Workers’ lifestyle Working patterns and health service needs--As a regionalteaching hospital Case

[[abstract]]本研究是以南部某地區教學醫院為研究母群體，使用問卷調查員工之健康狀況及健康服務需求，探討醫療從業人員，健康生活型態、工作型態與臨廠健康服務之人口統計學與各變項間之差異，主要分為四部份：一、人口學統計變項與健康狀況；二、生活型態與健康狀況；三、工作型態與健康狀況；四、臨廠健康服務與健康狀況，依據研究結果提出重要結論，並對醫院之領導政策提出建議。本研究整理之結構式問卷調查表，經五位相關領域之專家學者進行專家內容效度檢定（Content Validity），信度檢定Cronbach’s α為0 961。採用橫斷式問卷進行資料收集，發出問卷共450份，其中有效問卷為395份（88%），統計資料以SPSS 22 0 for Windows 統計軟體進行分析，其樣本中男性為78人（19 7%）；女性為317人（80 3%），平均年齡為38歲，專業背景包含，醫師、護理、醫事、行政、技術人員及外包人員等。 研究結果發現，控制了人口統計學變項後，「BMI」在「性別」變項，有顯著的差異，顯示男性BMI值≧24比女性高；「疲勞」的部分，在「年齡」有顯著差異，其中以25歲以下占最高（57 5%），調查結果顯示自覺疲勞狀況以年輕族群較高；「工作壓力」「年齡」與「職務屬性」均有顯著差異，其中對於「壓力」表示很大的工作者，「年齡」主要為26 - 35歲 (32 4 %)與 36-45 歲(30 3 %)；「下背痛」的情形在「性別」、「年齡」及「專業背景」，均有顯著差異，其中以女性居多（59 6 %）；「年齡」則以36-45歲最多（59 9 %）；「專業背景」則以護理人員最多（64 5 %），其次為醫師（55 9 %）；在「運動量不足」的比例上，在「性別」、「年齡」、「專業背景」均達顯著差異。其中以女性最多（68 4%），年齡部分以26-35歲以及36 - 45歲兩組居多，分別為（76 3%）及（62 5%），在專業背景部分以護理人員占比最多（73 2%）研究結果顯示護理人員運動量明顯不足。 本研究結果顯示，醫療工作者健康問題多以疲勞、工作壓力、下背痛及運動量不足為最多，且員工之健康問題有年輕化趨勢。本研究結果可作為醫院職場健康促進介入策略與醫院臨廠健康服務資源規劃時的參考。[[abstract]]This study utilized a regional teaching hospital as the research subject and used questionnaire to survey its employees’ health condition and needs of health service In order to explore the differences among variables of demography and medical practitioners’ healthy life style work style and occupational health service this questionnaire was divided into four major sections: 1 Demographic variables and health conditions; 2 Life style and health conditions; 3 Work style and health conditions; 4 Occupational health service and health condition In this study the major conclusions were showed according to the research results and suggestions to hospital’s leadership policy were proposed A structured questionnaire was organized in this study and the reponses data have been underwent a Content Validity Test by 5 experts/scholars in related fields The Cronbach’s αreliability test result was 0 961 A C ross-section Survey was adopted to collect data and SPSS 22 0 for Windows was used to analyze the statistical data Totally 450 copies of questionnaire were sent and 395 valid copies returned (88%) The valid observations contained 78 males (19 7%) and 317 females(80 3%) According to the valid data collected the averaged age is 38 and the professional backgrounds included physicians nursing medical personnel administrators technicians and outsourcing personnel The following facts are discovered by analysising specific controlled demographic variables: “BMI” has significant difference between differet “Sex” variables which showing that males’ BMI (≧24) is greater than females’; in terms of “Tiredness” it showed significant difference in “Age” where age below 25 accounted for the majority (57 5%) The survey results showed a younger trend of self-aware tiredness; the significant difference in “Work Stress” “Age” and “Job Characteristics”; among which employees who expressed to have great “Stress” their “Age” were mainly between 26 – 35 (32 4 %) and 36-45 (30 3 %); “Lower Back Pain” had significant difference in “Sex” “Age” and “Professional Background” where females were accounted for the majority (59 6 %); “Age” was mostly between 36-45 (59 9 %); nursing personnel were accounted for the majority in the “Professional Background” (64 5 %) next was the physician (55 9 %); for the ratio of the “Lack of Exercise” significant difference had been reached in “Sex” “Age” and “Professional Background” Where females were accounted for the majority (68 4%) and age groups 26-35 and 36- 45 were accounted for the majority of (76 3%) and (62 5%) respectively and in the professional background the nursing personnel were accounted for the majority (73 2%) thus the research result showed that the nursing personnel were significantly lack of exercise Therefore the research results of this study shows the major health problems of those medical workers are tiredness work stress lower back pain and lack of exercise as well as a younger trend of employees’ health problems The research results could be employeed as a reference to the planning for Health Promotion Intervention in Hospital Workplace and Occupational Health Service Resource