對於輕度胃食道逆流（GERD）的個案，哪項生活型態建議最有效？
Which lifestyle advice is most effective for a client diagnosed with mild gastroesophageal reflux disease (GERD)?
- ALie down immediately after every meal to relax每餐後立即躺下以放鬆
- BConsume large meals to maintain steady energy levels攝取大量餐點以維持穩定的能量水平
- CAvoid eating within 3 hours before bedtime✓ 正解睡前 3 小時內避免進食
- DIncrease intake of coffee and spicy foods增加咖啡和辛辣食物的攝取
胃食道逆流（GERD）的治療核心在於減少胃酸逆流至食道的機會。睡前進食會導致胃部在平躺時仍處於膨脹狀態，壓力增加且胃酸分泌旺盛，極易引發夜間逆流。因此，建議睡前 3 小時禁食是臨床上最有效且非侵入性的生活形態調整。護理師應評估病人的飲食習慣，並強調少量多餐、避免刺激性食物及控制體重的重要性，以減輕胃部壓力。
Treatment of gastroesophageal reflux disease (GERD) is centered on reducing the opportunity for gastric acid to reflux into the esophagus. Eating before bedtime leaves the stomach distended when the client lies down, with increased pressure and active acid secretion, and readily triggers nocturnal reflux. Avoiding food for 3 hours before bedtime is therefore the most effective and noninvasive lifestyle modification. The nurse should assess the client's dietary habits and emphasize the importance of small, frequent meals, avoidance of irritating foods, and weight control to reduce gastric pressure.