— 基本照護與舒適 · EASY · MCQ —
一位住院病人因環境導致失眠，下列何種護理措施最能促進其睡眠？
A client is experiencing insomnia related to hospitalization. Which nursing intervention best promotes restful sleep?
- ADim the lights and minimize noise during designated sleep hours✓ 正解在指定睡眠時間內調暗燈光並減少噪音
- BOffer a caffeinated beverage before bedtime to improve mood睡前提供含咖啡因飲料以改善情緒
- CEncourage the client to take a long nap during the afternoon鼓勵病人在下午進行長時間午睡
- DPerform all vital sign checks and assessments hourly每小時進行所有生命徵象檢查和評估
— Explanation · 中文詳解 —
改善住院睡眠品質的核心在於調整環境因子，降低光線與噪音刺激能促進副交感神經活性。避免含咖啡因飲品與縮短日間午睡時間能維持晝夜節律；密集的操作（如每小時量血壓）會中斷睡眠週期，除非必要否則應合併照護時間。
Promoting restful sleep for hospitalized clients involves modifying the environment to reduce stimuli such as bright lights and excessive noise during designated sleep hours. These adjustments support circadian rhythms and parasympathetic activity, whereas caffeine, prolonged napping, or frequent interruptions can disrupt sleep patterns.
✦ 台美臨床差異
台灣病房常有探病者與家屬陪伴，晚上環境音量較難控制，護理師需更積極協助協調家屬。