護理師正在教導病人如何使用助行器。下列哪項病人的行為顯示指導有效？
A nurse is teaching a client how to use a walker. Which action by the client indicates that the instruction was effective?
- AThe client steps into the walker after moving it forward.✓ 正解病人將助行器向前移動後，再跨入助行器內
- BThe client leans forward over the walker to maintain balance.病人身體前傾倚靠在助行器上以維持平衡
- CThe client uses the walker to pull themselves up from a chair.病人利用助行器支撐自己從椅子上站起
- DThe client lifts the walker while the stronger leg is moving.病人在較強壯的腿移動時提起助行器
助行器的正確使用順序是「推、踏、踏」。首先將助行器向前移動約一個手臂的距離（A），確保四個支點穩固著地，然後先踏出患側腿進入助行器框內，再跟進健側腿。選項 D 錯誤，移動任何一條腿時助行器都必須靜止並提供支撐。選項 B 錯誤，過度前傾會移位重心，增加跌倒風險，應維持背部挺直。選項 C 是常見的危險動作，助行器不穩固且易向後翻倒，起立應手扶椅臂推起後再握助行器。護理師應特別強調「先移器、後移人」的原則，並確保病人穿著防滑鞋。
The correct sequence for using a walker is 'push, step, step.' The walker is first advanced forward about one arm's length (A), ensuring that all four supports are stable on the ground; the client then steps into the walker frame with the affected leg, followed by the unaffected leg. Option D is incorrect because the walker must remain stationary and provide support whenever a leg is being moved. Option B is incorrect because leaning forward excessively shifts the center of gravity and increases the risk of falling; the back should remain upright. Option C is a common but dangerous behavior because the walker is unstable and may tip backward; when rising, the client should push up using the arms of the chair before grasping the walker. The nurse should emphasize the principle of 'move the device first, then the body' and ensure the client wears non-slip footwear.
在美國臨床，助行器的高度調整（手肘彎曲 15-30 度）是評估重點。台灣家屬常為了方便買有輪子的助行器（Rollator），但護理師需評估病人平衡能力，因帶輪助行器對平衡差者更危險。