— 基本照護與舒適 · EASY · MCQ —
護理師協助行動不便的病人從床轉移至椅子，哪項措施最能確保病人安全？
A nurse is assisting a client with mobility limitations to perform bed-to-chair transfers. Which action is the most important to ensure client safety?
- AStand directly in front of the client during the transfer在轉移過程中直接站在病人前方
- BLock the wheels of both the bed and the chair✓ 正解鎖定病床和椅子的輪子
- CApply a gait belt around the client’s waist在病人腰部綁上轉移帶
- DPlace the chair on the client's stronger side將椅子置於病人較強健的一側
— Explanation · 中文詳解 —
轉移時最優先的動作是固定環境，防止床或椅子滑動。若床或椅子移位，病人將失去支撐點而發生跌倒。將椅子置於健側（D）是為了讓病人主動出力，使用轉移帶（C）能增加穩定，但在環境固定前，這些步驟的安全性會大打折扣。
The most important safety action during a bed-to-chair transfer is to lock the wheels of both the bed and the chair so that neither surface moves out from under the client. Positioning the chair on the client's stronger side, using a gait belt, and the nurse's body position all enhance safety but depend on a stable foundation; without locked wheels, the client can fall.
✦ 台美臨床差異
美台臨床對於使用轉移帶（gait belt）的重視度皆高，但在教學中，美方更強調依賴機構內的機械輔助設備（如 Hoyer lift）。