— 健康促進與維護 · HARD · SATA —
下列哪些介入措施屬於三級預防？（選所有適合的）
Which of the following interventions are considered tertiary prevention? (Select all that apply.)
- APhysical therapy for a client with a spinal cord injury✓ 正解脊髓損傷病人的物理治療
- BReferral to a support group for a client with chronic depression✓ 正解慢性憂鬱症病人的轉介至支持團體
- CBlood pressure monitoring in a primary care clinic基層醫療診所的血壓監測
- DSupportive care for a client with end-stage renal disease✓ 正解末期腎臟病病人的支持性照護
- ETeaching about the benefits of wearing a seatbelt關於佩戴安全帶益處的衛教
— Explanation · 中文詳解 —
三級預防的焦點在於「減輕殘障、促進復健與維持現有功能」。物理治療、心理支持團體與末期照護皆是為了讓個案在疾病狀態下仍能達到最佳適應與生活品質。C（血壓監測）為次級預防，E（繫安全帶）為初級預防（預防傷害發生）。
Tertiary prevention focuses on rehabilitation and minimizing disability in clients with established diseases. Interventions include physical therapy for spinal cord injuries, referrals to support groups for chronic conditions, and supportive care for end-stage renal disease to improve quality of life.
✦ 台美臨床差異
台灣的三級預防較強調居家護理與長照資源結合，美國則包含更多元化的專業照護機構介入。