— 心理社會完整性 · MEDIUM · MCQ —
下列哪項症狀是選擇性血清素回收抑制劑（SSRIs）常見的副作用，護理師在照顧重度憂鬱症個案時應持續監測？
Which of the following symptoms is a common side effect of SSRIs that the nurse should monitor for in a patient with major depressive disorder?
- ASedation鎮靜
- BUrinary retention尿滯留
- CHypertensive crisis高血壓危象
- DSexual dysfunction✓ 正解性功能障礙
— Explanation · 中文詳解 —
選擇性血清素回收抑制劑（SSRIs）是治療憂鬱症的一線藥物，雖然副作用較三環抗憂鬱劑（TCAs）少，但性功能障礙（如性慾減退、射精延遲或無法達到高潮）卻相當普遍，且常導致病人自行停藥。護理師應主動與病人討論此議題，因為這直接影響病人的生活品質與服藥依從性。其他選項如高血壓危機（MAOIs）、嗜睡或尿滯留（TCAs/抗精神病藥）皆非 SSRIs 的特徵性副作用。
Sexual dysfunction, such as decreased libido or difficulty achieving orgasm, is a common side effect of Selective Serotonin Reuptake Inhibitors (SSRIs) that nurses should monitor. Unlike Tricyclic Antidepressants (TCAs) which cause sedation and urinary retention, or MAOIs associated with hypertensive crises, sexual side effects are a frequent cause of non-adherence to SSRI therapy.