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研究生:張光喜
研究生(外文):Kuang-Hsi Chang
論文名稱:台灣微電子工業從業人員工作壓力與肩、頸不適症狀之關係
論文名稱(外文):The association between job stress and neck, shoulder discomfort in microelectronic workers in Taiwan
指導教授:蔡朋枝蔡朋枝引用關係郭育良郭育良引用關係
指導教授(外文):Perng-Jy TsaiYue-Liang Guo
學位類別:碩士
校院名稱:國立成功大學
系所名稱:環境醫學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:47
中文關鍵詞:工作自主度社會支持度心理負荷量肩頸部不適微電子工業心理壓力肌肉骨骼傷病
外文關鍵詞:workplace supportneck and shoulder discomfortjob controlmusculoskeletal disorderspsychological demandsJob Content Questionnairejob stress
相關次數:
  • 被引用被引用:24
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隨著工業社會的進步,壓力這種文明病也隨著日趨嚴重。近幾年來,在職業傷病的補償中,以職業相關的肌肉骨骼傷病補償增加的最為嚴重,特別是好發於肩、頸和下背等部位。但有關心理壓力與肌肉骨骼傷害的關係並不明確。為此本研究乃以南台灣某大型微電子工業之男性工程師(n=270)與女性裝配員(n=364)為對象,來探討工作相關的心理壓力和勞工肩、頸不適症狀之關係。

本研究在工作相關的心理壓力方面以Karasek的工作特質問卷(Job Content Questionnaire, JCQ)來評估,內容包括「心理負荷量」,「工作自主度」和「社會支持度」等三個方面(。而在肌肉骨骼健康效應方面則是以勞工自述的肩、頸不適為主。分析方法則是將男性工程師和女性裝配員分開分析。並以邏輯式複迴歸(multiple logistic regression)來觀察其相對危險性(odds ratio)。

有關男性工程師的肩部和頸部不適症狀,本研究發現其與高度心理負荷量(>34)的相關具統計上的意義;頸部的OR為1.97(95%CI=1.05-3.71),肩部OR為2.09(95%CI=1.10-3.97)。在女性裝配員方面,當心裡負荷量大於35時,也會對肩部造成傷害(OR=1.75,95%CI=1.01-3.07)。而社會支持度>=24時,對肩部不適則具有保護作用(OR=0.56, 95%CI=0.35-0.89)。因此本研究發現,在微電子業中,不論是男工程師或是女裝配員,高度的心理負荷量是肩、頸不適的危險因子之一。
This study investigated the prevalence of neck and shoulder discomfort among microelectronics workers and the association between psychological stress and neck and shoulder discomfort. Many researchers indicated the role of ergonomic factors in musculoskeletal disorders, but did not find clear causal relationship between job stress and neck and shoulder discomfort. There were three aims of this study. First is to evaluate the prevalence of neck and shoulder discomfort. Second is to evaluate the degree of job stress in microelectronics workers. The third is to assess the association between psychological stress and neck and shoulder discomfort.

A total of 634 microelectronic workers including 270 male engineers and 364 female assemblers was recruited in this study. We evaluated job stress using the Chinese version of Job Content Questionnaire (JCQ). The JCQ includes 22 items assess three major aspects of job stress-psychological demands, job control, and workplace support.. The major musculoskeletal outcome was focused on self-reported neck and shoulder discomfort.

In male engineers, neck discomfort was significantly more prevalent in the group with high psychological demand(>34)(OR=1.97, 95%CI=1.05-3.71). We found a similar association between higher psychological demand(>34) and shoulder discomfort(OR=2.09, 95%CI=1.10-3.97). In female assemblers, high psychological demand(>35)was significantly related to shoulder discomfort(OR=1.75, 95%CI=1.01-3.07). And we also found a strong association between high workplace support(>=24)and shoulder discomfort(OR=0.56, 95%CI=0.35-0.89).

The major findings of this study provided some evidence that job stress is related to neck and shoulder discomfort in microelectronic workers in Taiwan. Male engineers and female assembler who reported high psychological demand reported more musculoskeletal complaint.
摘要1
第ㄧ章 前言.3
1-1. 微電子業的重要性.3
1-2. 肌肉骨骼傷害的嚴重性.3
1-3. 肌肉骨骼傷害對微電子業的影響.4
1-4. 工作壓力所引起的健康效應.5
1-5. 研究目標與動機.6

第二章 研究方法.8
2-1. 問卷:工作特質問卷(Job Content Questionnaire, JCQ).8
2-1-1. 問卷信度:內在ㄧ致性(cronbach’s alpha).9
2-1-2. 問卷效度:結構效度(factors analysis).9
2-2. 健康效應:自述的肩、頸不適之症狀.10

第三章 研究對象.11
3-1. 研究族群.11
3-2. 取樣方法.11

第四章 統計及分析方法.12
4-1 分析方法.12
4-2 統計方法.12

第五章 結果
5-1 人口統計學資料.14
5-2 工作特質分數分布.14
5-3 邏輯式複迴歸(Multiple logistic regression)分析結果.16

第六章 問題與討論.17
6-1 微電子工廠的產業特性.17
6-2 心理壓力的生理機制.18
6-3 本研究結果與其他文獻比較.19
6-4 研究限制.20

第七章 參考文獻.22


圖表目錄

表1.全產業製造業與半導體業勞工肌肉骨骼酸痛症狀百分比.30
表2. 關於健康效應與工作壓力的文獻探討.31
表3.工作特質問卷的題目與評分公式.33
表4.Karasek的工作壓力模式.34
表5. 問卷信度:內在ㄧ致性(cronbach’s alpha).35
表6. 問卷效度:結構效度(factors analysis).36
表7.研究族群的人口統計資料.37
表8. 工作特質問卷各項題目的分數在性別中的分布.38
表9. 工作特質在教育程度間的平均分數(女性裝配員).39
表10. 工作特質在教育程度間的平均分數(男性工程師).39
表11. 過去一個月內,最主要的壓力來源.40
表12. 邏輯式迴歸分析女性裝配員肩、頸不適與預測因子的關係.41
表13. 邏輯式迴歸分析男性工程師肩、頸不適與預測因子的關係.42
圖1.全球職業傷病花費分布圖.43
圖2.女性裝配員與男性工程師在頸、肩部的不適症狀之盛行率比較.44

附錄. 肩、頸肌肉群.45
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