護理師指導病人使用持續性正壓呼吸器（CPAP）。下列哪項衛教準確？
A nurse is teaching a client about the use of a continuous positive airway pressure (CPAP) machine. Which instruction is accurate?
- AThe device will replace your need for weight management該裝置將取代您體重管理的需要
- BThe mask must fit snugly to prevent air leaks✓ 正解面罩必須緊密貼合以防止漏氣
- CYou can discontinue use if you feel claustrophobic如果您感到幽閉恐懼，可以停止使用
- DClean the filter once a year每年清潔一次過濾器
CPAP 的原理是提供空氣壓力支撐氣道。面罩必須緊密貼合（Snug fit）以維持壓力，若有漏氣則療效大減。封閉感（幽閉恐懼）是常見適應問題，應指導適應訓練而非輕易停用。濾網需定期清潔（通常數週），不能一年才一次；CPAP 僅為症狀治療，減重仍是治療睡眠呼吸中止症的根本方法。
A CPAP mask must fit snugly to maintain the prescribed positive airway pressure—leaks decrease efficacy. Claustrophobia is a common adjustment issue that should be managed with gradual desensitization, mask refitting, and provider input, not by discontinuation, which causes OSA symptoms to recur. Filters should be cleaned regularly (weekly to monthly per manufacturer), not annually. CPAP treats the symptoms but does not replace weight management, which remains a primary therapy for OSA.
美國呼吸治療師（RT）負責 CPAP 設定與追蹤；台灣多由睡眠中心評估後，醫師開立醫囑，護理師衛教。