— 降低風險 · EASY · MCQ —
護理師照護一位有跌倒病史的病人，預防再次跌倒最有效的方法為何？
A nurse is caring for a client with a history of falls. What is the most effective way to prevent future falls?
- APlace the client in a room far from the nurses' station將病人安置在遠離護理站的房間
- BUse physical restraints使用身體約束
- COrient the client to the surroundings and call light✓ 正解讓病人熟悉周圍環境及呼叫鈴的使用
- DKeep the side rails up at all times始終保持床欄拉起
— Explanation · 中文詳解 —
跌倒預防的核心在於讓病人了解環境並能適時尋求協助。定向感訓練、教導如何使用呼叫鈴，能減少病人因慌張或需求未被滿足而自行下床。柵欄高起常導致病人試圖攀越而跌得更重；約束則是不得已的最後手段；靠近護理站能增加觀察頻率。
The most effective fall prevention strategy involves orienting the client to their surroundings and teaching them how to use the call light, which empowers them to request assistance safely. This approach addresses the root cause of many falls by ensuring the patient feels secure and knows how to access help without attempting risky independent movements.
✦ 台美臨床差異
美國廣泛運用防跌倒警報器（bed alarms），台灣亦開始引進，但護理人力負荷仍是預防跌倒的主要挑戰。