— 基本照護與舒適 · MEDIUM · MCQ —
護理師照護一位心衰竭病人。哪種姿勢最有利於改善肺部擴張並減輕呼吸負擔？
A nurse is caring for a client with a history of heart failure. Which position is most beneficial to improve lung expansion and reduce respiratory effort?
- ASims' position西姆斯氏體位
- BProne position俯臥位
- CSupine position仰臥位
- DHigh-Fowler's position✓ 正解高福勒氏體位
— Explanation · 中文詳解 —
心衰竭病人常有肺水腫，平躺會增加靜脈回流，加重心臟負荷並影響呼吸。High-Fowler's（高半坐臥位，60-90 度）利用重力減少回流，並使橫膈膜下降，大幅增加肺部空間，是改善呼吸困難的首選姿勢。
High-Fowler's position maximizes lung expansion by allowing the diaphragm to descend and reduces venous return, thereby decreasing cardiac workload. This position is superior to supine or prone positions for clients with heart failure experiencing respiratory distress.
✦ 台美臨床差異
美台皆視高半坐臥位為心衰竭或呼吸困難病人的護理標準處置。