一位診斷為邊緣性人格障礙的病人即將出院。病人的哪句陳述顯示需要進一步針對服藥遵從性進行衛教？
A client diagnosed with borderline personality disorder is being discharged. Which statement by the client indicates a need for further teaching regarding medication compliance?
- AI will take my mood stabilizer even if I feel fine.即使我覺得好轉，我也會服用情緒穩定劑。
- BI will call my doctor if I experience side effects.如果出現副作用，我會打電話給醫生。
- CI will keep a log of my medication doses.我會記錄我的藥物劑量。
- DI will stop taking my medication if I feel 'numb' or 'empty'.✓ 正解如果我感到「麻木」或「空虛」，我會停止服藥。
邊緣性人格障礙患者常因情緒衝動或對藥物產生的副作用（如情緒平坦、空虛感）而自行停藥。D 選項顯示病人認為「空虛感」是負面指標而傾向停藥，這對於情緒穩定劑的治療效果相當危險，因為這可能導致情緒再次失控。A、B、C 皆為正確的服藥態度，強調規律性與與醫療人員的溝通。
Clients with borderline personality disorder often discontinue medication on their own because of impulsivity or because of medication side effects such as emotional flattening or a sense of emptiness. Option D indicates that the client views the sense of emptiness as a negative sign and is inclined to stop the medication, which is very dangerous for mood-stabilizer therapy and can lead to renewed emotional dysregulation. Options A, B, and C reflect appropriate attitudes toward medication, emphasizing consistency and communication with the health care team.
台美兩地護理師皆需強調「不可自行停藥」，但在台灣臨床，病人常因對副作用的誤解而自行減藥，護理衛教需更著重於副作用與療效的區分。