醫師看診椅使用之脈絡訪查調查研究

The physician chair study when visiting patients using contextual interview methods

亷蕙琦(Wei-Chi Lien) ； 楊烈岱(Lieh-Dai Yang)

《嶺東學報》 42期 (2017/12) Pp. 43-55

摘要

本研究為了解醫師於診間長時間坐椅之使用型態，藉由脈絡訪查觀察與訪談兩個階段進行調查，研究過程共有三個科別六位醫師參與調查。主要結果發現醫師於看診時需要不斷的旋轉與移動椅身，因此椅子的重心穩定度與輪子為使用上的重點；再者，醫師於看診時常挺直軀幹鮮少使用椅背，長時間工作對其腰椎為一負擔極大之姿勢；而一般人體工學椅之調整功能，也極少被醫師們所使用，對於坐椅之人因參數有相當多問題值得探討。因此本研究對於未來醫師椅之設計初步建議為，著重醫師椅之重心位置與輪子轉向之順暢，並能夠以半自動機構或是便利、直覺性操作方式調整椅將被視為研究重點。

關鍵字

醫師椅 ； 行為觀察 ； 脈絡訪查

並列摘要

In this study, we used two stages of physicians to participate in the investigation in order to understand the use pattern of the physician chair in the clinic for a long time. The investigation was conducted by three sectors and six doctors for observation and interview. The main results found that physicians need to continue to rotate during the clinic time and move the chair, so the chair's center of gravity stability and the wheel will be the focus of observations; Moreover, the physician often use the trunk and less use the back of the trunk, long time work on the lumbar spine as a burden of great posture. And the general ergonomic chair adjustment function was rarely used by the physicians, for the chair ergonomic parameters could be considered as the considerable problem. Therefore, this study for the future design of the medical chair is designed to focus on the physician chair center of gravity and wheel steering smoothly, and to semi-automatic mechanism or convenient, intuitive mode of operation to adjust the chair as the focus of study.

並列關鍵字

Physician chair ； behavioral observation ； contextual visit

參考文獻

Andersson, G. B. (1981). Epidemiologic aspects on low-back pain in industry.Spine, 6(1), 53-60.

Andersson, B. J. & Ortengren R. (1974). “Lumbar disc pressure and myoelectric back muscle activity during sitting. 1. Studies on an office chair,” Scandinavian Journal of Rehabilitation Medicine. 1974.

Claus, A. P., Hides, J. A., Moseley, G. L., & Hodges, P. W. (2009). Is ‘ideal’sitting posture real?: Measurement of spinal curves in four sitting postures. Manual Therapy, 14(4), 404-408.

Coble, J. M., Maffitt, J. S., Orland, M. J., & Kahn, M. G. (1995). Contextual inquiry: discovering physicians' true needs. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 469). American Medical Informatics Association.

Dolan, P., Adams, M.A. (2001). Recent advantages in lumbar spinal mechanics and their significance for modelling. Clin. Biomech. 16 (1), S8–S16.