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健康促進與維護 · MEDIUM · SATA

護理師向新診斷高血壓的個案進行出院指導,應包含哪些內容?(選所有適合的)

A nurse is providing discharge instructions to a client with newly diagnosed hypertension. Which of the following should be included in the teaching? (Select all that apply.)

  • AMonitor blood pressure at home consistently✓ 正解
    持續在家監測血壓
  • BReduce dietary sodium intake✓ 正解
    減少飲食中的鈉攝取量
  • CEngage in regular physical activity✓ 正解
    參與規律的體育活動
  • DStop taking prescribed antihypertensive medication when BP is normal
    當血壓正常時停止服用處方降壓藥
  • ELimit alcohol intake✓ 正解
    限制酒精攝取
Explanation · 中文詳解

高血壓(hypertension)是一種慢性且通常無症狀的血管疾病,長期管理目標在於降低心血管事件風險。護理指導的重點在於生活型態修正(Life style modification)與藥物依從性(adherence)。規律監測血壓能協助個案了解藥物與生活調整的成效,限鈉與運動則能有效降低血管阻力,而酒精會影響降壓藥效果並增加血壓波動。

Hypertension is a chronic, often asymptomatic vascular disease, and the long-term management goal is to reduce the risk of cardiovascular events. The focus of nursing education is lifestyle modification and adherence to medication. Regular blood pressure monitoring helps the client evaluate the effectiveness of medications and lifestyle changes; sodium restriction and exercise effectively lower vascular resistance; and alcohol affects antihypertensive medication efficacy and increases blood pressure variability.

✦ 台美臨床差異

美國臨床護理中非常強調「居家血壓監測(HBPM)」的標準流程教育,護理師會要求病人記錄並在複診時攜帶紀錄表(BP log),這在美國基層照護中是常規。

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