背景與目的：由於醫療的進步、人口的老化、急性醫療住院天數的減少以及社會資源漸趨完備，造成居家健康照護需求大量成長；行政院大溫暖計畫亦勾勒未來十年台灣長期照護發展，包括居家照護的願景，因此國內物理治療師投入居家照護職場是必然的趨勢。本文將探討居家物理治療師的相關安全議題以因應此趨勢並預作準備。方法：本文為回顧性文章，參考文獻包括與本文相關之教科書、網站、期刊文獻、研討會文摘等，本文的概念曾於物理治療博士班課程中提出討論，並於物理治療長期照顧課程中發表與討論。結果：本文首先提出治療師所可能面對的居家照護安全議題，分為往返交通安全、社區環境安全、居家環境安全、溝通技巧、個案病情（肺結核、疥瘡、突發狀況）、治療師肌肉骨骼損傷（下背痛，肌腱炎）等面向。其次再介紹一些實際可行促進安全的策略和方法，包括促進往返交通安全，如搭乘計程車或駕駛汽機車的安全守則等；促進社區環境安全，如訪視前的準備工作，如聯絡方式、穿著與配件的注意事項等，前往案家途中的行車與步行安全，抵達案家的注意事項，遭受暴力事件的處理方式；促進居家環境安全，如訪視期間的注意事項，包括家庭環境異常、家庭衛生情況不良、家庭供水不足或缺水、家庭環境過度炎熱或嚴寒以及不習慣訪客或具攻擊性的寵物；促進溝通技巧，如與老人良性溝通的技巧與注意事項；促進個案病情安全，如肺結核、疥瘡、突發狀況的處理策略和方法；促進治療師肌肉骨骼健康，如預防下背痛與肌腱炎等。結論：本文提出居家物理治療師可能面對的居家照護安全議題以及實際可行促進安全的策略和方法，期望藉此增進居家治療時物理治療師的個人安全，以延長職場壽命。

Background and Purpose: The need of home health care will grow rapidly and continuously due to the improvement of medical technology, aging of population, decrease of acute length of hospital stay, and availability of social resources. The Executive Yuan has advocated the development of long term care, including home care in Taiwan for decades. The physical therapist is an important team member of the long term care profession, thus physical therapists working in the home care market is a predictable trend in the near future. This article discussed the safety issues for physical therapists working in the home care environment. Methods: This is a narrative review article. Textbooks, websites, journal articles and conference papers related to this topic are reviewed and organized to form the review basis of this paper. The concept was then discussed in a doctoral course in physical therapy, and then presented with feedback discussion in a physical therapy conference in long-term care. Results: This paper first identified the potential safety issues that a physical therapist is predisposed to in a home care environment. The aspects of traffic safety, community environment safety, home environment safety, communication skills, patients' conditions (pulmonary tuberculosis, scabies, and emergent conditions), musculoskeletal injury (low back pain and tendinitis) were identified. Secondly, practical strategies and methods to improve safety were introduced. Strategies and methods to improve traffic safety contain safety rules of taking taxi and riding motorcycles or driving cars. Strategies and methods to improve community environment safety include preparation prior to visits such as communication, clothes, accessories, and safety guides to driving and walking on the way to the patients' residence, and violent events. Strategies and methods to improve home environment include tips on abnormal family, poor hygiene, insufficiency or absence of water, torridness or frostiness, and unfriendly pets. Strategies and methods to improve communication skills include skills and tips on communication with the elderly. Strategies and methods to improve patients' condition include the methods of dealing with pulmonary tuberculosis, scabies, and emergent conditions. Strategies and methods to improve therapists' own musculoskeletal health include prevention of low back pain and tendonitis. Conclusion: Home health care safety issues for physical therapists were identified and then strategies and methods to improve personal safety discussed. This paper may improve physical therapists safety while working in a home care environment and henceforth lengthen their career life.