— 基本照護與舒適 · MEDIUM · MCQ —
一位長期疼痛的病人尋求舒適護理措施。護理師採取哪項行動展現了對舒適護理的理解？
A client is experiencing chronic pain and requests comfort measures. Which action by the nurse demonstrates an understanding of comfort management?
- ADimming the lights and reducing room noise✓ 正解調暗燈光並降低房間噪音
- BMaintaining a strict schedule for visitors維持嚴格的訪客時間表
- CAdministering the maximum dose of pain medication給予最大劑量的止痛藥物
- DEncouraging the client to ignore the pain鼓勵病人忽略疼痛
— Explanation · 中文詳解 —
舒適護理不僅限於藥物控制，環境優化亦是核心。過度刺激（光線、噪音）會增加中樞神經敏感度，惡化慢性疼痛感受。減少環境干擾有助於神經系統放鬆。其他選項皆非正確的護理方針：藥物需依醫囑調整而非盲目增加，忽略疼痛無法解決問題，嚴格訪客時間可能導致病人社交隔離。
Comfort management for chronic pain involves reducing environmental stimuli, such as dimming lights and lowering noise, to decrease central nervous system sensitivity and promote relaxation. This holistic approach complements pharmacological treatments and addresses the physiological impact of excessive sensory input.
✦ 台美臨床差異
美國醫院常見非藥物疼痛介入（如芳療、音樂治療），台灣則多以藥物治療為主，輔助性療法較少。