護理師協助老年病人進行個人衛生清潔。哪項護理措施最能促進該病人的皮膚完整性？
A nurse is assisting an elderly client with personal hygiene. Which nursing action best promotes skin integrity for this client?
- ARub the skin vigorously with a towel to promote blood flow用毛巾用力擦拭皮膚以促進血液循環
- BUse hot water for bathing to stimulate circulation使用熱水洗澡以刺激循環
- CPerform a bath every day using strong antibacterial soap每天使用強效抗菌肥皂洗澡
- DApply a mild moisturizer immediately after drying the skin✓ 正解在擦乾皮膚後立即塗抹溫和的保濕乳液
高齡者的皮膚生理結構隨年齡改變，皮脂腺與汗腺分泌減少，導致皮膚屏障功能變弱、乾燥與脆弱。維持皮膚完整性的核心護理策略在於「鎖水」與「減少機械性刺激」。洗澡後立即塗抹保濕劑，能有效封存水分，防止經皮水分流失（Transepidermal Water Loss），從而避免乾燥引發的搔癢與裂痕。過度清潔或物理摩擦會破壞天然角質層，增加皮膚受損與感染風險。
The skin physiology of older adults changes with age; sebaceous and sweat-gland secretions decrease, weakening the skin barrier and producing dryness and fragility. The core nursing strategy for maintaining skin integrity is to 'lock in moisture' and 'reduce mechanical irritation.' Applying a moisturizer immediately after bathing seals in water and prevents transepidermal water loss, thereby avoiding pruritus and fissures caused by dryness. Excessive cleansing or physical friction damages the natural stratum corneum and increases the risk of skin breakdown and infection.