顯微鏡作業危害個案報告與BOHS經驗

Occupational Hazard for Microscopist - Cases report and BOHS experience

江昇達(Sheng-Ta Chiang) ； 王映權(Ying-Chuan Wang) ； 陳永煌(Yeong-Hwang Chen)

《中華職業醫學雜誌》 25卷3期 (2018/07) Pp. 173-181

摘要

顯微鏡的作業會因為不良且長時間單一重複的工作內容而產生骨骼肌肉和眼睛的傷害且不易預防，同時也因為肩負最後一線臨床診斷的重任而常常引起精神壓力的問題，以及來自於處理標本過程中的生物性危害。本文提出在勞工健康服務中所遇到的顯微鏡作業案例，因為不良的人因工作設備和持續的長期工作負荷所造成的骨骼肌肉不適；以及作業現場不適當的照明環境所導致的眼睛疲勞及視力調節的問題。並結合過往文獻的回顧整理，探討可行的具體改善建議。希望藉由希望相關經驗的分享，提供有關人員面對相同類型的職場健康服務的參考，以避免相關職業傷病的產生或加劇。

關鍵字

顯微鏡 ； 作業危害 ； 勞工健康服務

並列摘要

Microscope work can cause musculoskeletal and visual problems due to awkward and prolonged static postures with repetitive movements. However, we have difficulty putting prevention into practice. As for pathologists and medical laboratory technologists with regular use of microscope, they often complain getting stressed by taking the responsibility of final diagnosis and suffering from biohazard during the process of dealing with specimens. We reported cases of microscope users who have musculoskeletal disorders gathering through our basic occupational health services(BOHS). These workers didn't use ergonomically optimized instruments for a long time and they had visual symptoms by impaired illumination at workplace. We did a careful and thorough literature review and provided an improvement plan. This article aims to share our experiences on BOHS with other personnel who are interested in this issue and further prevent microscope work related occupational diseases and injuries.

並列關鍵字

microscope ； occupational hazard ； basic occupational health services