臨床護理人員輪班作業與職業傷害之相關探討-以某醫學中心為例

The study on rotating shift work and occupational hazards of clinical nursing staff-A case of Taiwan medical center

戴定玲(Ding-Ling Day)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

護理人員工作繁重瑣碎且需三班輪班工作，隨時暴露在職業傷害的機會中。本研究的目的是瞭解護理人員職業傷害現況及探討輪班作業與職業傷害的相關性。採結構式問卷調查某醫學中心之護理人員806位，資料以描述性統計、t-test、卡方檢定(Chi-square)、羅吉斯迴歸分析（Logistic regression）處理。研究發現85.4%的護理人員在過去一年內發生過職業傷害，其中以工作壓力最多，其次是人體工學性損傷與清潔尖銳物割刺傷。整體而言，年輕者、工作年資資淺者、認為預防職業傷害課程幫助性低者比較容易發生職業傷害。固定白班及不用輪班者職業傷害發生率較低；而小夜、大夜輪班者職業傷害發生率較高。本研究對護理人員輪班與職業傷害相關性及職業傷害做整體性的評估，期可作為研擬出具體因應對策之參考。

關鍵字

輪班作業 ； 職業傷害

並列摘要

Due to heavy workload and must being in shifts work, clinical nurses expose in different occupational hazards easily. The purpose of this study is was to investigate the status of nurses in occupational hazards and relevance with rotating work shift. A structural questionnaire was distributed to 806 nurses of a central Taiwan medical center, and descriptive statistics, t-test, Chi-square and logistic regression were applied to analyze the data. The major finding of this study indicated that 85.4% of sampled nurses had experienced occupational hurts within one year; felt pressure during work, ergonomics injury and stabbed by needle or knife when cleaning after used were the top three on the list. In a whole, younger and junior nurse who ignore the on job training of occupational hazard prevention courses were vulnerable to occupational hurt. Compared with the evening-shift nurse and night-shift nurse, day-shift nurse and fixed-shift nurse experienced lower incidence rate of occupational injury. The findings of this study established the relationship between the influence of rotating shift work and occupational hazard to nurse; wish can provide useful data for making effective injury prevention policy.

並列關鍵字

rotating shift work ； occupational hazards

參考文獻

朱明若、李姣姿（2001）．全球化之下工作壓力對職工身心健康之影響及整合性的對策． 台灣衛誌，20（6），413-420。

林永崇、葉國明、彭銘業、張峰義、羅美惠、顧淑芳（2000）．職業性針扎原因探討及預 防成效的分析．中華職業醫學雜誌，7（2），95-102。

林永崇、顧淑芳、羅美惠、葉國明、彭銘業、張峰義（2000）．醫院職業性針扎事件調查 與行B型肝炎防治成本探討．中華職業醫學雜誌，7（2），51-56。

林美秀、陳陞堃、莊世杰（2006）．護理人員在職場遭遇性騷擾之研究．中華職業醫學研 究，13（1），21-28。

莊昭華、鄭靜瑜（2002）．某技術學院護理學生對職業災害認知之探討．慈濟護理雜誌，1 （2），47-55。