— 健康促進與維護 · MEDIUM · MCQ —
一位 35 歲病人諮詢健康篩檢建議,目前該年齡層建議執行下列哪項篩檢?
A 35-year-old client asks the nurse about recommended health screenings. Which test is currently recommended for this age group?
- AColonoscopy大腸鏡檢查
- BMammogram乳房攝影
- CBone density scan骨密度掃描
- DBlood pressure check✓ 正解血壓測量
— Explanation · 中文詳解 —
35 歲成年人的健康篩檢應聚焦於慢性病預防。高血壓(Hypertension)被稱為「無聲殺手」,美國預防服務工作小組(USPSTF)明確建議 18 歲以上成年人應定期測量血壓。大腸鏡篩檢因年齡調整已降至 45 歲,骨密度篩檢通常針對 65 歲以上婦女,而乳房攝影通常建議 40-50 歲開始。因此,血壓監測是此年齡層最普及且必要的篩檢。
Routine blood pressure screening is recommended for all adults every one to two years, making it the most appropriate choice for a 35-year-old. Other screenings like colonoscopy, mammograms, and bone density tests are generally initiated at older ages for average-risk individuals.
✦ 台美臨床差異
美國篩檢指引(如 USPSTF)更新頻繁,護理師需依據最新的臨床指引(Clinical Practice Guidelines)進行衛教,尤其是大腸癌篩檢年齡已下調至 45 歲。