護理師教導病人如何預防跌倒,病人的哪項陳述表示需要進一步指導?
A nurse is educating a client about preventing falls. Which statement by the client indicates a need for further teaching?
- AI will make sure my home has good lighting.我會確保家中照明良好
- BI will keep frequently used items within easy reach.我會將常用物品放在容易拿取的地方
- CI will remove throw rugs from walkways.我會移除走道上的塊毯
- DI will wear my slippers with the rubber soles when I walk around the house.✓ 正解我在室內走路時會穿橡膠底的拖鞋
預防跌倒是保障病人安全的重要環節,尤其對於有跌倒風險的病人。護理師需教導病人及其家屬採取多項措施來降低風險。正確答案 D 指出病人計畫在家中穿著「帶有橡膠鞋底的拖鞋(slippers with rubber soles)」,這表示病人可能誤解了鞋子選擇的重要性。雖然橡膠鞋底比皮革或塑膠底好,但「拖鞋」本身通常較寬鬆、易脫落,且包覆性不足,仍有較高的滑倒風險。臨床上更推薦病人穿著貼合、防滑的室內鞋或運動鞋。其他選項(良好的照明、移除地毯、物品易於取得)都是預防跌倒的有效策略,表示病人理解這些概念。
Wearing slippers, even those with rubber soles, increases fall risk because they often lack proper fit and coverage, making them prone to slipping off. Clients should be educated to wear well-fitting, non-skid indoor shoes or sneakers instead. Good lighting, removing throw rugs, and keeping frequently used items within reach are all effective fall prevention strategies that indicate correct understanding.
無顯著差異。預防跌倒的衛教原則在台美兩地均相同,強調環境安全、適當的鞋具選擇、以及病人自身活動安全。台灣的護理師也會教導病人穿著防滑、合腳的鞋子,而非僅僅依賴拖鞋。