一位尿失禁病人皮膚破損風險高。護理師應在照護計畫中包含哪些介入措施？（選所有適合的）
A client is diagnosed with urinary incontinence and is at high risk for skin breakdown. Which interventions should the nurse include in the care plan? (Select all that apply.)
- AApply a moisture barrier cream to the perineal area✓ 正解在會陰部塗抹防潮隔離霜
- BUse absorbent briefs and change them only when full使用吸收性尿布，且僅在尿布飽和時才更換
- CImplement a scheduled toileting program✓ 正解實施定時如廁計畫
- DPerform daily skin assessment for redness or irritation✓ 正解每日評估皮膚是否有紅腫或刺激跡象
- ECleanse the skin with gentle cleanser after each episode✓ 正解每次失禁後使用溫和清潔劑清潔皮膚
尿失禁病人的照護重點在於維持皮膚完整性。尿液的酸性與濕氣會導致皮膚浸軟（Maceration），進而引發壓瘡。照護計畫應包含預防性措施，如使用隔離霜形成保護膜、建立定期如廁訓練（Toileting program）以減少失禁，以及失禁後徹底清潔皮膚。切忌將尿布視為長期解決方案，應鼓勵病人維持皮膚乾燥。
Care for clients with urinary incontinence focuses on preserving skin integrity by preventing moisture-associated skin damage and maceration. Interventions include applying a moisture barrier cream, implementing a scheduled toileting program to reduce accidents, performing regular skin assessments, and gently cleansing the skin after each episode. Absorbent briefs should be changed immediately when soiled, not waited until full, to minimize skin exposure to urine.