— 基本照護與舒適 · EASY · MCQ —
護理師照護一位失眠的病人，哪種非藥物性護理措施對改善睡眠最有效？
A nurse is caring for a client experiencing insomnia. Which of the following non-pharmacological interventions is most effective for promoting sleep?
- AKeep the room temperature warm to aid relaxation保持房間溫暖以協助放鬆
- BEstablish a consistent bedtime routine✓ 正解建立固定的就寢常規
- CProvide a warm glass of milk before bedtime睡前提供一杯溫牛奶
- DEncourage the client to take a nap during the afternoon鼓勵病人在下午小睡
— Explanation · 中文詳解 —
失眠（Insomnia）的非藥物護理核心為「睡眠衛生」（Sleep hygiene）。建立一致的作息時間能調整生理時鐘（Circadian rhythm），提升睡眠穩定度。午睡會消耗睡眠驅力（Sleep drive），導致夜間入睡困難；過熱的環境會抑制核心體溫下降，影響深層睡眠進入。溫牛奶雖含色胺酸，但臨床效果因人而異，不如規律行為模式對神經系統的暗示作用強大。護理思路應優先從改善行為模式下手，而非依賴輔助飲食。
Establishing a consistent bedtime routine is the most effective non-pharmacological intervention for insomnia as it helps regulate the circadian rhythm. Other measures like napping or warm rooms may disrupt sleep drive or core temperature regulation needed for rest.