急性呼吸窘迫症候群（acute respiratory distress syndrome, ARDS）是重症加護病房常見疾病，死 亡率約為40.3~46.1%之間。2013年的研究顯示 重度ARDS病人接受俯臥位的死亡率為24%，之 後在臨床應用大幅提升。俯臥治療重度ARDS原 理是透過翻轉姿勢，讓更多有功能的肺泡得到利 用、減少心臟和縱隔腔的壓力、有效能的肺泡可 以得到更多的血液灌流，增加通氣血流比，也可 以促進痰液排出等機制，達到改善氧合的目的。 筆者希望藉由本文讓臨床護理師瞭解，執行俯臥 的過程的不同階段（準備期、執行期、完成期） 有其需注意的護理事項，如：維持呼吸道通暢、 在俯臥的高風險區例如骨凸處黏貼泡棉敷料保護 皮膚、監視導管和引流管功能正常沒有扭曲等， 讓病人在接受俯臥期間，時時刻刻受到密切觀 察，及避免合併症發生，確保病人在安全情況下 接受俯臥治療，以渡過重度ARDS危險期，降低 死亡率並恢復健康，發揮護理師的獨特性護理功 能，提供病人最好的護理照護。

Acute respiratory distress syndrome (ARDS) is a common disease in the intensive care unit, and its mortality rate lies between 40.3~46.1%. A research in 2013 revealed that the mortality rate of severe ARDS patients who take prone position treatment is 24%. Therefore, the clinical application of prone positioning is increasing rapidly nowadays. The principle of prone position treatment for severe ARDS is to increase use of effective alveoli and to decrease pressure of heart and mediastinum through turning prone. This leads to more blood perfusion to effective alveoli and an increase in ventilation flow ratio. Also, it improves oxygenation by promoting mechanisms such as the discharge of sputum. Through this article, we hope clinical nurses become aware that there are several nursing operations to notice in different stages of prone positioning (preparation, execution, and completion period). Precautions include preventing respiratory duct obstruction, protecting high risk areas like pasting adhesive foam dressing on bone protrusion, and maintaining functional form of catheter surveillance and drainage tube. The abovementioned matters help alleviate patients’ concerns during the whole prone period, get rid of the occurrence of complications, lower the mortality rate, and aid patients’ recovery. These details not only exert the specialty of our nursing skills, but also offer patients with the best service