轉移位輔具使用概念與國內應用概況

The Use of the Assistive Devices for Transferring and General Situation for Practical Application in Taiwan

轉移位輔具大致可分為：1.運用機械提供升降動力的移位機、2.利用降低摩擦力並提供轉移位路徑支撐的滑墊類移位輔具，以及3.提供照護者更符合手部抓握人體力學的省力提把類移位輔具。轉移位方式的選擇及轉移位輔具的使用需評估被照顧者的身體功能及照顧空間的環境因素，且應盡量鼓勵病患活動，以維持其獨立性為最優先原則。國內現已有相關評估流程與評估工具可供使用，但因長期以來對於照顧者徒手照護病患所造成的職業傷害重視程度不足、相關教育訓練施行不易，以致相較於照護服務較先進的國家，轉移位輔具運用程度明顯落後，但近年來此方向議題已漸漸開始被關注，並以「No-Lift Policy」－不徒手搬運與移動病患之規範為宗旨，推動相關活動與教育訓練，期能提昇我國照護安全的品質。

The assistive devices for transferring is divided into the following: (1) Mechanical power patient lifter, (2) Sliding aids with lower friction which provide support of transferring pathway, (3) Ergonomic handles which provide better grasp to the care givers. Selecting of the method of transferring and the using of assistive devices both are subject to the evaluation of the patients' abilities and the environment factors. Nevertheless, it is common consent that maintenance of a patient's independence by encouraging mobility is paramount. Nowadays, in Taiwan, there are some evaluation procedure and assessment tools for the above. However, due to insufficient attention to the occupational injuries of care givers and lack of proper education and training caused the use of assistive devices for transferring significantly behind, in comparison with the other advanced nations. In recent years, the above subject has being discussed and paid more attention. We hope to improve the quality of safe patient handling in Taiwan by advocating and educating for “No Lift Policy”.