護理師照護髖關節全置換術後的病人。哪項預防措施是適當的？
A nurse is caring for a patient after a total hip replacement. Which precaution is appropriate?
- APrevent hip adduction beyond midline✓ 正解防止髖關節內收超過中線
- BEncourage crossing the legs鼓勵交叉雙腿
- CKeep the hip flexed at 120 degrees保持髖關節屈曲 120 度
- DAllow the patient to sit in a low chair允許病人坐低椅子
髖關節全置換術（Total Hip Replacement）術後的核心護理目標是預防人工關節脫位（Dislocation）。術後病人必須嚴格遵循髖關節預防措施（Hip Precautions），避免手術部位過度受力或角度過大，這通常需要維持 6 至 12 週。護理師應確保病人了解禁忌動作，並調整環境以降低脫位風險。
After a total hip replacement, the primary nursing goal is to prevent dislocation of the prosthetic joint. This requires strict adherence to hip precautions, specifically preventing hip adduction beyond the midline and avoiding flexion greater than 90 degrees. Clients should be instructed not to cross their legs or sit in low chairs, as these positions significantly increase the risk of dislocating the new joint.
美國臨床極度重視術後物理治療師（PT）的介入，標準化護理計畫（Care Plan）中會明確註記禁忌動作，並由護理師與 PT 共同教育病人。台灣臨床對此同樣重視，但美國更強調病人出院後的居家環境評估（如使用輔助器械的訓練）。