— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關慢性疼痛的管理。下列何種陳述表示對有效疼痛管理的誤解？
A nurse is educating a client about managing chronic pain. Which statement indicates a misunderstanding of effective pain management?
- AI should take my pain medication regularly as prescribed.我應該按照醫囑定期服用止痛藥。
- BI need to avoid all activities that might cause pain.✓ 正解我需要避免所有可能引起疼痛的活動。
- CTalking to a therapist about my pain is helpful.與治療師討論我的疼痛狀況有幫助。
- DLearning relaxation techniques can help manage my pain.學習放鬆技巧可以幫助我管理疼痛。
— Explanation · 中文詳解 —
慢性疼痛管理的核心目標是提升病人的功能性狀態與生活品質。完全避免活動會導致「失用性症候群」（Disuse syndrome），引發關節僵硬、肌肉萎縮及心肺功能下降，反而讓疼痛閾值降低，形成惡性循環。有效的疼痛管理應採取多模式策略（Multimodal approach），強調適度活動、規律用藥與心理調適，而非被動地採取禁忌行為。
To prevent respiratory complications such as atelectasis and pneumonia, the nurse should encourage incentive spirometry, early ambulation, pain management to facilitate deep breathing, and deep breathing with coughing exercises. Maintaining a supine position is inappropriate as it restricts lung expansion; a semi-Fowler’s position is preferred to maximize ventilation.