護理師提供高血壓病患出院指導,哪些話語是適當的?(選所有適合的)
A nurse is providing discharge instructions to a client with a history of hypertension. Which statements are appropriate? (Select all that apply.)
- ATake blood pressure medication even if you feel fine✓ 正解即使感覺良好也要服用降血壓藥物
- BTry to reduce daily sodium intake✓ 正解試著減少每日鈉攝取量
- CMonitor blood pressure daily at home✓ 正解每天在家監測血壓
- DStop medication once the blood pressure is normal一旦血壓正常就停止用藥
- ESchedule a follow-up appointment with the doctor✓ 正解預約醫師的回診
高血壓(Hypertension)是需要終身管理的慢性疾病,重點在於病人的依從性(Compliance)與生活型態改變。護理師應強調藥物在控制血壓的持續性,即使自覺症狀改善也不能自行停藥,以防血壓產生反彈性升高(Rebound hypertension)。此外,居家監測、低鈉飲食及定期回診是確保治療效果與早期發現併發症的關鍵護理策略。
Hypertension is a chronic disease requiring lifelong management, with emphasis on patient compliance and lifestyle modification. The nurse should stress the importance of continuing medication to control blood pressure even when the client feels symptom-free, to prevent rebound hypertension. In addition, home monitoring, a low-sodium diet, and scheduled follow-up are key nursing strategies for ensuring treatment efficacy and early detection of complications.
台灣與美國在高血壓衛教邏輯上一致。美國臨床更強調「Shared Decision Making」,鼓勵病人在回診時主動帶上居家紀錄表(Blood Pressure Log),護理師會協助病人在家自我調整飲食計畫(如 DASH diet)。