— 基本照護與舒適 · EASY · SATA —
護理師使用 Braden 量表評估病人的壓瘡風險,哪些因素會被納入評估?(選所有適合的)
A nurse is assessing a client's risk for pressure ulcers using the Braden Scale. Which factors are evaluated? (Select all that apply.)
- ASensory perception✓ 正解感覺知覺
- BMoisture✓ 正解潮濕
- CActivity✓ 正解活動力
- DNutritional intake✓ 正解營養攝取
- EEye color眼睛顏色
— Explanation · 中文詳解 —
Braden 量表是臨床上最廣泛使用的壓瘡風險評估工具,包含六個維度:感覺知覺(Sensory perception)、潮濕程度(Moisture)、活動度(Activity)、可移動性(Mobility)、營養狀況(Nutrition)以及摩擦力與剪力(Friction and Shear)。透過這些評估,護理師能識別高風險病人,並採取相應的預防策略。
The Braden Scale evaluates six key risk factors for pressure ulcers: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. These components help identify clients at high risk so that appropriate preventive strategies can be implemented promptly.