— 生理適應 · MEDIUM · MCQ —
護理師教育一位新診斷類風濕性關節炎的病人。哪句話表示病人理解疾病的性質？
A nurse is providing education to a client with newly diagnosed rheumatoid arthritis. Which statement indicates the client understands the nature of the disease?
- A"This is just normal aging, it will get better on its own."這只是正常的老化過程，它會自行好轉。
- B"I can stop my medication once the pain goes away."一旦疼痛消失，我可以停止服藥。
- C"This is an autoimmune disease that causes inflammation in my joints."✓ 正解這是一種會引起關節發炎的自身免疫性疾病。
- D"I need to rest my joints completely to avoid further damage."我需要完全休息我的關節以避免進一步損傷。
— Explanation · 中文詳解 —
類風濕性關節炎（Rheumatoid Arthritis, RA）是一種慢性的全身性自體免疫疾病。其核心病理機轉在於免疫系統錯誤地攻擊滑膜（synovium），導致關節滑膜發炎、增生，進而破壞軟骨與骨骼。病人需理解此病非退化性關節炎（Osteoarthritis），無法透過休息自行痊癒，且需長期藥物控制以預防關節變形。護理重點在於教育病人疾病的慢性本質，並建立正確的治療依從性。
Rheumatoid arthritis is a chronic systemic autoimmune disease where the immune system attacks the synovium, causing inflammation and potential joint destruction. Understanding this nature helps clients recognize the need for long-term medication management rather than expecting spontaneous resolution through rest alone.