— 基本照護與舒適 · EASY · MCQ —
一位病人因擔心跌倒而不敢從床上下床到椅子，護理師最好的應對方式為何？
A client expresses fear of falling while transferring from bed to chair. What is the best nursing response?
- AUse a gait belt and assist the client✓ 正解使用步態帶並協助個案
- BExplain that they are strong enough to walk解釋他們足夠強壯可以行走
- CUse a mechanical lift for all transfers使用機械升降設備進行所有轉移
- DTell the client to wait for a family member告訴個案等待家屬到來
— Explanation · 中文詳解 —
鼓勵活動是復健重要部分。使用步態帶（gait belt）能提供護理師良好的支撐點，並讓病人感到安全，同時藉由護理師的協助維持病人的自主移動能力。機械搬運（C）僅用於完全無力者，等待家屬（D）會限制病人的活動頻率。
Encouraging activity is an important part of rehabilitation. Using a gait belt provides the nurse with a secure point of support and gives the patient a sense of safety while preserving the patient's independent mobility through the nurse's assistance. A mechanical lift (C) is reserved for clients who are completely non-weight-bearing, and waiting for a family member (D) would unnecessarily limit the patient's activity frequency.
✦ 台美臨床差異
美國醫院極度推崇步態帶（Gait belt）；台灣臨床有時會因習慣或人力考量，改用直接攙扶腋下，較不符標準。