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健康促進與維護 · HARD · SATA

下列何項介入措施應納入心血管疾病次級預防目標的照護計畫?(選所有適合的)

Which of the following interventions should a nurse include in the care plan for a client with secondary prevention goals for cardiovascular disease? (Select all that apply.)

  • APrescribing low-dose aspirin therapy✓ 正解
    處方低劑量阿斯匹靈治療
  • BScreening for lipid profile every 6 months✓ 正解
    每六個月篩檢血脂全套
  • CEducating on early warning signs of myocardial infarction✓ 正解
    衛教心肌梗塞之早期預警徵兆
  • DEncouraging regular community walking groups
    鼓勵參與社區健行團體
  • EPromoting smoking cessation programs✓ 正解
    推廣戒菸計畫
Explanation · 中文詳解

次級預防(Secondary Prevention)的定義是針對「已患病者」進行早期篩檢與治療,以防止病情惡化或復發。A、B、C、E 皆屬於臨床治療與監測範疇。D(步行小組)通常被歸類於初級預防(健康促進),雖對心臟有益,但不屬於疾病發生後的專門次級預防。

Secondary prevention is defined as early screening and treatment in individuals already affected by disease in order to prevent progression or recurrence. A, B, C, and E all fall within clinical treatment and monitoring of established disease. D (community walking groups) is generally classified as primary prevention (health promotion); although beneficial to the heart, it is not a specific secondary prevention measure for those who already have the disease.

✦ 台美臨床差異

台灣在慢性病照護網執行次級預防效率高,美國則更仰賴私人保險提供的疾病管理計畫。

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