— 基本照護與舒適 · MEDIUM · SATA —
護理師使用 Braden 量表評估病人的壓瘡風險。下列哪些因素包含在評估項目中？（選所有適合的）
A nurse is assessing a client for pressure injuries using the Braden Scale. Which factors are included in this assessment? (Select all that apply.)
- ASensory perception✓ 正解感覺知覺
- BMoisture✓ 正解濕度
- CActivity✓ 正解活動能力
- DMobility✓ 正解活動度
- ENutritional status✓ 正解營養狀態
— Explanation · 中文詳解 —
Braden Scale 共有六個評估項目：感覺知覺、濕度、活動度、移動力、營養攝取以及摩擦力和剪力。這六項指標綜合反映了病人發生壓瘡的生理與物理風險。所有選項均為該量表的組成部分，能精確預測壓瘡機率。
The Braden Scale contains six assessment subscales: sensory perception, moisture, activity, mobility, nutritional status, and friction and shear. These six indicators collectively reflect a patient's physiological and physical risk of developing pressure injuries. All listed options are components of the scale and accurately predict pressure injury probability.
✦ 台美臨床差異
台美皆普遍使用 Braden Scale 作為壓瘡風險評估的標準化工具。