— 基本照護與舒適 · MEDIUM · SATA —
下列哪些護理措施適合用於尿失禁病人？（選所有適合的）
Which of the following interventions are appropriate for a client diagnosed with urinary incontinence? (Select all that apply.)
- AEncouraging regular bladder training✓ 正解鼓勵規律的膀胱訓練
- BLimiting fluid intake to prevent accidents限制液體攝取以防止意外
- CMaintaining a toileting schedule✓ 正解維持如廁計畫
- DTeaching pelvic floor exercises✓ 正解教導骨盆底肌肉運動
- EProviding skin care to prevent breakdown✓ 正解提供皮膚護理以預防破損
— Explanation · 中文詳解 —
尿失禁照護重點在於行為訓練與皮膚維護。膀胱訓練（延遲排尿）與規律排尿計畫（定時排尿）可增強括約肌控制。凱格爾運動可強化骨盆底肌群。必須維持皮膚清潔乾燥以防濕疹與褥瘡。限水是不正確的，反而會導致尿液濃縮，增加膀胱刺激症狀。
Care for urinary incontinence focuses on behavioral training and skin protection. Bladder training (delayed voiding) and a regular toileting schedule (timed voiding) can strengthen sphincter control. Kegel exercises strengthen the pelvic floor musculature. The skin must be kept clean and dry to prevent dermatitis and pressure injury. Fluid restriction is incorrect, as it leads to concentrated urine and worsens bladder irritation.
✦ 台美臨床差異
美國長期照護體系中，失禁照護有嚴格護理紀錄；台灣多依賴成人紙尿布，較少實施系統化的膀胱訓練。