— 安全與感染控制 · MEDIUM · SATA —
哪些措施能預防坐輪椅病人的壓瘡？（選所有適合的）
Which of these interventions prevent pressure ulcers in chair-bound clients? (Select all that apply.)
- AShift weight every 15 minutes✓ 正解每 15 分鐘轉移體重
- BUse a pressure-relieving cushion✓ 正解使用減壓墊
- CEnsure feet are flat on the floor✓ 正解確保雙腳平放於地面
- DUse a donut-style cushion使用甜甜圈型坐墊
- ELimit sitting time to 1 hour✓ 正解將坐姿時間限制在 1 小時內
— Explanation · 中文詳解 —
坐輪椅病人預防壓瘡重點：每 15 分鐘小幅度減壓（Shift weight），使用減壓坐墊，確保雙腳支撐以正確姿勢坐姿。甜甜圈坐墊（Donut-style）會阻斷血液循環，現已禁用。限制持續坐姿時間亦有幫助。
To prevent pressure ulcers in chair-bound clients, nurses should encourage frequent weight shifts every 15 minutes and use pressure-relieving cushions. Proper positioning with feet flat on the floor reduces shear forces, and limiting continuous sitting time allows tissues to recover, whereas donut cushions should be avoided as they impair circulation.
✦ 台美臨床差異
美國物理治療師（PT）在輪椅評估上扮演重要角色；台灣則多由護理師與照服員協助調整。