— 基本照護與舒適 · EASY · MCQ —
對於尿失禁的病人，哪項護理介入最合適？
Which nursing intervention is most appropriate for a client with urinary incontinence?
- AEstablish a bladder training schedule✓ 正解建立膀胱訓練計畫
- BInsert an indwelling urinary catheter插入留置導尿管
- CEncourage the use of adult diapers exclusively鼓勵僅使用成人尿布
- DRestrict fluid intake to prevent accidents限制水分攝取以預防意外
— Explanation · 中文詳解 —
膀胱訓練（Bladder training）能有效重建排尿控制與肌肉張力。限制水分（D）會導致尿液濃縮及尿路感染風險，並不能改善失禁。留置導尿管（B）是感染的高風險源。尿布（C）雖能保持乾爽，但無法解決失禁問題且影響自尊。
Bladder training effectively restores voiding control and muscle tone. Restricting fluids (D) leads to concentrated urine and increased risk of urinary tract infection without improving incontinence. An indwelling catheter (B) is a high-risk source of infection. Diapers (C) keep the patient dry but do not address incontinence and may negatively affect self-esteem.
✦ 台美臨床差異
美國護理機構極力推廣膀胱訓練以減少尿布使用率；台灣臨床較常直接使用尿布以減輕照顧者負擔。