— 基本照護與舒適 · MEDIUM · MCQ —
對於長期臥床病人，哪種臥姿最能預防壓瘡？
Which position is best to prevent pressure ulcers for a client confined to bed?
- A30-degree lateral position✓ 正解30 度側臥位
- BSupine position仰臥位
- C90-degree side-lying position90 度側臥位
- DFowler's position福勒氏體位（半坐臥位）
— Explanation · 中文詳解 —
30 度側臥位能有效將壓力從大轉子區域分散，是目前國際公認最能預防壓瘡的側臥姿勢（A）。90 度側臥位（C）壓力過度集中於大轉子；Fowler's（D）會增加薦骨剪力；Supine（B）薦骨壓力過高，皆非預防壓瘡最佳選。
The 30-degree lateral position is the best choice for preventing pressure ulcers because it effectively distributes pressure away from the greater trochanter. In contrast, the 90-degree side-lying position concentrates excessive pressure on the trochanter, increasing ulcer risk. The supine and Fowler’s positions also place undue pressure on the sacrum and increase shear forces, making them less effective for prevention.
✦ 台美臨床差異
兩地均依 NPUAP 標準建議 30 度側臥，臨床執行需加裝軟枕支撐。