護理師照護一位薦骨處有壓瘡的病人。下列哪些介入措施對於傷口護理是正確的？（選所有適合的）
A nurse is caring for a client with pressure injuries on the sacrum. Which interventions are appropriate for wound management? (Select all that apply.)
- AClean the wound with hydrogen peroxide用雙氧水清潔傷口
- BReposition the client at least every two hours✓ 正解至少每兩小時為病人重新擺位
- CEnsure the client maintains an adequate protein intake✓ 正解確保病人攝取足夠的蛋白質
- DMassage the reddened areas around the wound按摩傷口周圍發紅的區域
- EApply a moisture barrier cream to prevent maceration✓ 正解塗抹濕氣隔離霜以防止浸漬
壓瘡照護需減少壓力與促進組織修復。B 是標準減壓原則。C 蛋白質是修復組織的必要營養素。E 防止失禁性皮炎導致浸潤（maceration）。A 雙氧水會破壞肉芽組織，現代護理已不推薦。D 按摩發紅處會損害受壓區域的微血管，應絕對禁止。
Pressure injury care requires reducing pressure and promoting tissue repair. B is the standard pressure-relief principle. C: protein is an essential nutrient for tissue repair. E: a moisture barrier prevents incontinence-associated dermatitis (maceration). A: hydrogen peroxide damages granulation tissue and is no longer recommended in modern wound care. D: massaging reddened areas damages the microvasculature in pressure-affected regions and is absolutely contraindicated.
台美均強調壓瘡分級管理，美國機構多強制執行 Braden Scale 定期評估，台灣則視醫院評鑑規範而定。