| Summary: | 碩士 === 東海大學 === 工業工程與經營資訊學系 === 107 === Recently, a series of deaths of technology industry engineers, passenger transport drivers, security personnel and physicians catapulted over-labor death into the limelight. According to the International Labor Organization (ILO), the prevalence of occupational causes for circulatory diseases was 23% in 2005. Therefore, workplace overload prevention is introduced in the hospital workplace. This study is to evaluate the performance of implement of health management activity, which is to improve the medical practitioners of the workplace fatigue as well as physical and mental health.
Taking all employees (including nursing, physician, administration, medical technology) of a Medical Center in Central Taiwan as the research object.The questionnaire tool, published by the Ministry of Labor, "Abnormal workload promoting disease prevention guidelines", is applied as workplace fatigue scale to measure fatigue levels of "personal-related overwork" and "work-related overwork". At the same time, the hours of overtime each month have put into the "overload hazard risk" assessment and calculated the risk rate of "WHO 10-year brain and cardiovascular disease". The overall results of "occupational brain and cardiovascular disease risk" obtain through comprehensive evaluation. There are 2,746 valid samples (66% of total employees) are analyzed and the pre- and post-measures of intervention measures is discussed.
It shows that there are significant differences for "personal-related overwork" (p<0.05), "work-related overwork" (p<0.01), "overload hazard risk" (p<0.01), and "occupational brain and cardiovascular disease risk" (p<0.01). Meanwhile, after the intervention of the physician of labor health service who provides individualized health guidance and education with on-site visit. There are 27 employees, who with high-risk level possess the same results as mentioned above. In addition, the risk rate of "WHO 10-year brain and cardiovascular disease" has significant difference with p<0.01.
The results could use as a reference for administration to improve or invest appropriate resources to create workplace safety and health. It is an important occupational safety and health issue as well.
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