— 健康促進與維護 · MEDIUM · MCQ —
護理師計畫向一群長者進行預防失溫的衛教。應包含哪些內容？
A nurse is planning to educate a group of elderly adults about preventing hypothermia. What should be included?
- AWear layered clothing and keep home temperature comfortable✓ 正解穿著多層次衣物並保持室內溫度舒適
- BAvoid blankets when sleeping睡眠時避免使用毯子
- CStay outdoors even during extreme cold即使在極端寒冷時也應待在戶外
- DIncrease alcohol consumption to feel warmer增加酒精攝取量以感覺溫暖
— Explanation · 中文詳解 —
老年人因皮下脂肪減少、代謝變慢及體溫調節中樞敏感度下降，極易發生失溫（Hypothermia）。衛教重點在於保暖措施，包括多層次穿衣（Layering）以捕捉空氣達到隔熱效果，以及維持適宜的室內溫度。酒精雖然會產生暫時溫暖感，但實際上會造成血管擴張，導致體熱更快散失，且會抑制中樞神經對寒冷的反應，極為危險。
Elderly adults are at increased risk for hypothermia due to decreased subcutaneous fat and slower metabolic rates. Education should emphasize wearing layered clothing to trap body heat and maintaining a comfortable indoor temperature, while avoiding alcohol as it causes vasodilation and increases heat loss.