— 照護管理 · MEDIUM · MCQ —
病人未規律服用高血壓藥物，護理師應採取何種策略最有效？
A nurse is caring for a client who is non-compliant with their hypertension medication. Which is the best approach for the nurse to take?
- AInform the client that they must follow the doctor's orders告知病人必須遵從醫囑
- BAsk the client about their barriers to taking the medication✓ 正解詢問病人服藥的障礙因素
- CTell the client about the serious consequences of untreated hypertension告知病人未經治療之高血壓的嚴重後果
- DDocument the non-compliance in the medical record and move on將不服藥情況記錄於病歷並繼續進行
— Explanation · 中文詳解 —
面對用藥依從性不佳，護理師應採用以病人為中心的溝通方式，主動探究原因（如經濟困難、藥物副作用、認知不足）。直接恐嚇或單純強調醫囑權威通常無效，甚至會破壞護病關係。應先找出阻礙原因，再針對個別情況提供解決方案。
The nurse should ask the client about barriers to medication adherence, as identifying obstacles is the essential first step for effective intervention. Using a patient-centered approach allows the nurse to address specific issues like cost or side effects, whereas dictatorial or fear-based tactics can damage the therapeutic relationship.
✦ 台美臨床差異
美國強調醫療決策共議（Shared Decision Making）；台灣臨床步調快，有時較偏向指導式衛教。