— 生理適應 · EASY · MCQ —
護理師照護一位 6 小時前進行全髖關節置換術的病人。哪項護理行動最能預防併發症？
A nurse is caring for a client who had a total hip arthroplasty 6 hours ago. Which nursing action is most appropriate to prevent complications?
- AEncourage the client to flex the hip to 90 degrees鼓勵病人將髖關節彎曲至90度
- BTurn the client onto the operative side every 2 hours每2小時將病人翻向手術側
- CKeep the abduction pillow between the legs✓ 正解雙腿之間放置外展枕
- DElevate the head of the bed to 60 degrees將床頭抬高至60度
— Explanation · 中文詳解 —
全髖關節置換術（total hip arthroplasty, THA）後的病人，最怕出現假體脫位（dislocation）。術後初期（尤其 24-48 小時內），髖關節周圍的軟組織尚未癒合，必須嚴格限制關節活動度。外展枕（abduction pillow）的作用是保持雙腿外展，防止內收（adduction），因為內收動作極易導致假體從臼杯中滑脫。護理師應確保病人姿勢正確，並嚴格執行術後預防脫位的教育與護理。
After total hip arthroplasty, preventing dislocation is a primary nursing responsibility, especially within the first 24 to 48 hours. Keeping an abduction pillow between the legs maintains proper alignment and prevents hip adduction, which is a major risk factor for prosthesis displacement. This intervention ensures joint stability while the surrounding soft tissues heal.