— 健康促進與維護 · MEDIUM · MCQ —
一位 55 歲病人想要戒菸。下列哪種介入措施對於長期戒菸最有效?
A 55-year-old client wants to stop smoking. Which intervention is most effective for long-term cessation?
- AUsing electronic cigarettes使用電子菸
- BCold turkey method冷火雞法(突然戒斷)
- CNicotine gum alone單獨使用尼古丁口香糖
- DBehavioral counseling combined with pharmacotherapy✓ 正解行為諮詢結合藥物治療
— Explanation · 中文詳解 —
戒菸成功率最高的實證醫學方案是「多模式介入(Multimodal approach)」,即結合行為諮商(Behavioral counseling)與藥物治療(Pharmacotherapy,如尼古丁貼片、口嚼錠、Bupropion 或 Varenicline)。行為諮商能幫助病人建立心理抗壓技巧與戒菸自信,藥物則能緩解生理戒斷症狀,兩者相輔相成,效果顯著優於單一治療。
The most effective intervention for long-term smoking cessation combines behavioral counseling with pharmacotherapy to address both psychological dependence and physiological withdrawal symptoms. Evidence supports that multimodal approaches significantly improve success rates compared to single interventions like nicotine gum alone or abrupt cessation without support.