某區域醫院員工之自覺疲勞與肌肉骨骼症狀問卷分析與其相關性研究

Analyses of Burnout and Musculoskeletal Symptoms Questionnaires and Their Relationships among Employees in a Regional Hospital

曾奕翔(Tzeng IS) ； 林淑如(Lin SJ) ； 王顗婷(Wang YT) ； 賴育民(Lai YM)

《中華職業醫學雜誌》 26卷1期 (2019/01) Pp. 47-54

摘要

目的：分析醫院員工之過勞量表，及自覺過勞與肌肉骨骼症狀之相關性。方法：以某區域醫院員工為研究對象，以線上「過勞量表」及「肌肉骨骼症狀調查表」，使員工依個人意願自行填答；再以兩份問卷均有填答之資料進行分析，分別以獨立樣本T檢定及單因子變異數分析比較分析人口學變項與過勞之關係，及以皮爾森(Pearson's)相關係數檢定分析不同部位肌肉骨骼症狀與過勞程度之相關性。結果：共收集532份進完整資料進行分析，發現與自覺過勞有顯著正相關的人口學變項如下：年齡越輕、女性、輪班作業與護理職類；而年資則與自覺過勞無顯著相關；分析不同部位肌肉骨骼症狀與過勞程度之相關性，則以頸部、下背、兩側肩部、兩側手腕、右手、兩側小腿、右腳等部位之疼痛與自覺過勞有顯著相關。結論：本研究顯示之醫院員工自覺過勞高危險群，應於臨場服務執行異常工作負荷促發疾病預防時做為重點評估及介入族群。本研究顯示部份特定部位之疼痛與自覺疲勞高度相關，在執行人因性危害預防時，如遇到肌肉骨骼症狀顯示為這些部位疼痛之員工，除了使用傳統的人因性危害檢核表，亦應輔以過勞量表等心理壓力評估工具進行評估。

關鍵字

過勞量表 ； 肌肉骨骼症狀

並列摘要

Objective: Analyze hospital employees' burnout inventory, and evaluate the relationships between subjective burnout and musculoskeletal symptoms. Methods: Study subjects were employees of a regional hospital in New Taipei City, chosen by purposive sampling method. The study used self-administered on-line burnout inventory and musculoskeletal symptoms questionnaires to collect data from volunteer employees. The burnout inventory data were analyzed with an independent t test and analysis of variance. The relationships between burnout and musculoskeletal symptoms were analyzed with the Pearson correlation coefficient. Results: A total of 532 samples were collected for analysis. The following factors are significantly correlated to burnout: young age, female gender, shift work and nursing work. Increase in seniority is not related to burnout. Musculoskeletal symptoms in the following locations are positively correlated to severity of burnout: neck, lower back, bilateral shoulder, bilateral wrist, right hand, bilateral calf and right foot. Conclusions: The study shows that hospital employee populations at risk of burnout require services given on the worksite in order to prevent abnormal-workload-triggered diseases. During the assessment of musculoskeletal hazards at work, evaluation tools should include mental-stress measurement tools, e.g. burnout inventory, when employees complain of pain foci as found in this study, in addition to the traditional ergonomic evaluation tools.

並列關鍵字

burnout inventory ； musculoskeletal symptoms