Investigation and Evaluation of Occupational Fatigue of Staff in a Southern Taiwan Hospital

• Main Authors: CHANG,PEI-LIN, 張珮琳
• Other Authors: LAN, CHENG-HANG
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/kvff88

碩士 === 中華醫事科技大學 === 職業安全衛生系碩士在職專班 === 106 === [Objective] The issue of abnormal workload (overwork) has received increasing attention in recent years. The practice environment of medical and related workers is even more of a topic of interest. In this study, the "Fatigue Scale" and "Labor Overload Questionnaire" were used to analyze and evaluate the results of the annual health check of employees to understand the current situation and relevance of medical related workers' workplace fatigue and other related factors. In addition, the "abnormal work load-promoting disease prevention plan" was formulated to promote and assist workers in the health and balance of health and safety in the workplace. [Method] According to the “Overwork Scale” of the “Operational Stress Prevention and Prevention Guidelines” from the Occupational Safety and Health Administration of the Ministry of Labor of Taiwan, a questionnaire survey was conducted, which included “personal related overwork” and “work related overwork” status. The labor overload situation was assessed by the “Overload Assessment Questionnaire” as a whole. Through the Labor Health Check Report, the "Framingham Cardiac Risk Score" formula and the WHO Cardiovascular Disease Risk Prediction Chart are used to estimate the risk of cardiovascular disease among employees within 10 years. For the five groups of hospital administrators, physicians, pharmacists, nursing and medical technicians in a certain area in the south, combined with the health check data of each employee, a cross-sectional convenient sampling survey method was adopted. Descriptive and inferential statistical methods are used to explore various relevant factors and to discuss the relationship between demographic characteristics (gender), living habits (sleep time), occupational attributes (category, rank, weekly work hours), ten-year cardiovascular risk, BMI index, etc. The questionnaire data of this study was documented in Excel, and then statistical analysis software (SPSS for window 19.0) was used for statistical analysis. [Result] The results showed that 792 questionnaires were collected and 598 copies of valid questionnaires were obtained after manual elimination of invalid questionnaires. The proportion of women (80.4%) was higher than that of men (19.6%). Female employees are higher than male employees in personal relevant overwork risk level and reach statistically significant differences. However, although the work related overwork risk level of work is higher than that of male employees, it has not reached statistically significant differences. Employees with different sleep time have significant differences in the feelings of “personal relevant overwork risk level” and “work related overwork risk level” (t=-3.883, p<.05) and (t=-3.349,p< .05), showing that sleep time is significantly associated with workplace risk of overwork. The subjects in each category were administrative: 91 (15.2%), physician: 74 (12.4%), pharmacist: 20 (3.3%), nursing: 302 (50.5%), medical skills: 111 (18.6) %). Nursing employees scored significantly higher in personal relevant overwork risk level and work related overwork risk level than other subjects. Overtime hours are significantly related to workplace fatigue, and high hours are an important criterion for overworked standards. There are 6 active followers of 10 years cardiovascular disease risk prediction. The staff of this research hospital is younger and may be underestimated for the risk of cardiovascular disease. It may be necessary to conduct a long-term follow-up assessment. The results of workplace fatigue analysis showed that the personal relevant overwork risk levels were classified as follows: slight (57.7%), moderate (25.6%), and severe (16.7%); the work related overwork risk levels were classified as follows: slight (56.7%), moderate (25.4) %), severe (17.9%). The results of the study showed that the personal relevant overwork risk level scores (female: 51.37 points, male: 45.36 points) and the work related overwork risk level scores (female: 46.66 points, male: 40.85 points) were higher than the national (2004) employee fatigue survey. It can be seen that medical-related practitioners are over-high-risk groups compared to the general labor community. [Conclusion] According to the Occupational Safety and Health Act, employers should properly plan and take necessary safety and health measures to prevent the occurrence of abnormal work load. Based on the results of this study, we can target the female employees of the hospital, the sleep time of employees, and the factors of nursing employees when formulating the "abnormal workload-promoting disease prevention program." Introduce and develop a health plan that meets the needs of hospital staff, making it a true health promotion hospital, helping medical workers to improve occupational safety and achieve sustainable goals for health promotion.