— 基本照護與舒適 · MEDIUM · MCQ —
護理師照護一位有慢性便秘病史的病人。下列哪項措施應包含在照護計畫中？
A nurse is caring for a client with a history of chronic constipation. Which intervention should the nurse include in the care plan?
- ARecommend avoiding high-fiber foods to rest the bowel建議避免攝取高纖維食物以讓腸道休息
- BLimit physical activity to prevent fatigue限制體力活動以防止疲勞
- CSuggest daily use of stimulant laxatives建議每日使用刺激性瀉藥
- DEncourage at least 2 liters of fluid intake daily✓ 正解鼓勵每日至少攝取 2 公升液體
— Explanation · 中文詳解 —
慢性便秘的護理核心是增加糞便體積與濕度，以及促進腸蠕動。充足的水分攝取（D）至關重要，若纖維充足但水分不足反而會加重便秘。A 應為增加高纖飲食；C 應避免濫用刺激性瀉藥；D 規律運動能促進蠕動，不應限制。
Adequate fluid intake is essential in managing chronic constipation because it helps soften the stool, facilitating easier passage through the intestines. While fiber and exercise are also important, insufficient hydration can worsen constipation even with high-fiber diets.
✦ 台美臨床差異
美國膳食指南強調纖維量，台灣臨床則更常使用益生菌或軟便藥物作為介入輔助。