一位患有失智症的病人出現日落症候群，護理師應採取何種策略？
A nurse is caring for a client with dementia who is experiencing sundowning syndrome. Which strategy should the nurse implement?
- AIncrease physical activity during the late afternoon在下午晚些時候增加身體活動
- BLimit visitors to morning hours only僅限制訪客在上午時段探視
- CMaintain bright lighting in the room during the evening✓ 正解在傍晚時分保持室內燈光明亮
- DProvide a stimulating environment in the evening在傍晚提供刺激的環境
日落症候群（Sundowning）常因黃昏的光線改變與環境陰影導致混亂。增加室內亮度可減少陰影產生的錯覺與焦慮。下午增加活動反而會導致黃昏時疲憊，惡化症狀；限制訪客應考量病人心理需求，非必要措施；傍晚提供刺激則會讓病人更難以平靜。
Sundowning syndrome is often exacerbated by changing light conditions and shadows in the late afternoon, which can cause confusion and anxiety in clients with dementia. Maintaining bright lighting in the room during the evening helps reduce these visual distortions and promotes a calmer environment. Increasing physical activity or providing stimulation at this time may lead to fatigue and worsen symptoms, making environmental modification the most effective strategy.
美國長期照護強調環境調整，台灣亦提倡感官刺激與規律生活作息以改善日落症候群。