姿位引流及拍擊（中英文版）

如果要下載英文版的長期照護居家技巧，您可至桃園縣長照中心下載英文衛教單，因為是全英文的衛教單，因此在這補充中文說明方便對照！

THE CHAPTER ON POSTURAL DRAINAGE & CLAPPING 姿位引流及拍撃篇

POSTURAL DRAINAGE & CLAPPING 姿位引流及拍撃
If our family member is bedridden for a long time, we can`t help but worry about his/her breathing function to go worse. Now you must attentively help him/her to pay attention to the following agenda.當我們的家人長期臥床時，我們很擔心他的呼吸功能變差，這時您一定要細心的幫他注意下列事項哦！

IMPROVE LUNG FUNCTION　增加肺功能
● If he/she is conscious, encourage him/her (3 times daily,10~15 times for each) to do deep breathing and hard coughing activities.如果他是清醒的，請鼓勵他（每天三次，每次十至十五下）做深呼吸及用力咳嗽的活動
●Try your best to encourage or help him/her to get out of bed to do some exercises.儘可能鼓勵或協助他坐起下床活動

CLEAR AWAY SPUTUM　清除痰液
● If his/her body has no edema and not restricted to take in water, he/she should consume 2000~2500cc of water (including the gavage fluid) so as to dilute the
sputum to ease coughing it out.如果他沒有水腫及限量飲水，每日應喝2000~2500的水份（包括灌入的水份），使痰變稀較易咳出
● If sputum volume has intensified or become too sticky and not easy to cough out, it is necessary to take sputum reduction medical preparation and conduct nebulization.如果痰量增加或太黏不易咳時，需配合使用化痰劑及蒸氣吸入
● If he/she has been installed with tracheotomy, you should learn the sputum suction method of tracheotomy to cleanse the exterior tube and inner cannula.如果他有氣切造口，您需學會如何從此造口抽痰的方法，並每日清潔氣切外管和內套管
●Help him/her to turn the body, and perform back slapping and postural drainage 3 times daily to ease coughing out the sputum.經常幫他翻身，每天執行三次背部叩撃及姿位引流，使痰容易咳出

NOTE　注意事項
1.When performing hand clapping postural drainage, it should be done an hour after meal to prevent food from getting into lungs.施行姿位引流、拍擊時，需於進食後一小時才可做，以避免食物吸入肺部
2.After clapping each position for 5 minutes, maintain that position for 5~10 minutes. Now ask you family member to coordinate doing deep breathing in order to cough out the sputum.每一部位拍撃五分鐘後，維持此姿位五至十分鐘，此時請你的家人配合做深呼吸，咳嗽才能將痰液排出If he/she is unable to cough out, use the sputum suction method to help draw out the sputum.若無法咳出者，以抽痰協助將痰液抽出
3.If your family member tells you he/she gets dizzy during the therapy, such as the phenomena of asthma, heart beat increase, cyanosis...etc, stop postural drainage or clapping immediately!若治療中您的家人告訴您頭暈、氣喘、心跳加速、發紺等現象要馬上停止姿位引流及拍撃！