Name: 腹部檢查（檢查） 護理評估 | 腸道和血管音、觸診、檢查 (Abdominal Examination (Exam) Nursing Assessment | Bowel & Vascular Sounds, Palpation, Inspection)
Uploaded: 2025-10-07T12:56:11.000Z
Duration: 6 min 18 s

This is Sarah with registerednursern.com and in this video, I'm going to demonstrate how to complete an abdominal assessment.

我是 registerednursern.com 的 Sarah，這部影片我將示範如何完成腹部評估。

And if you would like to watch a complete head to toe nursing assessment, you can access this card up here in the corner or in the YouTube description below.

如果你想看完整的頭部到腳部護理評估，可以點擊右上角的卡片或 YouTube 說明欄。

Now, before you do this skill, you'll want to provide privacy to the patient, perform hand hygiene and tell the patient what you will be doing and some equipment that you will need for this is a stethoscope.

在進行這項操作之前，請確保為病人提供隱私、進行手部衛生，並告知病人你將要做什麼；所需的設備之一是聽診器。

Now we're going to assess the abdomen and remember, we're switching our sequence and how we assess.

現在我們要評估腹部，請記得，我們正在改變評估的順序。

We're going to do inspection, auscultation, and then percussion or palpation.

我們將進行視診、聽診，然後是叩診或觸診。

So we're going to do auscultation second.

所以我們將在第二步進行聽診。

So whenever you're looking and assessing the abdomen, have the patient lay on their back.

所以當你觀察和評估腹部時，請讓病人仰臥。

And what we're going to do is we're going to inspect the abdomen.

And first I want to ask Ben, are you having any stomach issues at all?

首先我想問 Ben，你會有任何肚子不舒服的地方嗎？

Do you have any pain while you're peeing?

Do you have problems starting a stream, Any discharge, anything like that?

你開始排尿會不會有什麼問題，有沒有分泌物之類的？

And with your male patients, you want to ask about that due to prostate enlargement with starting a stream.

然後對於男性病人，你會想問這方面的事情，因為前列腺肥大可能會影響開始排尿。

And if he was female, I would ask him when his last menstrual period was and also how, again, ask the female patient about urinating and things like that.

如果他是女性病人，我會問他上次月經期是什麼時候，還有，再次問女性病人關於排尿等等的事情。

Now, if the patient had a Foley, this is the time when you would want to look at the urine, inspect the Foley and look at that.

現在，如果病人有導尿管，這時候你就會想看看尿液，檢查導尿管，還有看看那個。

Just conglomerate your urinary system and your GI system together.

把你的泌尿系統和胃腸系統一起考量進去。

Okay, so we're inspecting the abdomen, we're looking at the abdominal contour.

好的，所以我們在視診腹部，我們在看腹部輪廓。

You can also have flat, rounded or protuberant.

你也可能看到扁平腹、圓形腹或腹部膨隆。

And also we're going to know if there's any pulsations a lot of times in this area right here on thin patients, like with Ben, I can see the aortic pulsation in this patient right above the umbilicus.

而且我們也會知道，很多時候在這個區域，特別是瘦瘦的病人，像Ben這樣，我可以看到主動脈搏動，就在肚臍上方。

And looking at the belly button and checking for any masses.

還有看看肚臍，檢查有沒有腫塊。

Do we see any hernias or anything like that?

我們有看到疝氣或類似的東西嗎？

Also, if your patient had any wounds, you would want to look at that.

還有，如果你的病人有任何傷口，你會想檢查一下。

And if they had a peg tube, you would want to assess the site, make sure it's not red, and

如果他們有鼻胃管，你會想評估插管處，確保沒有紅腫，並且

ask them how it feels and with your ostomies, with your ostomies, you would want to look at the stoma and make sure it is like a rosy pink color.

問問他們感覺如何，還有你的造口，你的造口，你會想看看造口，確保它是玫瑰粉紅色。

It's not a dusky cyanotic color, and it's not prolapsed.

它不是暗沉的紫紺色，也不是脫垂。

And look and see what type of stool it's putting out.

Note if the bag needs to be changed, anything like that.

記錄是否需要更換鼻胃袋，或任何類似情況。

So now we're ready to listen to the bowel sounds.

所以現在我們準備好聽腸道音了。

And what we're going to do is we're going to listen with the diaphragm of our stethoscope, and

我們要做的是用聽診器的膜部來聽，然後

we are going to start in the right lower quadrant and work our way clockwise.

我們要從右下象限開始，順時鐘方向移動。

And we're going to listen to all four quadrants.

And you should hear five to 30 sounds, perfect per minute.

你應該每分鐘聽到五到三十個正常的聲音。

And if you don't hear any bowel sounds, you need to listen for five full minutes.

如果你聽不到任何腸道音，你需要聽滿五分鐘。

And you need to note, are these normal, Are they hyperactive or hypoactive?

你需要記錄，這些是正常的嗎？是活躍還是不活躍？

We're going to move up to the right upper quadrant, move over to the left upper quadrant, and

我們要移到右上象限，然後移到左上象限，

Now we're going to listen for vascular sounds.

And you're going to do this with the bell of your stethoscope.

你會用聽診器的 bell 來做這件事。

We're going to listen at the renal arteries, iliac arteries, and

you could listen at the femoral arteries if you needed to.

如果需要的話，你也可以聽股動脈。

So you're going to listen at the aorta artery, and

it's a little bit below the xiphoid process and a little bit above the umbilicus.

就在劍突下方一點點，肚臍上方一點點。

And we're listening for, like, a blowing, swishing sound, that which would represent a bruit.

我們要聽的是那種吹拂、刮擦的聲音，那代表橈音。

Then we're going to listen at the right and left renal arteries, which is a little bit down from the aorta location.

接著我們要聽左右腎動脈，位置比主動脈稍微下面一點。

Then we're going to listen at the iliac, and

it's a little bit below the belly button right here.

大概就在肚臍下面一點點這裡。

And again, like I pointed out, you could listen at the femoral artery in the groin if you needed to.

再次提醒，就像我剛剛說的，如果需要的話，你也可以在腹股溝聽股動脈。

We're going to do light palpation, then deep.

我們要先做淺層觸診，然後再做深層觸診。

And Ben, as I do this, please tell me if you feel any pain or tenderness.

Ben，我做的時候，如果你有感覺到任何疼痛或壓痛，請告訴我。

So first we're going to do light palpation.

We'll just start in the right lower quadrant and work our way around.

我們會從右下象限開始，然後繞一圈。

And you're going to go about 2 centimeters, and

you're just feeling for any rigidity, any lumps, masses, anything like that.

你只是感覺有沒有僵硬、有沒有腫塊、有沒有任何東西。

Okay, now we're going to do deep palpation and we're going to go about 4 to 5 centimeters, so a lot more deep.

好的，現在我們要進行深層觸診，我們會壓到大約四到五公分，所以會更深。

And again, you're just feeling for any masses, lumps.

同樣地，你只是感覺有沒有腫塊、有沒有東西。

And Ben, tell me if you have any tenderness.

Ben，如果你有任何壓痛，請告訴我。

And sometimes you can do this with two hands if need be.

有時候如果需要，你也可以用兩隻手來做。

If you're not strong enough, like me, feeling anything feels nice and soft.

如果你力氣不夠，就像我一樣，感覺任何東西都很溫和柔軟。

That's why you do this after you listen, because you stimulate it.

這就是為什麼你在聽診之後做這個，因為你會刺激它。

So that wraps up how to perform an abdominal assessment.

這就完成了腹部評估的執行方式。

And don't forget to check out that video on the complete head to toe nursing assessment.

別忘了看看我們關於完整的頭部到腳部護理評估的影片。

And don't forget to subscribe to our channel for more videos.

別忘了訂閱我們的頻道，觀看更多影片。

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腹部檢查（檢查）護理評估 | 腸道和血管音、觸診、檢查 (Abdominal Examination (Exam) Nursing Assessment | Bowel & Vascular Sounds, Palpation, Inspection)

access

demonstrate

period

hygiene

腹部檢查（檢查） 護理評估 | 腸道和血管音、觸診、檢查 (Abdominal Examination (Exam) Nursing Assessment | Bowel & Vascular Sounds, Palpation, Inspection)

access

demonstrate

period

hygiene

腹部檢查（檢查）護理評估 | 腸道和血管音、觸診、檢查 (Abdominal Examination (Exam) Nursing Assessment | Bowel & Vascular Sounds, Palpation, Inspection)