[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-114-3-精神科與社區衛生護理學-030","nurse-114-3-psychiatric-community-030",114,3,30,"某學者找無罹患過鼻咽癌的勞工，工作於高濃度甲醛環境的勞工視為暴露組，工作在甲醛濃度為環境背景值的勞工當非暴露組，追蹤 10 年後分析二組勞工罹患鼻咽癌的相對危險性（relative risk）為 2.5，下列最適當的推論為：",{"A":14,"B":15,"C":16,"D":17},"此暴露可能為健康事件的危險因子","此暴露可能為健康事件的保護因子","暴露組的鼻咽癌盛行率低於非暴露組的鼻咽癌盛行率","暴露組的鼻咽癌發生率低於非暴露組的鼻咽癌發生率","A",null,[],"本題考點在於世代研究(cohort study)相對危險性(relative risk, RR)的判讀。RR 是暴露組發生率除以非暴露組發生率,RR=2.5 表示暴露(高濃度甲醛)組罹患鼻咽癌的風險為非暴露組的 2.5 倍,風險明顯升高,故推論此暴露可能為危險因子,選 A。B 錯,保護因子的 RR 應小於 1;C、D 錯,RR 大於 1 代表暴露組的發生率高於而非低於非暴露組,且本研究為前瞻追蹤新發病例,測得的是發生率(incidence)而非盛行率(prevalence),故 C 用「盛行率」描述亦不精確。","判讀 RR 的口訣:等於 1 無關聯、大於 1 為危險、小於 1 為保護。本題以「無病者依暴露與否分組、追蹤 10 年看新發生」是典型前瞻性世代研究,可直接計算發生率與 RR,是探討因果的強設計。相對地,病例對照研究無法直接算 RR,改用勝算比(OR)近似。盛行率屬橫斷面指標,與世代研究測得的發生率概念不同。",[24,27,30,33],{"term":25,"count":26},"世代研究",8,{"term":28,"count":29},"相對危險性RR",2,{"term":31,"count":32},"危險因子",1,{"term":34,"count":32},"發生率與盛行率",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-3-psychiatric-community-031","護理師在某社區執行獨居老人關懷計畫後，評值使用人力、物力和財力的使用狀況，是屬於何種評值？",31,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-115-2-psychiatric-community-027","有關衛生福利部的各機關（構）、單位業務職掌之敘述，下列何者正確？",27,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-psychiatric-community-071","職業衛生護理師要評估職場失能傷害頻率（frequency rate）時需收集的資料，下列何者為必要的？",71,106,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-107-2-psychiatric-community-029","照護李太太時，所採行之護理措施，下列何者較適當？",29,107,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-109-1-psychiatric-community-073","下列何者不是學校護理師收集學生視力不良資料之主要目的？",73,109,{"webId":61,"stem":62,"number":43,"year":63,"session":29},"nurse-110-2-psychiatric-community-027","邱同學在會考前 1 個月，每次學校模擬考時都感到右手無力，被家人送到神經內科求診，但經多科醫師會診及檢查，卻找不到任何跟生理病變有關的證據，邱同學最有可能是下列何項診斷？",110,"2026-09-04",1788510762969]