— 基本照護與舒適 · EASY · MCQ —
護理師協助術後病人進行疼痛管理。哪項措施最能體現舒適照護原則？
A nurse is assisting a client with post-operative pain management. Which intervention best demonstrates the principle of comfort care?
- AAssess the pain level only once per shift每班僅評估一次疼痛程度
- BProvide a back massage and adjust the environment for relaxation✓ 正解提供背部按摩並調整環境以促進放鬆
- CAdminister pain medication only when the client requests it僅當病人要求時才給予止痛藥物
- DRestrict visitors to ensure complete rest限制探視以確保充分休息
— Explanation · 中文詳解 —
舒適照護不僅包含藥物止痛，還包含非藥物性輔助措施（輔助療法）。背部按摩能促進肌肉放鬆、增加舒適感，調整環境（光線、噪音）亦能改善病人的心理感受。C選項過於被動；A選項評估頻率過低；D選項應尊重病人對支持系統的需求，不應強制隔離。
Comfort care involves complementary therapies such as back massage and environmental adjustments to promote relaxation. These non-pharmacological interventions enhance analgesic effectiveness and address psychosocial needs better than restrictive or passive approaches.
✦ 台美臨床差異
美國醫院強調病人滿意度（HCAHPS），舒適照護指標佔很大比重；台灣醫療則較專注於藥物效能。