— 生理適應 · EASY · MCQ —
一位急性胰臟炎病患因劇烈上腹痛入院，護理師應建議採取何種姿勢以緩解疼痛？
A client with acute pancreatitis presents with severe epigastric pain. Which position should the nurse encourage to alleviate the pain?
- AHigh-Fowler's position高福勒氏臥位
- BFetal position (side-lying with knees flexed)✓ 正解胎兒臥位（側臥並屈膝）
- CTrendelenburg position特倫德倫堡氏臥位
- DSupine position仰臥位
— Explanation · 中文詳解 —
急性胰臟炎時，胰臟發炎腫脹壓迫腹膜後構造，採取側臥蜷曲（胎兒姿勢）可放鬆腹部肌肉並減少對腹壁的張力，進而有效減輕腹痛。平臥會加重拉扯，高半坐臥位雖適合呼吸困難者但對胰臟炎疼痛效果有限，Trendelenburg 姿勢則會增加腹內壓，對病人反而不利。
The fetal position (side-lying with knees flexed) relaxes abdominal muscles and reduces tension on the inflamed pancreas, effectively alleviating pain. Other positions, such as supine or Trendelenburg, increase abdominal pressure or traction on the pancreas, thereby worsening the discomfort.
✦ 台美臨床差異
美台臨床對於急性胰臟炎的擺位衛教一致，但美國護理師更強調早期評估疼痛分級以決定止痛藥給予。