護理師教導一位初診斷思覺失調症的個案如何管理症狀。下列哪些敘述顯示個案已理解衛教內容?(選所有適合的)
A nurse is teaching a client with newly diagnosed schizophrenia about managing symptoms. Which of the following statements indicates the client understands the education? (Select all that apply.)
- AI will take my medication even when I feel like I am cured✓ 正解即使我覺得自己已經治癒了,我仍會按時服藥
- BI will avoid using alcohol or recreational drugs✓ 正解我會避免使用酒精或娛樂性藥物
- CI should contact my doctor if I hear voices again✓ 正解如果我再次聽到聲音,我會聯絡我的醫師
- DI will stop my medication if I notice side effects like tremors如果我注意到震顫等副作用,我會停止服藥
- EI will keep regular follow-up appointments✓ 正解我會準時參加定期追蹤門診
思覺失調症管理重在服藥依從性、危險物質排除及病識感。服藥即使症狀改善仍需繼續以防復發(A)。酒精及非法藥物會加劇症狀(B)。出現幻聽應回報醫師調整治療(C)。自行停藥(D)會導致病情惡化,副作用應回診諮詢醫師,不可擅自停藥。定期追蹤(E)是維持穩定的關鍵。
Management of schizophrenia emphasizes medication adherence, removal of harmful substances, and insight. Medications must be continued even when symptoms improve, to prevent relapse (A). Alcohol and illicit drugs can worsen symptoms (B). Auditory hallucinations should be reported to the provider so that treatment can be adjusted (C). Self-directed discontinuation of medication (D) leads to deterioration; for adverse effects, the client should consult the provider rather than stop medication independently. Regular follow-up (E) is essential to maintaining stability.
台灣目前積極推動思覺失調症社區支持系統,但個案對藥物副作用的憂慮常導致高停藥率。