一位病人因長期不動而有「皮膚完整性受損」的護理診斷，哪項介入措施正確？
Which intervention is appropriate for a client with a nursing diagnosis of Impaired Skin Integrity due to immobility?
- AKeeping the bed linens tight to create a smooth surface保持床單緊繃以創造平滑表面
- BMassaging the red areas of the skin按摩皮膚發紅區域
- CUsing a trapeze bar to help shift weight✓ 正解使用三角拉手協助轉移體重
- DApplying powder to keep the skin dry塗抹爽身粉以保持皮膚乾燥
長期不動的病人容易產生壓力性損傷（Pressure injury）。三角拉手（Trapeze bar）鼓勵病人主動參與活動，透過雙手支撐抬起身體，能有效減少骶尾部的壓力，促進血液循環。護理重點應在於減壓（Pressure relief）而非單純的清潔或塗抹藥劑。錯誤的護理手段不僅無法改善皮膚狀況，反而可能因摩擦力或刺激物加重表皮損傷。
Patients on prolonged bed rest are at risk for pressure injuries. A trapeze bar encourages the patient to participate actively in repositioning by using the upper extremities to lift the body, effectively reducing pressure over the sacrum and improving circulation. The nursing focus should be on pressure relief rather than simple cleansing or topical application. Inappropriate nursing measures not only fail to improve skin status but may further injure the skin through friction or irritants.