[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"blog-\u002Fblog\u002Felder-fall-what-to-do":3},{"id":4,"title":5,"body":6,"date":424,"description":425,"draft":426,"extension":427,"meta":428,"navigation":429,"path":430,"seo":431,"stem":432,"tags":433,"updated":435,"__hash__":436},"blog\u002Fblog\u002Felder-fall-what-to-do.md","爸媽跌倒了，當下該做什麼？以及怎麼避免下一次",{"type":7,"value":8,"toc":405},"minimark",[9,13,21,24,29,36,39,65,70,95,102,106,109,126,132,136,139,146,149,169,176,180,183,187,210,213,216,222,225,228,231,238,242,245,321,327,335,339,346,349,356,362,365,368,385,388,396,399],[10,11,12],"p",{},"長輩跌倒真正可怕的，往往不是當下那個傷。",[10,14,15,16,20],{},"是接下來的三個月：怕再跌所以不敢動，不敢動所以肌肉流失，肌肉流失所以更容易\n跌。很多長輩的失能不是從疾病開始的，是從",[17,18,19],"strong",{},"一次跌倒","開始的。",[10,22,23],{},"所以這篇分兩半：當下怎麼處理，以及怎麼不要有下一次。",[25,26,28],"h2",{"id":27},"一當下先不要急著扶起來","一、當下：先不要急著扶起來",[10,30,31,32,35],{},"看到爸媽倒在地上，本能是衝過去把人拉起來。但如果有骨折或頭部外傷，\n",[17,33,34],{},"移動會讓傷勢加重","。",[10,37,38],{},"正確的順序是：",[40,41,42,49,55],"ol",{},[43,44,45,48],"li",{},[17,46,47],{},"先問","：叫得出名字嗎？知道現在在哪裡嗎？哪裡痛？",[43,50,51,54],{},[17,52,53],{},"再看","：有沒有明顯變形、腫脹、出血？有沒有撞到頭？",[43,56,57,60,61,64],{},[17,58,59],{},"確認能不能動","：讓他自己試著動動手腳。",[17,62,63],{},"能動、不痛、意識清楚","，\n才協助慢慢起身——先側躺、再撐坐、最後扶著穩固的家具站起來。",[66,67,69],"h3",{"id":68},"這些情況直接打-119不要自己載去醫院","這些情況直接打 119，不要自己載去醫院",[71,72,73,76,83,86,89,92],"ul",{},[43,74,75],{},"撞到頭，或不確定有沒有撞到頭",[43,77,78,79,82],{},"正在服用",[17,80,81],{},"抗凝血劑","（薄血藥，如可邁丁、艾必克凝、拜瑞妥等）",[43,84,85],{},"意識不清、講話含糊、答非所問",[43,87,88],{},"肢體明顯變形、劇痛、無法承重（很可能是髖部骨折）",[43,90,91],{},"抱怨頸部或背部疼痛",[43,93,94],{},"跌倒前有暈眩、胸悶、心悸，或曾短暫失去意識",[10,96,97,98,101],{},"最後一項特別重要：",[17,99,100],{},"如果是先昏過去才跌倒，問題不在跌倒，在心臟或腦部。","\n這種一定要查清楚。",[66,103,105],{"id":104},"撞到頭之後的-72-小時","撞到頭之後的 72 小時",[10,107,108],{},"即使當下看起來沒事，接下來三天要留意：",[71,110,111,114,117,120,123],{},[43,112,113],{},"越來越嚴重的頭痛",[43,115,116],{},"想吐、嘔吐",[43,118,119],{},"異常嗜睡、叫不太醒",[43,121,122],{},"講話變得不清楚、單側手腳無力",[43,124,125],{},"個性或行為明顯改變",[10,127,128,131],{},[17,129,130],{},"任何一項出現就回急診。"," 老人家的慢性硬腦膜下出血可能在跌倒後數天到數週\n才顯現，而它初期常被誤以為是「最近變得比較恍神」。",[25,133,135],{"id":134},"二就算沒受傷也要記下來","二、就算沒受傷，也要記下來",[10,137,138],{},"這是最多家庭漏掉的一步。",[10,140,141,142,145],{},"沒受傷 → 鬆一口氣 → 這件事就過去了。",[17,143,144],{},"但跌倒本身是一個症狀","，重點從來\n不是傷，是「為什麼會跌」。",[10,147,148],{},"當下記三件事就夠：",[71,150,151,157,163],{},[43,152,153,156],{},[17,154,155],{},"時間","（幾點）",[43,158,159,162],{},[17,160,161],{},"地點","（浴室？床邊？門檻？）",[43,164,165,168],{},[17,166,167],{},"在做什麼","（剛起身？半夜上廁所？彎腰撿東西？）",[10,170,171,172,175],{},"累積三、四次之後，模式就會浮出來——都在半夜、都在剛起身的那一瞬間、都在\n換藥之後。",[17,173,174],{},"那個模式才是可以介入的地方","，而回想是回想不出來的。",[25,177,179],{"id":178},"三為什麼會跌","三、為什麼會跌",[10,181,182],{},"多數跌倒不是「不小心」，而是幾個原因疊在一起。",[66,184,186],{"id":185},"藥物最常見也最容易被忽略","藥物（最常見，也最容易被忽略）",[71,188,189,195,201,204],{},[43,190,191,194],{},[17,192,193],{},"安眠藥、鎮定劑","——夜間起床時反應變慢",[43,196,197,200],{},[17,198,199],{},"降血壓藥、利尿劑","——姿勢性低血壓，起身瞬間眼前發黑",[43,202,203],{},"抗組織胺、部分感冒藥——嗜睡",[43,205,206,209],{},[17,207,208],{},"同時吃五種以上的藥","，跌倒風險明顯上升",[10,211,212],{},"如果跌倒集中在換藥或加藥之後，回診時一定要主動提。很多時候調整劑量或\n換時間服用就能改善。",[66,214,215],{"id":215},"姿勢性低血壓",[10,217,218,219],{},"從躺到坐、從坐到站的那幾秒眼前發黑。教長輩一個習慣就有用：\n",[17,220,221],{},"醒來先坐在床邊數三十秒，再站起來。",[66,223,224],{"id":224},"視力與環境",[10,226,227],{},"白內障、老花沒有矯正、夜間照明不足、地板反光——長輩看不清楚地面高低差。",[66,229,230],{"id":230},"肌少症",[10,232,233,234,237],{},"大腿無力、從椅子上站起來要撐扶手、走路變慢。這是可以靠",[17,235,236],{},"阻力訓練與蛋白質\n攝取","改善的，不是「老了就這樣」。",[25,239,241],{"id":240},"四居家防跌真正有效的幾件事","四、居家防跌：真正有效的幾件事",[10,243,244],{},"不必大改裝，先做這幾項：",[246,247,248,261],"table",{},[249,250,251],"thead",{},[252,253,254,258],"tr",{},[255,256,257],"th",{},"位置",[255,259,260],{},"做什麼",[262,263,264,277,285,293,305,313],"tbody",{},[252,265,266,270],{},[267,268,269],"td",{},"浴室",[267,271,272,273,276],{},"防滑墊、淋浴椅、馬桶旁與淋浴間裝",[17,274,275],{},"扶手","（吸盤式的不算）",[252,278,279,282],{},[267,280,281],{},"夜間動線",[267,283,284],{},"床到廁所全程要有光——感應式小夜燈最省事",[252,286,287,290],{},[267,288,289],{},"地面",[267,291,292],{},"拿掉所有小地毯與門檻墊；電線收到牆邊",[252,294,295,298],{},[267,296,297],{},"鞋",[267,299,300,301,304],{},"室內穿",[17,302,303],{},"包覆後跟、有止滑底","的鞋，不要穿拖鞋或只穿襪子",[252,306,307,310],{},[267,308,309],{},"樓梯",[267,311,312],{},"雙側扶手、階梯邊緣貼止滑條、樓梯間照明",[252,314,315,318],{},[267,316,317],{},"常用物品",[267,319,320],{},"放在腰與肩之間的高度，不必彎腰也不必墊腳",[10,322,323,326],{},[17,324,325],{},"優先順序：浴室 > 夜間動線 > 鞋。"," 這三個佔了居家跌倒的大宗。",[10,328,329,330,35],{},"輔具與居家無障礙改善（扶手、防滑、斜坡）長照 2.0 有補助，見\n",[331,332,334],"a",{"href":333},"\u002Fblog\u002Flong-term-care-1966","長照 2.0 怎麼申請",[25,336,338],{"id":337},"五比跌倒更該擔心的事","五、比跌倒更該擔心的事",[10,340,341,342,345],{},"跌過一次之後，很多長輩會開始",[17,343,344],{},"不敢動","。不敢出門、不敢洗澡、不敢自己上廁所。",[10,347,348],{},"家人通常也樂見其成——「不要動比較安全」。",[10,350,351,352,355],{},"但這是錯的。不動會讓肌力在幾週內明顯流失，而肌力流失正是下一次跌倒的\n主因。真正該做的是",[17,353,354],{},"在安全的前提下維持活動量","：扶著走、有人陪著走、\n從家裡走到巷口再走回來。",[357,358,359],"tip",{},[10,360,361],{},"跌倒之後最需要處理的，往往是「怕」這件事，而不是傷。",[25,363,364],{"id":364},"回診時要講什麼",[10,366,367],{},"帶著你記下來的那幾筆紀錄，講三件事：",[40,369,370,375,380],{},[43,371,372],{},[17,373,374],{},"這段時間跌了幾次、分別在什麼情境",[43,376,377],{},[17,378,379],{},"有沒有跟換藥的時間重疊",[43,381,382],{},[17,383,384],{},"最近走路、站起來有沒有變吃力",[10,386,387],{},"醫師會據此決定要不要調藥、要不要轉復健科評估、要不要安排骨質密度檢查。",[10,389,390,391,395],{},"而如果你不住在一起，這些紀錄要靠電話問是問不出來的——長輩多半會說「還好啦」。\n有我顧的做法是讓長輩在 LINE 收提醒、按一下回報，累積下來的紀錄回診前可以\n直接產生一頁摘要給醫師看。同樣的道理也適用在\n",[331,392,394],{"href":393},"\u002Fblog\u002Felder-forgets-medication","漏吃藥","：重點不是提醒，是取得事實。",[397,398],"hr",{},[10,400,401],{},[402,403,404],"em",{},"本文為一般照護資訊整理，不能取代醫療專業判斷。跌倒後若有任何疑慮，\n請儘速就醫。",{"title":406,"searchDepth":407,"depth":408,"links":409},"",2,3,[410,414,415,421,422,423],{"id":27,"depth":407,"text":28,"children":411},[412,413],{"id":68,"depth":408,"text":69},{"id":104,"depth":408,"text":105},{"id":134,"depth":407,"text":135},{"id":178,"depth":407,"text":179,"children":416},[417,418,419,420],{"id":185,"depth":408,"text":186},{"id":215,"depth":408,"text":215},{"id":224,"depth":408,"text":224},{"id":230,"depth":408,"text":230},{"id":240,"depth":407,"text":241},{"id":337,"depth":407,"text":338},{"id":364,"depth":407,"text":364},"2026-08-10","跌倒當下不要急著扶起來。哪些狀況要直接叫救護車、頭部撞擊後要觀察什麼、沒受傷也要記下什麼，以及居家防跌真正有效的幾件事。",false,"md",{},true,"\u002Fblog\u002Felder-fall-what-to-do",{"title":5,"description":425},"blog\u002Felder-fall-what-to-do",[434],"居家安全",null,"4fUN7yU9a9mcbsSyIAQH8xotldI9pkOL-RMpd_EcFOE"]