— 降低風險 · EASY · MCQ —
護理師照護一位髖關節置換術後的病人，護理師應採取何項措施以降低深層靜脈栓塞的風險？
A nurse is caring for a client who is post-operative following a hip arthroplasty. Which action by the nurse will best reduce the risk of a deep vein thrombosis?
- AKeep the knees flexed with pillows用枕頭保持膝蓋彎曲
- BMaintain a strict bed rest order維持嚴格臥床指示
- CEncourage the client to massage their legs鼓勵病人按摩腿部
- DApply sequential compression devices✓ 正解應用順序加壓裝置
— Explanation · 中文詳解 —
深層靜脈栓塞（DVT）預防的核心在於促進靜脈回流。間歇性氣壓式腿部加壓器（SCD）能有效透過規律擠壓促進血液循環。臥床過久會增加滯留風險，按摩患肢則極可能導致血栓脫落引起肺栓塞，彎曲膝蓋會壓迫膕窩血管，皆屬禁忌。
Sequential compression devices (SCDs) are the most effective intervention listed for preventing deep vein thrombosis by promoting venous return and reducing stasis. Keeping the knees flexed, maintaining strict bed rest, or massaging the legs can obstruct blood flow or dislodge existing clots, thereby increasing the risk of complications.
✦ 台美臨床差異
美國醫院廣泛使用 SCDs 且有嚴格的預防指引；台灣病房依各院床位配備而定，常需請家屬協助購買耗材。