— 降低風險 · EASY · MCQ —
護理師應採取哪項行動以預防臥床病人的皮膚損傷？
Which action should the nurse take to prevent skin breakdown in a bedbound client?
- AUse donut-shaped cushions for comfort使用甜甜圈形坐墊以增加舒適度
- BTurn the client every 4 hours每 4 小時為病人翻身
- CKeep skin clean and dry✓ 正解保持皮膚清潔乾燥
- DMassage reddened areas on bony prominences按摩骨突處的發紅區域
— Explanation · 中文詳解 —
保持皮膚清潔與乾燥是預防皮膚浸潤與損傷的基本原則。按摩發紅區域（bony prominences）已被證實會破壞脆弱組織，禁止使用；甜甜圈軟墊會影響周邊循環，亦不建議；翻身頻率應為至少每 2 小時一次，而非 4 小時。
Keeping the skin clean and dry is the fundamental principle for preventing skin maceration and breakdown. Massaging reddened areas over bony prominences has been shown to damage fragile tissue and is prohibited; donut-shaped cushions impair peripheral circulation and are also not recommended; turning frequency should be at least every 2 hours, not every 4 hours.
✦ 台美臨床差異
美台護理臨床皆遵循「每 2 小時翻身」及「禁止按摩紅斑」的壓瘡預防準則。