醫院護理人員肌肉骨骼不適與體適能及心理社會因素相關探討; Association between physical fitness, psychosocial factors and work-related musculoskeletal disorders among hospotal nurses

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 公共衛生學院 > 環境醫學研究所(已停用) > 博碩士論文 > Item 310903500/24312

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題名:	醫院護理人員肌肉骨骼不適與體適能及心理社會因素相關探討;Association between physical fitness, psychosocial factors and work-related musculoskeletal disorders among hospotal nurses
作者:	邱盈勳;Chiu Ying-Hsun
貢獻者:	中國醫藥學院環境醫學研究所
關鍵詞:	肌肉骨骼不適;體適能;MSDs檢核表;護理人員;Musculoskeletal disorders (MSDs);Physical fitness;MSDs checklist;nurse
日期:	1992
上傳時間:	2009-12-22 13:57:09 (UTC+8)
摘要:	目的：本研究主要目的為了瞭解護理人員肌肉骨骼不適盛行狀況及各部門人因基礎風險分布，並評估護理人員心理壓力及體適能狀況以探討其與肌肉骨骼不適的相關性，最後利用此評估結果做為相關單位進行體適能促進的參考。方法：本研究以中部某醫學中心23個工作單位中工作至少六個月以上之護理人員826名為研究對象，研究方法共分成三個部分，第一部份進行主觀肌肉骨骼不適問卷調查以評估護理人員肌肉骨骼不適的盛行率；第二部分利用美國OSHA所發展之肌肉骨骼傷害人因工程檢核表，進行各單位護理人員相關肌肉骨骼不適風險因素，篩選高風險部門以進行後續體適能研究；第三部份經MSDs檢核表篩選出的161名護理人員進行體適能檢測，以瞭解護理人員體能狀態並進行肌肉骨骼不適與體適能相關探討。結果：護理人員整體肌肉骨骼不適盛行率為65％，身體各部位盛行率最高的三大部位依序為頸（42.5％）、肩（40.6％）和下背（40.2％）；由OSHA所發展之肌肉骨骼傷害人因工程檢核表抽樣評估各單位護理人員後，在滿分91分，總分超過15分必須進行工程改善的標準下，共有15單位超過此分數，其中以開刀房總分達29.73為最高的單位。心理社會因素中的工作生理需求壓力對於護理人員的體能狀況與肌肉骨骼問題具有相當程度的影響，滿意度則無統計上相關；其體適能方面除較國人常模體力指數較差外，其他檢測結果皆在正常範圍內；在各項探討變項中，個人特質的肌力與肌肉骨骼不適有統計上之相關。討論：國內護理人員肌肉骨骼不適情況相當嚴重，頸、肩和下背肌肉骨骼不適的盛行率比其他部位高。自覺工作生理需求感受頻率越頻繁，肌肉骨骼不適的盛行率也越高；體能狀況的肌力程度越好，則會降低肌肉骨骼不適發生的危險性。至於壓力管理與體能促進是否可減少肌肉骨骼不適的發生，值得進一步探討。關鍵字：肌肉骨骼不適，體適能，MSDs檢核表，護理人員; Objective：The objective of this study is to investigate the prevalence rates of musculoskeletal disorders and ergonomic risk in all unit of a teaching hospital. We also evaluate the relationship between musculoskeletal disorders and the psychological stress in addition to physical fitness status of nurse. Method：Eight hundreds and twenty six nurses, from twenty-three working units of a hospital in central Taiwan, were involved in the study. A questionnaire was used to evaluate the prevalence rate of musculoskeletal disorders including frequency and severity at onset. MSDs checklist developed by OSHA was employed to evaluate ergonomics risks for all units. The physical fitness tests were conducted for one hundred and forty seven nursing staff with high risk of MSDs evaluated by OSHA MSDs checklist. Results：The average prevalence rate of total musculoskeletal disorders is 65％, especially neck (42.5％), shoulder (40.6％) and back (40.2％) location were found with the highest. Bases on the MSDs checklist finding, fifteen working units of hospital were higher MSDs risk with total score exceeded 15 points, which present for further improvements of ergonomics. The operating room unit was found to be the highest MSDs score (29.73). Job physical demands of psychosocial factors were significantly correlated to nurse’s physical status and musculoskeletal discomfort, however, but there was no association between satisfaction and musculoskeletal disorders. The results of physical fitness tests in all participants were fit the Taiwan’s population norm in the normal scales except the physical strength index. The significant relationship was obtained between muscle strength, Job physical demands and musculoskeletal disorders using structure equation model (SEM). Conclusion：The musculoskeletal disorders among nursing staff in Taiwan was still serious, especially neck, shoulder and back location. Job physical demands and muscle strength are resulted in the severity of musculoskeletal disorders. Therefore, it should be promoted for stress management and physical promotion in order to decrease the risk of musculoskeletal disorders. Key words：Musculoskeletal disorders (MSDs), Physical fitness, MSDs checklist, nurse
顯示於類別:	[環境醫學研究所(已停用)] 博碩士論文

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