— 基本照護與舒適 · EASY · MCQ —
護理師準備使用步態帶將病人從床上移至椅子。哪項動作顯示正確的技巧？
A nurse is preparing to transfer a client from the bed to a chair using a gait belt. Which action indicates correct technique?
- APlace the belt over the client’s bare skin for maximum friction將束帶置於病人裸露的皮膚上以增加摩擦力
- BPosition the belt snugly around the client's waist with enough space for two fingers✓ 正解將束帶緊密地綁在病人腰部，保留約兩指寬的空間
- CPull the client upward by the belt to assist with standing拉動束帶將病人向上拉起以協助站立
- DStand on the client's stronger side during the transfer在轉移過程中站在病人較強健的一側
— Explanation · 中文詳解 —
步態帶應緊貼衣物而非裸露皮膚，以防皮膚損傷。兩指寬度能確保適當支撐力且不影響呼吸。站立位置應位於患側以提供支撐，並鼓勵病人利用自身力量而非被動拉起，以防脊椎損傷。此項操作旨在利用生物力學原則保護護理人員與病人安全。
The gait belt should be placed over the client's clothing, not bare skin, to prevent irritation and ensure safety. It must be positioned snugly at the waist with room for two fingers to allow for secure support without restricting breathing. Standing on the client's weaker side provides necessary stability, while pulling upward is avoided to protect the spine.
✦ 台美臨床差異
美台臨床皆視步態帶為標準防跌工具，美國護理實務強調轉移位時應明確評估滑動風險。