(34.204.201.220) 您好!臺灣時間:2021/04/19 16:52
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:張晏蓉
研究生(外文):Yen-Jung Chang
論文名稱:工作特質、疲勞與急性心肌梗塞之相關
論文名稱(外文):Work characteristics, Burnout, and Acute Myocardial Infarction
指導教授:鄭雅文鄭雅文引用關係
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:衛生政策與管理研究所
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:2005
畢業學年度:93
語文別:中文
論文頁數:91
中文關鍵詞:工作特質疲勞急性心肌梗塞
外文關鍵詞:Work characteristicsBurnoutAcute myocardial infarction
相關次數:
  • 被引用被引用:14
  • 點閱點閱:764
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:4
本研究分兩項研究主題,第一部份以全國性的受雇者調查資料進行橫斷性分析,探討國內受雇工作者疲勞的社會分布。第二部份以病例對照研究方式,探討工作特質與急性心肌梗塞罹病風險之間的關係。

橫斷性研究以中文版哥本哈根疲勞量表Copenhagen Burnout Inventory (CBI)做為測量疲勞的工具,另以Karasek「控制-負荷模型」測量心理負荷量與工作控制感,同時收集其他工作資料進行分析。研究發現,疲勞的社會分布有性別及年齡上的差異,女性與年輕的受雇者疲勞程度較嚴重;此外,每週工作時數大於49小時、心理負荷量大、家中有需受照顧人口的受雇者,均為疲勞的高危險群。

病例對照研究的病例組個案為台南縣市的急性心肌梗塞病患,對照組來自社區配對抽樣,以問卷收集研究資料。研究發現,長時間工作、工作身分為雇主、心理負荷量大、對工作過度投入等工作特質,均可能與罹患急性心肌梗塞有關,其中工作過度投入造成的罹病危險性最高。

綜合以上研究結果,工作特質可能會對疲勞、急性心肌梗塞的發病造成影響,疲勞的高危險群以及急性心肌梗塞的工作特質危險因子,是健康促進應正視的重心。
There are two purposes in this study: First, we conducted a cross-sectional study, utilizing data from a survey of nationally representative population of employees to examine the distribution of burnout in association with demographic and work characteristics. Secondly, we carried out a case-control study to examine the association between work characteristics and the risk of acute myocardial infarction (AMI).

For the first study, the status of personal burnout and work-related burnout was assessed by the Chinese version of Copenhagen Burnout Inventory (C-CBI). We evaluated the psychological job demands and job control by Karasek’s Demand-Control model. Information of demographic and other work characteristics was also obtained. The results showed that women and younger employees reported higher scores of both personal burnout and work-related burnout. In addition, higher levels of burnout were found among employees who were working for 49 hours or above per week, with higher level of psychological job demands, and with family loads.

In the case-control study, cases were 200 AMI patients living in Tainan area. We selected controls from community and matched them to cases on gender, age, and residence. Information on work characteristics was obtained by a self-administered questionnaire. We found that long working hours, working status as an employer, higher level of psychological demands, and over-commitment to work would increase the risk of AMI. Among them, being over-commitment to work was the most significant risk factor.

Overall, work characteristics were associated with burnout and AMI. The high-risk groups of burnout and work-related risk factors of AMI were the key concerns of health promotion.
第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 4
第二章 工作特質與疲勞的橫斷性研究 5
第一節 背景 5
一 疲勞與其他工作壓力疾病 5
二 工作特質的流行病學文獻回顧 8
第二節 研究方法 14
一 研究對象與資料來源 14
二 研究變項與測量 14
三 統計方法 16
第三節 研究結果 17
一、研究樣本基本資料 17
二、工作特質變項的相關分析 19
三、各變項與疲勞間的關係 19
四、各變項與疲勞的多變項分析 22
第四節 討論與建議 24
一、主要研究發現 24
二、研究限制 28
三、結論與建議 29
第三章 工作特質與急性心肌梗塞的病例對照研究 30
第一節 背景 30
第二節 研究方法 35
一 研究對象與資料來源 35
二 研究變項與測量 36
三 統計方法 38
第三節 研究結果 39
一、病例組、對照組基本資料 39
二、病例組、對照組急性心肌梗塞危險因子分布情形 39
三、病例組、對照組的工作特質資料 39
四、不同工作特質的急性心肌梗塞發病危險性 41
第四節 討論與建議 43
一、主要研究發現 43
二、研究限制 46
三、結論與建議 48
第四章 總結 49
參考文獻 50
附錄一 中文版哥本哈根疲勞量表「個人疲勞」、「工作疲勞」題目 88
附錄二 中文版「工作內容問卷」 89
附錄三 臺灣地區人力資源訪問表 90
附錄四 中文版「付出回饋失衡量表」,工作投入部分 91
英文期刊論文

Akerstedt T. Fredlund P. Gillberg M. Jansson B. Work load and work hours in relation to disturbed sleep and fatigue in a large representative sample. Journal of Psychosomatic Research. 53(1):585-8, 2002 Jul.

Ahsberg E. Dimensions of fatigue in different working populations. Scandinavian Journal of Psychology. 41(3):231-41, 2000 Sep.

Beckers DG. van der Linden D. Smulders PG. Kompier MA. van Veldhoven MJ. van Yperen NW. Working overtime hours: relations with fatigue, work motivation, and the quality of work. Journal of Occupational & Environmental Medicine. 46(12):1282-9, 2004 Dec.

Bobak M. Hertzman C. Skodova Z. Marmot M. Association between psychosocial factors at work and nonfatal myocardial infarction in a population-based case-control study in Czech men. Epidemiology. 9(1):43-7,1998 Jan.

Bultmann U. Kant IJ. Kasl SV. Schroer KA. Swaen GM. van den Brandt PA. Lifestyle factors as risk factors for fatigue and psychological distress in the working population: prospective results from the Maastricht Cohort Study. Journal of Occupational & Environmental Medicine. 44(2):116-24, 2002 Feb.

Bultmann U. Kant IJ. Schroer CA. Kasl SV. The relationship between psychosocial work characteristics and fatigue and psychological distress. International Archives of Occupational & Environmental Health. 75(4):259-66, 2002 Apr.

Bultmann U. Kant IJ. Van den Brandt PA. Kasl SV. Psychosocial work characteristics as risk factors for the onset of fatigue and psychological distress: prospective results from the Maastricht Cohort Study. Psychological Medicine. 32(2):333-45, 2002 Feb.



Cheng Y. Luh WM. Guo YL. Reliability and validity of the Chinese version of the Job Content Questionnaire in Taiwanese workers. International Journal of Behavioral Medicine. 10(1):15-30, 2003.

Cole SR. Kawachi I. Liu S. Gaziano JM. Manson JE. Buring JE. Hennekens CH. Time urgency and risk of non-fatal myocardial infarction. International Journal of Epidemiology. 30(2):363-9, 2001 Apr.

Finkelman JM. A large database study of the factors associated with work-induced fatigue. Human Factors. 36(2):232-43, 1994 Jun.

Girdino DA. Everly GS. Dusek DE. Controlling stress and tension. Allyn & Bacon. Needham Heights, MA. 1996

Gonzalez MA. Rodriguez Artalejo F. Calero JR. Relationship between socioeconomic status and ischaemic heart disease in cohort and case-control studies: 1960-1993. International Journal of Epidemiology. 27(3):350-8, 1998 Jun.

Hallqvist J. Diderichsen F. Theorell T. Reuterwall C. Ahlbom A. Is the effect of job strain on myocardial infarction risk due to interaction between high psychological demands and low decision latitude? Results from Stockholm Heart Epidemiology Program (SHEEP). Social Science & Medicine. 46(11):1405-15, 1998 Jun.

Hammar N. Alfredsson L. Theorell T. Job characteristics and the incidence of myocardial infarction. International Journal of Epidemiology. 23(2):277-84, 1994 Apr.

Hanratty B. Lawlor DA. Robinson MB. Sapsford RJ. Greenwood D. Hall A. Sex differences in risk factors, treatment and mortality after acute myocardial infarction: an observational study. Journal of Epidemiology & Community Health. 54(12):912-6, 2000 Dec.

Hayashi T. Kobayashi Y. Yamaoka K. Yano E. Effect of overtime work on 24-hour ambulatory blood pressure. Journal of Occupational & Environmental Medicine. 38(10):1007-11, 1996 Oct.



Hurrell JJ Jr. Nelson DL. Simmons BL. Measuring job stressors and strains: where we have been, where we are, and where we need to go. Journal of Occupational Health Psychology. 3(4):368-89, 1998 Oct.

Jansen NW. van Amelsvoort LG. Kristensen TS. van den Brandt PA. Kant IJ. Work schedules and fatigue: a prospective cohort study. Occupational & Environmental Medicine. 60 Suppl 1:i47-53, 2003 Jun.

Janssen N. Nijhuis FJ. Associations between positive changes in perceived work characteristics and changes in fatigue. Journal of Occupational & Environmental Medicine. 46(8):866-75, 2004 Aug.

Kaplan GA. Keil JE. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation. 88(4 Pt 1):1973-98, 1993 Oct.

Kawakami N. Haratani T. Epidemiology of job stress and health in Japan: review of current evidence and future direction. Industrial Health. 37(2):174-86, 1999 Apr.

Karasek R. Baker D. Marxer F. Ahlbom A. Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. American Journal of Public Health. 71(7):694-705, 1981 Jul.

Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ):an instrument for internationally comparative assessments of psychosocial job characteristics. Journal of Occupational Health Psychology; 3:322-55, 1998.

Krantz G. Ostergren PO. Double exposure. The combined impact of domestic responsibilities and job strain on common symptoms in employed Swedish women. European Journal of Public Health. 11(4):413-9, 2001 Dec.

Kristensen TS, Borritz M, Villadsen E, Bjomer JB. Copenhagen Burnout Inventory- CBI. National Institute of Occupational Health, Copenhagen, Denmark. 2001.

Kristensen TS, Borritz M, Villadsen E, Bjomer JB, Christensen KB. The Copenhagen Burnout Inventory. A new tool for the assessment of burnout. National Institute of Occupational Health, Copenhagen, Denmark. 2005. (unpublished manual).

Kumashiro M. Nagae S. Workers'' subjective feeling of fatigue and attitudes towards work--effects of age and job difference. Journal of Uoeh. 6(3):273-81, 1984 Sep 1.

Lewis G. Wessely S. The epidemiology of fatigue: more questions than answers. Journal of Epidemiology & Community Health. 46(2):92-7, 1992 Apr

Liu Y. Tanaka H. Fukuoka Heart Study Group. Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occupational & Environmental Medicine. 59(7):447-51, 2002 Jul.

Linzer M. McMurray JE. Visser MR. Oort FJ. Smets E. de Haes HC. Sex differences in physician burnout in the United States and The Netherlands. Journal of the American Medical Womens Association. 57(4):191-3, 2002.

Lovallo WR. Helpness, coping and health. Sage publications, 101-121, 1997.

Maslach C. Schaufeli WB. Leiter MP. Job burnout. Annual Review of Psychology. 52:397-422, 2001.

Maslach C. Jackson SE. Leiter MP. Maslach Burnout Inventory Manual (3rd Ed.). Palo Alto, CA: Consulting Psychologists Press, 1996.

Malinauskiene V. Grazuleviciene R. Nieuwenhuijsen MJ. Azaraviciene A. Myocardial infarction risk and occupational categories in Kaunas 25-64 year old men. Occupational & Environmental Medicine. 59(11):745-50, 2002 Nov.

Nakanishi N. Yoshida H. Nagano K. Kawashimo H. Nakamura K. Tatara K. Long working hours and risk for hypertension in Japanese male white collar workers. Journal of Epidemiology & Community Health. 55(5):316-22, 2001 May.

Netterstrom B. Nielsen FE. Kristensen TS. Bach E. Moller L. Relation between job strain and myocardial infarction: a case-control study. Occupational & Environmental Medicine. 56(5):339-42, 1999 May.

Nishiyama K. Johnson JV. Karoshi—death from overwork: occupational health consequences of Japanese production management. International Journal of Health Services. 27(4):625-41, 1997.

Osler M. Gerdes LU. Davidsen M. Bronnum-Hansen H. Madsen M. Jorgensen T. Schroll M. Socioeconomic status and trends in risk factors for cardiovascular diseases in the Danish MONICA population, 1982-1992. Journal of Epidemiology & Community Health. 54(2):108-13, 2000 Feb.

Peter R. Alfredsson L. Hammar N. Siegrist J. Theorell T. Westerholm P. High effort, low reward, and cardiovascular risk factors in employed Swedish men and women: baseline results from the WOLF Study. Journal of Epidemiology & Community Health. 52(9):540-7, 1998 Sep.

Peter R. Siegrist J. Hallqvist J. Reuterwall C. Theorell T. SHEEP Study Group.
Psychosocial work environment and myocardial infarction: improving risk estimation by combining two complementary job stress models in the SHEEP Study. Journal of Epidemiology & Community Health. 56(4):294-300, 2002 Apr.

Pugliesi K. Work and well-being: gender differences in the psychological consequences of employment. Journal of Health & Social Behavior. 36(1):57-71, 1995 Mar.

Rose G. Barker DJ. Epidemiology for the uninitiated. What is a case? Dichotomy or continuum?. British Medical Journal. 2(6141):873-4, 1978 Sep 23.

Roxburgh S. Gender differences in work and well-being: effects of exposure and vulnerability. Journal of Health & Social Behavior. 37(3):265-77, 1996 Sep.

Schnall PL. Landsbergis PA. Baker D. Job strain and cardiovascular disease. Annual Review of Public Health. 15:381-411, 1994.

Shirom, A., 1989; “Burnout in Work Organizations,” In Cooper C. L. and Robertson I. (eds.) “International Review of Industrial and Organizational Psychology,”, N.Y., Wiley.: 26-48.

Siegrist J. Peter R. Junge A. Cremer P. Seidel D. Low status control, high effort at work and ischemic heart disease: prospective evidence from blue-collar men. Social Science & Medicine. 31(10):1127-34, 1990.

Siegrist J. Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology. 1(1):27-41, 1996 Jan.
Sokejima S. Kagamimori S. Working hours as a risk factor for acute myocardial infarction in Japan: case-control study. BMJ. 317(7161):775-80, 1999 Sep 19.

Spurgeon A. Harrington JM. Cooper CL. Health and safety problems associated with long working hours: a review of the current position. Occupational & Environmental Medicine. 54(6):367-75, 1997 Jun.

Tarumi K. Hagihara A. Morimoto K. A prospective observation of onsets of health defects associated with working hours. Industrial Health. 41(2):101-8, 2003 Apr.

Tenkanen L. Sjoblom T. Kalimo R. Alikoski T. Harma M. Shift work, occupation and coronary heart disease over 6 years of follow-up in the Helsinki Heart Study. Scandinavian Journal of Work, Environment & Health. 23(4):257-65, 1997 Aug.

Theorell Tores. Working conditions and health. Social epidemiology. New York: Oxford University Press; 95-117. 2000.

Uehata T. Long working hours and occupational stress-related cardiovascular attacks among middle-aged workers in Japan. Journal of Human Ergology. 20(2):147-53, 1991. Dec.

Winkleby MA. Jatulis DE. Frank E. Fortmann SP. Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease.[see comment]. American Journal of Public Health. 82(6):816-20, 1992 Jun.

Yeh WY, Cheng Y, Chen CJ, Hu PY, Kristensen TS. Psychometric properties of the Chinese version of the Copenhagen Burnout Inventory among Taiwanese employees from two enterprises. (in preparation)

中文期刊論文

王肇齡,黃志忠,楊俊毓,莊弘毅。「個人疲勞」強度問卷中文版之效度及信度的評估。台灣家庭醫學雜誌。2000,10(4):192-201。

林光雄。「縮短工時」政策與企業因應對策之研究。義守大學/管理科學研究所碩士論文,2001。

李大正、楊靜利。台灣婦女勞動參與類型與歷程之變遷。人口學刊,28:109-134,2004。

曾慧萍,鄭雅文。Karasek「控制負荷支持」模型與Siegrist「付出回饋失衡」模型之檢驗:以電子產業員工為研究對象。台灣衛誌,2002,21(6)。

郭怡汾。社經地位、地區剝奪與老人存活狀況。國立臺灣大學/衛生政策與管理研究所碩士論文,2000。

張逸欣。工作特質與疲勞之研究-以高雄地區兩家公司之勞工及辦公室工作族群為例。高雄醫學大學公共衛生學研究所碩士論文,2002。

劉淑貞。員工工作特性與工作倦怠之關聯性研究-以技術學院行政人員為實證對象。中原大學企業管理研究所碩士論文,2002。


中文報紙資料

民生報。知名科技人,溫世仁病逝。A3生活新聞版,2003-12-08。

聯合報。北市捷運局一主管,連日監工心臟病發。A4要聞版,2004-09-03。

聯合報。拼命調水,水公司技術員拼掉命。A6生活版,2004-09-03。

政府統計資料或調查報告

行政院主計處。人力運用調查統計,2004。

行政院主計處。中華民國統計年報,2005。

行政院主計處。中華民國職業標準分類,1992。

行政院勞工委員會。勞動統計年報,2003。

行政院勞工委員會。工作時間國際比較,2003。

行政院勞工委員會,職業引起急性循環系統疾病診斷認定基準,2005。

行政院衛生署。中華民國92年衛生統計,生命統計年報,2005。

陳秋蓉,鄭雅文。國內勞工工作相關疲勞與心理社會因子之認知調查。行政院勞工委員會勞工安全衛生研究所年度研究報告,2004。

陳春萬。受雇者工作環境安全衛生狀況調查。行政院勞工委員會勞工安全衛生研究所年度研究報告,1998。

鄭尊仁。工作型態與心血管疾病交互作用之研究。行政院勞工委員會勞工安全衛生研究所年度研究報告,2004。
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔