護理師向睡眠呼吸中止症病人衛教 CPAP 使用方法。下列哪項資訊對提升依從性至關重要？
A nurse is educating a client about the use of a continuous positive airway pressure (CPAP) machine for sleep apnea. Which information is essential for compliance?
- AClean the mask and headgear daily with mild soap✓ 正解每日以溫和肥皂清潔面罩及頭帶
- BApply a thick layer of petroleum jelly to the nose在鼻子塗抹厚層凡士林
- CAdjust straps to ensure an airtight seal調整束帶以確保氣密性
- DUse the machine only when feeling excessively sleepy仅在感到過度嗜睡時使用機器
CPAP 治療成功的關鍵在於清潔衛生與長期持續配戴。定期以溫和肥皂清潔面罩與頭帶，可減少細菌滋生與皮膚過敏，提升舒適度。選項 B 是禁忌，凡士林會破壞矽膠材質；選項 C 應調整至舒適且不漏氣，過緊會造成壓傷；選項 D 強調機器需每晚睡眠持續使用，而非僅在疲累時使用。
The keys to successful CPAP therapy are cleanliness/hygiene and long-term, consistent wear. Regularly cleaning the mask and headgear with mild soap reduces bacterial growth and skin allergies and improves comfort. Option B is contraindicated because petroleum jelly degrades silicone material; option C should be adjusted for comfort without air leakage, as overtightening can cause pressure injuries; option D emphasizes that the device should be used every night throughout sleep, not only when fatigued.
美國 CPAP 居家設備追蹤由廠商與睡眠中心監控依從性；台灣護理師衛教多強調清潔，病人對機器租賃與使用頻率的自我管理觀念需加強。