— 健康促進與維護 · MEDIUM · MCQ —
護理師向有抽菸史的客戶提供出院指導。哪項資源對於長期戒菸最有效？
A nurse is providing discharge instructions to a client with a history of smoking. Which resource is most effective for long-term cessation?
- AOccasional use of nicotine patches偶爾使用尼古丁貼片
- BBehavioral counseling combined with pharmacotherapy✓ 正解行為諮商合併藥物治療
- CSwitching to electronic cigarettes改用電子菸
- DCold turkey method冷火雞戒菸法
— Explanation · 中文詳解 —
研究顯示，結合行為諮商（心理支持）與藥物治療（尼古丁替代療法或非尼古丁藥物）是戒菸成功率最高的方案。單靠意志力（Cold turkey）成功率極低；電子菸安全性與效果仍有爭議；間歇使用貼片則無法維持穩定血中濃度。
Research shows that combining behavioral counseling (psychological support) with pharmacotherapy (nicotine replacement therapy or non-nicotine medication) yields the highest smoking-cessation success rate. Willpower alone (cold turkey) has a very low success rate; the safety and efficacy of e-cigarettes remain controversial; and intermittent use of patches cannot maintain a stable blood concentration.
✦ 台美臨床差異
台灣健保提供專屬的戒菸諮詢與補助藥物，護理師在門診常扮演重要的諮詢角色。