— 基本照護與舒適 · HARD · MCQ —
為疑似脊髓損傷病人進行個人衛生照護時，下列哪項行動正確？
Which action is correct when performing personal hygiene for a client with a suspected spinal cord injury?
- AKeep the spine in neutral alignment throughout the procedure✓ 正解在整個過程中保持脊柱中立對位
- BLog-roll the client to wash the back將病人軸向翻身以清洗背部
- CElevate the head of the bed to 45 degrees for bathing洗澡時將床頭抬高至 45 度
- DUse a warm, wet cloth to vigorously scrub the skin使用溫暖濕布用力擦洗皮膚
— Explanation · 中文詳解 —
脊髓損傷病人的核心護理原則是脊柱穩定。雖然軸向翻身（Log-roll）是翻身技巧，但必須在確保護脊狀況下進行。維持脊柱在中立位（Neutral alignment）是所有動作的最高原則，避免任何扭轉與位移。
The core principle of caring for a client with suspected spinal cord injury is spinal stability. Although log-rolling is the appropriate turning technique, it must be performed while maintaining spinal protection. Keeping the spine in neutral alignment is the overriding rule for every movement, avoiding any twisting or displacement.
✦ 台美臨床差異
美台臨床皆嚴格執行脊柱穩定原則，台灣在護理操作上更依賴背架（Brace）輔助。