# 對於考慮參加12步驟的酒精使用障礙個案，哪些行動能支持其康復？請選出所有適用者。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375134&lang=zh-tw  
> language: zh-TW  
> subject: Basic Care and Comfort  
> category: BCC

## 題目

對於考慮參加12步驟的酒精使用障礙個案，哪些行動能支持其康復？請選出所有適用者。

1

告知病人僅12-step有效且必須

2

制定復發預防策略並辨識觸發因子

3

在尊重自主下,提供12-step(AA)作為同儕支持選項

4

連結同儕康復navigator並支持家屬衛教

5

提供藥物輔助治療資訊(naltrexone、acamprosate、disulfiram)

## 解析

對於酒精使用障礙的實證基礎康復是多模式的：包括社會心理支持（AA/12步驟、SMART康復、認知行為治療、動機式晤談）、藥物治療（納曲酮、阿坎酸、雙硫侖）、預防復發技巧，以及同儕/家庭支持。AA是一個有效的選項，但並非唯一途徑——選擇方法的自主性很重要。堅持單一方法會損害治療同盟。

## 深入解析

SMART Recovery為非12-step替代,強調自我賦權與CBT。依病人偏好與信念配對方式。

## 臨床情境

戒斷後成人。考慮AA。家屬意見矛盾。

## 重要概念

- **12-step計畫** — 強調接納、同儕關係、靈性原則之互助康復架構(AA、NA)。
- **藥物輔助治療** — 結合FDA核准藥物與心理社會照護之物質使用障礙治療。
- **復發預防** — 辨識觸發因子並防止重返物質使用之技巧與策略。

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