— 照護管理 · MEDIUM · SATA —
護理師為人工髖關節置換術後病人計劃出院護理，應包含哪些項目？（選所有適合的）
A nurse is planning discharge care for a client following a total hip arthroplasty. Which actions should the nurse include? (Select all that apply.)
- AUse a raised toilet seat to prevent excessive hip flexion✓ 正解使用加高馬桶座以避免髖關節過度彎曲
- BAvoid crossing the legs to prevent dislocation✓ 正解避免交叉雙腿以防脫位
- CKeep a pillow between the legs while sleeping on the side✓ 正解側睡時在雙腿間夾枕頭
- DFlex the hip at 100 degrees for daily strengthening exercises每日強化運動時將髖關節屈曲至 100 度
- EApply anti-embolism stockings as prescribed✓ 正解依處方穿戴抗血栓襪
— Explanation · 中文詳解 —
人工髖關節置換後需預防關節脫位：避免髖關節屈曲超過 90 度（故使用高馬桶座）、避免交叉雙腳、睡覺時兩腿間放枕頭保持外展。D 選項錯誤，屈曲超過 90 度會導致假體脫位風險大增。抗栓襪可預防術後深層靜脈栓塞。
To prevent hip dislocation after total hip arthroplasty, clients must avoid hip flexion beyond 90 degrees, cross their legs, or adduct the hip. Using a raised toilet seat, keeping a pillow between the legs during sleep, and applying anti-embolism stockings as prescribed are essential safety measures. Flexing the hip to 100 degrees is contraindicated because it significantly increases the risk of prosthetic dislocation.
✦ 台美臨床差異
美台術後康復指導原則一致，但在美國術後復健師（PT）介入較早，衛教內容由護理師與 PT 共同完成。