— 健康促進與維護 · EASY · MCQ —
護理師向一群高齡者進行居家防跌宣導，下列哪項建議最為重要？
A nurse is teaching a group of older adults about fall prevention at home. Which recommendation is most critical to include in the plan?
- AWear shoes with non-slip soles at all times隨時穿著防滑底的鞋子
- BUse high-wattage light bulbs in every room在各個房間使用高瓦數燈泡
- CKeep all floors free of throw rugs and clutter✓ 正解保持地板無拋棄式地毯及雜物
- DInstall grab bars in the bathroom and shower在浴室和淋浴間安裝扶手
— Explanation · 中文詳解 —
居家跌倒最常見原因為障礙物與地毯邊緣絆倒。移除不必要的雜物與滑動性地毯屬於環境改造的第一步，能最有效降低跌倒風險。其他選項雖為輔助措施，但針對造成跌倒的物理機制，保持地面平坦無異物是防跌環境改善的基石。
The most common causes of falls in the home are tripping over obstacles and the edges of rugs. Removing unnecessary clutter and slippery throw rugs is the first step in environmental modification and most effectively reduces the risk of falling. The other options are supportive measures, but in addressing the physical mechanisms that cause falls, keeping the floor flat and free of obstacles is the cornerstone of fall-prevention environmental improvement.
✦ 台美臨床差異
美國居家評估常由職能治療師主導；台灣多由公共衛生護士或長照照管專員進行環境評估。