— 降低風險 · EASY · MCQ —
下列哪項護理措施最能促進病人移位過程中的安全?
Which of the following nursing actions best promotes safety during a patient transfer?
- AMoving quickly to minimize time out of bed快速移動以減少離床時間
- BAssessing the client's ability to assist✓ 正解評估病人協助移位的能力
- CPulling the client up using their arms拉著病人的手臂將其拉起
- DAlways using two people for all transfers所有移位作業均使用兩人
— Explanation · 中文詳解 —
病人移位安全(Safe Patient Handling)的首要原則是「評估」。在移動病人前,必須先評估病人的肌力、平衡感、認知狀態以及是否有禁忌症。僅僅依賴兩人協助並不代表安全,若病人的身體狀況無法配合,單靠人力反而容易導致病人與護理師雙方受傷。護理師應根據評估結果,決定是否使用輔具或需要額外人力。
Assessment is the primary principle of safe patient handling, requiring the nurse to evaluate the client's muscle strength, balance, and cognitive status before transferring. Relying solely on the number of staff members does not ensure safety if the client cannot cooperate, potentially leading to injury for both the client and the nurse. Therefore, determining the appropriate assistive devices and techniques based on this initial assessment is the most critical action.