護理師在照護一位有慢性失眠的老年病人時,應優先採取哪項非藥物治療策略?
A nurse is caring for an older adult client with chronic insomnia. Which non-pharmacological strategy should the nurse prioritize?
- AIncrease caffeine intake during the morning增加早晨的咖啡因攝取量
- BAllow the client to nap during the afternoon允許病人在下午打盹
- CEncourage a consistent sleep-wake schedule✓ 正解鼓勵規律的睡眠-清醒作息
- DAdminister a mild sedative before sleep睡前給予輕度鎮靜劑
針對慢性失眠的老年人,非藥物治療策略是臨床首選。建立規律的睡眠-覺醒時間(Sleep-wake schedule)能協助調節生理時鐘(Circadian rhythm),這是改善睡眠品質的基礎。藥物易導致依賴、跌倒與認知功能下降,應盡量避免;白天小睡會減少夜間睡眠壓力;咖啡因會刺激神經,均不利於睡眠。
For older adults with chronic insomnia, non-pharmacological strategies are the clinical first choice. Establishing a regular sleep-wake schedule helps regulate the circadian rhythm and is the foundation for improving sleep quality. Medications easily cause dependence, falls, and cognitive decline, and should be avoided whenever possible; daytime napping reduces nocturnal sleep pressure; caffeine stimulates the nervous system, all of which are unfavorable for sleep.