— 安全與感染控制 · EASY · MCQ —
護理師協助視障病人在走廊行走時，哪項動作是正確的？
Which action is correct when a nurse is helping a client with a visual impairment walk in the hallway?
- AWalk slightly behind the client to monitor their steps走在個案稍後方以監控其步伐
- BWalk on the client's side and hold their waist走在個案旁側並扶著其腰部
- CStand slightly ahead and let the client hold the nurse's elbow✓ 正解站在個案稍前方，讓個案握住護理師的手肘
- DHold the client's hand and pull them forward握住個案的手並將其向前拉
— Explanation · 中文詳解 —
協助視障病人在走廊行走時，護理師的職責不僅是確保病人的安全，更要尊重其自主性與尊嚴。正確的人導法（sighted guide technique）是讓視障者能安全、自信地移動的關鍵。這種方法的核心是讓視障者能透過護理師的肢體動作，預先感知前方的路徑和潛在障礙，而不是被動地被引導。護理師應作為「引導者」，讓病人感受到控制感，並能主動參與移動過程，這有助於建立信任，同時有效預防跌倒和碰撞。
The sighted guide technique involves the nurse walking slightly ahead while the client holds the nurse's elbow, allowing the client to sense movements and anticipate obstacles. This method promotes the client's independence and safety by enabling them to follow the guide's lead rather than being pulled or pushed.
✦ 台美臨床差異
美國更強調病人的自主性 (Autonomy)；台灣則常因安全考量採取較緊密的肢體攙扶。