— 基本照護與舒適 · MEDIUM · MCQ —
護理師照護一位有慢性疼痛病史的病人。下列哪項非藥物策略最建議用於提升舒適感？
A nurse is caring for a client with a history of chronic pain. Which non-pharmacological strategy should the nurse recommend for comfort?
- AApplication of a heating pad at the highest setting以最高設定使用熱敷墊
- BEncouraging the client to stay in bed until the pain resolves鼓勵病人留在床上直到疼痛緩解
- CTeaching the client guided imagery and relaxation techniques✓ 正解教導病人引導式意象和放鬆技巧
- DRestricting visitors to ensure complete isolation限制探視以確保完全隔離
— Explanation · 中文詳解 —
慢性疼痛管理需整合非藥物介入以輔助治療。引導式意象（Guided imagery）與放鬆技巧能有效轉移注意力並降低神經焦慮。熱敷過高會灼傷；隔離會增加心理孤寂；完全臥床反而會加重肌肉僵硬與關節疼痛，應鼓勵活動。
Chronic pain management requires the integration of non-pharmacological interventions as adjunctive therapy. Guided imagery and relaxation techniques can effectively redirect attention and reduce neural anxiety. Heat applied at the highest setting can cause burns; isolation increases psychological loneliness; and complete bed rest worsens muscle stiffness and joint pain, so activity should be encouraged.
✦ 台美臨床差異
美國疼痛管理強調多專科團隊（Pain Management Team）；台灣醫院多由主治醫師與護理師共同衛教。