— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關關節炎的管理。何種自我管理策略對關節健康最有益？
A nurse is educating a client about managing arthritis. Which self-management strategy is most beneficial for joint health?
- ATaking high doses of over-the-counter pain relievers daily每日服用高劑量非處方止痛藥
- BUsing heat therapy exclusively單獨使用熱療
- CAvoiding all movement to protect joints避免所有活動以保護關節
- DRegular, low-impact exercise✓ 正解規律的低衝擊運動
— Explanation · 中文詳解 —
關節炎管理的核心在於維持關節功能、減輕疼痛及預防僵硬。規律的低衝擊運動（Low-impact exercise）能增加關節周圍肌肉的力量，為關節提供更好的支撐並減輕負擔，同時透過活動促進關節滑液分泌，維持關節靈活度。完全不動會導致肌肉萎縮（Atrophy）及關節僵硬（Stiffness），惡化功能喪失。臨床上，護理師應評估病人的活動耐受度，鼓勵在不引起劇烈疼痛的前提下保持活動，這是維持長期生活品質的關鍵策略。
Regular, low-impact exercise is the most beneficial strategy for managing arthritis as it strengthens supporting muscles, reduces joint stress, and maintains mobility through increased synovial fluid production. Complete rest leads to muscle atrophy and joint stiffness, while excessive high-dose medication use poses significant safety risks without addressing functional preservation.