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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.

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