一位重度憂鬱症個案服用抗憂鬱藥物 3 天後表示：「我還是覺得跟以前一樣絕望。」最佳的護理回應是？
A nurse is caring for a client diagnosed with major depressive disorder who has been on an antidepressant for 3 days. The client says, 'I still feel just as hopeless as before.' What is the best nursing response?
- AAsk the client if they are thinking about self-harm.詢問病人是否有自我傷害的想法。
- BSuggest that the physician change the medication dosage.建議醫師調整藥物劑量。
- CSuggest participating in group therapy to improve mood.建議參加團體治療以改善情緒。
- DExplain that antidepressant medications usually take several weeks to become effective.✓ 正解解釋抗憂鬱藥物通常需要數週才能發揮效果。
抗憂鬱藥物（如 SSRIs）通常需要數週（通常 2-4 週）才能達到穩定的療效。病人剛服藥 3 天，藥物尚未發揮作用，產生絕望感是預期之中的情況。護理師應以同理心傾聽，並提供衛教，幫助病人建立對治療的合理期待，避免病人因缺乏效果而擅自停藥。同時需監測是否有自殺意念，因為藥物初期可能會提升病人的行動力。
Antidepressants (such as SSRIs) usually require several weeks (typically 2-4 weeks) to reach a stable therapeutic effect. The patient has only been on the medication for 3 days, so it has not yet taken effect, and feeling hopeless is an expected occurrence. The nurse should listen with empathy and provide education to help the patient build realistic expectations of treatment, preventing the patient from discontinuing the medication on their own due to perceived lack of effect. Suicidal ideation must also be monitored, because in the early stage of treatment the medication may increase the patient's level of motivation.