— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關藥物遵從性。下列何種因素是常見的阻礙？
A nurse is teaching a client about medication adherence. Which factor is a common barrier to adherence?
- AUnderstanding the medication's benefits了解藥物的益處
- BRegular follow-up appointments定期追蹤門診
- CHigh cost of medication✓ 正解藥物高昂的費用
- DSimple medication regimen簡單的用藥計畫
— Explanation · 中文詳解 —
藥物遵從性（Medication adherence）受多種因素影響。經濟因素是美國醫療體系中導致病人無法持續用藥的常見阻礙。許多慢性病藥物費用昂貴，若病人缺乏保險或藥費負擔過重，往往會自行減藥或停藥。護理師在進行衛教時，應評估病人的經濟狀況，並在必要時連結社會資源或與醫師討論較便宜的替代藥物選擇，以確保治療的連續性。
High medication costs are a significant barrier to adherence, often leading clients to skip doses or stop treatment due to financial strain. Nurses should assess economic factors and connect clients with resources or alternative medications to ensure continuity of care.
✦ 台美臨床差異
美國藥價體系極為複雜且昂貴，經濟負擔是影響遵從性的首要原因。台灣因健保制度，藥費相對低廉，病人服藥遵從性的阻礙更多來自於對副作用的恐懼或遺忘。