下列哪項措施有助於維護無法移動病人的皮膚完整性?
Which of the following interventions helps maintain skin integrity for an immobile client?
- AKeeping the skin clean and dry✓ 正解保持皮膚清潔乾燥
- BUsing a heating pad for comfort使用熱敷墊以舒適
- CUsing plastic sheets to cover the mattress使用塑膠布覆蓋床墊
- DProviding a high-sugar diet提供高糖飲食
對於無法移動的病人,維護皮膚完整性是防止壓瘡(Pressure Injury)的核心護理目標。皮膚長期處於潮濕狀態會導致角質層浸潤(Maceration),進而破壞皮膚屏障,使皮膚更容易受到摩擦與剪力損害。保持清潔與乾燥能有效降低微生物滋生風險並維持皮膚酸鹼平衡。臨床上應結合定期翻身(Turn, Cough, Deep breathe)與減壓床墊使用,以維持組織灌流。
For immobile clients, maintaining skin integrity is the core nursing goal for preventing pressure injuries. Prolonged moisture on the skin causes maceration of the stratum corneum, breaking down the skin barrier and making the skin more susceptible to friction and shear injuries. Keeping the skin clean and dry effectively reduces the risk of microbial growth and maintains the skin's acid-base balance. Clinically, this should be combined with regular turning (turn, cough, deep breathe) and the use of pressure-relieving mattresses to maintain tissue perfusion.