— 基本照護與舒適 · EASY · MCQ —
護理師照顧一位尿失禁病人。為了維持皮膚完整性，首選行動為何？
A nurse is caring for a client with urinary incontinence. Which action is the priority to maintain skin integrity?
- AApply an absorbent brief and change it every 8 hours.使用吸收性尿布並每8小時更換一次
- BApply a moisture barrier ointment after each cleansing.✓ 正解每次清潔後塗抹保濕屏障藥膏
- CInsert a Foley catheter.插入福來氏導尿管
- DLimit fluid intake to decrease urine output.限制水分攝取以減少尿量
— Explanation · 中文詳解 —
尿失禁皮膚護理的關鍵是清潔與隔離。每次潮濕後清潔並塗抹水分屏障膏（Moisture barrier ointment）可防止尿液浸漬皮膚。限水（D）會導致脫水；長期穿紙尿褲但不勤換（A）會加劇受損；導尿管（C）因感染風險高而不應作為首選。
Skin care for incontinence centers on cleansing and barrier protection. After each cleansing, apply a moisture-barrier ointment (e.g., zinc oxide) to protect the skin from urine. Restricting fluids causes dehydration and concentrated, more irritating urine; changing briefs only every 8 hours allows prolonged contact and incontinence-associated dermatitis; indwelling catheters carry a high CAUTI risk and are not first-line.
✦ 台美臨床差異
美國積極推廣 IAD（失禁相關皮炎）預防指引；台灣醫院近年也開始重視相關護理耗材的使用。