— 生理適應 · MEDIUM · SATA —
中風病人伴隨吞嚥困難，哪些護理措施適合？（選所有適合的）
Which of the following interventions are appropriate for a client recovering from a stroke with dysphagia? (Select all that apply.)
- AKeep the head of the bed elevated at 90 degrees during meals✓ 正解進餐時將床頭抬高至90度
- BThicken all liquids✓ 正解將所有液體增稠
- CPlace food on the affected side of the mouth將食物置於口腔患側
- DEncourage the client to tuck the chin when swallowing✓ 正解鼓勵病人在吞嚥時收下巴
- EProvide a straw for easy drinking提供吸管以便飲用
— Explanation · 中文詳解 —
吞嚥困難護理：維持高坐姿（90度）以利吞嚥；液體應增稠（Thickened liquids）以防嗆入；吞嚥時下巴收緊（Chin tuck）可關閉氣道；將食物放在「健側」而非患側；避免使用吸管，因吸管會導致液體流速過快，難以控制。
To manage dysphagia safely, the nurse should keep the head of the bed elevated at 90 degrees to use gravity for swallowing and thicken liquids to improve control during the swallow reflex. Encouraging the client to tuck their chin helps close the airway and reduce aspiration risk. Food should be placed on the unaffected side, and straws should be avoided as they increase aspiration danger.
✦ 台美臨床差異
美台皆採標準吞嚥衛教，強調 Speech Therapist 評估後的建議調整。