病人因疼痛導致睡眠障礙。哪項護理介入最能有效促進睡眠？
A client is experiencing sleep disturbance due to pain. Which nursing intervention is most appropriate to promote sleep?
- AKeep the light on in the room to reduce fear of falling保持房間燈亮以減少跌倒恐懼
- BEncourage the client to stay in bed all day to conserve energy鼓勵病患整天待在床上以保存體力
- CAdminister pain medication at the peak of pain在疼痛高峰時給予止痛藥物
- DSchedule medications to provide optimal pain relief before sleep✓ 正解安排用藥時間，以便在睡前達到最佳止痛效果
疼痛與睡眠互為因果，預防勝於治療。在就寢前給予止痛藥能確保病人在夜間維持舒適，避免因痛醒而中斷睡眠。等待疼痛達到高峰再給藥，藥效發揮慢且病人已處於高度焦慮，影響睡眠質量。長期臥床易導致壓傷與關節僵硬，非睡眠護理常規。
Pain and sleep are mutually causative, and prevention is better than treatment. Administering analgesics before bedtime ensures that the patient remains comfortable through the night and avoids being awakened by pain. Waiting until pain peaks before administering analgesics results in slow onset of action and a patient already in a state of high anxiety, which affects sleep quality. Prolonged bed rest can lead to pressure injuries and joint stiffness and is not a routine sleep nursing practice.
美方護理評估強調止痛藥與睡眠週期的整合；台灣臨床常因值班醫師較難聯絡，調整給藥時間需耗費較多溝通成本。