護理師正在教導病人有關預防壓瘡。何種介入措施最有效?
A nurse is educating a client about preventing pressure injuries. Which intervention is most effective?
- AUsing a very firm mattress使用非常堅硬的床墊
- BMassaging bony prominences regularly定期按摩骨突處
- CApplying a moisture barrier cream to intact skin✓ 正解在完整皮膚上塗抹濕氣屏障乳霜
- DRepositioning the client every 4 hours每 4 小時翻身一次
預防壓瘡(pressure injuries)的關鍵在於減少皮膚承受的壓力與摩擦力,並維持皮膚完整性。塗抹保濕屏障乳霜(moisture barrier cream)能保護完整皮膚免受潮濕(如失禁)影響,減少皮膚浸潤與摩擦損傷。每兩小時翻身、避免直接按摩骨突處、使用減壓墊也是標準預防措施。護理師應教導病人與家屬正確的皮膚護理方法。
The key to preventing pressure injuries is to minimize pressure and friction on the skin and to maintain skin integrity. Applying a moisture-barrier cream protects intact skin from moisture (such as from incontinence) and reduces maceration and friction-related damage. Repositioning every 2 hours, avoiding direct massage over bony prominences, and using pressure-relieving cushions are also standard preventive measures. The nurse should teach the patient and family the correct methods of skin care.