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健康促進與維護 · HARD · SATA

護理師評估個案對心血管疾病「初級預防」的理解。下列哪些例子應包含在內?(選所有適合的)

A nurse is evaluating a client's understanding of primary prevention for cardiovascular disease. Which examples should the nurse include? (Select all that apply.)

  • ASmoking cessation programs✓ 正解
    戒菸計畫
  • BRoutine blood pressure monitoring for screening✓ 正解
    定期監測血壓以進行篩檢
  • CCardiac rehabilitation after a myocardial infarction
    心肌梗塞後的心臟復健
  • DMaintaining a healthy body mass index✓ 正解
    維持健康的體位指數
  • EDaily low-dose aspirin therapy for high-risk patients
    高風險患者每日服用低劑量阿斯匹靈
Explanation · 中文詳解

初級預防(Primary Prevention)是指在疾病發生前,消除危險因子以預防發病。戒菸、血壓篩檢、維持 BMI 均屬之。C 錯誤:心臟復健屬於三級預防,針對疾病發生後的控制。E 錯誤:阿斯匹靈預防已屬次級預防或針對性投藥,且目前對一般初級預防的建議有所調整。

Primary prevention means eliminating risk factors before disease develops to prevent its onset. Smoking cessation, blood pressure screening, and maintaining a healthy BMI all qualify. C is incorrect: cardiac rehabilitation is tertiary prevention aimed at managing disease after it has occurred. E is incorrect: aspirin prophylaxis is closer to secondary prevention or targeted therapy, and current general primary-prevention recommendations have been revised.

✦ 台美臨床差異

美國護理師在初級預防中常扮演健康教練(Health Coach)角色;台灣則側重於慢性病衛教後的藥物順從性管理。

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