— 基本照護與舒適 · MEDIUM · MCQ —
下列哪項護理措施對於尿失禁病人最為適當？
Which of the following nursing interventions is most appropriate for a client with urinary incontinence?
- AUse absorbent diapers for all daytime hours白天全程使用吸收性尿布
- BImplement a scheduled toileting program✓ 正解實施定時如廁計畫
- CLimit all fluid intake to prevent accidents限制所有液體攝取以防止意外
- DInsert an indwelling catheter as a first-line solution將留置導尿管作為第一線解決方案
— Explanation · 中文詳解 —
針對尿失禁，訓練膀胱功能（如排尿計畫、凱格爾運動）是首選的非侵入性治療。放置尿管（D）具有高感染風險，僅在特殊情況下使用。限水（C）會造成脫水與濃縮尿液，增加泌尿道感染風險。尿布（A）應為最後手段，而非首選。
For urinary incontinence, bladder retraining (such as scheduled toileting and Kegel exercises) is the preferred non-invasive treatment. Inserting an indwelling catheter (D) carries a high risk of infection and is reserved for special circumstances. Limiting fluids (C) causes dehydration and concentrated urine, increasing the risk of urinary tract infection. Diapers (A) should be a last resort, not a first choice.
✦ 台美臨床差異
美國護理機構極力推廣尿失禁訓練計畫（Toileting programs），台灣因病患比過高，有時常直接依賴尿布或導尿處理，護理趨勢正逐漸與國際接軌。