— 安全與感染控制 · MEDIUM · MCQ —
護理師評估病人的跌倒風險，哪項因素最關鍵？
A nurse is evaluating an client's risk for falls. Which factor is the most significant?
- APresence of an IV pole存在點滴架
- BHistory of a recent fall✓ 正解近期跌倒史
- CPrescription for sleep medication安眠藥處方
- DAge over 65年齡超過 65 歲
— Explanation · 中文詳解 —
在各類跌倒風險評估量表（如 Morse Fall Scale）中，病人過去是否有跌倒病史（History of a recent fall）是預測未來再次跌倒最強有力的指標。年齡（D）雖為危險因子，但病史更能反映病人的生理平衡與行為模式。藥物（C）與設備（A）雖會增加風險，但影響力不及病史。
Across various fall risk assessment tools (such as the Morse Fall Scale), a history of a recent fall is the strongest predictor of future falls. Age (D), although a risk factor, is less reflective of the client's physiologic balance and behavior pattern than fall history. Medications (C) and assistive devices (A) also raise risk but exert less influence than prior fall history.
✦ 台美臨床差異
美台均廣泛使用 Morse 或 Hendrich II 跌倒風險量表，臨床應用上非常相似。