— 基本照護與舒適 · MEDIUM · MCQ —
護理師教導病人使用拐杖。下列哪項病人的陳述顯示衛教已達標？
A nurse is teaching a client how to use a cane. Which statement by the client indicates that the teaching was successful?
- AI will look down at my feet while walking to ensure placement走路時我會低頭看著我的腳，以確保放置位置正確
- BI will move the cane and the strong leg at the same time我會同時移動柺杖和健側腿
- CI will hold the cane on my stronger side and move it with the weak leg✓ 正解我會將柺杖握在較強健的一側，並與患側腿一起移動
- DI will hold the cane on my injured side for support我會將柺杖握在受傷的一側以提供支撐
— Explanation · 中文詳解 —
使用拐杖時，應持於患側的對側（健側），讓拐杖與患肢同時移動，透過重心轉移來支撐患肢。持於患側會導致重心偏移，增加跌倒風險；移動時應保持眼睛直視前方，避免低頭導致重心不穩。此動作設計能模擬人類正常行走的交替節律。
Proper cane use involves holding the device on the stronger side and moving it simultaneously with the weaker leg to widen the base of support and ensure stability. This technique mimics normal gait patterns and prevents falls, whereas holding the cane on the injured side or looking down at the feet compromises balance and posture.
✦ 台美臨床差異
美國物理治療師與護理師共同推廣此步態；台灣臨床護理師常需負擔此衛教，需加強對護佐的指導一致性。