| Summary: | 碩士 === 中國文化大學 === 勞工研究所 === 91 === Abstract
Compared to other professions, medical staff is exposed to more physical, chemical, and psychological harms. The object of the present study was to understand the influence on health of medical staff that comes in contact with the specific substance. The goal of study was to provide data for medical attendants to better prevent professional harm and to better understand the health threat
The environment of a teaching hospital was measured by collecting the data from the physical examination of employees, and the questionnaire of safety and health in consequent years. The relevance of the health influence on medical staff was further explored and analyzed. The researcher sent out 860 questionnaires in all. In 349 effective samples, 63.9 percent of employees surveyed recognized the potential harm of chemical substance in their working environment. The result was similar to “the condition for profession health in medical office” of “the harm of contact chemical matters” in 60.7 percent at Institute of Occupational Safety and Health, Council of Laboratory Affairs, Executive Yuan in 1997. The substance mostly contacted with was alcohol, subsequently came acetone, cleansing solution, hydrogen peroxide, and bleach. For medical personnel, in terms of uncomfortable exposure experiences, dried skin, inflammation and eyes irritation were the most syndromes.
Due to the exposure of anesthesia gas and Ethylene Oxide, the odds ratio of spontaneous abortion of employees in department of anesthesia was 14.73 percent, 95%CI (3.25,66.7) and odds ratio of pregnancy difficulty was 4.15 percent, 95%CI (0.47, 37.06). Excluding the sexual difference, regardless age, seniority, controlled or exposure groups, the ALK-P evaluation of controlled group rated higher in abnormality, but for SGPT, SGOT, Urice Acid evaluation, exposure group had a higher rate of abnormality than controlled group. In terms of SGPT and SGOT, the similar exposure group(SEG) younger ones have higher abnormality responsibility.The older female workers with medical care responsibility rated higher in abnormality than younger ones. In certain departments, workers experienced higher abnormality rates in abnormal liver functions or abnormal haemoglobin. For female workers especially during pregnancy, contact with such surroundings had a significant influence as reported in previous international studies.
The research shows that medical personnel are exposed in various chemicals including highly toxic ones or harmful chemicals on reproduction organs, and it is a very important issue that calls for further attention.
Key words: health care worker , chemical exposure,
medical surveillance
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