— 基本照護與舒適 · EASY · MCQ —
護理師為一位活動受限的病人進行清潔照護。下列何者預防壓瘡最有效？
A nurse is providing hygiene care for an immobilized client. Which action is most effective in preventing pressure injuries?
- AApplying powder to keep the skin dry塗抹爽身粉以保持皮膚乾燥。
- BMaintaining a high-protein diet維持高蛋白飲食。
- CRepositioning the client every two hours✓ 正解每兩小時重新安置個案姿勢。
- DMassaging reddened areas to increase circulation按摩發紅區域以增加血液循環。
— Explanation · 中文詳解 —
預防壓瘡的核心原則是減壓，定期翻身（每兩小時）可恢復組織受壓部位的血液灌流。摩擦力與壓力是主因，粉末可能導致皮膚乾燥龜裂，按摩紅斑部位可能導致組織撕裂傷。營養固然重要，但在急性護理中，轉移壓力才是第一優先。
The core principle of pressure injury prevention is pressure relief. Regular repositioning (every 2 hours) restores blood flow to pressure areas. Friction and pressure are major causes; powder can cause skin breakdown; massaging reddened areas can damage tissue. Nutrition matters, but in acute care, redistributing pressure is the top priority.
✦ 台美臨床差異
美台皆強調翻身，但美國醫院常配置自動氣墊床，台灣則依賴照服員協助，護理師需確認落實情形。