— 健康促進與維護 · MEDIUM · MCQ —
一位 70 歲個案擔憂居家跌倒風險。下列哪項護理建議最有效？
A 70-year-old client expresses concern about preventing falls at home. What is the most effective nursing recommendation?
- AEnsure the client wears thick-soled slippers at all times確保病人隨時穿著厚底拖鞋
- BRemove all loose area rugs and clear walkways✓ 正解移除所有鬆散的地毯並清理通道
- CInstall grab bars in the bedroom在臥室安裝扶手
- DIncrease the use of nightlights only in the bathroom僅在浴室增加夜燈的使用
— Explanation · 中文詳解 —
跌倒預防（Fall prevention）的核心在於「環境改造（Environmental modification）」。長者跌倒多半源於居家環境的絆倒因子。移除地毯（尤其是邊緣捲起或無防滑墊者）、保持走道通暢、設置適當照明，能有效降低跌倒機率。此外，應鼓勵穿著防滑底鞋，而非拖鞋，夜燈設置應覆蓋全動線（從臥室到廁所）。
Fall prevention primarily relies on environmental modifications to eliminate tripping hazards, such as removing loose area rugs and keeping walkways clear. Clients should wear non-slip footwear rather than thick-soled slippers, and lighting should be consistent throughout the entire path to the bathroom, not just in one room.