護理師正協助一位右側無力的病人從床上移位至椅子。護理師應採取哪項行動以確保安全移位？
A nurse is assisting a client who has right-sided weakness to move from the bed to a chair. Which action should the nurse take to ensure a safe transfer?
- AStand on the client's left side during the transfer在移位過程中站在病人的左側
- BPlace the chair on the client's right side將椅子放在病人的右側
- CPlace the chair on the client's left side✓ 正解將椅子放在病人的左側
- DAsk the client to put their arms around the nurse's neck要求病人將手臂環繞護理師的脖子
安全移位的核心原則是讓病人利用健側支撐。因為病人右側無力，左側為健側，將椅子放置在左側能讓病人在轉向椅子時使用強壯的左腿與左手支撐身體重量，減少跌倒風險。臨床思路應優先考慮重力的分配與支點的穩固。選項 B 會增加弱側負擔導致危險；選項 D 的做法會造成護理師頸椎受傷，且病人可能因重心不穩拉倒護理師；選項 A 則站錯邊，護理師應站在病人的患側（右側）以隨時提供支撐並防止病人向弱側傾倒。維持病人的自主感與安全性是基礎護理的精髓。
The core principle of safe transfer is to allow the client to use the stronger side for support. Because the client has right-sided weakness, the left side is the stronger side; placing the chair on the left allows the client to use the strong left leg and arm to bear weight when pivoting toward the chair, reducing fall risk. Clinical reasoning should prioritize weight distribution and a stable pivot point. Option B would place increased burden on the weaker side, posing danger. The action in option D could cause cervical spine injury to the nurse, and the client could pull the nurse off balance. In option A, the nurse is on the wrong side; the nurse should stand on the client's affected (right) side to provide support at all times and prevent the client from falling toward the weaker side. Preserving the client's sense of autonomy and safety is the essence of fundamental nursing care.
在美國，這類移位通常會強調使用步態帶（Gait Belt）且嚴禁徒手拉扯病人腋下；台灣醫院雖然也強調健側移位，但臨床上使用步態帶的普及率較低，且有時會過度依賴家屬或看護協助，而非完全由護理人員操作。