護理師教導一位高跌倒風險的老年人及其照顧者居家安全措施。下列何者表示衛教成功?
A nurse is teaching a family caregiver about home safety for an elderly client at risk for falls. Which statement indicates that the teaching was successful?
- AWe will place throw rugs in the hallway to prevent sliding我們會在走廊放置地毯以防止滑倒
- BI will keep the lights on in the bedroom at night✓ 正解我會在夜間保持臥室燈亮著
- CI will rearrange the furniture every week for variety我會每週重新排列傢俱以增加變化
- DThe client should wear socks at all times for comfort病人應隨時穿襪子以獲得舒適感
居家老人跌倒預防的核心在於環境評估與調整,目標是消除潛在障礙物並提升視線清晰度。高齡者視力退化,夜間照明不足是導致夜起跌倒的主因。保持臥室夜間照明(如小夜燈)可提升環境辨識度,顯著降低跌倒機率。其他選項皆會增加跌倒風險,如地毯易滑動、襪子缺乏抓地力、頻繁移動家具會破壞病人對居家空間的空間記憶(spatial memory),導致迷航或碰撞。
The core of fall prevention in elderly clients at home is environmental assessment and modification, aiming to eliminate potential obstacles and improve visibility. Older adults have diminished vision, and inadequate lighting at night is a leading cause of nocturnal falls. Maintaining nighttime lighting (such as a night light) in the bedroom improves environmental recognition and significantly reduces the risk of falls. The other options increase fall risk: throw rugs slide easily, socks lack traction, and frequently rearranging furniture disrupts the client's spatial memory of the home, leading to disorientation or collisions.