— 基本照護與舒適 · EASY · MCQ —
護理師協助行動不便的病人進行床椅轉移。為確保病人安全，護理師應採取哪項行動？
A nurse is assisting a client with mobility limitations to perform bed-to-chair transfers. Which action should the nurse take to ensure client safety?
- APivot the feet rather than twisting the torso✓ 正解轉動雙足而非扭轉軀幹
- BLock the wheels on the bed but not the chair鎖定床的輪子但不鎖椅子的輪子
- CKeep the client at arm's length to maintain balance將病人保持在手臂長度外以維持平衡
- DStand with feet close together while lifting the client搬運病人時雙腳併攏站立
— Explanation · 中文詳解 —
人體力學（Body Mechanics）的重點在於保護護理師的脊椎並確保病人的穩定。轉移時，護理師應使用核心肌群（腹部與腿部）力量，並透過轉動雙足（Pivot）來改變方向，嚴禁扭轉軀幹（Twisting），因為扭轉動作對脊椎椎間盤的剪力極大，易導致腰部傷害。同時，確保環境安全（如固定輪子）是防止跌倒的基本要求。
Proper body mechanics during transfers require pivoting the feet rather than twisting the torso to protect the nurse’s spine and ensure client stability. Twisting creates shear forces on the intervertebral discs, increasing the risk of injury, while locking both the bed and chair wheels prevents sliding and enhances safety.