— 照護管理 · MEDIUM · SATA —
護理師準備一位接受全髖關節置換術的病人出院，哪些指導對預防關節脫位至關重要？（選所有適合的）
A nurse is preparing a client for discharge after a total hip arthroplasty. Which instructions are crucial for preventing dislocation? (Select all that apply.)
- AAvoid crossing the legs✓ 正解避免交叉雙腿
- BSit in low, soft chairs whenever possible儘可能坐在低矮柔軟的椅子上
- CLimit hip flexion to 90 degrees✓ 正解限制髖關節屈曲角度在 90 度以內
- DUse an elevated toilet seat✓ 正解使用墊高型馬桶座
- EPivot on the operative leg when changing direction改變方向時以手術側腿為軸心旋轉
— Explanation · 中文詳解 —
全髖關節置換術後，避免雙腿交叉、限制髖關節屈曲不超過 90 度並使用墊高型馬桶座，可減少內收及過度屈髖造成的脫位風險。低矮柔軟座椅會增加屈髖，於手術側腿上扭轉則會對假體施加不安全的旋轉力。實際防護動作與持續時間仍應依手術入路及外科醫療團隊指示調整。
To prevent dislocation after total hip arthroplasty, clients must adhere to specific precautions such as avoiding leg crossing, limiting hip flexion to 90 degrees, and using an elevated toilet seat. These measures collectively maintain the prosthetic joint in a safe range of motion, minimizing the risk of internal rotation and adduction that could cause dislocation.