— 健康促進與維護 · HARD · MCQ —
護理師在社區進行萊姆病預防衛教，應提供什麼建議？
A nurse is teaching a community class about preventing Lyme disease. What advice should be given?
- AAvoid using insect repellent避免使用昆蟲驅避劑
- BStay in areas with high, tall grasses停留在高草叢區域
- CCheck for ticks only once a week每週僅檢查一次是否有蜱蟲
- DWear light-colored clothing in wooded areas✓ 正解在林區穿著淺色衣物
— Explanation · 中文詳解 —
萊姆病（Lyme disease）是由伯氏疏螺旋體（Borrelia burgdorferi）引起的傳染病，主要透過黑腳蜱（Black-legged tick）叮咬傳播。預防策略重點在於「減少暴露」與「早期發現」。穿著淺色衣物可讓蜱蟲無所遁形，方便檢查；衛教重點在於戶外活動後的自我檢查與個人防護裝備。
Lyme disease is an infectious illness caused by Borrelia burgdorferi, transmitted primarily via the bite of the black-legged tick. Prevention focuses on 'reducing exposure' and 'early detection'. Wearing light-colored clothing makes ticks easier to see and remove, and the teaching emphasis is on personal protective equipment and self-inspection after outdoor activity.
✦ 台美臨床差異
美國 CDC 對萊姆病的衛教非常重視，特別是在東北部與中西部地區。護理師常需教導病人穿著長褲並將褲管塞入襪子（Tuck in pants），這在台灣較少作為常規衛教內容。