護理師照護一位有跌倒病史的病人,哪項介入措施最適合提升病人安全?
A nurse is caring for a client with a history of falls. What is the most appropriate safety intervention?
- AEncourage the client to walk barefoot鼓勵病人赤腳行走
- BApply physical restraints施加身體約束
- CKeep the bed in the lowest position✓ 正解將病床調整至最低位置
- DKeep the room lights off at night夜間關閉房間燈光
跌倒預防的核心在於環境改造與安全性提升。將病床維持在最低位置,能縮短病人若意外跌落時的垂直距離,顯著降低受傷程度。這是最簡單且有效的預防措施。其他措施如保持地板乾燥、物品收納整齊、呼叫鈴在手邊等,均是預防跌倒的標準程序。拘束衣(Restraints)僅在危及病人安全且無其他替代方案時才考慮使用,並非預防跌倒的首選。
Fall prevention centers on environmental modification and enhanced safety. Keeping the bed in the lowest position shortens the vertical distance the client would fall if an accident occurred, significantly reducing the severity of injury. This is the simplest and most effective preventive measure. Other measures, such as keeping the floor dry, organizing belongings, and keeping the call bell within reach, are standard fall-prevention procedures. Restraints are considered only when the client's safety is at risk and no alternative measures are effective; they are not the first choice for fall prevention.