— 基本照護與舒適 · MEDIUM · SATA —
護理師指導病人預防壓瘡。下列哪些衛教內容是重要的?(選所有適合的)
A nurse is teaching a client how to prevent pressure injuries. Which instruction is important? (Select all that apply.)
- AShift your weight every 15-30 minutes if sitting✓ 正解若坐著,每 15-30 分鐘改變體重分佈。
- BKeep your skin clean and dry✓ 正解保持皮膚清潔乾燥。
- CEat a diet rich in protein and Vitamin C✓ 正解攝取富含蛋白質和維生素 C 的飲食。
- DMassage bony prominences regularly定期按摩骨突處。
- EAvoid using pillows to support your joints避免使用枕頭支撐關節。
— Explanation · 中文詳解 —
壓瘡(Pressure Injury)的預防關鍵在於消除持續性壓力、維持皮膚完整性及提供組織修復所需的營養。護理師應教導病人透過定時變換姿勢來促進局部血液循環,保持皮膚清潔乾燥以避免浸潤(Maceration),並攝取足夠蛋白質與維生素C以促進膠原蛋白合成與組織癒合。臨床上,應避免對骨突處進行摩擦,因為這會導致皮下組織受損,且枕頭應被妥善利用於減壓支撐,而非被移除。
Preventing pressure injuries involves shifting weight frequently to reduce tissue pressure, keeping skin clean and dry to prevent maceration, and consuming adequate protein and vitamin C to support tissue repair.