護理師指導傷口感染病人返家後的感染預防措施,應包含哪些內容?(選所有適合的)
A nurse is teaching a client about preventing the spread of infection at home after an infected wound surgery. Which actions should the nurse include? (Select all that apply.)
- AWash hands with soap and water for at least 20 seconds✓ 正解用肥皂和水洗手至少 20 秒
- BPlace soiled dressings in a sealed plastic bag✓ 正解將髒污敷料放入密封塑膠袋中
- CKeep the wound dressing clean and dry✓ 正解保持傷口敷料清潔乾燥
- DShare towels with family members to save laundry與家人共用毛巾以節省洗衣
- EApply antibiotic ointment to the edges of the wound將抗生素軟膏塗抹於傷口邊緣
返家後感染控制重點在於阻斷傳播鏈。洗手應徹底(20秒)、廢棄物需密封丟棄以防接觸感染、保持傷口乾燥以抑制細菌滋生。不應共用毛巾(D選項),因為會增加交叉感染風險;不建議自行隨意塗抹藥膏(E選項),除非醫師醫囑。
Home infection control after discharge focuses on breaking the chain of transmission. Hand washing should be thorough (at least 20 seconds), contaminated waste should be sealed before disposal to prevent contact transmission, and the wound should be kept dry to inhibit bacterial growth. Towels should not be shared (option D), because this increases the risk of cross-infection; routine self-application of ointment (option E) is not recommended unless ordered by the physician.
台灣健保制度下,傷口照護衛教較強調回診換藥,美國護理師則更重視個案居家自我處理能力的培訓。