長照機構推動 No-Lift Policy 的經驗分享

Sharing the Experiences of Promoting the No-Lift Policy in Long-term Care Facilities

協助被照顧者執行各項轉移位活動乃為照顧服務員的主要工作內容之一。協助方式從過去強調徒手搬運的身體力學與技巧，演變至今逐漸提倡使用輔具協助，包括人力輔助類與機械動力類。而No-Lift Policy（不徒手搬運病患規範）乃指使用轉移位輔具，強調以非徒手協助被照顧者轉移位的照護方式，目的為減少照護人員的肌肉骨骼傷害，並增加轉移位時被照顧者之安全性，為近年來澳洲、英、美等國已立法之政策，臺灣目前則尚未立法。本文章將從不同面向介紹長照機構推動No-Lift Policy之要素，以及分享推動No-Lift Policy之困境與成果。

One of the main tasks for nursing attendants is assisting the elderly to transfer. The methods of completing these tasks have been evolved from manual handing, emphasizing body mechanics and techniques, to mechanic assistances which include non- mechanic-powered and mechanic-powered ones. No-Lift Policy, emphasizing the use of non-manual handing, is to reduce the occurrence of musculoskeletal disorders (MSDs) and to ensure the safety of nursing attendants while transferring patients. Australia, Great Britain, United States have all adapted this policy in recent years. However, Taiwan has not done so up to date. The purpose of this study is to share the procedure of developing and promoting of no-lift policy from different aspects, and to share the experiences of success and hardships encountered as well.