護理師評估病人對骨質疏鬆預防的認知。下列哪些敘述表示病人需要進一步衛教?(選所有適合的)
A nurse is evaluating a client's knowledge regarding the prevention of osteoporosis. Which statements indicate that the client needs further teaching? (Select all that apply.)
- AI should limit my calcium intake to avoid kidney stones✓ 正解我應該限制鈣攝取量以避免腎結石
- BWalking daily is a great way to maintain bone density每天散步是維持骨密度的好方法
- CI will quit smoking to protect my bones我會戒菸以保護骨骼
- DTaking high doses of caffeine is harmless to my bones✓ 正解攝取高劑量咖啡因對我的骨骼無害
- EWeight-bearing exercises are only for young people✓ 正解負重運動僅適用於年輕人
預防骨質疏鬆需足夠鈣質攝取,限制鈣只會加速骨流失。過量咖啡因會增加鈣質流失。負重運動各年齡層皆應執行,對中老年人維持骨密度尤為關鍵。戒菸與適度健走皆是正確預防手段。選項 A、D、E 皆顯示錯誤觀念,需進一步教育。
Clients need further teaching if they believe limiting calcium intake prevents kidney stones, as adequate calcium is essential for bone density and restriction accelerates osteoporosis. Excessive caffeine intake is harmful because it increases urinary calcium excretion, and weight-bearing exercises are beneficial for all ages, not just the young. Statements suggesting these misconceptions indicate a lack of understanding regarding bone health maintenance.
美國醫學界對補充劑(如鈣片)的劑量建議常有指引,台灣醫師則更強調從天然食物攝取。