運用人因工程改善護理人員肌肉骨骼不適之專案

肌肉骨骼不適是護理人員常見的職業傷害，近年發生多位人員因肌肉骨骼不適轉調進而影響單位人力之運作。小組進行原因分析，發現缺乏預防肌肉骨骼不適教育訓練使人員認知不足、不知執行正確姿勢的重要性且未自覺使用不當姿勢，缺乏轉位輔具且人員未落實使用輔具，及缺乏人因危害查核機制。小組運用人因工程改善措施：1.舉辦教學課程，2.製作伸展操口訣及示範圖卡，3.張貼提示標語，4.製作預防肌肉骨骼不適影片，5.運用人因工程重置物品擺放，6.建立人因危害查核機制。專案執行後，人員對肌肉骨骼不適認知率由48.6%提升至78.1%，肌肉骨骼不適率由71.4%降至28.6%。達成本專案目的，進而提升人員生活品質及工作成效。

關鍵字

人因工程；肌肉骨骼不適；護理人員

並列摘要

Musculoskeletal disorders are a common occupational injury for nurses. In recent years, many staff have been transferred due to musculoskeletal disorders, which affects the operation of the unit's staffing. The team analyzed possible causes and found that lack of education to prevent musculoskeletal disorders caused a lack of awareness of the importance of performing correct postures and unconscious use of improper postures, along with a lack of transposition aids and personnel not implementing the use of aids. Additionally, there was a lack of an ergonomics hazard checking mechanism. The project team used the following ergonomics improvement measures as an intervention: (1)Holding teaching courses; (2) Making stretching exercises and simple chart cards; (3)Posting reminder slogans; (4)Making the prevent musculoskeletal disorders videos; (5)Using ergonomics to reset the placement of items; (6)Establish an ergonomics hazard checking mechanism. After the implementation of the project, the awareness rate of musculoskeletal disorders increased from 48.6% to 78.1%, and the musculoskeletal disorders rate decreased from 71.4% to 28.6%. The purpose of the project was achieved with the potential to improve the quality of life and work effectiveness of the personnel.

並列關鍵字

Ergonomics ； Musculoskeletal disorders ； Nurse

參考文獻

侯傑議、吳姵錡(2019)．降低手術室護理人員人因性危害風險之專案．物理治療，44 (4)，277-350。https://doi.org/10.6215/FJPT.201912.P20

紀麗雪、方蓉慧、鄭順意、周繡玲(2017)．運用人因工程降低護理人員作業環境中產生不當姿勢比率之專案．長庚護理，28 (3)，439-449。https://doi.org/10.3966/102673012017092803005

陳怡如、王月雲、施玉雙、方月燕(2019)．運動於緩解護理從業人員下背痛之成效．高雄護理雜誌，36(3)， 1-14。https://doi.org/10.6692/KJN.201912_36(3).0001

蔡宛娟、蔡少雲、謝蕙宜、李怡旻、陳小蓮(2017)．降低手術室人員肌肉骨骼傷害風險程度．領導護理，18(4)，85-98。https://doi.org/10.29494/LN.201712_18(4).0008

Yao,Y., Zhao, S., An, Z., Wang, S., Li, H., Lu, L., &Yao, S. (2019). The associations of work style and physical exercise with the risk of work-related musculoskeletal disorders in nurses. International Journal Of Occupational Medicine And Environmental Health, 32 (1), 15-24.https ://doi.org/10. 13075/ijomeh.1896.01331

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