— 健康促進與維護 · EASY · MCQ —
一位 45 歲病人詢問護理師關於糞便潛血反應(FOBT)篩檢大腸癌的建議頻率。下列何者為正確回應?
A 45-year-old client asks the nurse about the recommended frequency for colorectal cancer screening using a fecal occult blood test (FOBT). What is the correct response?
- AEvery 3 years每 3 年一次
- BEvery 5 years每 5 年一次
- CEvery year✓ 正解每年一次
- DEvery 10 years每 10 年一次
— Explanation · 中文詳解 —
根據美國癌症協會與預防工作小組指引,平均風險族群的糞便潛血檢查(FOBT/FIT)應每年進行一次。若採取其他篩檢工具,頻率則有所不同(如大腸鏡每十年一次)。此篩檢屬二級預防,目的在於早期發現癌前病變。
For average-risk individuals, fecal occult blood testing (FOBT) or fecal immunochemical testing (FIT) is recommended annually as a secondary prevention measure for early detection of colorectal cancer. Other screening methods have different intervals, such as colonoscopy every ten years or flexible sigmoidoscopy every five years.
✦ 台美臨床差異
台灣國健署推廣 50-74 歲每兩年一次免費糞便潛血篩檢;美國針對 45 歲以上族群,且保險計畫多要求每年進行。