— 照護管理 · EASY · MCQ —
護理師督導助理人員協助腦中風病人從床邊移位至椅子。下列哪項觀察結果需要護理師立即介入？
A nurse is supervising an assistive personnel (AP) who is assisting a client with a stroke to transfer from bed to chair. Which observation requires immediate intervention by the nurse?
- AThe AP places the chair on the client's stronger side助理人員將椅子置於病人較強健的一侧
- BThe AP applies a gait belt around the client's waist助理人員在病人腰部繫上轉移腰帶
- CThe AP locks the wheels of the bed and the chair助理人員鎖定床和椅子的輪子
- DThe AP stands on the client's stronger side during the transfer✓ 正解助理人員在轉移過程中站在病人較強健的一侧
— Explanation · 中文詳解 —
腦中風病人移位時，看護人員應站在病人無力（患側）以便在病人失去平衡時提供支撐。A 和 C 為正確安全措施，B 有助於穩定重心。站在健側無法在病人跌倒時提供足夠扶持，違反人體工學與病人安全原則，需立即糾正並示範正確站位。
The nurse must intervene immediately if the assistive personnel stands on the client's stronger side during the transfer. The caregiver should stand on the affected side to provide support and stability to the weaker limb, preventing falls and ensuring proper body mechanics during the move.
✦ 台美臨床差異
美台臨床對於轉移技巧（transfer technique）的安全性訓練邏輯一致，均強調護理人員或照顧者需站在患側支持。