# 一位住院病人表示難以入睡。哪項指導有助於睡眠衛生？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397356&lang=zh-tw  
> language: zh-TW  
> subject: Elimination  
> category: BCC

## 題目

一位住院病人表示難以入睡。哪項指導有助於睡眠衛生？

## 選項

1. 保持規律的就寢時間，並避免在傍晚後攝取咖啡因。 **✔ 正確答案**
2. 白天長時間小睡以補足失去的睡眠。
3. 睡不著時在床上劇烈運動。
4. 晚間飲用數杯咖啡以保持清醒直到就寢時間。

**正確答案: 1**

## 解析

規律的就寢時間、減少傍晚後的咖啡因攝取，以及寧靜的環境有助於睡眠衛生。長時間小睡、晚間攝取咖啡因，以及接近就寢時間的劇烈活動，都可能加劇睡眠中斷。應盡可能調整醫院常規以促進休息。

## 深入解析

臨床判斷
利用病人線索、時間點、檢驗數據及安全風險，選擇最符合醫院睡眠衛生的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對醫院睡眠衛生，將完整的線索模式與病人當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **睡眠衛生** — 支持健康睡眠的行為與環境習慣。
- **咖啡因** — 一種興奮劑，若在傍晚後攝取會干擾睡眠。
- **就寢時間常規** — 一套可預測的行動，用以提示身體準備睡眠。

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