— 降低風險 · EASY · MCQ —
護理師照顧一位剛完成全髖關節置換術的病人，為防止假體脫位，應維持何種姿勢？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which position should the nurse maintain to prevent dislocation of the new prosthesis?
- AAdduction of the affected hip患側髖關節內收
- BFlexion of the hip to 100 degrees髖關節屈曲至 100 度
- CAbduction of the affected hip✓ 正解患側髖關節外展
- DInternal rotation of the affected leg患側腿內旋
— Explanation · 中文詳解 —
全髖關節置換術後的擺位關鍵在於維持髖關節外展（Abduction），以防止股骨頭脫出髖臼。通常使用枕頭或外展枕置於雙腿間。過度內收、內旋或彎曲超過 90 度均會增加脫位風險，術後早期應特別注意預防這些動作。
To prevent dislocation of the new prosthesis after total hip arthroplasty, the nurse must maintain the affected hip in abduction. Positions such as adduction, internal rotation, or hip flexion exceeding 90 degrees increase the risk of dislocation by placing undue stress on the surgical site. Using an abduction pillow or keeping the legs apart helps ensure proper alignment and joint stability.
✦ 台美臨床差異
美台皆強調術後擺位與防跌；美國常使用專業外展枕，台灣臨床則常使用一般枕頭進行擺位支撐。