護理師指導病人使用助行器,下列哪些敘述代表病人已理解?(選所有適合的)
A nurse is teaching a client about the use of a walker. Which statements by the client indicate correct understanding? (Select all that apply.)
- AI will move the walker forward first, then my weak leg✓ 正解我會先移動助行器,然後移動我較弱的那條腿
- BI should hold the walker by the side frame for stability我應該握住助行器的側框以保持穩定
- CI should step into the walker, not behind it✓ 正解我應該跨入助行器內,而不是站在它後面
- DMy elbows should be slightly bent while holding the grips✓ 正解握住把手時,我的手肘應保持微彎
- EI can use the walker to pull myself up from a chair我可以用助行器把自己從椅子上拉起來
助行器(walker)是幫助行動不便者維持平衡和支撐的輔助工具。病人若對其使用方式有錯誤的認知,可能導致跌倒或其他傷害。護理師的衛教重點在於確保病人安全、正確地使用助行器。 正確選項分析: A. 「我會先將助行器往前移,然後是我的弱腿。」(I will move the walker forward first, then my weak leg):這是正確的使用順序。助行器提供穩定的基礎,然後病人將較弱的腿移到助行器內,最後再用健腿跟上。此步驟確保了支撐的連續性。 C. 「我應該跨入助行器內,而不是站在它後面。」(I should step into the walker, not behind it):病人應站在助行器框架的中間或稍前方,這樣才能獲得來自助行器的最大支撐。站在後面會導致重心偏移,增加跌倒風險。 D. 「拿著握把時,我的手肘應該稍微彎曲。」(My elbows should be slightly bent while holding the grips):手肘微彎能吸收行走時的震動,並允許手臂有足夠的活動空間來調整平衡,同時也能讓病人更好地控制助行器。 錯誤選項分析: B. 「我應該抓住側邊的框架以獲得穩定性。」(I should hold the walker by the side frame for stability):助行器的主要支撐點是握把(grips),側邊框架(side frame)設計用於穩定結構,而非抓握點。抓住側架會影響平衡,且可能導致助行器傾斜。 E. 「我可以用助行器來拉我自己從椅子上站起來。」(I can use the walker to pull myself up from a chair):助行器主要用於行走時提供支撐,而非用來輔助起身。試圖用助行器拉自己起身,可能導致助行器滑動或翻倒,造成病人跌倒。 臨床思路:安全(Safety)是使用輔具的首要考量。護理師需評估病人的能力,給予清晰的指導,並觀察其練習,確保病人能安全有效地使用助行器。
Correct walker use involves moving the device forward first, stepping into the frame with the weaker leg, and maintaining slight elbow flexion (20-30 degrees) for optimal stability and shock absorption. Holding the side frames or pulling the walker to stand can cause tipping and injury, so clients must use the designated grips and keep their weight centered within the walker's base.