護理師正在教導一組老年人居家安全。關於預防跌倒，哪項指導最重要？
A nurse is teaching a group of older adults about safety in the home. Which instruction is the priority for fall prevention?
- AKeep all windows locked保持所有窗戶上鎖
- BRemove throw rugs from the floor✓ 正解移除地板上的散落地毯
- CInstall a security system安裝保全系統
- DKeep a flashlight by the bedside在床邊放置手電筒
此題的核心概念是老年人跌倒預防的優先順序。跌倒是老年人常見的意外傷害，可能導致骨折、頭部創傷，嚴重影響其生活品質與獨立性，甚至增加死亡風險。護理師在居家安全衛教中，必須識別並優先處理那些最直接、最普遍的跌倒危險因素。環境改造是預防跌倒的重要策略，而移除常見的絆倒障礙物，能立即降低跌倒風險，對老年人的安全有直接且顯著的影響。
Falls are a leading cause of morbidity and mortality in older adults. When teaching home safety, the nurse must prioritize the most direct and prevalent fall hazards. Environmental modification, particularly removing common tripping hazards such as throw rugs, immediately reduces fall risk and has the greatest direct impact on safety. Other interventions are useful but do not directly remove the most common physical hazard.
老年人跌倒預防的原則和策略在美國和台灣是高度一致的。兩地都強調多面向的介入，包括環境改造、規律運動、藥物管理和視力檢查等。移除居家環境中的絆倒物，如小地毯，是普遍被推崇且實用的預防措施，無論文化背景或地理位置，其重要性均受到認可。