一位患有創傷後壓力症候群 (PTSD) 的病人即將出院,下列哪項病人說明顯示其對自我照護的理解?
A client with post-traumatic stress disorder (PTSD) is being discharged. Which of the following statements by the client indicates an understanding of self-care?
- AI will stay isolated at home to ensure I remain safe from triggers.我會待在家中隔離,以確保自己遠離誘發因素
- BI will avoid all reminders of the traumatic event at all costs.我會不惜一切代價避免所有與創傷事件相關的提醒
- CI will stop taking my medication once I start feeling better.一旦我感覺好轉,我就會停止服藥
- DI will practice deep breathing techniques when I feel my anxiety rising.✓ 正解當我感到焦慮上升時,我會練習深呼吸技巧
PTSD 患者自我照護關鍵在於情緒調節技巧。腹式呼吸或深呼吸能活化副交感神經,幫助病人覺察焦慮並回歸冷靜。B 選項迴避所有提醒會導致社會退縮;C 隔離會加重疾病負擔;D 自行停藥是常見的治療失敗原因,必須強調醫囑用藥重要性。
Self-care for clients with PTSD centers on emotion regulation skills. Diaphragmatic or deep breathing activates the parasympathetic nervous system and helps the client recognize anxiety and return to a calm state. Option B, avoidance of all reminders, leads to social withdrawal; option A, isolation, increases disease burden; option C, self-discontinuation of medication, is a common cause of treatment failure, so the importance of adhering to the prescribed regimen must be emphasized.
台美在 PTSD 照護上皆強調認知行為治療;美方更強調社區資源連結,台灣則在藥物穩定與病識感維持上較為重視。