— 健康促進與維護 · MEDIUM · SATA —
護理師教導個案健康睡眠習慣時，應包含哪些策略？（選所有適合的）
Which of the following strategies should a nurse include when teaching a client about healthy sleep habits? (Select all that apply.)
- AMaintain a consistent sleep schedule✓ 正解維持固定的睡眠時間表
- BAvoid screens 1 hour before bedtime✓ 正解睡前一小時避免使用螢幕
- CConsume caffeine in the late afternoon to stay alert在下午晚些時候攝取咖啡因以保持警覺
- DCreate a dark, cool, and quiet sleep environment✓ 正解創造黑暗、涼爽且安靜的睡眠環境
- EEngage in vigorous exercise immediately before bed在睡前進行劇烈運動
— Explanation · 中文詳解 —
健康睡眠衛生（Sleep Hygiene）重點：規律作息（A）、減少睡前藍光刺激（B）、營造舒適環境（D）。C 錯誤：下午攝取咖啡因會干擾入睡。E 錯誤：睡前激烈運動會提升核心體溫與神經興奮，不利入眠。
Key elements of healthy sleep hygiene include: a regular sleep schedule (A), reducing blue-light exposure before bedtime (B), and creating a comfortable sleep environment (D). Option C is incorrect: caffeine intake in the late afternoon interferes with sleep onset. Option E is incorrect: vigorous exercise immediately before bed raises core body temperature and increases nervous system arousal, both detrimental to sleep.
✦ 台美臨床差異
美國睡眠醫學會非常強調睡眠衛生衛教；台灣個案常因工作壓力忽視睡眠習慣，較少進行正式衛教。