— 健康促進與維護 · MEDIUM · MCQ —
護理師舉辦社區健康教育課程，主題為次級預防。下列哪項活動應包含在內？
A nurse is conducting a community health education session on secondary prevention. Which activity should the nurse include?
- ATeaching proper hand hygiene techniques教導正確的手部清潔技術
- BPerforming blood pressure screening at a community center✓ 正解在社區中心進行血壓篩檢
- CProviding physical therapy after a stroke提供中風後的物理治療
- DAdministering seasonal influenza vaccinations施打季節性流感疫苗
— Explanation · 中文詳解 —
次級預防的核心在於「早期發現、早期治療」。血壓篩檢能偵測無症狀的高血壓，進而採取介入措施防止進一步併發症。疫苗接種屬於初級預防（預防疾病發生）；手部衛生為健康促進；中風後物理治療屬於三級預防（限制失能與復健）。
The core of secondary prevention is early detection and early treatment. Blood pressure screening can detect asymptomatic hypertension, allowing interventions to be taken to prevent further complications. Vaccination is primary prevention (preventing disease occurrence); hand hygiene is health promotion; and physical therapy after a stroke is tertiary prevention (limiting disability and rehabilitating).
✦ 台美臨床差異
美國社區護理對篩檢的推廣較依賴保險給付，台灣則透過政府提供的健檢服務落實。