— 照護管理 · MEDIUM · SATA —
護理師照護一位有跌倒病史的病人。下列哪項預防跌倒策略最有效？（選所有適合的）
A nurse is managing a client with a history of fall risks. Which strategies are most effective in preventing falls? (Select all that apply.)
- AKeep the call light within the client's reach✓ 正解將呼叫鈴保持在病人可及之處
- BPlace the client in a room near the nursing station✓ 正解將病人安置在護理站附近的房間
- CApply physical restraints to keep the client in bed使用身體約束讓病人留在床上
- DPerform hourly rounding to check client needs✓ 正解每小時巡房以檢查病人需求
- EMaintain the bed in the lowest position✓ 正解維持病床在最低位置
— Explanation · 中文詳解 —
預防跌倒需採多重預防措施。病室靠近護理站方便監控、床位維持低位、放置呼叫鈴供緊急使用、執行 hourly rounding（每小時巡視）主動預測病人需求，均是證據導向的防跌策略。約束（Restraints）非防跌手段，且可能增加病人焦慮與受傷風險。
Effective fall prevention strategies include keeping the call light within reach to reduce unassisted ambulation, placing the client near the nursing station for frequent monitoring, maintaining the bed in the lowest position, and performing hourly rounding to anticipate needs. Physical restraints are not recommended as they can increase agitation and injury risk.
✦ 台美臨床差異
美國醫院廣泛實施 Hourly Rounding；台灣醫院亦加強防跌，但因人力比高，落實程度有時受限。