— 照護管理 · EASY · MCQ —
護理師正在檢視一位有跌倒病史病人的護理計畫。下列哪項措施對於跌倒預防最有效？
A nurse is reviewing the plan of care for a client with a history of falls. Which intervention is the most effective for fall prevention?
- AUsing soft restraints at night夜間使用軟質約束帶
- BKeeping the bed in the lowest position將病床保持在最低位置
- CKeeping the bathroom floor dry保持浴室地板乾燥
- DImplementing a routine toileting schedule✓ 正解實施定時如廁計畫
— Explanation · 中文詳解 —
跌倒預防（Fall prevention）的關鍵在於找出病人跌倒的危險因子。高齡病人常見的跌倒原因之一是為了急著如廁而自行下床。透過實施「定時如廁計畫（Scheduled toileting）」，護理師能主動協助病人排泄，從源頭減少病人因為急迫感而嘗試自行下床的衝動，這是最有效的預防跌倒介入方式之一。
A scheduled (proactive) toileting plan addresses one of the most common reasons hospitalized clients try to ambulate unassisted—urinary or bowel urgency—thus preventing falls before they happen. Low bed position (B) and dry floors (C) are baseline environmental measures but do not address the patient's motivation to get up. Restraints (A) increase rather than decrease injury risk and are a last resort.