— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關類風濕性關節炎（RA）的管理。何種自我照護措施對維持關節功能最有益？
A nurse is educating a client about managing rheumatoid arthritis (RA). Which self-care measure is most beneficial for preserving joint function?
- AComplete immobilization of affected joints患部關節完全制動
- BApplying heat therapy continuously throughout the day全天持續應用熱敷療法
- CPerforming gentle range-of-motion exercises daily✓ 正解每日進行溫和的關節活動度運動
- DAvoiding all social interactions to conserve energy避免所有社交互動以保存體力
— Explanation · 中文詳解 —
類風濕性關節炎（Rheumatoid Arthritis, RA）是一種慢性自體免疫疾病，會導致關節滑膜發炎。為了維持關節功能並預防關節僵硬與屈曲攣縮（Flexion contractures），運動治療是關鍵。溫和的關節活動度（Range of Motion, ROM）運動能促進滑液循環，維持關節靈活度。臨床護理的核心目標是『動而不傷』，在不引發劇烈疼痛的前提下，規律運動比完全休息更具保護作用。
Gentle range-of-motion exercises are essential for preserving joint function in clients with rheumatoid arthritis. These movements promote synovial fluid circulation and prevent stiffness and contractures without causing excessive stress to inflamed joints. Complete immobilization leads to atrophy and stiffness, while continuous heat may not be suitable for all disease stages.