— 基本照護與舒適 · MEDIUM · MCQ —
護理師評估病人的睡眠型態，哪項措施能改善住院病人的睡眠品質？
A nurse is assessing a client's sleep patterns. Which intervention helps promote better sleep for a hospitalized client?
- AAdminister a hypnotic medication every night to ensure sleep每晚給予鎮靜劑以確保睡眠
- BEstablish a consistent bedtime routine similar to the client's home routine✓ 正解建立與病人居家習慣相似的固定就寢常規
- CKeep the lights on throughout the night for safety整夜開燈以確保安全
- DSchedule all nursing care to occur during the night shift將所有護理活動安排於夜班進行
— Explanation · 中文詳解 —
住院環境常干擾晝夜節律，導致病人睡眠片段化。護理師應儘量維持病人居家習慣，例如睡前閱讀、洗澡或調暗燈光。隨意開燈會抑制褪黑激素分泌；夜間頻繁護理會導致睡眠中斷；而鎮靜安眠藥並非首選，應先採取非藥物性行為改善措施。
Establishing a consistent bedtime routine similar to the client's home habits helps promote better sleep by supporting the body's natural circadian rhythms. Interventions such as clustering care at night and minimizing bright light exposure further aid in preventing sleep fragmentation.
✦ 台美臨床差異
美國醫院近年推動「安靜時間」（Quiet Time），台灣醫院病房常因病友間干擾與儀器警示聲，較難落實完整睡眠保護。