英文
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病人照護須知-疾病照顧篇5
背部護理 Back Care
背部護理 Back Care
By 英文 | March, 2024
1.協助病人側臥或趴著（意識不清的病人要注意呼吸道通暢），露出肩膀、臀部。
Help the patient lie on lateral position or prone position (keep the patient’s airway unobstructed if the patient is unconscious), and expose the shoulders and hips.
2.於背、臀部塗抹少許乳液，用按撫法由臀部往上按摩至肩膀，再往下按摩到臀部。
Apply some lotion on the back and hips. Massage from the hips up to the shoulders, and then down to the hips again.
3.按摩後給予病人背部扣擊（五指併攏，手背弓起，手掌成一空洞）。扣擊部位為肩膀以下，腰部以上(避開脊椎及腰側)，每次約5-10分鐘。
Give back tapping (keep the fingers close together, hand in arched position and form a hollow hole in the palm) to the patient after massage. The back tapping should be applied between the shoulders and the waist (avoid spine and lateral waist). Apply back tapping for 5-10 minutes per session.
4.扣擊後用大拇指和其餘四指揉捏背部肌肉，由一側臀部開始往上到肩膀再往下到臀部，按摩完再換另一側。
Use the thumb and the other four fingers to knead the muscles of the back after back tapping. Start from one side of the hips up to the shoulders and then down to the hips again. Massage one side before changing to another.
5.再用食指和中指沿著脊椎的每一個脊椎關節，以環行的方式按摩。
Use the index and middle fingers to massage in circulation motion along the joints of the spine.
6.注意事項：
Precaution:
- 進食前後一小時不可以做背部護理，要避開傷口。
Do not engage in back care one hour before and after the meal. Avoid the wound. - 不可以扣擊的病人：心臟病病人、背部受傷或手術（如骨折）、皮膚病、特殊肺病（如肺結核肺癌）、骨轉移病人。
Patients prohibited for back tapping: patients with heart diseases, back injury or having surgery (i.e. bone fracture), skin condition, special pulmonary disease (i.e. pulmonary tuberculosis and lung disease),and patients with bone metastasis.
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