— 基本照護與舒適 · EASY · MCQ —
一位老年病人主訴睡眠品質不佳，護理師應優先建議哪項介入措施？
A nurse is assessing an older adult client who reports poor sleep quality. Which intervention should the nurse recommend first?
- AIncrease daytime napping duration增加日間午睡時間
- BTake an over-the-counter sleep aid before bed睡前服用非處方助眠藥物
- CEstablish a consistent bedtime routine✓ 正解建立固定的就寢常規
- DDrink a glass of warm milk right before sleep睡前喝一杯溫牛奶
— Explanation · 中文詳解 —
睡眠障礙在老年族群中常見，護理介入的首要原則是採取非藥物性行為治療，以重建生理時鐘（Circadian rhythm）。建立一致性的睡前儀式（Bedtime routine）能提供心理暗示，幫助個案放鬆並進入睡眠狀態，這是睡眠衛生（Sleep hygiene）教育的核心。藥物治療可能導致副作用或依賴，應列為最後手段；過度午睡會降低夜間睡眠壓力，應予避免；睡前飲品效果有限且可能增加夜尿風險，非優先建議。
Establishing a consistent bedtime routine is the priority non-pharmacological intervention to help regulate the client’s circadian rhythm and improve sleep quality. This approach aligns with sleep hygiene principles and avoids the risks associated with sedatives or excessive daytime napping. Behavioral strategies are preferred over medication to prevent dependency and side effects in older adults.