睡眠障礙是輪班工作者最常抱怨的健康問題,且與職場意外事件的發生關係密切。本研究是一橫斷式研究,在台南地區一家半導體光電產業工廠進行。以參加年度健檢員工為研究對象,採用自填式問卷蒐集研究對象之人口學資料,工作狀況及睡眠品質資料,描述其睡眠品質與人口學資料及工作環境的關係。總計發出4,414份問卷,回收3,978份有效問卷,有60%個案必須參加輪班,其中有91%從事規則性的四班二輪制輪班工作。比較在無塵室工作者與在非無塵室工作者發現前者女性所佔比例較高,年齡低於平均者較多,工作年資較淺,需要輪班的人較多。輪班工作者有較多抱怨需要30分鐘以上的時間方可入睡,較多失眠,較多成到非常疲憊與較多受睡眠障礙干擾工作的情形。利用邏輯斯迴歸檢定各變項之間的相關性,在控制其他變項的情形下,發現無塵室作業輪班員工需要30分鐘以上的時間方可入睡的機會是非輪班員工的1.64倍(OR=1.21,95% CI=l.21-2.22)。但輪班員工夜眠經常受到干擾的機會是非輪班員工的0.30倍(OR=O.30,95%CI=0.18-0.48)。在非無塵室作業員工部分,在調整其他干擾因子復,輪班員工所需入睡時間超過30分鐘的危險性是非輪班工作員工的3.29倍(OR=3.29,95%CI=2.02-5.33)。但在倦怠程度方面,輪班員工比起非輪班員工,其出現嚴重倦怠風險則只有0.34倍(OR=0.34,95%CI=0.16-0.70)。本研究指出半導體光電產業輪班員工之睡眠品質顯著劣於非輪班員工,尤其是入睡時間的延長。未來宜進行追蹤研究以找出相關因子可能的因果關係,並積極介入處理員工之睡眠障礙,期能改善員工之生活品質及降低工作意外事件的發生機會。
Sleep disturbance is the major complaint of shift workers and it is closely related to higher risks of occupational accidents. We conducted a cross-sectional study on sleep disturbance in Tainan. The employees of a semi-conductive photo-electronics factory were engaged when they participated in the annual health check. Data about demographic characteristics, working area, shift schedules, and sleep quality was collected by a self-administered questionnaire. The 3,978 of 4,414 delivered questionnaires were finished and analyzed, Sixty percent of the participants were shift workers, ninety-one percent of them followed a 12 hour shift working schedule. The employees working in the clean room had more female, more shift workers, shorter employment duration, and they were younger than that of the comparison group. The proportion of shift workers was higher than the comparison group in ”need more than thirty minutes to fall asleep”, ”frequency of insomnia”, ”very fatigue at wake-up”, and ”bothered by external stimuli duration sleep”. After adjustment of possible confounding factors, the shift workers in the clean room had more risk of ”need more time to fall asleep”, the odds ratio is 1.64 (OR=1.21, 95%CI=1.21-2.22). The shift workers out of the clean rooms also had more risk of ”need more time to fall asleep”, the odds ratio is 3.29 (OR=3.29, 95%CI=2.02-5.33). But the shift workers in the clean room had less risk of ”being bothered during sleep” with the odds ratio 0.30 (OR=0.30, 95%CI=0.18-0.48). Beside this, the shift workers out of the clear rooms had less risk of ”fatigue at wake-up” with the odds ratio 0.34 (OR=0.34, 95%CI=0.16-0.70). This study showed poor sleep quality of the shift workers in the specific industry, and further studies should be conducted to evaluate the causal relationships of associated factors and the effects of interventions.