— 降低風險 · HARD · SATA —
護理師向深層靜脈栓塞（DVT）病史的病人進行出院指導。下列病人的哪些說法顯示需要進一步教學？（選所有適合的）
A nurse is providing discharge instructions to a client with a history of deep vein thrombosis (DVT). Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will take my medication at the same time every day我會每天在同一時間服藥
- BI should cross my legs while sitting to remain comfortable✓ 正解我應該在坐著時交叉雙腿以保持舒適
- CI will report any unusual bleeding or bruising to my doctor我會向醫師報告任何異常出血或瘀青
- DI will avoid wearing tight-fitting clothing or socks我會避免穿著緊身衣物或襪子
- EI should avoid any physical activity to prevent the clot from moving✓ 正解我應該避免任何體力活動以防止血栓移動
— Explanation · 中文詳解 —
深層靜脈栓塞（DVT）的照護核心在於預防血栓剝落形成肺栓塞（PE），並促進靜脈回流。病人應避免任何壓迫血管或阻礙血液回流的行為，同時保持適度運動以促進循環。交叉雙腿會壓迫膕窩靜脈，導致血液淤積；而完全臥床則會使血液流速變慢，進一步增加血栓生成風險。護理師應教導病人正確的衛教觀念，包括抗凝血劑服藥依從性及物理性預防措施。
Avoiding all physical activity is incorrect because moderate movement promotes venous return and prevents stasis, whereas crossing legs impedes circulation. Clients should maintain regular medication schedules, report unusual bleeding, and avoid tight clothing to support vascular health and prevent recurrent thrombosis.