— 健康促進與維護 · EASY · MCQ —
一位 70 歲病患出院時獲醫囑使用助行器。護理師觀察到哪種情形代表病人正確使用？
A 70-year-old client is being discharged with a prescription for a walker. Which observation by the nurse indicates the client is using the walker correctly?
- AThe client moves the walker, then the affected leg, then the strong leg✓ 正解客戶移動助行器，然後移動患側腿，最後移動健側腿
- BThe client holds the walker by the crossbar for better grip客戶握住助行器的橫桿以獲得更好的抓握力
- CThe client moves the affected leg and the walker simultaneously客戶同時移動患側腿和助行器
- DThe client keeps the walker 2 feet in front of them at all times客戶始終將助行器保持在身前兩英尺處
— Explanation · 中文詳解 —
使用助行器（Walker）的標準步態為：先移動助行器，接著跨出患肢，最後跨出健肢。選項 C 為拐杖的使用方式；選項 D 助行器距離過遠會造成重心不穩；選項 B 握持橫桿會造成手腕過度屈曲且不穩，應握把手。
The correct gait sequence with a standard walker involves moving the walker forward first, followed by the affected leg, and finally the stronger leg. This method ensures stability and proper weight distribution, whereas holding the crossbar or placing the walker too far ahead compromises balance and safety.
✦ 台美臨床差異
台灣物理治療師在助行器衛教上非常嚴謹，美國護理師則常在出院指導中兼負此項衛教工作。