— 健康促進與維護 · MEDIUM · MCQ —
一位 70 歲個案諮詢如何預防居家跌倒。在衛教計畫中，下列哪項建議最有效？
A 70-year-old client asks the nurse about preventing falls at home. Which suggestion is most effective to include in the teaching plan?
- AUse throw rugs to cover slippery floor areas使用拋棄式地毯覆蓋滑溜的地面區域
- BWear loose-fitting slippers for comfort穿著寬鬆的拖鞋以獲得舒適感
- CAvoid physical activity to prevent fatigue避免身體活動以防止疲勞
- DKeep pathways well-lit and free of clutter✓ 正解保持通道照明充足且無雜物
— Explanation · 中文詳解 —
居家跌倒預防核心在於移除環境危險因子。維持通道照明良好並移除障礙物可降低絆倒風險。地毯（throw rugs）極易滑動，應移除；拖鞋應選包覆性佳且防滑的，不宜過度寬鬆；鼓勵適當運動可強化肌力與平衡感，而非避免活動。
Preventing falls at home primarily involves removing environmental hazards. Keeping pathways well-lit and free of clutter significantly reduces the risk of tripping. Throw rugs should be avoided as they can slide or bunch up, and loose slippers offer poor stability. Regular physical activity is encouraged to maintain muscle strength and balance rather than being avoided.
✦ 台美臨床差異
美國居家安全評估通常由職能治療師主導；台灣則多由居家護理師或照顧管理專員提供評估建議。