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健康促進與維護 · MEDIUM · MCQ

一位 40 歲女性詢問乳房自我檢查(BSE)的頻率。護理師的最佳回應為何?

A 40-year-old client asks the nurse about the frequency of breast self-exams (BSE). What is the best response by the nurse?

  • ABSE must be done exactly one week after menstruation ends
    乳房自我檢查必須在月經結束後一週確實進行
  • BBSE is a personal choice to become familiar with your breast tissue✓ 正解
    乳房自我檢查是個人的選擇,目的是為了熟悉你的乳房組織
  • CBSE should be performed daily while showering
    乳房自我檢查應在淋浴時每天進行
  • DBSE is no longer recommended and should be replaced by clinical exams
    目前已不建議進行乳房自我檢查,應由臨床檢查取代
Explanation · 中文詳解

現代醫學對於乳房自我檢查(BSE)的觀點已轉向「乳房意識(Breast Awareness)」。研究顯示,規律的 BSE 對於降低乳癌死亡率的證據不足,且可能增加不必要的焦慮與檢查。因此,護理師應鼓勵女性熟悉自己的乳房組織結構,一旦發現異常(如硬塊、皮膚凹陷、分泌物),能及早就醫,而非強制規定檢查頻率。

Contemporary medical thinking on breast self-examination (BSE) has shifted toward the concept of "breast awareness." Evidence shows insufficient support that routine BSE reduces breast cancer mortality and that it may increase unnecessary anxiety and testing. Therefore, the nurse should encourage women to become familiar with their own breast tissue and seek medical care promptly if abnormalities are detected (e.g., a lump, skin dimpling, or discharge), rather than imposing a mandatory examination frequency.

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