— 基本照護與舒適 · EASY · MCQ —
護理師協助病人使用便盆。應採取哪些措施以促進舒適與安全？
A nurse is assisting a client with bedpan use. What should the nurse prioritize to promote comfort and safety?
- ASlide the bedpan under the client with a quick movement快速將便盆滑入病人身下
- BRaise the head of the bed to a semi-Fowler's position✓ 正解將床頭抬高至半福勒氏臥位
- CLeave the client alone to provide privacy for as long as needed讓病人獨處以提供所需的隱私
- DKeep the bed in the high position保持床處於高位
— Explanation · 中文詳解 —
使用便盆時，抬高床頭（Semi-Fowler's）能模擬正常排便生理姿勢，利用腹壓輔助，減少背部負荷。保護隱私固然重要，但需確保安全，不可讓虛弱病人獨自過久（防跌）；高床位會增加跌落高度，應降至低位；動作應緩慢溫和以防皮膚剪力。
Raising the head of the bed to a semi-Fowler's position facilitates elimination by mimicking the natural physiological posture and utilizing abdominal pressure. This position also reduces back strain on the nurse during bedpan placement. Quick movements should be avoided to prevent skin shearing, and the bed should be kept low to minimize fall risks.
✦ 台美臨床差異
台灣病房常有使用「紙尿布」替代便盆之趨勢，美國則更強調鼓勵病人移動至床邊馬桶（Commode）以維持活動度。