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健康促進與維護 · MEDIUM · MCQ

一位 30 歲女性詢問關於人類乳突病毒(HPV)疫苗的建議施打時程。護理師應如何解釋?

A 30-year-old female patient asks about the recommended schedule for the human papillomavirus (HPV) vaccine. What should the nurse explain?

  • AThe vaccine is not recommended for individuals over age 26
    不建議 26 歲以上人士施打疫苗
  • BThree doses are typically recommended regardless of the age at first vaccination✓ 正解
    無論首次接種年齡為何,通常建議接種三劑
  • CThe vaccine provides protection against all types of cervical cancer
    疫苗可提供對抗所有類型子宮頸癌的保護
  • DIt is only effective if administered before the first sexual encounter
    僅在第一一次性行為前施打才有效
Explanation · 中文詳解

HPV 疫苗的接種時程在成人階段,無論起始接種年齡,臨床皆建議完成三劑系列接種以達到最大免疫效果。疫苗非僅對未有性行為者有效,對於已暴露部分 HPV 型別的成年人仍具保護力。且目前醫學指引顯示,30 歲以上成人亦可視情況接種,並非僅限於 26 歲以下。

For adult HPV vaccination, regardless of the age at which the series is started, current clinical recommendations are to complete a three-dose series for maximal immunogenic effect. The vaccine is not only effective in individuals who have never been sexually active; it still provides protection in adults who have been exposed to some HPV types. Furthermore, current medical guidelines indicate that adults over the age of 30 may be vaccinated as appropriate, and vaccination is not limited to those under 26.

✦ 台美臨床差異

美國 CDC 將 HPV 疫苗納入成人常規衛教範圍較廣,台灣則多透過健康檢查宣導或私人自費接種,公費疫苗對象主要為國中女生。

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