— 健康促進與維護 · HARD · MCQ —
護理師執行下列哪項活動，最能體現「健康信念模式」對提升病人遵囑性的理解？
Which of the following activities by the nurse best demonstrates an understanding of the Health Belief Model in promoting patient compliance?
- AScheduling follow-up appointments for the patient為病患安排追蹤門診
- BDiscussing the perceived benefits and barriers of a recommended treatment✓ 正解討論推薦治療方案的感知效益與障礙
- CProviding written pamphlets about the disease process提供關於疾病過程的書面小冊子
- DChecking the patient's vital signs and medication adherence檢查病患的生命徵象與用藥遵從性
— Explanation · 中文詳解 —
健康信念模式（Health Belief Model）強調個案若要改變行為，必須先認知到疾病的嚴重性、自己的易感性，以及行動帶來的效益大於障礙。護理師探討治療的效益與障礙，能直接影響個案的內在動機，從而提升遵囑性。
The Health Belief Model emphasizes that for clients to change behavior, they must first perceive the severity of the disease, their personal susceptibility, and the benefits of taking action as outweighing the barriers. By discussing the benefits and barriers of treatment, the nurse can directly influence the client's internal motivation, thereby improving adherence.
✦ 台美臨床差異
美國護理教育極度強調行為模型應用，臨床上常使用此類架構進行病患對話；台灣則較偏重臨床技能與衛教內容正確性。