which comfort measure should the nurse perform for a client in a semi-Fowler’s position?
- AEnsure the knees are flexed at 90 degrees確保膝蓋彎曲成90度
- BElevate the foot of the bed抬高床尾
- CPlace a pillow behind the lower back✓ 正解在下背部放置枕頭
- DKeep the bed flat to prevent sliding保持床鋪平坦以防止滑動
— Explanation · 中文詳解 —
半坐臥姿（Semi-Fowler’s position，約 30-45 度）是臨床常見的舒適姿勢，有助於呼吸與消化。然而，此姿勢容易導致病人身體下滑，進而增加剪力（Shearing force）對皮膚的傷害。在下背部放置枕頭能提供腰椎支撐，維持脊椎自然弧度，並防止身體下滑，是提升舒適度與預防壓瘡的重要護理措施。
When positioning a client in semi-Fowler’s position, placing a pillow behind the lower back provides lumbar support to maintain natural spinal curvature and prevents the client from sliding down. This measure reduces shear forces on the skin and enhances comfort, whereas elevating the feet or keeping the bed flat contradicts the purpose of the position or increases pressure risks.