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安全與感染控制 · MEDIUM · SATA

護理師指導病人使用助行器(Walker),哪些敘述正確?(選所有適合的)

A nurse is educating a client about safe use of a walker. Which statements are correct? (Select all that apply.)

  • AMove the walker first, then the affected leg✓ 正解
    先移動助行器,再移動患側腿
  • BHold the walker handles with elbows at 45 degrees
    手握助行器把手時,手肘彎曲呈45度角
  • CEnsure the walker is adjusted to the height of the client's wrist✓ 正解
    確保助行器調整至與病人手腕高度相同
  • DAlways wear non-skid footwear✓ 正解
    務必穿著防滑鞋
  • EThe client should lean on the walker for balance
    病人應倚靠助行器以維持平衡
Explanation · 中文詳解

助行器使用技巧:助行器先行、患肢與助行器同步移動(A)。手把高度應與手腕等高(C),保持手肘約 20-30 度彎曲而非 45 度(B 錯誤)。穿著防滑鞋(D)。E 錯誤:助行器應作為平衡支撐,不應將全身重量壓在上面,以免翻覆。正確使用能大幅提升病患自主移動安全。

Walker technique: the walker is advanced first, then the affected leg is moved with the walker (A). The handle height should be at the level of the client's wrist (C), keeping the elbows flexed at about 20-30 degrees rather than 45 degrees (B is incorrect). Non-slip footwear should be worn (D). Option E is incorrect: the walker should be used as balance support rather than full weight-bearing, to prevent it from tipping. Proper use substantially improves the safety of the client's independent mobility.

✦ 台美臨床差異

美台對於輔具衛教邏輯相同,台灣醫院常由物理治療師協助調整,護理師負責衛教與稽核。

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