— 心理社會完整性 · EASY · MCQ —
一位失智症病人的哪種評估發現，暗示其正經歷「日落症候群 (sundowning syndrome)」？
Which assessment finding in a client with dementia suggests that they are experiencing 'sundowning syndrome'?
- ASleeping excessively throughout the day整天過度睡眠
- BIncreased agitation and confusion during late afternoon or evening✓ 正解下午晚些時候或傍晚時分躁動和混亂增加
- CRefusal to eat breakfast and morning medications拒絕吃早餐和服用早晨藥物
- DExpressing desire to go home early in the morning清晨表達想回家的慾望
— Explanation · 中文詳解 —
日落症候群（Sundowning syndrome）常見於失智症病人，其表現為隨著傍晚光線減弱，個案的定向感與情緒控制能力下降，出現混亂、躁動、焦慮或妄想加劇的現象。這可能與生理時鐘（Circadian rhythm）紊亂、疲勞或環境刺激有關。護理介入重點在於調整環境光線、維持規律作息及減少傍晚的過度刺激，而非僅靠藥物處理。
Sundowning syndrome is characterized by increased confusion, agitation, and anxiety that typically worsen in the late afternoon or evening. This phenomenon is often linked to circadian rhythm disruptions, fatigue, or reduced environmental stimulation as daylight fades.