一位病人預計進行一項處置,需要採 Sims' 位(半側俯臥位)。下列哪項描述符合此姿勢?
A client is scheduled for a procedure and needs to be placed in the Sims' position. Which description matches this position?
- ALying on the side with the top leg acutely flexed and the bottom arm behind the body.✓ 正解側臥,上方腿部急劇屈曲,下方手臂置於身後
- BSitting on the edge of the bed leaning over a bedside table.坐在床緣,身體前傾靠在床邊桌上
- CLying flat on the stomach with the head turned to one side.仰臥,頭部轉向一側
- DLying on the back with knees flexed and feet flat on the bed.仰臥,膝蓋屈曲,雙腳平放於床上
Sims' position(側俯臥位或半側臥位)是執行灌腸(Enema)或直腸檢查的標準姿勢。病人通常向左側臥(左側 Sims' 位有利於結腸解剖位置),下方的手臂置於身後,上方的腿(右腿)大幅彎曲至胸前。這種姿勢能最大程度暴露肛門區域並減少腹壓。A 是背屈臥位(Dorsal recumbent);C 是俯臥位(Prone);D 是端坐呼吸位(Orthopneic position)。在護理實務中,正確擺位不僅是為了醫療方便,更是為了病人的安全與舒適,例如 Sims' 位也能防止昏迷病人舌頭後墜或誤吸。護理師需確保在擺位過程中使用枕頭支撐關節,預防壓力受損。
The Sims' position involves placing the client on their side with the lower arm behind the body and the upper leg acutely flexed toward the chest. This position is commonly used for rectal examinations, enemas, or unconscious clients to prevent aspiration and facilitate access to the perineal area.
在美國護理操作中,Sims' 位特別強調『左側』以符合乙狀結腸走向,這在灌腸操作中是強制的安全標準;台灣臨床教育同樣教授此原則,但在實際執行簡易塞劑時,有時會簡化為一般側臥位。