對於臥床個案，哪些措施對於預防壓力性損傷至關重要？（選所有適合的）
Which of the following interventions are essential for preventing pressure ulcers in bedbound clients? (Select all that apply.)
- ARepositioning every 2 hours✓ 正解每兩小時翻身
- BKeeping skin clean and dry✓ 正解保持皮膚清潔乾燥
- CUsing moisture-wicking linens✓ 正解使用吸濕排汗的寢具
- DMaintaining a high-protein diet✓ 正解維持高蛋白飲食
- EMassage over bony prominences按摩骨突處
臥床個案預防壓力性損傷（Pressure injury）的護理核心在於減輕壓力、減少摩擦力與剪力，並維持皮膚完整性。護理師需執行定時翻身計畫，同時確保皮膚保持清潔乾燥，避免潮濕導致皮膚浸潤。營養支持（特別是蛋白質）對於修復受損組織至關重要。需特別注意，現代護理實證已禁止對骨突處進行按摩，以防造成更深層的組織損傷。
For bedbound patients, the core of pressure injury prevention is reducing pressure, minimizing friction and shear forces, and maintaining skin integrity. The nurse must implement a scheduled repositioning plan while keeping the skin clean and dry to avoid maceration. Nutritional support, particularly protein, is essential for repair of damaged tissue. Importantly, current nursing evidence prohibits massage over bony prominences, as it may cause deeper tissue injury.