— 基本照護與舒適 · EASY · MCQ —
護理師協助行動不便的病人從床轉移至椅子，哪項措施能確保病人安全？
A nurse is assisting a client with mobility limitations in transferring from the bed to a chair. Which action should the nurse take to ensure client safety?
- AAllow the client to hold onto the nurse's neck for balance允許病人抓住護理師的脖子以維持平衡
- BStand behind the client throughout the entire process整個過程都站在病人背後
- CPlace the chair on the client's stronger side✓ 正解將椅子置於病人較強健的一側
- DWear a gait belt and position it loosely around the client's waist穿戴移位腰帶並鬆鬆地綁在病人腰部
— Explanation · 中文詳解 —
轉移位的核心原則是讓病人患側朝向護理師，健側朝向目標（椅子），以便利用較強的肌肉力量支撐體重。若患側朝向椅子，病人可能因肌力不足而跌倒。此外，轉移時應確保腳部有足夠支撐力，利用輔助器材確保重心穩固，避免過度依賴護理師的體力，減少雙方受傷風險。
To ensure safety during transfers, the chair should be placed on the client's stronger side to allow effective pivoting and weight-bearing. This positioning leverages the client's greater muscle strength for stability, reducing the risk of falls compared to placing the chair on the weaker side.
✦ 台美臨床差異
美台臨床皆強調轉移安全，但台灣受限於照顧比，家屬或照服員協助比例極高，常忽略轉移帶的使用。