— 基本照護與舒適 · EASY · MCQ —
一位有慢性便秘病史的病人。下列哪項生活型態調整最能促進規律排便？
A nurse is caring for a client with a history of chronic constipation. Which lifestyle modification is most effective in promoting regular bowel movements?
- AConsuming highly processed foods食用高度加工食品
- BRestricting physical activity to prevent fatigue限制體力活動以防疲勞
- CIncreasing soluble fiber intake and hydration✓ 正解增加可溶性纖維攝取量並補充水分
- DTaking a daily laxative to establish a routine每天服用瀉藥以建立規律
— Explanation · 中文詳解 —
慢性便秘的處理首選物理性調整。攝取膳食纖維（增加糞便體積）配合充足水分（軟化糞便）能促進腸道蠕動。依賴瀉藥會導致腸道功能退化；活動量不足會減緩腸道蠕動，應鼓勵適度運動；高度加工食品缺乏纖維，會加重排便困難。
Increasing soluble fiber intake and hydration is the most effective lifestyle modification for promoting regular bowel movements, as fiber adds bulk and water softens stool. Clients should avoid highly processed foods and sedentary behaviors, and reliance on daily laxatives should be minimized to prevent bowel dependency.
✦ 台美臨床差異
美國護理衛教重視膳食纖維搭配水分；台灣因飲食文化偏好精緻澱粉，更需特別強調全穀類攝取。