— 基本照護與舒適 · MEDIUM · MCQ —
一位病人因慢性疼痛導致失眠。護理師應將哪項措施納入護理計畫以促進休息？
A client is experiencing insomnia due to chronic pain. Which action should the nurse include in the plan of care to promote rest?
- AEncourage napping during the day to compensate for lost sleep鼓勵白天小睡以補償睡眠不足
- BSchedule all nursing interventions during the night將所有護理介入安排在夜間
- CIncrease ambient noise to mask environmental sounds增加環境噪音以掩蓋環境聲音
- DAdminister pain medication shortly before bedtime✓ 正解在睡前不久給予止痛藥物
— Explanation · 中文詳解 —
慢性疼痛常導致睡眠週期被打斷，進而引發疲勞與焦慮。護理計畫的核心是「舒適促進」（Comfort Promotion）。在睡前給予止痛藥（Analgesics）可確保病人在入睡時處於無痛或低痛狀態，提升睡眠維持力。此外，護理師應嘗試將治療活動集中化（Clustering care），減少夜間對病人的打擾，以維持完整的睡眠週期。
Chronic pain frequently disrupts the sleep cycle, leading to fatigue and anxiety. The core of the plan of care is comfort promotion. Administering analgesics shortly before bedtime ensures the client falls asleep in a pain-free or low-pain state and improves sleep maintenance. In addition, the nurse should try to cluster care activities to reduce nighttime disturbances and preserve uninterrupted sleep cycles.