— 基本照護與舒適 · MEDIUM · MCQ —
一位住院病人睡眠困難，下列哪項屬於「集中照護（Clustering care）」的範例？
A client is in the hospital and is experiencing difficulty sleeping. Which of the following is an example of 'clustering care'?
- ATurning the patient every hour每小時協助病人翻身
- BChecking on the patient every 30 minutes to ensure safety每 30 分鐘探視病人以確保安全
- CAdministering medication every 2 hours每 2 小時給藥
- DScheduling vital signs, hygiene, and medication administration during the same visit✓ 正解將生命徵象測量、衛生護理和給藥安排在相同時段進行
— Explanation · 中文詳解 —
集中照護（Clustering care）是為了維護住院病人的睡眠品質與生理節奏。在繁忙的醫療環境中，頻繁的護理干擾會造成「ICU 精神病（ICU psychosis）」或睡眠剝奪。透過將生命徵象測量、給藥、更換敷料與翻身等活動合併在一次進房中完成，護理師能創造更長且不受干擾的休息時間，從而促進病人康復。
Clustering care is intended to preserve sleep quality and physiologic rhythm in hospitalized patients. In a busy clinical environment, frequent nursing interruptions can precipitate 'ICU psychosis' or sleep deprivation. By combining activities such as vital sign measurement, medication administration, dressing changes, and repositioning into a single room entry, the nurse can create longer, uninterrupted periods of rest that promote patient recovery.