— 基本照護與舒適 · MEDIUM · MCQ —
一位病人有失眠問題。哪項護理措施最能支持良好的睡眠衛生？
A client is experiencing insomnia. Which nursing intervention best supports sleep hygiene?
- AMaintain a quiet, dark environment during sleep hours✓ 正解在睡眠時間保持安靜、黑暗的環境
- BKeep the room temperature warm for comfort保持房間溫暖以圖舒適
- CAdminister a sedative at 8 PM daily每天下午8點給予鎮靜劑
- DProvide a heavy meal right before bed睡前提供豐盛的大餐
— Explanation · 中文詳解 —
睡眠衛生（Sleep Hygiene）的核心在於建立有利於生理時鐘的睡眠環境。黑暗與安靜的環境能減少外界刺激，促進褪黑激素（Melatonin）分泌，這是維持深度睡眠的必要條件。在護理決策中，非藥物干預（Non-pharmacologic interventions）永遠是促進睡眠的首選，藥物僅能在評估無效後作為輔助治療。臨床上應避免在睡前給予高熱量食物或咖啡因，並維持適中溫度以減少干擾。
Maintaining a quiet, dark environment is the most effective non-pharmacological intervention to promote sleep hygiene and melatonin secretion. Cooler temperatures are preferred over warm ones, and heavy meals before bed can disrupt sleep. Sedatives are considered secondary to environmental and behavioral modifications.