臺灣博碩士論文加值系統

　　輪班工作者有較多的健康問題，其中包括精神健康及睡眠障礙。薄膜液晶顯示器(TFT-LCD)製造業是目前台灣的龍頭產業。我們進行兩項橫斷面研究，分別觀察該產業輪班員工之精神健康及睡眠的情形。藉由自填式問卷，收集個案的基本人口學資料、工作與輪班狀況，以及精神健康與睡眠品質的資料，並加以分析。在精神健康研究部分，總計發出9458份問卷，其中有5520份問卷(58.2%)被回收且完整填寫可供分析。女性、單身、年紀輕、教育程度較低及公司年資較短為輪班工作者的特徵。在校正之後，女性 (勝算比2.00；95%信賴區間 1.67-2.39)、非單身 (勝算比1.28；95%信賴區間1.09-1.50)、曾經結婚但目前單身(勝算比1.93；95%信賴區間1.03-3.61)及公司年資滿一年以上者(勝算比1.51；95%信賴區間1.33-1.71)與精神健康狀況不良有顯著相關。隨著年齡增加，員工出現陽性個案的機會呈些微下降的趨勢（勝算比0.98；95％信賴區間0.96-1.00）。基層員工較少機會出現陽性個案（勝算比0.59；95％信賴區間0.43-0.82）。

　　在睡眠品質的研究部分，總計發出4250份問卷，其中3640份問卷(85.6%)被回收且完整填寫可供分析。在校正可能的干擾因子之後，無塵室工作者 (勝算比1.60；95%信賴區間1.09-2.33)及女性(勝算比2.37；95%信賴區間1.75-3.20)與睡眠品質不良有顯著相關。分層分析顯示女性無塵室員工具有最大比例的睡眠品質抱怨者，而男性非無塵室員工中睡眠品質抱怨者最少。輪班工作在不同的睡眠品質項目中具有不同的效應。

　　Shift workers have more mental health problems and sleep disturbances. Thin film transistor liquid crystal display (TFT-LCD) industry has become the leading industry in Taiwan. We conducted two cross-sectional studies on mental health and sleep disturbance in the TFT-LCD industry in Taiwan. The first study was designed to sketch the mental health condition of the employees of the TFT-LCD industry, and the second was on sleep quality of the workers. Data were collected by self-administered questionnaires. In the first study, after 9458 questionnaires were delivered, 5520 (58.2%) were completed and analyzed. Shift workers were mostly female, single, younger, and with lower educational level and shorter duration of employment. After adjusting for other factors, female gender (odds ratio [OR] 2.00, 95% confidence interval [CI] 1.67-2.39), married (OR 1.28, 95%CI 1.09-1.50), ever married but single now (OR 1.93, 95%CI 1.03-3.61), and the duration of current employment more than 1 year (OR 1.51, 95%CI 1.33-1.71) had significant associations with poor mental health condition. The risk of mental problems decreased with age (OR 0.98, 95%CI 0.96-1.00), and the employees of the entry level had less risk of mental problems (odds ratio 0.59, 95%CI 0.43-0.82).

　　In the second study, the 3640 (85.6%) of 4250 delivered questionnaires were finished and analyzed. After adjusting for other factors, the clean room workers (OR 1.60, 95%CI 1.09-2.33) and female gender (OR 2.37，95%CI 1.75-3.20) had significant associations with poor sleep quality. In stratified analyses, female clean room workers had the highest proportion of poor sleepers while male non-clean room workers had lowest proportion. Shift workers had different directions of association with individual items of sleep quality complaints.

第一章 緒論 第 1頁
第一節 研究背景 第 1頁
第二節 研究目的 第 2頁
第三節 研究意義及其重要性 第 3頁

第二章 文獻回顧 第 4頁
第一節 輪班工作的定義 第 4頁
第二節 輪班工作的發展與現況 第 4頁
第三節 輪班工作者所面臨的健康危害 第 6頁
3-1 輪班工作與睡眠障礙 第 6頁
3-2 輪班工作與消化道疾病 第 8頁
3-3 輪班工作與循環系統疾病 第 9頁
3-4 輪班工作與精神健康 第10頁
3-5 輪班工作與意外事件 第11頁
3-6 輪班工作與其他健康問題 第12頁
第四節 薄膜液晶顯示器製造業的特性 第12頁
4-1 薄膜液晶顯示器製造業在台灣的發展 第13頁
4-2 四班二輪工作制的健康效應 第14頁

第三章 材料與方法 第16頁
第一節 研究對象 第16頁
第二節 研究步驟 第16頁
2-1 精神健康研究 第16頁
2-2 睡眠品質研究 第16頁
第三節 測量工具 第17頁
3-1 基本資料及工作情形 第17頁
3-2 量測精神健康狀態工具 第17頁
3-3 睡眠品質評估工具 第18頁
第四節 統計分析 第18頁
4-1 精神健康研究 第18頁
4-2 睡眠品質研究 第19頁

第四章 研究結果 第21頁
第一節 精神健康研究 第21頁
1-1 研究個案之基本屬性 第21頁
1-2 輪班個案與非輪班個案的比較 第22頁
1-3 精神健康量表陽性個案與陰性個案比較 第23頁
1-4 精神健康量表陽性個案之相關因素分析 第24頁
第二節 睡眠品質研究部分 第25頁
2-1 研究個案之基本屬性 第26頁
2-2 睡眠品質量表的因素分析與內部一致性檢定 第26頁
2-3 睡眠品質量表陽性個案之基本屬性與工作情形 第27頁
2-4 睡眠品質量表陽性個案之相關因素分析 第27頁
2-5 睡眠品質量表之分項分析 第29頁

第五章 討論 第31頁

第六章 結論與建議 第38頁

參考文獻 第73頁
附錄 一、 員工心理健康自我評量表 第83頁
二、 睡眠品質量表 第86頁

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