Title

勞工工作環境與自覺肌肉骨骼不適之相關研究

Translated Titles

Relationship between the Work Environment and Perceived Body Discomforts

Authors

李禹璇(Yu-Hsuan Lee);翁瑞萱(Jui-Hsuan Weng);徐雅媛(Ya-Yuarn Hsu);王子娟(Tzyy-Jiuan Wang)

Key Words

不適症狀 ; 工作環境 ; MSDS人因工程危害因子檢核表 ; Musculoskeletal disorders (MSDs) ; Work environment ; MSDs ergonomic checklists

PublicationName

勞工安全衛生研究季刊

Volume or Term/Year and Month of Publication

21卷4期(2013 / 12 / 01)

Page #

432 - 441

Content Language

繁體中文

Chinese Abstract

研究目的:本研究目的為了解自覺肌肉骨骼不適部位和勞工工作環境之間的關係,並探討MSDs人因工程危害因子檢核表與自覺不適部位之相關,以了解不同工作環境危險因子所造成的肌肉骨骼不適。方法:在六家事業單位進行問卷調查,在職勞工分別填寫九大自覺不適部位問卷和MSDs人因工程危害因子檢核表,以及工作環境調查問卷。結果:本研究調查386位在職勞工,平均年齡為34.53 ± 7.43歲,工作環境中,多為長時間使用電腦(92%)、手部重複同一種單調的動作(84.2%)、長時間坐著(87%)的工作型態。調查中發現自覺不適部位在肩膀有303人(78.9%)、脖子有268人(70%)、下背或腰部有240人(62.7%)為前三大不適部位。工作環境危險因子中以工作桌椅高度不適合此項因素最為重要,其餘為手部重複同一種單調的動作、搬運重物、姿勢不自然,有較高的比例造成脖子、肩膀、上背、手肘、下背、手或手腕、臀或大腿、腳或腳踝部位的肌肉骨骼不適。在MSDs人因工程危害因子檢核表之上肢檢核表中,勞工分數越高和屬於高危險族群有更高的比例會產生上背部的不適。結論:在職場中應致力改善上述的工作環境因素,減少勞工產生不適症狀的可能性,更可提供勞工一個安全健康的工作環境。

English Abstract

Purpose: The aim of this study is to investigate the relationship between perceived musculoskeletal disorders (MSDs) and work environment, and also the relationship between nine discomfort body parts and the MSDs ergonomic checklist. Methods: The workers from six companies filled out the survey questionnaire including Nordic Musculoskeletal Questionnaire, questions of work environment, and the MSDs ergonomic checklist. Results: Three hundred eighty-six workers (208 women and 178 men) participated in this study. The average age was 34.53±7.53 years old. For the work demands, most subjects reported that prolonged use of computer (92%), wrist/hand repetitive movement (84.2%) and prolonged sitting (87%) were required. Results also showed that the most common three areas of workers' perceived discomforts were shoulder (78.9%), neck (70%) and low back (62.7%). For the work environment risk factors, the ”unsuitable height of desk and chair in the workplace” is an important significant factor contributing to MSDs in several body areas. Other factors including wrist /hand repetitive movement, lifting heavy things and awkward posture were also found to be significantly related to MSDs of neck, shoulder, upper back, lower back, wrist/hand, hip/thigh and foot/ankle. Higher score (≧5) obtained from the MSDs ergonomic upper extremity checklist was significantly related to the musculoskeletal disorders in the upper back area. Conclusion: MSDs are correlated with work environment and ergonomic factors. Identification of the key ergonomic risk factors is important in prevention of work-related MSDs.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
社會科學 > 社會學
Reference
  1. Barr, AE,Barbe, MF,Clark, BD.(2004).Work-related musculoskeletal disorders of the hand and wrist: Epidemiology, pathophysiology, and sensorimotor changes.The journal of orthopaedic and sports physical therapy,34,610-27.
  2. Bergqvist, U,Wolgast, E,Nilsson, B,Voss, M.(1995).Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors.Ergonomics,38,763-76.
  3. Cagnie, B,Danneels, L,Van Tiggelen, D,Loose, V,Cambier, D.(2006).Individual and work related risk factors for neck pain among office workers: a cross sectional study.European Spine Journal,16,679-86.
  4. Coggon, D KS,Inskip, H,Croft, P,Campbell, L,Cooper, C.(1998).Osteoarthritis of the hip and occupational lifting.American journal of epidemiology,147,523-8.
  5. Guo, HR,Chang, YC,Yeh, WY,Chen, CW,Guo, YL.(2004).Prevalence of musculoskeletal disorder among workers in Taiwan: A nationwide study.Journal of Occupational Health,46,26-36.
  6. Novak, CB.(2004).Upper extremity work-related musculoskeletal disorders: A treatment perspective.The journal of orthopaedic and sports physical therapy,34,628-37.
  7. Ong, CN,Chia, SE,Jeyaratnam, J,Tan, KC.(1995).Musculoskeletal disorders among operators of visual display terminals.Scandinavian journal of work, environment & health,21,60-4.
  8. Sharan, D,Parijat, P,Sasidharan, AP,Ranganathan, R,Mohandoss, M,Jose, J.(2011).Workstyle risk factors for work related musculoskeletal symptoms among computer professionals in India.Journal of occupational rehabilitation,21,520-5.
  9. 行政院勞工委員會勞工安全衛生研究所(2010)。,未出版
  10. 呂志維、張清忠、葉文裕、林彥輝、陳志勇(1999)。三種人因工程檢核表在半導體業之應用。勞工安全衛生研究季刊,7,423-42。
  11. 李正隆(2004)。人因工程常用的評估技術及案例探討。人因工程危害預防技術研討會
  12. 林彥輝、葉文裕、陳志勇(1999)。人因工程檢核表工作場所適用性研究。勞工安全衛生研究季刊,7,45-60。
  13. 黃耀輝、陳志勇(2002)。,行政院勞工委員會勞工安全衛生研究所。
  14. 葉文裕、李再長、張錦輝、邱文科、林久翔、杜宗禮(2008)。人因工程肌肉骨骼傷害預防指引。行政院勞工委員會勞工安全衛生研究所。
Times Cited
  1. 陳昶智(2016)。重複性作業對人體肌肉骨骼傷害的影響-以某化工廠生產作業為例。中原大學工業與系統工程研究所學位論文。2016。1-100。 
  2. 黃鈺婷(2014)。旅館從業人員肌肉骨骼疼痛研究。臺北醫學大學公共衛生學系暨研究所學位論文。2014。1-125。 
  3. 蘇錦川(2014)。工作者肌肉骨骼傷害暴露危害評估之研究─以南部某塑膠製品廠為例。中正大學勞工關係學研究所學位論文。2014。1-65。
  4. 馮吉宏(2016)。紡織工業耐隆絲製程工作者肌肉骨骼傷害之研究-以南部某人造纖維製造廠為例。中正大學勞工關係學研究所學位論文。2016。1-113。
  5. 沈姍蓉(2016)。工作場所健康風險評估實證研究。中山醫學大學職業安全衛生學系碩士班學位論文。2016。1-118。
  6. 黃惠榆(2016)。電子製造業從業人員下肢靜脈曲張傾向調查。長榮大學職業安全與衛生學系(所)學位論文。2016。1-65。