— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人從床轉移至椅子。哪項護理措施展現安全的轉移技巧？
A nurse is assisting a client with mobility limitations in transferring from the bed to a chair. Which nursing action demonstrates safe technique?
- ALock the client's knees while performing the lift鎖住病人的膝蓋以進行抬舉
- BBend at the waist to maintain close contact with the client彎曲腰部以保持與病人緊密接觸
- CPivot with the feet to avoid twisting the spine✓ 正解以腳步旋轉以避免扭傷脊椎
- DKeep the client's feet close to the nurse's feet during the transfer在轉移過程中讓病人的雙腳靠近護理師的雙腳
— Explanation · 中文詳解 —
人體力學的核心在於保護護理師的脊椎。轉移時應以腳尖為軸心轉動（Pivot），避免脊椎扭轉（Twisting）。其他錯誤選項如彎腰會導致背部受傷，鎖住病人膝蓋會限制活動度並可能造成跌倒，腳部距離過近則缺乏穩定支撐點。
Proper body mechanics are essential to protect the nurse's spine during transfers. The nurse should pivot with their feet rather than twisting the torso, which maintains spinal alignment and prevents injury. Other actions like bending at the waist or locking the client's knees compromise stability and increase the risk of musculoskeletal strain or falls.
✦ 台美臨床差異
台美均強調人體力學，但美國醫院廣泛使用移位機（Hoyer lift）及滑墊以減少背部損傷，台灣病房受限於空間與成本，仍多仰賴人力。