— 基本照護與舒適 · EASY · MCQ —
護理師為長期臥床病人執行個人衛生照護，下列哪項行動最能有效預防壓瘡？
A nurse is providing hygiene care for an immobilized client. Which nursing action best prevents pressure injuries?
- AMassaging reddened bony prominences按摩發紅之骨突處
- BRepositioning the client every two hours✓ 正解每兩小時協助病人翻身
- CIncreasing the intake of complex carbohydrates增加複雜碳水化合物攝取
- DApplying powder to keep the skin dry塗抹粉末以保持皮膚乾燥
— Explanation · 中文詳解 —
預防壓瘡的核心在於減壓（Pressure relief）。長期臥床病人因組織受壓導致局部缺血（Ischemia），每兩小時更換姿勢能讓微循環恢復灌流。按摩紅腫處反而會造成組織損傷，甚至導致深部組織損傷（Deep Tissue Injury）。營養支持與皮膚乾燥雖重要，但物理性減壓是預防壓瘡最直接有效的措施。
The core of pressure injury prevention is pressure relief. In immobilized clients, tissue compression results in localized ischemia; repositioning every two hours restores microcirculatory perfusion. Massaging reddened areas can actually cause tissue damage and may even lead to deep tissue injury. While nutritional support and keeping the skin dry are also important, mechanical offloading is the most direct and effective measure to prevent pressure injuries.