— 基本照護與舒適 · HARD · MCQ —
下列何者描述了正確的束縛(Restraint)應用技巧?
Which of the following describes the correct technique for applying a restraint?
- ATie with a tight knot so the client cannot move用緊結綁紮,使病人無法移動
- BSecure to the side rail for easy access固定於床欄以便存取
- CKeep the restraints on at all times持續使用束縛帶
- DSecure to the bed frame, not the side rail✓ 正解固定於床架,而非床欄
— Explanation · 中文詳解 —
束縛(Restraint)的使用原則在於「安全」與「最少限制」。束縛帶必須固定在床架(Bed frame)上,因為床架是固定不動的結構;若固定在可升降的床欄(Side rail)上,當床欄變動時會拉扯病人,導致肢體骨折、脫臼或軟組織傷害。此外,束縛必須使用易解開的結(Quick-release knot),以便在緊急狀況下能迅速移除。
The principles for restraint use emphasize "safety" and "least restrictive intervention." Restraints must be secured to the bed frame, which is a stable, fixed structure; if secured to a movable side rail, raising or lowering the rail will pull on the client and may cause fractures, dislocations, or soft-tissue injuries. In addition, restraints must be tied with a quick-release knot so that they can be removed rapidly in an emergency.