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基本照護與舒適 · MEDIUM · MCQ

護理師照顧一位有尿失禁困擾的病人。下列哪項策略對於處理此狀況最有效?

A nurse is providing care for a client with urinary incontinence. Which strategy is most effective in managing this condition?

  • AAdvise the client to use adult diapers at all times
    建議病人隨時使用成人紙尿褲
  • BApply an indwelling urinary catheter
    放置留置導尿管
  • CEncourage fluid restriction during the day
    鼓勵白天限制水分攝取
  • DSchedule toileting times every 2-3 hours✓ 正解
    每 2-3 小時安排一次如廁時間
Explanation · 中文詳解

尿失禁的處理重點在於重建膀胱的功能性容量與排尿控制感。膀胱訓練(Bladder Training)的核心策略是定時排尿(Scheduled Toileting),透過每 2-3 小時協助病人排尿,可以降低膀胱過度充盈所導致的急迫性尿失禁,並訓練膀胱神經對容量的敏感度,逐步延長排尿間隔,是處理此症狀最有效且安全的非侵入性護理措施。

Management of urinary incontinence focuses on rebuilding the bladder's functional capacity and the client's sense of control over voiding. The core strategy of bladder training is scheduled toileting; assisting the client to void every 2-3 hours reduces urge incontinence caused by overdistention and trains the bladder's neural awareness of volume so that voiding intervals can gradually be lengthened. It is the most effective and safe noninvasive nursing intervention for this condition.

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