— 心理社會完整性 · MEDIUM · MCQ —
一位服用 SSRI 兩週的憂鬱症患者表示心情未見改善，護理師最佳回應為何？
A client with depression has been on selective serotonin reuptake inhibitors (SSRIs) for two weeks and reports no improvement in mood. What is the nurse's best response?
- AFull therapeutic effects may take 4 to 6 weeks to manifest✓ 正解完全治療效果可能需要 4 至 6 週才會顯現
- BI will contact the physician to switch your medication我會聯絡醫師更換您的藥物
- CThe medication usually works within 48 hours藥物通常在 48 小時內生效
- DYou may need to increase the dosage on your own您可能需要自行增加劑量
— Explanation · 中文詳解 —
抗憂鬱藥物起效緩慢，通常需 4 至 6 週才能觀察到顯著的情緒改變。護理師需提供正確的衛教以增加用藥順從性，防止病患因急於求成而自行停藥。鼓勵病患繼續規律服藥並持續監測副作用，是此階段重要的護理內容。
Antidepressant medications take effect slowly, typically requiring 4 to 6 weeks before significant mood improvement is observed. The nurse must provide accurate education to enhance medication adherence and prevent the client from discontinuing therapy prematurely. Encouraging the client to continue taking the medication regularly and to continue monitoring for side effects is an important nursing focus during this period.
✦ 台美臨床差異
在台灣，醫師對於 SSRI 的衛教較謹慎，常會告知病患需配合心理諮商一起進行。