[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-113-1-精神科與社區衛生護理學-035","nurse-113-1-psychiatric-community-035",113,1,35,"有關高血壓護理指導後的衝擊評價指標，下列何者最適當？①時間的安排 ②計畫的經費 ③控制高血壓的態度 ④高血壓的就醫行為 ⑤高血壓的罹病率",{"A":14,"B":15,"C":16,"D":17},"①②","①③","③④","④⑤","C",null,[],"本題考點在於衛生教育計畫評價的三層次分類,重點是「衝擊評價」的定位。依健康計畫評價分類:過程評價看執行面(時間安排、經費運用、參與率);衝擊評價(impact evaluation)看介入後「立即性、中期」的改變,包括知識、態度、信念、技能與健康行為的變化;結果評價(outcome evaluation)看長期最終指標,如罹病率、死亡率、生活品質。高血壓護理指導後,③控制高血壓的態度與④高血壓的就醫行為屬於介入後知識態度行為(KAB)層面的中期改變,正是衝擊評價指標,故選 C。①時間安排、②計畫經費屬過程評價;⑤高血壓罹病率是長期健康狀態指標,屬結果評價。","三層評價對照(源自 PRECEDE-PROCEED 模式):過程評價(process)——計畫執行品質:活動場次、經費執行、教材、參加人數、滿意度;衝擊評價(impact)——立即到中期效果:知識(K)、態度(A)、行為(B)、技能改變,以及傾向因素、使能因素、增強因素的變化;結果評價(outcome)——長期終點:罹病率、死亡率、失能調整生命年、生活品質。記憶口訣:「過程看辦得好不好,衝擊看學得變不變,結果看病得少不少」。考場秒判:選項含「率」(罹病率、死亡率)幾乎都是結果評價;含「經費、時間、場次、人數」是過程評價;含「知識、態度、行為」是衝擊評價。",[24,27,30,32],{"term":25,"count":26},"衝擊評價",4,{"term":28,"count":29},"PRECEDE-PROCEED 模式",2,{"term":31,"count":10},"衛生教育計畫評價三層次",{"term":33,"count":10},"知識態度行為(KAB)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-psychiatric-community-036","平安社區老年人口逐年增加，里長規劃安全的健走步道，並在公園內增設運動器材且定期維護確保安全性。根據社會生態模式，是屬於何項因素之介入措施？",36,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-psychiatric-community-032","護理師想知道某村里高血壓、高血糖、高血脂的分布狀況，最適合使用下列何種流行病學研究方法？",32,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-2-psychiatric-community-026","有關全民健保的敘述，下列何者錯誤？",26,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-psychiatric-community-024","有關躁症發作（manic episode）的臨床特徵，下列何者正確？①活動量增加 ②意念飛躍 ③體重增加 ④注意力分散",24,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-psychiatric-community-068","張老先生進入腎臟疾病晚期，社區衛生護理師家訪時，對他的飲食指導，下列何者錯誤？",68,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-psychiatric-community-022","針對思覺失調症（Schizophrenia）的負性症狀（negative symptoms），下列何者正確？",22,109,"2026-09-04",1788510751353]