— 安全與感染控制 · MEDIUM · MCQ —
在護理評估中，下列何者是評估病人跌倒風險最合適的指標？
Which of the following is the most appropriate indicator of a patient's risk for falls during a nursing assessment?
- AA history of previous falls✓ 正解過去跌倒史
- BThe number of visitors daily每日訪客人數
- CThe patient's age病人年齡
- DThe patient's current diet病人目前飲食
— Explanation · 中文詳解 —
跌倒風險評估（Fall Risk Assessment）是護理評估的重要環節。根據臨床證據，過去跌倒史（History of previous falls）是預測未來跌倒發生最強的指標。若病患曾經跌倒，其身體平衡能力、環境適應力或認知狀態可能存在潛在缺陷。護理師應將此資訊納入照護計畫，並採取相應的預防措施，如床欄使用、呼叫鈴近身等。
Fall risk assessment is an important component of nursing evaluation. Clinical evidence shows that a history of previous falls is the strongest predictor of future falls. A client who has already fallen may have underlying impairments in balance, environmental adaptation, or cognition. The nurse should incorporate this information into the plan of care and implement appropriate preventive measures, such as using bed rails and keeping the call light within reach.