一位有睡眠呼吸中止症病史的病人,在睡眠期間出現哪些評估發現需要護理介入?
Which assessment finding in a client with a history of sleep apnea indicates a need for nursing intervention during sleep?
- AFrequent waking with a gasp頻繁驚醒並伴隨喘息
- BOxygen saturation dropping to 85% during apneic episodes✓ 正解呼吸中止期間血氧飽和度降至 85%
- CRestlessness during REM sleep快速眼動睡眠期間躁動不安
- DSnoring occurring throughout the night整夜持續打呼
睡眠呼吸中止症(sleep apnea)病人常有打呼與睡眠中驚醒的症狀,這主要與氣道阻塞導致的間歇性缺氧有關。在所有選項中,血氧濃度(SpO2)下降至 85% 是嚴重的生理性損害指標,代表組織氧合不足,這會增加心臟負荷與心律不整風險,屬於必須立即介入的臨床危急狀況。打呼與驚醒雖是診斷徵象,但血氧過低直接威脅病人生命安全,優先級最高。
Clients with sleep apnea often experience snoring and waking from sleep, primarily related to intermittent hypoxia caused by airway obstruction. Among all options, a drop in oxygen saturation (SpO2) to 85% is a significant indicator of physiological compromise, representing inadequate tissue oxygenation. This increases cardiac workload and the risk of arrhythmias, and is a critical clinical situation that must be addressed immediately. Although snoring and arousals are diagnostic signs, hypoxemia directly threatens the client's life and is therefore the highest priority.