— 照護管理 · EASY · MCQ —
準備病人出院時，護理師何種行動對降低再入院風險最重要？
When preparing a client for discharge, which action by the nurse is essential to minimize readmission risks?
- AArrange for a hospital taxi service安排醫院計程車服務
- BProvide the client with a hospital souvenir提供病人醫院紀念品
- CVerify the client's understanding of the medication plan✓ 正解確認病人對用藥計畫的理解
- DEnsure the client has clean hospital gown確保病人有乾淨的病號服
— Explanation · 中文詳解 —
再入院（Readmission）的主要風險因子之一是病人對出院後的藥物管理不了解。確認病人理解用藥計畫（Medication reconciliation and education）是出院護理中最核心的關鍵，能大幅降低因用藥錯誤或停藥導致的併發症。護理師必須確保病人能正確地服藥，並了解藥物副作用與緊急情況如何處理。
Medication non-adherence and errors are leading causes of hospital readmission, making it essential to verify the client's understanding of their medication regimen before discharge. This education ensures the client can safely manage their prescriptions at home, thereby reducing the risk of complications that would require re-hospitalization.
✦ 台美臨床差異
美國醫院非常重視「出院計畫」（Discharge Planning），且有針對 30 天內再入院率的品質指標考核。護理師在出院教育時，會使用「Teach-back method」（教導回饋法）來確認病人真正理解，台灣臨床則較少以此標準化方式檢核。