— 照護管理 · MEDIUM · MCQ —
護理師教導一位新診斷腸躁症（IBS）的病人，下列哪項飲食建議最恰當？
A nurse is educating a client about managing newly diagnosed irritable bowel syndrome (IBS). Which dietary recommendation is most appropriate?
- AAvoid foods high in FODMAPs✓ 正解避免攝取高 FODMAP 食物
- BConsume large amounts of caffeine攝取大量咖啡因
- CIncrease intake of high-fiber foods like beans and whole grains增加高纖維食物（如豆類和全穀物）的攝取
- DEliminate all dairy products完全排除所有乳製品
— Explanation · 中文詳解 —
FODMAPs（可發酵寡糖、雙糖、單糖及多元醇）是一類容易引起腸道不適的碳水化合物，許多 IBS 病人對其敏感。限制 FODMAPs 飲食是目前管理 IBS 的有效方法之一。高纖維飲食應個別化，乳製品和咖啡因的影響也因人而異。
FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are a group of carbohydrates that can readily cause gastrointestinal discomfort, and many IBS patients are sensitive to them. A low-FODMAP diet is currently one of the effective approaches for managing IBS. High-fiber intake should be individualized, and the effects of dairy products and caffeine also vary among individuals.
✦ 台美臨床差異
美國的腸胃科醫師和營養師，對於 IBS 的 FODMAP 飲食療法有較系統性的評估和指導；台灣的資訊普及，但病人自行執行 FODMAP 飲食時，可能較缺乏專業支持。