— 安全與感染控制 · MEDIUM · SATA —
哪些評估結果顯示病人有高度跌倒風險？（選所有適合的）
Which assessment findings indicate that a client is at high risk for falls? (Select all that apply.)
- AHistory of a fall within the past 6 months✓ 正解過去六個月內有跌倒史
- BUse of antihypertensive medications✓ 正解使用降血壓藥物
- CImpaired visual acuity✓ 正解視力受損
- DAge 50 years or older年齡 50 歲或以上
- EPresence of an intravenous infusion line有靜脈輸液線
— Explanation · 中文詳解 —
跌倒評估工具（如 Morse Fall Scale）中，過去半年曾跌倒是最強預測因子。降血壓藥可能導致姿勢性低血壓，視覺障礙影響環境判斷，皆為臨床跌倒高風險指標。年齡 50 歲尚不屬於傳統高風險（通常指 65 歲以上），靜脈留置管雖影響活動但不構成跌倒的主因。
A history of falling within the past six months is the strongest predictor of future falls. Additional high-risk factors include the use of antihypertensive medications, which may cause orthostatic hypotension, and impaired visual acuity, which compromises environmental navigation. Age 50 is generally not considered a primary risk factor compared to those over 65.
✦ 台美臨床差異
美台皆採用標準化跌倒評估量表（如 Morse 量表），執行落實程度一致，皆視為病人安全品質指標。