人體的肢體活動需求是為了維持身體功能或執行日常生活活動(activities of daily living; ADL)。對於神經外科這群住院病人而言，卻因疾病病變或疏於關注肢體之可 動性而無法滿足個人的最低生理活動需求，進而引發肌肉萎縮、骨質疏鬆、甚至造成褥瘡、 復健不能等嚴重併發症，使得病患在承受病況外更蒙上一層不可抹滅的遺憾。本文以現況分 析後，依Carpenito(1993)主、客觀評估指引及利用肌力強度(muscle power)、巴氏量表 (Barthel Index)等彙整出「活動度評估指引」施予評估;並以Drayton-Hargrove & Reddy(1986) 提出的「肢體活動訓練」為基礎發展流程及實施細項，最後予以評值，並提出討論與建議， 藉以提升護理人員對病患肢體活動訓練之重視。

　　　　　Human mobility demands maintenance of the function of the human body or the activities of daily living (ADL). For those patients in the neurosurgical ward, severe complications such as muscular dystrophy, osteoporosis or even bed sore and rehabilitation failure will induce the progression of the disease. There is a lack concern over the mobility of limbs, thus not enough movement is provided to satisfy the minimal physcial activity demand for such individuals. Those severe complications will not only make patients suffer from disease but also leave the unfortunate influences on those patients. In this study, after analysis of real data, according to the objective and subjective evaluation index by Carpenito (1993) and using muscle power, Barthel Index, we compiled "the degress of mobility evaluation index" and made an evaluation. Furthermore, based on the developmental proceedings and execution of the "mobility training protocol" proposed by Drayton Hargrove & Reddy (1986), we made the final evaluation and proposed discussions and suggestions, in order to promote nursing staffs to pay attention to the "mobility training protocol" for neuro surgical ward patients.