— 照護管理 · MEDIUM · MCQ —
護理師教授病人施打胰島素。哪種方式能確保病人真的學會了？
A nurse is preparing to teach a patient how to administer insulin. Which technique ensures the patient has learned?
- AAsking the patient if they understand詢問病人是否理解
- BExplaining the process multiple times多次解釋過程
- CHaving the patient perform a return demonstration✓ 正解要求病人進行回示範
- DProviding a pamphlet for the patient to read提供衛教單張讓病人閱讀
— Explanation · 中文詳解 —
「回示教」（Return demonstration）是教育評估的黃金標準。僅口頭問病人是否了解、提供單張或重複說明，都無法確認病人是否具備實際操作技能。透過觀察病人的實際操作，護理師能即時修正其姿勢或劑量判斷錯誤。
Having the client perform a return demonstration is the most effective way to verify that they have learned how to administer insulin correctly. This method confirms actual skill proficiency, whereas asking if they understand or providing written materials does not validate their ability to perform the task. Return demonstration allows the nurse to observe the procedure and correct any errors in technique or dosage calculation immediately.
✦ 台美臨床差異
台美皆推廣「教導式衛教」（Teach-back method）；回示教是確保病人出院後用藥安全的關鍵技術。