— 基本照護與舒適 · MEDIUM · MCQ —
護理師衛教病人使用腋下拐。下列哪項指導是正確的？
A nurse is teaching a client to use crutches. Which instruction is correct?
- ASupport the body weight with the hands, not the armpits✓ 正解用手支撐體重，而非腋下
- BLean on the crutches with the armpits for support用腋下倚靠拐杖以提供支撐
- CKeep the crutches close to the feet to maintain balance將拐杖保持在靠近腳部的位置以維持平衡
- DLook down at the feet while walking to avoid tripping行走時低頭看腳以避免絆倒
— Explanation · 中文詳解 —
使用腋下拐（Crutches）時，正確的體重負荷點應在手掌（Hands），而非腋下（Axilla）。若病人將重量支撐在腋下，會壓迫腋下的臂神經叢（Brachial plexus），導致手部麻木、無力，甚至造成永久性的神經損傷。正確的姿勢應保持拐杖頂端距離腋下約 2-3 指寬，且走路時應抬頭挺胸，直視前方以維持平衡。
When using axillary crutches, the body's weight should be borne by the hands rather than the axillae. If the patient supports their weight on the axillae, this can compress the brachial plexus and cause numbness, weakness, and even permanent nerve injury. The correct technique keeps the top of the crutch about 2-3 finger widths below the axilla, and the patient should walk with the head up and gaze forward to maintain balance.