— 藥理與非經腸給藥 · EASY · MCQ —
護理師應與病人討論 SSRI(選擇性血清素回收抑制劑)哪種常見副作用?
Which of the following is a common side effect of SSRIs that the nurse should discuss with the client?
- AHair loss脫髮
- BSexual dysfunction✓ 正解性功能障礙
- CExtreme hypertension極端高血壓
- DHearing loss聽力喪失
— Explanation · 中文詳解 —
選擇性血清素回收抑制劑 (SSRI) 是治療憂鬱症與焦慮症的第一線藥物。護理師在衛教時,必須主動與病人討論其常見副作用,因為這些副作用往往是病人自行停藥(non-compliance)的主因。常見副作用包括腸胃道不適、失眠、體重增加以及性功能障礙。性功能障礙(如性慾減退、勃起功能障礙或延遲射精)在臨床上非常普遍,但病人常因尷尬而不願主動提起。護理師應建立良好的治療性關係,主動詢問並告知此為藥物常見副作用,若發生可與醫師討論調整劑量或更換藥物,切勿自行停藥。
Sexual dysfunction is a frequent and well-documented side effect of selective serotonin reuptake inhibitors (SSRIs), often leading to noncompliance if not addressed. Nurses should proactively discuss this issue with clients to reduce embarrassment and encourage open communication about treatment options.