— 健康促進與維護 · MEDIUM · MCQ —
護理師對社區團體進行萊姆病防治衛教，哪項措施最有效？
A nurse is teaching a community group about preventing Lyme disease. Which measure is most effective?
- AUsing insect repellent only on skin僅在皮膚上使用防蟲劑
- BAvoiding all outdoor activities during summer夏季避免所有戶外活動
- CWearing long sleeves and pants in wooded areas✓ 正解在林地穿著長袖上衣和長褲
- DRemoving ticks only after they become large待蜱蟲變大後再移除
— Explanation · 中文詳解 —
萊姆病（Lyme disease）由帶有伯氏疏螺旋體的蜱蟲（Tick）叮咬傳播。在林木茂密或草地地區，穿著長袖衣物與長褲是物理防護的最佳方法，能阻隔蜱蟲接觸皮膚。使用含 DEET 的防蟲噴霧在皮膚與衣物上也有幫助。衛教內容應強調進入戶外後的自我檢查，若發現蜱蟲應儘速移除，以降低感染風險。其他選項如避免戶外活動過於極端，待蜱蟲變大才拔除則是錯誤的觀念。
Wearing long sleeves and pants in wooded areas provides a physical barrier that prevents ticks from attaching to the skin, making it the most effective preventive measure against Lyme disease. Clients should also use insect repellent on both skin and clothing and perform thorough self-checks after being outdoors to remove ticks early.