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基本照護與舒適 · EASY · MCQ

護理師協助一位中風恢復期的病人進行個人衛生照護,下列哪項措施最能促進病人的自主性?

A nurse is assisting a client with personal hygiene. Which intervention best promotes client autonomy for a client recovering from a stroke?

  • AProvide a complete bed bath
    提供全身床上擦澡
  • BRequest a family member to assist with all care
    請家屬協助所有照護
  • CEncourage the client to brush their own teeth✓ 正解
    鼓勵病人自行刷牙
  • DPerform all hygiene tasks to save time
    完成所有清潔任務以節省時間
Explanation · 中文詳解

復健護理的核心目標是最大化病人的功能獨立性(Functional Independence)。對於中風病人而言,儘管患側肢體功能受損,但護理師應鼓勵其利用健側肢體參與日常生活活動(ADLs),這不僅能維持剩餘的肌力與關節活動度,更能顯著提升病人的自我效能感(Self-efficacy)與心理復原力。過度包辦反而會導致「習得性無助(Learned Helplessness)」,延緩復健進程。

The core goal of rehabilitation nursing is to maximize the client's functional independence. For a client recovering from a stroke, although the affected limb is impaired, the nurse should encourage the client to use the unaffected limb to participate in activities of daily living (ADLs). This not only preserves remaining muscle strength and joint range of motion but also significantly enhances the client's sense of self-efficacy and psychological resilience. Excessive assistance can lead to 'learned helplessness' and delay the rehabilitation process.

✦ 台美臨床差異

在美國臨床環境中,非常強調「以病人為中心(Patient-Centered Care)」及跨專業團隊合作(OT/PT),護理師會嚴格執行復健計畫,避免過度照顧(Over-assisting),這與台灣部分臨床情境中家屬習慣全權包辦照護的習慣有所不同。

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