護理師教導病人使用拐杖。下列哪句話顯示病人已理解正確方式?
A nurse is teaching a client about using a cane. Which statement indicates the client understands?
- AI will advance my strong leg first when going downstairs下樓梯時我會先移動我的健側腿
- BI will hold the cane on my weak side我會將拐杖握在患側
- CI will move the cane and my weak leg together✓ 正解我會同時移動拐杖和我的患側腿
- DI will put weight on the cane with my weak arm我會用患側的手臂在拐杖上施力
拐杖(Cane)的使用原則為「健側持拐(Cane on the strong side)」。拐杖應放在健側,與患側腳同時向前邁進,這樣能分擔患肢承受的體重。病人若理解「拐杖與患側同動」且「拐杖在健側」,即代表正確。下樓時原則為「先下患肢與拐杖,後下健肢」,選項 A 描述錯誤。力量應透過手柄由手臂與肩膀支撐,而非手腕。
The principle of cane use is 'cane on the strong side.' The cane should be held on the unaffected side and advanced together with the affected leg, allowing the cane to share the weight that would otherwise be borne by the weaker limb. The client demonstrates correct understanding when stating that the cane and the affected leg move together and that the cane is held on the strong side. When going downstairs, the rule is that the cane and the affected leg go down first, followed by the unaffected leg; Option A is therefore incorrect. Weight should be borne through the handgrip by the arm and shoulder, not by the wrist.