— 基本照護與舒適 · EASY · MCQ —
一位住院病人因環境導致失眠，下列哪項護理措施最能幫助改善睡眠？
A client is experiencing insomnia related to hospitalization. Which nursing intervention is most effective in promoting sleep?
- AEncourage napping during the day to compensate鼓勵白天小睡以彌補
- BAdminister a PRN sleeping medication at 20:00於 20:00 給予 PRN 安眠藥物
- CKeep the room lights on to allow for better visibility保持房間燈光亮起以利視野清晰
- DCluster nursing activities to allow for periods of uninterrupted rest✓ 正解集中護理活動以允許不受打擾的休息時段
— Explanation · 中文詳解 —
住院期間失眠多與頻繁的護理干預與環境雜音有關。合併護理活動（Cluster care）能大幅減少對病人睡眠週期的中斷，使病人能進入深層睡眠。安眠藥應為最後手段，白天午睡會破壞夜間規律，燈光則會抑制褪黑激素分泌。
Clustering nursing activities minimizes sleep interruptions, allowing the client to achieve deeper, more restorative sleep cycles. While pharmacological options exist, non-pharmacological interventions like reducing environmental disturbances are preferred first-line strategies for hospital-acquired insomnia.
✦ 台美臨床差異
美台護理皆強調睡眠衛生，台灣由於病房較密集，聲音控制的難度往往高於美國單人病房。