— 基本照護與舒適 · EASY · SATA —
下列哪些護理措施適合用於失眠的病人？（選所有適合的）
Which of the following interventions are appropriate for a client experiencing insomnia? (Select all that apply.)
- AEstablish a consistent bedtime routine✓ 正解建立固定的就寢常規
- BEncourage vigorous exercise right before bed鼓勵睡前進行劇烈運動
- CLimit caffeine intake during the afternoon and evening✓ 正解限制下午和晚上的咖啡因攝取
- DKeep the sleeping environment cool, dark, and quiet✓ 正解保持睡眠環境涼爽、黑暗和安靜
- EUse the bed for watching television to relax用床鋪來看電視以放鬆
— Explanation · 中文詳解 —
睡眠衛生指導核心在於建立穩定的生理時鐘與環境條件。規律作息、下午後避免咖啡因及創造舒適環境皆有助於睡眠。激烈運動會刺激交感神經，應避免在睡前進行；床鋪應僅用於睡眠與性生活，避免在床上進行電視等刺激性活動。
Appropriate interventions for insomnia include establishing a consistent bedtime routine, limiting caffeine intake in the afternoon and evening, and maintaining a cool, dark, and quiet sleeping environment. Vigorous exercise before bed should be avoided as it increases alertness, and the bed should be reserved solely for sleep to strengthen the association between the environment and rest.
✦ 台美臨床差異
美國護理師常提供結構化的睡眠衛生衛教；台灣較少針對睡眠障礙進行全面性指導，多依賴醫師開立安眠藥。