— 基本照護與舒適 · MEDIUM · MCQ —
一位病人表示疼痛程度為 8/10。護理師應優先提供哪項非藥物介入措施？
A client is experiencing pain rated 8 out of 10. Which non-pharmacological intervention should the nurse offer first?
- ARepositioning the client for comfort✓ 正解為舒適而調整病人姿勢
- BGuided imagery引導式想像
- CProgressive muscle relaxation漸進式肌肉放鬆
- DMusic therapy音樂治療
— Explanation · 中文詳解 —
對於急性高強度疼痛，最直接且有效的非藥物處置是改變姿勢（Repositioning）。調整姿勢可緩解肌肉緊張或減輕病灶處的張力。其他選項如引導式想像或音樂治療屬於認知輔助，對於 8 分的高強度疼痛，若不先調整物理環境與姿勢，效果較有限。
Repositioning the client is the priority non-pharmacological intervention for acute, high-intensity pain as it immediately reduces physical strain and muscle tension. Other techniques like guided imagery or music therapy are less effective initially for severe pain and serve better as complementary measures after addressing physical discomfort.
✦ 台美臨床差異
台灣醫院常規治療中對「非藥物」處置的賦權較低，但護理師仍可主動協助病人調整姿勢。