— 健康促進與維護 · EASY · MCQ —
護理師在社區進行冠狀動脈疾病的一級預防衛教。下列哪項行為改變最為關鍵？
A nurse is teaching a community group about primary prevention of coronary artery disease. Which behavior modification is the most critical?
- AIncreasing fiber intake增加纖維攝取量
- BStarting a multivitamin開始服用綜合維生素
- CTaking daily low-dose aspirin每日服用低劑量阿斯匹靈
- DSmoking cessation✓ 正解戒菸
— Explanation · 中文詳解 —
冠狀動脈疾病（Coronary Artery Disease, CAD）的一級預防核心在於透過生活型態調整來消除可控的危險因子，以延緩或預防疾病發生。吸菸會導致血管內皮損傷、促進血小板凝集及增加動脈粥狀硬化風險，是心血管疾病中最具破壞性且可完全避免的因素。相較於藥物或飲食，戒菸對整體心血管風險的降低效益最為顯著。
Smoking cessation is the most critical intervention because tobacco use causes endothelial damage, promotes platelet aggregation, and accelerates atherosclerosis. Eliminating this modifiable risk factor provides the greatest reduction in overall cardiovascular disease risk compared to other lifestyle changes.