一位75歲男性正從中風中恢復，這場中風為他留下了嚴重的右側半身偏癱。幸運的是，他的左上肢與左下肢功能依然強壯且完整。護理師正準備將個案從病床轉移到輪椅上。為了執行符合生物力學安全且促進獨立性的轉位，護理師應該把輪椅放置在病患的哪一側？
A 75-year-old male is recovering from a stroke that has left him with profound right-sided hemiplegia. Fortunately, his left upper and lower extremities remain functionally strong and intact. The nurse is preparing to transfer the client from the hospital bed to a wheelchair. To execute a biomechanically safe and independent-promoting transfer, on which side of the client should the nurse position the wheelchair?
- AOn the client's left (unaffected) side, angled slightly toward the head of the bed.✓ 正解放在病人左侧（未受影响侧），略微朝向床头倾斜
- BOn the client's right (affected) side, precisely parallel to the bed, so he can pivot on his stronger leg.放在病人右侧（受影响侧），与床精确平行，以便他用较强的腿转动
- CDirectly facing the foot of the bed so the nurse can forcefully lift the client from behind.直接面对床尾，以便护士从后面用力抬起病人
- DOn the client's right (affected) side, placed directly perpendicular to the bed frame.放在病人右侧（受影响侧），与床架直接垂直
本題測驗基礎照護領域的復健移位機制。偏癱（Hemiplegia）病患轉位的宇宙不變法則為：「永遠朝向未受傷的強壯側移動（Transfer toward the strong side）」。病患罹患右側偏癱，意味著他的左側是健康強壯的（Unaffected side）。護理師必須將輪椅以微傾斜的角度（大約 45度）放置在病床的「左側」。這樣做時，當病患在護理師的撐扶下站起時，他可以立刻伸出他那隻功能完全正常的、強而有力的『左手』，安穩地伸手抓住輪椅遠端的扶手。這個強壯的抓握力能作為一個安全的樞紐（Pivot），讓病患旋轉身體並自己控制下降的重量，從而大幅降低摔落的風險（選項A正確）。選項B與D將輪椅放在癱瘓的右側是極度危險的；病患將被迫轉向無力的一側，而他那隻癱瘓的右手也完全無法舉起來去尋找輪椅扶手，這必然會導致重心不穩並跌落在地板上。選項C的正面硬抬只會造成護理師腰椎受傷並增加病患滑落危險。
This item tests rehabilitation transfer mechanics. The universal rule for hemiplegic patients is to transfer toward the strong (unaffected) side. With right-sided hemiplegia, the left side is strong. The wheelchair should be placed at about a 45-degree angle on the left side of the bed. When the client stands with the nurse's support, he can use his fully functional left hand to grip the far armrest of the chair, providing a stable pivot for rotating and controlling his descent—greatly reducing fall risk (A is correct). Placing the chair on the affected right side (B, D) is extremely dangerous: the client must pivot toward the weak side, and his paralyzed right hand cannot reach the armrest, resulting in loss of balance. Option C (lifting from behind) injures the nurse's lumbar spine and risks the client sliding.
不分國度的復健物理學鐵律。「往好腳/好手那邊移動 (Transfer toward the strong side)」是無論病患下床、上床、轉輪椅、拄著拐杖，長照與病房護理人員腦海中的反射神經。