— 基本照護與舒適 · MEDIUM · MCQ —
護理師衛教病人有關冰敷治療的知識。病人說出哪句話代表他已理解？
A nurse is teaching a client about cold therapy. Which statement by the client indicates understanding?
- AI will apply the cold pack for no more than 20 minutes at a time✓ 正解我會每次將冰敷包敷在不超過 20 分鐘
- BI will apply the ice directly to my skin我會將冰塊直接敷在皮膚上
- CI will keep the ice pack on until the pain is completely gone我會持續冰敷直到疼痛完全消失
- DI will use ice packs while I am sleeping我會在我睡覺時使用冰敷包
— Explanation · 中文詳解 —
冰敷應限制在 15-20 分鐘，過久會導致反彈效應（血管擴張）與皮膚損傷。不可直接接觸皮膚（需加墊布以防凍傷），不可睡眠中使用（無法即時反應凍傷風險），且不可過度依賴冰敷直到疼痛全無，以免錯失其他醫療評估。
Cold therapy should be limited to 15-20 minutes; prolonged application leads to rebound vasodilation and skin damage. Ice must not be applied directly to the skin (a cloth barrier is needed to prevent frostbite), must not be used during sleep (since the patient cannot promptly respond to frostbite risk), and should not be relied upon until pain is completely gone, which may delay further medical assessment.
✦ 台美臨床差異
美台對冰敷護理的原則一致，皆強調「時間限制」與「避免直接接觸」。