中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/615
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    Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/615


    Title: 護理工作人員暴露人因工學危險因子與肌肉骨骼不適之相關性
    Authors: 陳俊宏;Jun-Hong Chen
    Contributors: 中國醫藥大學：環境醫學研究所碩士班
    Keywords: 護理人員;人因工學;工作型態;肌肉骨骼不適;Nurse;ergonomic;characteristics of workplace;musculoskeletal disorder
    Date: 2007-06-28
    Issue Date: 2009-08-11 16:56:19 (UTC+8)
    Abstract: 中文摘要
    本次研究目的主要是在了解中部某教學醫院護理人員肌肉骨骼傷害的部位特性及盛行率，並探討所暴露之人因工程危害因素。本研究方式為橫斷式研究，採自填結構式問卷及醫師問診理學檢查等資料，並由現場觀察工作內容並加以人因工學紀錄。於95年7月間共發出271份問卷，回收有效問卷計243份，回收率89.7％。所得資料以描述性統計、卡方檢定、單因子變異數分析、多變項羅吉斯迴歸等方法進行分析。結果如下：
    1、年齡平均為27.6歲，服務年資分佈以0-4年者較多（51.0％），肌肉骨骼不適之盛行率依序為肩部（73.7％）、頸部（71.2%）、下背（54.7％）、足部（50.%）均超過五成以上。
    2、肌肉骨骼不適之感覺八成以上以酸痛最多，大約只有一成的人員受到影響；有百分之六十到七十的人員沒做醫療處理，但是仍有將近兩成的護理人員需要門診及治療。
    3、以邏輯式迴歸分析護理人肌肉骨骼不適之危險比（OR）會隨服務病人工作狀況而不同，許多護理工作需站立加上上肢操作工作之項目，在股部、手腕及肘部肌肉骨骼不適的勝算比都較高於沒有從事該工作者高，若較需以彎腰姿勢工作項目，在上背及下背肌肉骨骼不適勝算比較高且達統計上顯著差異。
    4、不同人口學特性與其工作項目均會影響肌肉骨骼疼痛不適之部位之嚴重度。因此，對工作單位建議。除增添合於人因工學之硬體外，在未來加強教育介入活動，提昇護理人員對肌肉骨骼不適罹患性認知，以減少肌肉骨骼不適之發生。如能充裕護理人力自會較減少工作過荷發生，未來研究除增加研究對象，加入心理變項及精神因素等，或使用世代追蹤研究方式以探討人因工學危害因子對肌肉骨骼不適之影響。

    Abstract
    Recent changes in the medical insurance system in Taiwan have placed a heavier workload upon hospital nursing staff. This extra burden may be resulting in nurses suffering from musculoskeletal disorders (MSD). The objective of this study is to compare the prevalence of MSD in different nursing divisions and to investigate the factors affecting MSD among nurses. A cross-sectional study was conducted among 243 eligible participants, and musculoskeletal disorders were assessed using a modified Nordic musculoskeletal questionnaire and physical examination by a physician. The results show that the highest prevalence of MSD is in the location of the shoulder, followed by the neck and lower back. All nurses were categorized into three groups (high, medium, and low) based on the characteristics of their occupational responsibilities and the ergonomic hazards to which they are exposed. MSD in the hip was significantly correlated with different ergonomic hazards, adjusted for covariates using the logistic regression model (OR=3.29, 95% CI = 1.61- 6.70). MSD in the locations of the elbow, wrist/hand, and upper back were significantly correlated with the ergonomic hazard of patient handling (making beds, bathing patients, adjusting patients’ resting position, etc.), but upper back disorders were not found with patient handling. Approximately 20% of nurses must take medication as a result of MSD incurred in the workplace. There is a significant association between the characteristics of workplace activities and MSD among nurses. It is recommended that the issue of nursing workload be addressed and that improvements be made in the practice of patient handling in order to reduce the risk of nurses developing MSD.
    Appears in Collections:[Graduate Institute of Environmental Medicine] Theses & dissertations

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