— 基本照護與舒適 · MEDIUM · SATA —
護理師衛教類風濕性關節炎病人保護關節的原則，應包含哪些內容？（選所有適合的）
A nurse is teaching a client with rheumatoid arthritis about joint protection. Which strategies should be included? (Select all that apply.)
- AUse larger joints to perform tasks whenever possible✓ 正解盡可能使用較大關節來執行任務
- BMaintain joints in a neutral position to reduce strain✓ 正解維持關節在中立位置以減少張力
- CApply cold packs to joints during acute inflammatory episodes✓ 正解在急性發炎期間對關節進行冷敷
- DExercise joints only during periods of increased pain僅在疼痛增加期間活動關節
- EAvoid repetitive motions for extended periods✓ 正解避免長時間重複動作
— Explanation · 中文詳解 —
類風濕性關節炎患者需通過節能與關節保護措施減輕負擔。使用大關節（如用肩膀提重物代替手指）、保持中立位、急性期冷敷（減輕發炎）及避免長時間重複動作均為標準指引。運動應在關節不適感較輕時進行，而非疼痛加劇時，以免損傷關節結構。
Joint protection strategies for rheumatoid arthritis include using larger joints for tasks, maintaining neutral positions, applying cold packs during acute inflammation, and avoiding repetitive motions. Exercise should be performed when pain is minimized rather than during periods of increased pain to prevent further joint damage.
✦ 台美臨床差異
在美國，職能治療師 (OT) 參與度高且具高度專業衛教權限；台灣多由護理師與復健科共同衛教。