护理文免费下载广西

论文审查--预防职业性肌肉骨骼疾病及人因工程危害控制

第一篇

姓名陈志瑜alexchen@ntuh.gov.tw公司名称台大医院职医部职称住院医师投稿项目预防职业性肌肉骨骼疾病及人因工程危害控制投稿类型海报论文标题疑似职业性椎间盘突出与骨骼肌肉相关疾病给付审核通过与否之相关因子探讨口头报告作者中文摘 要疑似职业性椎间盘突出与骨骼肌肉相关疾病给付审核通过与否之相关因子探讨陈志瑜台湾大学附设医院环境及职业医学部中文摘 要

劳工因工作引起的肌肉骨骼伤病是一项相当普遍的职业安全卫生问题.肌肉骨骼伤害,不仅危害劳工的健康,也造成企业工时损失与生产力下降以及增加国家医疗费用的支出.我国约有40-60%劳工因为职业肌肉骨骼伤病曾受过影响,而颈,肩,下背和四肢伤害则为主要的发病部位.相关危险因子包括长时间维持不正确或不自然姿势,重复性的作业和费力的动作,承受振动或扭转躯干,以及不正确的弯腰拿物技巧等.而相关职业伤病的申请的目标疾病中,肌肉与骨骼相关疾病所占的比例也高.本研究之目的为分析100至101年度职业伤病通报系统内,以疑似职业性椎间盘突出与骨骼肌肉相关之疾病申请劳工保险给付案件之资料,以了解给付审核通过与否和个案特性之关联性.藉由分析审查结果通过与否,是否经「职业病监定委员会」监定,目标疾病,年龄,性别,职业别与行业别,工作史(工时,及其他工作负荷),过去病史,其他可能致病因,并参酌职业病认定的「五大准则」资料,了解给付审核成功与失败的相关因子.关键字:职业性椎间盘突出,肌肉骨骼伤病,职业伤病通报系统,劳工保险给付英文摘 要TheFactorsContributingSuccesulRateofApplyingOccupationalDiseasesCompensationforWork-RelatedMusculoskeletalDisordersChih-YuChenDepartmentofEnvironmental&,OccupationalMedicine,NationalTaiwanUniversityHospitalAbstract

Thework-relatedmusculoskeletaldisordersaremonoccupationalsafetyandhygieneproblemsinindustrialfield.Affectnotonlythehealthoftheworkersbutalsospendlotsofcostinworkabsenteei,medicalexpense,andproductivitylosstoindustry.About40-60%workerpopulationinTaiwanisaffectedbymusculoskeletaldisorders.Neck,shoulder,lowbackandupperextremitiesinjuriesaremonlyaffectedlocationsofbody.Riskfactororwork-relatedmusculoskeletaldisordersincludeprolongedstaticpostures,awkwardorextremejointpositions,repetitiveorforcefulmovementsandsoon.OurresearchaimatunderstandingthefactorsthatcontributesuccesulrateofapplyingoccupationaldiseasespensationbyanalyzingTaiwanoccupationinjuryanddiseasenotificationsystemdatabase.Age,gender,Occupation&,Jobposition,Industry,Workhistory(workinghours,andworkload),andPastmedicalhistorywereputintoconsideration.Keywords:work-relatedmusculoskeletaldisorders,Taiwanoccupationinjuryanddiseasenotificationsystem,occupationaldiseasespensation第二篇

姓名张毓倩cychien@ntuh.gov.tw公司名称台大医院环境及职业医学部职称护理师投稿项目其他与本次研讨会主题相关之议题项目投稿类型海报论文标题劳工外伤严重度评估工具的发展TheDevelopmentofAssesentToolforInjurySeverityofInjuredWorkers口头报告作者中文摘 要劳工外伤严重度评估工具的发展张毓倩/陈启信医师/郭育良教授背景说明

目前受创伤後评估严重度的工具,被最为广泛运用者为「外伤严重度分数」,且研究发现外伤死亡率与外伤严重度分数及患者年龄成正相关,然将此计算方法运用到受伤劳工身上,却发现一大问题,那就是其所受的外伤常未到失能甚至死亡的程度,但却造成劳工心理层面的压力与影响复工的表现.研究目的调整外伤严重度计算的方式,以预测对存活的劳工其心理与复工造成的影响.本研究对受创伤的劳工进行收案(N等于43),依简易外伤分数进行其受伤部位的严重度分级,但将原本在外伤严重度分数计算中,被归类为同一部位的四肢分开来各自计算,再进行平方相加,而得到新外伤严重度分数,同时对受创伤的劳工进行结构式问卷资料收集自觉严重度与日常生活受影响程度,并以中文版事件影响量表收集量化之心理压力状态.结果:新外伤严重度分数与原外伤严重度分数与住院天数均达统计上显着相关(r等于0.394,p等于0.005,r等于0.363,p等于0.01),同时也均与自觉严重度达统计上显着相关(r等于0.394,p等于0.005,r等于0.363,p等于0.01).结论:新外伤严重度与原外伤严重度和住院天数有一样好的相关性,而在自觉严重度方面,新外伤严重度比原外伤严重度显示有较好的正相关性.未来研究将朝向以新外伤严重度与受创伤後对劳工造成的心理压力与复工进行分析.关键字:外伤严重度,心理压力.英文摘 要TheDevelopmentofAssesentToolforInjurySeverityofInjuredWorkersChang,Yu-Chien.Chen,Chi-Hsien.Guo,Yue-Liang.Background:

TheInjurySeverityScore(ISS)isthemostpopulartoolforassessingtheseverityoftraumaticpatientsduetoitsgoodpositiveassociationwithmortality.However,howISScorrelateswithpost-traumaticmentalhealthandreturn-to-workinsurvivedworkerswasnotclear.Aim:ThisstudyaimstomodifyISSasatooltoevaluatetheinjuryseverityinsurvivedworkers.Method:From2016/4/1to2016/1/31,weenrolledfortythreeinjuredworkersadmittedtoNationalTaiwanUniversity.Theworkerswerefirstlyinterviewedwithinoneweekafterinjuryandthenfollowedupatthirdmonth.Diseasestatuswasretrievedfrommedicalrecords.Consciouslyseverity,Inconvenienceofdailyactivity,andmentalstresswereevaluatedbystructuredquestionnaireandtheChineseversionofImpactofEventScale–Revised(IES-R).WemodifiedtheISSruleandbiningtheseverityscoresoffourlimbsadditively,ratherthanonlychoosingthemaximiumscore.AssociationbetweenvariableswastestedbyPearsoncorrelationcoefficient.Results:Themean(standarddeviation)ofISSandmodifiedISSinourstudyis8.12(2.75)and8.80(3.70),respectively.BothISSandmodifiedISSweresignificantlyassociatedwithhospitalizeddays(r等于0.394,p等于0.005,r等于0.363,p等于0.01,respectively),andconsciouslyseverity(r等于0.388,p等于0.01,r等于0.444,p等于0.003,respectively).Conclusion:ComparingtooriginalISS,themodifiedISSaswellasoriginalISS,themodifiedISScorrelatesbetterwithhospitalizeddaysandacuteconsciouslyseverityinsurvivedworkersafterinjury.FurtherstudyisneededtoapplymodifiedISSasatooltopredictthedevelopmentofpost-traumaticmentalillnessandthedurationforreturn-toworkafterinjury.Keyword:InjurySeverityScore,mentalcondition.

第三篇

姓名吴政龙clwu@mail.ncku.edu.tw公司名称成大医院职业及环境医学部职称主