— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人從病床移位至椅子,應採取何種措施確保安全?
A nurse is assisting a client with limited mobility to transfer from the bed to a chair. What should the nurse do to ensure safety?
- APlace the chair at a 90-degree angle to the bed將椅子與病床呈 90 度角放置
- BLock the wheels of both the bed and the chair✓ 正解鎖定病床和椅子的輪子
- CPivot the client toward their weaker side引導病人向較弱側轉身
- DStand with feet close together while lifting在搬抬時雙腳緊靠站立
— Explanation · 中文詳解 —
轉移位的基本原則是預防跌倒,鎖定所有可移動設備(輪子)能提供穩固的支撐點。90度擺放並非最標準姿勢(通常需成45度以利省力),站立時應雙腳分開增加底面積,轉向健康側可利用較好的肢體力量,避免在脆弱側施力導致重心不穩。
To ensure safety during a client transfer, the nurse must lock the wheels of both the bed and the chair to prevent equipment from shifting. Additionally, the chair should be positioned at a 45-degree angle, and the client should pivot toward their stronger side to maximize stability and assistance.
✦ 台美臨床差異
台美臨床皆高度重視移位安全,美方強調護理師自身人體工學(避免下背痛),台灣則多採團隊輔助移位。