一位憂鬱症個案剛開始服用 Fluoxetine。個案哪一句話顯示需要進一步衛教？
A nurse is caring for a client with depression who has just begun taking fluoxetine. Which statement by the client indicates that they need further teaching?
- AI should notice an improvement in my mood within a few days✓ 正解我應該在幾天內注意到情緒改善
- BI will make sure to take this medication every day at the same time我會確保每天定時服用此藥物
- CI need to watch for any increase in suicidal thoughts我需要留意自殺念頭是否增加
- DI know I should not stop this medication abruptly我知道我不應突然停止服用此藥物
Fluoxetine 屬於選擇性血清素回收抑制劑（SSRI），其藥理作用需要時間讓腦內神經傳導物質達到平衡。臨床衛教重點在於告知個案療效的延遲性（延遲反應），通常需 2-4 週方能感受到情緒改善。若個案期待數日內見效，容易因挫折感而自行停藥，導致治療中斷或症狀惡化。護理師亦須監測 SSRI 在治療初期可能引發的自殺意念增加風險。
Fluoxetine belongs to the selective serotonin reuptake inhibitors (SSRIs); its pharmacological effect requires time for cerebral neurotransmitters to reach a new equilibrium. The clinical teaching priority is to inform the client about the delayed onset of action, which typically takes 2-4 weeks before improvement in mood is felt. If the client expects results within a few days, frustration may lead to self-discontinuation, causing treatment failure or symptom relapse. The nurse must also monitor for increased suicidal ideation that may occur in the early treatment phase of SSRIs.