— 基本照護與舒適 · MEDIUM · MCQ —
下列哪項是處理尿滯留的有效方式？
Which of the following is an effective way to manage urinary retention?
- AApplying firm pressure to the abdomen用力按壓腹部
- BRestricting fluid intake限制液體攝取
- CPouring warm water over the perineum✓ 正解將溫水沖洗會陰部
- DInserting a foley catheter immediately立即插入導尿管
— Explanation · 中文詳解 —
尿滯留處理原則為「由簡入繁，由非侵入性到侵入性」。溫水淋浴或將溫水淋在會陰部，是利用感覺神經反射刺激膀胱收縮肌（Detrusor muscle）的非侵入性方法。導尿管屬侵入性操作，伴隨感染風險，僅在非侵入手段無效時使用。按壓腹部（Credé maneuver）有導致膀胱破裂或尿液逆流至腎臟的風險，臨床應避免。
Effective management of urinary retention begins with non-invasive techniques to stimulate the micturition reflex, such as pouring warm water over the perineum. This method encourages bladder contraction without the risks associated with immediate catheterization, such as infection. Firm abdominal pressure should be avoided due to the risk of bladder injury or urine reflux, and restricting fluids does not resolve retention.