護理師正協助一位左側偏癱的病人從床上轉移到椅子上。護理師應將椅子放在哪個位置？
A nurse is assisting a client with left-sided hemiparesis to transfer from the bed to a chair. Where should the nurse place the chair?
- AOn the client's right side✓ 正解在客戶的右側
- BAt the foot of the bed在床尾
- COn the client's left side在客戶的左側
- DDirectly in front of the client直接在客戶面前
安全轉移病人的核心原則是『利用強側』。左側偏癱（Left-sided hemiparesis）意味著病人的右側手腳具有較好的肌力與平衡能力。將椅子放在右側（強側），讓病人在站起並轉向椅子時，能用健側支撐身體重量並引導動作。這不僅降低了跌倒風險，也能增加病人的掌控感與復健動機。如果放在弱側（C），病人可能因無法支撐而向左傾倒。椅子的擺放應與床緣呈 45 度角，以便於旋轉。護理師在整個過程中應站在病人的弱側提供支撐，這體現了預防跌倒與身體力學應用的基本照護精神。
The core principle for safe patient transfer is to use the strong side. Left-sided hemiparesis means that the patient's right arm and leg have better strength and balance. By placing the chair on the right (the strong side), the patient can use the unaffected side to support body weight and guide the movement when standing up and turning toward the chair. This not only reduces the risk of falling but also increases the patient's sense of control and motivation in rehabilitation. If the chair is placed on the weak side (C), the patient may be unable to support himself and may lean to the left. The chair should be positioned at a 45-degree angle to the edge of the bed to facilitate rotation. Throughout the procedure, the nurse should stand on the patient's weak side to provide support, reflecting the basic care principles of fall prevention and body mechanics.
美國護理教育極度強調「Safe Patient Handling」，常要求使用移位腰帶（Gait belt）；台灣臨床則較多由護理師或家屬徒手攙扶，且常依賴病人的腋下支撐，這在美國被認為是易受傷的錯誤動作。