— 健康促進與維護 · MEDIUM · MCQ —
護理師對一群 60 歲長者進行視力篩檢衛教。何者為標準建議？
A nurse is teaching a group of 60-year-olds about vision screening. Which recommendation is standard?
- AEye screening is unnecessary if glasses are worn如果戴眼鏡就不需要眼睛篩檢
- BUse over-the-counter reading glasses instead of exams使用非處方老花眼鏡代替檢查
- CSchedule a comprehensive eye exam every 1-2 years✓ 正解每 1-2 年安排一次全面的眼科檢查
- DVisit the eye doctor only when vision blurs只有在視力模糊時才去看眼科醫生
— Explanation · 中文詳解 —
60 歲以上長者罹患青光眼、白內障及黃斑部病變風險大增，應定期進行完整眼科檢查（C）。視力模糊（D）才就醫通常已晚；佩戴眼鏡（A）並不能取代專業視網膜檢查；OTC 老花眼鏡（B）無法解決潛在病理變化。
Adults over the age of 60 have a substantially increased risk of glaucoma, cataracts, and macular degeneration, and should undergo regular comprehensive eye examinations (C). Waiting until vision becomes blurred (D) is often too late; wearing glasses (A) cannot replace a professional retinal examination; and OTC reading glasses (B) cannot address underlying pathologic changes.
✦ 台美臨床差異
美國老年健康保險（Medicare）涵蓋部分眼科篩檢，台灣健保亦提供，但長者對「眼底檢查」的普及率仍有待加強。