護理師針對薦骨第一級壓瘡的病人，應執行下列哪項介入措施？
Which of the following interventions should the nurse perform for a client experiencing pressure injury Stage 1 on the sacrum?
- ATurning the client every 2 hours✓ 正解每兩小時為病人翻身
- BCleansing the area with hydrogen peroxide使用雙氧水清潔該區域
- CApplying a transparent moisture-retentive dressing貼上透明保溼敷料
- DMassaging the reddened area vigorously用力按摩發紅區域
第一級壓瘡（Stage 1 pressure injury）特徵為局部皮膚完整但出現紅斑（non-blanchable erythema）。此階段的核心處理原則為「減壓」與「保護」。透過每兩小時翻身（repositioning）可有效避免組織持續受壓，促進局部微循環恢復。臨床上，針對此階段應避免摩擦與潮濕，並維持皮膚完整性，防止進一步惡化為真皮層損傷。
Stage 1 pressure injuries present as non-blanchable erythema with intact skin, making pressure relief the primary intervention. Repositioning the client every two hours effectively reduces sustained pressure and restores local microcirculation. Other options like hydrogen peroxide, vigorous massage, or relying solely on dressings are either cytotoxic, harmful, or less effective than mechanical offloading.
在美國臨床教學中，嚴格禁止按摩發紅的骨突處（bony prominences）已是標準共識，但在部分台灣傳統護理習慣中仍偶見此行為，需特別注意。