— 照護管理 · MEDIUM · SATA —
護理師為急性心肌梗塞出院病人進行指導，下列哪些建議是正確的？（選所有適合的）
A nurse is discharging a client following an acute myocardial infarction. Which instructions should the nurse include? (Select all that apply.)
- AEngage in gradual increase of physical activity as tolerated✓ 正解在耐受範圍內逐漸增加體力活動
- BContinue taking prescribed antiplatelet medication✓ 正解繼續服用處方的抗血小板藥物
- CAvoid all forms of physical activity for 6 weeks避免所有形式的體力活動六週
- DContact the physician for any chest pain or pressure✓ 正解若出現任何胸痛或胸壓，請聯繫醫師
- ELimit dietary intake of saturated fats✓ 正解限制飽和脂肪的飲食攝取
— Explanation · 中文詳解 —
急性心肌梗塞（AMI）出院衛教的核心在於「預防復發」與「生活型態調整」。藥物方面，抗血小板藥物（如 Aspirin, Clopidogrel）對於預防冠狀動脈再次栓塞至關重要。活動方面，應採取「循序漸進」原則，避免劇烈運動但鼓勵規律輕度運動以促進心肌復健。飲食方面，限制飽和脂肪與膽固醇攝取是控制血脂、穩定斑塊的關鍵。任何胸痛復發均需視為緊急狀況，病人必須明確知曉何時該求醫。
Discharge teaching focuses on preventing recurrence through lifestyle modifications and medication adherence. Patients should gradually increase physical activity as tolerated, continue prescribed antiplatelet therapy, limit saturated fat intake, and seek immediate medical attention for any recurrent chest pain.