護理師照護一位抱怨住院期間難以入睡的病人。為了促進睡眠衛生，護理師應採取哪項行動？
A nurse is caring for a client who reports difficulty falling asleep in the hospital. Which action should the nurse implement to promote sleep hygiene?
- AKeep the room lights dimmed during the day白天將室內燈光調暗
- BProvide a heavy snack before bedtime to induce drowsiness睡前提供豐盛點心以誘發睡意
- CIncrease the room temperature to promote relaxation提高室溫以促進放鬆
- DCluster care activities to allow longer periods of uninterrupted rest✓ 正解集中護理活動以允許更長的不受干擾休息時間
住院病人常因頻繁的護理活動中斷睡眠。集中護理措施（Cluster care）可提供病人連續睡眠時間，這是非藥物改善睡眠品質的核心策略。A、B、C 皆非正確的睡眠衛生做法：白天應增加日光曝曬以調節生理時鐘；睡前進食過量會造成胃食道逆流與消化負擔；過高室溫則會干擾睡眠。
Hospitalized patients often have their sleep interrupted by frequent nursing activities. Clustering care can provide the patient with continuous periods of sleep, which is the core non-pharmacologic strategy for improving sleep quality. A, B, and C are not correct sleep hygiene practices: during the day, daylight exposure should be increased to regulate the circadian rhythm; eating large amounts of food before bedtime causes gastroesophageal reflux and digestive burden; and an overly high room temperature interferes with sleep.
美國護理師常主動實施 Cluster care；台灣醫療環境忙碌，常因檢查或給藥導致睡眠中斷，需多與醫師協調醫囑時間。