[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-2-精神科與社區衛生護理學-077","nurse-110-2-psychiatric-community-077",110,2,77,"有關長期照護成效的評價指標，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"個案或案家滿意程度","個案健康狀況維持狀況","個案慢性疾病治癒率","個案使用長期照護的成本","C",null,[],"本題考點為長期照護成效評價指標的適切性，須選「最不適當」者。長期照護的服務對象多為慢性病與失能者，慢性疾病本質上難以「治癒」，照護目標在於功能維持、症狀控制與生活品質，故以「慢性疾病治癒率」作為評價指標並不合理，選 C。A 個案或案家滿意程度反映服務品質，B 健康狀況維持狀況符合長照維持功能的目標，D 使用長照的成本反映效率與資源配置，三者皆為合適的成效指標。長照評價應以維持、滿意與成本效益為導向，而非治癒導向。","長期照護的哲學不同於急性醫療：急性醫療追求治癒（cure），長照追求照顧（care）——維持殘存功能、延緩退化、提升生活品質與照顧者負荷減輕。評價指標常涵蓋結構、過程、結果（Donabedian 三面向），結果面重視功能維持、滿意度、再住院率與成本效益。記憶重點：凡以「治癒率」評價慢性或長照服務多屬不當，因對象的疾病本就不可逆。可連結生活品質量表與 ADL／IADL 功能評估。",[24,27,29,31],{"term":25,"count":26},"長期照護成效評價",1,{"term":28,"count":26},"慢性病照護目標",{"term":30,"count":26},"Donabedian 品質評價",{"term":32,"count":26},"生活品質",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-078","糖尿病病人經常出現血管與神經病變，需定期進行併發症篩檢，下列何者不屬於糖尿病併發症篩檢項目？",78,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-psychiatric-community-014","有關下列疾患的心理因素，下列何者正確？",14,111,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-112-1-psychiatric-community-028","有關物質使用障礙症的生理層面護理措施，下列何者較不適宜？",28,112,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-1-psychiatric-community-016","李同學，12歲，對無法停止洗手行為，感到情緒低落並無自信，導致每次不停的洗手，即使手已經破皮仍繼續洗手。護理師建議李同學藉由玩自己最喜歡的小小兵玩具轉移注意力並練習不繼續洗手。此種照護處置是應用下列何種治療技巧？",16,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-psychiatric-community-020","下列敘述何者為早期失智症的主要症狀表現？",20,114,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-106-1-psychiatric-community-014","護理師評值治療過程及目標的完成，並與病人分享彼此對關係結束的感覺，是屬於治療性人際關係過程中那一期的任務？",106,"2026-09-04",1788510731197]