— 健康促進與維護 · MEDIUM · MCQ —
護理師為骨質疏鬆高風險病人提供健康促進資訊。下列何者應被識別為危險因子？
A nurse is providing health promotion information to a patient at high risk for osteoporosis. Which factor should the nurse identify as a risk?
- AHigh dietary intake of vitamin D高劑量飲食攝取維生素D
- BMaintaining a healthy body weight維持健康體重
- CProlonged use of corticosteroid medications✓ 正解長期使用皮質類固醇藥物
- DRegular walking 30 minutes daily每日規律步行30分鐘
— Explanation · 中文詳解 —
骨質疏鬆的危險因子包括內分泌失調、藥物副作用及生活型態。長期使用類固醇（Corticosteroids）會抑制成骨細胞活性並加速鈣質流失，是導致次發性骨質疏鬆的常見原因。規律運動（如走路）、充足的鈣與維生素 D 攝取及維持理想體重，皆是預防骨質流失的保護因子。護理師應評估病人的藥物史，特別是長期服用類固醇的病人，並給予相關骨質保護衛教。
Prolonged use of corticosteroid medications is a significant risk factor for osteoporosis because these drugs inhibit bone formation and accelerate calcium loss. In contrast, regular weight-bearing exercise, adequate vitamin D intake, and maintaining a healthy weight are protective factors against bone density loss.