— 健康促進與維護 · MEDIUM · MCQ —
護理師為大腸憩室症病人進行飲食指導。為了預防復發，哪項建議最合適？
A nurse is reviewing dietary education for a client with diverticulosis. Which recommendation is most appropriate to prevent recurrence?
- ADrink less than 1 liter of fluids daily每日飲水量少於1公升
- BEat only soft, cooked foods to avoid irritation僅食用柔軟、煮熟的食品以避免刺激
- CFollow a low-fiber diet indefinitely長期採取低纖維飲食
- DIncrease intake of high-fiber foods such as fruits, vegetables, and whole grains✓ 正解增加高纖維食物的攝取，如水果、蔬菜和全穀類
— Explanation · 中文詳解 —
大腸憩室症（Diverticulosis）的飲食原則是高纖飲食（High-fiber diet），目的是增加腸道內容物體積並促進蠕動，減少大腸內壓力。低纖飲食僅用於憩室炎急性發作期，平時應強調攝取蔬果與全穀類，並搭配足夠水分。
A high-fiber diet is the cornerstone of managing diverticulosis because it increases stool bulk and promotes regular bowel movements, which reduces intracolonic pressure and prevents constipation. While a low-fiber diet may be necessary during acute diverticulitis flare-ups, long-term management requires increased intake of fruits, vegetables, and whole grains along with adequate fluid consumption.
✦ 台美臨床差異
台灣病人對高纖概念理解為「吃蔬菜」，但常忽略全穀類的攝取，護理師需強調「多樣化」高纖來源。