— 健康促進與維護 · HARD · MCQ —
護理師正在為一位患有靜脈潰瘍的病人提供傷口照護教育。下列何種指導對促進癒合最重要？
A nurse is providing education on wound care for a client with a venous stasis ulcer. Which instruction is most important for promoting healing?
- AAvoiding all physical activity to prevent further injury避免所有體力活動以防止進一步受傷
- BWearing compression stockings during waking hours✓ 正解清醒時穿著彈性襪
- CApplying warm compresses to the ulcer對潰瘍部位進行溫敷
- DElevating the affected leg above heart level for 30 minutes, three times a day每天三次，每次將患肢抬高超過心臟水平 30 分鐘
— Explanation · 中文詳解 —
穿著彈性壓力襪（Compression stockings）是靜脈潰瘍治療的基石，能改善靜脈回流，減輕水腫，促進傷口癒合。抬高腿部有輔助作用，但壓力襪是持續性的關鍵；熱敷不適用於靜脈潰瘍；適度活動有益於循環。
Compression stockings are the cornerstone of treatment for venous stasis ulcers as they improve venous return and reduce edema, which promotes healing. While leg elevation is helpful, it is intermittent, whereas compression provides the necessary continuous support to manage venous insufficiency effectively.
✦ 台美臨床差異
美國血管外科醫師強調壓力治療在靜脈潰瘍管理中的核心地位；台灣的傷口照護中心亦採納此觀念，但壓力襪的選擇、穿著指導及後續追蹤需更普及。