| 研究生: |
吳道傑 Wu, Dau-Chieh |
|---|---|
| 論文名稱: |
應用周全職場健康促進模式發展針對電腦工作者之介入計畫:可行性研究 Apply the Comprehensive Workplace Health Promotion Model to Develop an Intervention Program for Computer Workers: A Feasibility Study |
| 指導教授: |
黃意婷
Hwang, I-Ting 張哲豪 Chang, Jer-Hao |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 職能治療學系 Department of Occupational Therapy |
| 論文出版年: | 2025 |
| 畢業學年度: | 113 |
| 語文別: | 中文 |
| 論文頁數: | 129 |
| 中文關鍵詞: | 職場健康促進 、電腦工作者 、工作相關肌肉骨骼不適 、電腦視覺症候群 |
| 外文關鍵詞: | workplace health promotion, computer worker, work-related musculoskeletal disorders, computer vision syndrome |
| ORCID: | 0009-0008-1011-6812 |
| 相關次數: | 點閱:2 下載:0 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
隨著長時間使用電腦成為主流的工作模式,軟體工程師面臨嚴重的健康風險,然而現尚缺乏適用於台灣軟體工程師之職場健康促進計畫。本研究旨在應用周全職場健康促進模式,設計並評估一項新發展之職場健康促進計畫的可行性。
本研究遵循周全職場健康促進模式之八個階段進行(啟動、整合、需求評估、優先順序、計畫、執行、評價與改善),前四階段包含聯繫單位取得共識,並調查工作環境與症狀普遍性之現況以確認優先順序;於第五階段設計六週課程;於後三階段分析可行性並提出完善計畫的建議。
招募可行性之受試者回應率為11%,符合納入標準之招募率為81%。資料蒐集之可行性,結果顯示資料蒐集過程對工作影響小且受試者自覺填答困難程度低。介入可行性之評估結果,課程出席率均超過77%,平均每堂課的滿意度高且平均自覺負擔程度低。在執行本計畫所需之資源,每堂課平均耗時為538分鐘(以課程準備及交通時間佔比最高)。個人健康影響之前後測比較結果顯示,受試者在部分工作相關肌肉骨骼不適症狀嚴重度、工作環境、肩膀姿勢及肌力表現等指標上有顯著正向變化,在電腦視覺症候群症狀嚴重度和健康相關生活品質則沒有變化,而頸部姿勢與肌肉僵硬程度則呈現負向變化趨勢。部分正向效果可持續至追蹤測驗。
本研究建議未來宜採取更多元的宣傳方式來提升回應率,而在計畫成效的部分可透過納入提醒系統來提升對個人健康的影響,同時建議標準化評估時間點,並記錄環境因素、運動習慣及偶發的受傷狀況以減少成效評估誤差。
Prolonged computer usage has become the mainstream work pattern, which may pose health risks for software engineers. However, workplace health promotion (WHP) programs tailored to software engineers in Taiwan are lacking. This study aimed to apply the Comprehensive Workplace Health Promotion (CWHP) model to design and evaluate a new WHP program.
This study followed eight CWHP stages: (1) mobilize, (2) assemble, (3) assess, (4) prioritize, (5) plan, (6) do, (7) evaluate, and (8) improve. Initial four stages involved company communication and workplace assessment to set priorities; the fifth stage developed six weekly one-hour sessions; final three stages analyzed feasibility and suggested program improvement.
The participant response rate was 11%, with an eligibility rate of 81%. The results of the data collection process showed minimal participant disruption and low perceived questionnaire difficulty. Regarding the intervention feasibility, all course attendance rates exceeded 77%, with high satisfaction and low perceived burden. Regarding the required resources, each session averaged 538 minutes, mainly spent on preparation and transportation. The health outcomes on participants showed significant positive changes in the severity of work-related musculoskeletal discomfort, work environment, shoulder posture, and muscle strength. No significant changes were observed in the severity of computer vision syndrome symptoms and health-related quality of life, while neck posture and muscle stiffness showed a trend toward negative changes. Some positive effects were sustained until the follow-up assessment.
This study suggests using diverse strategies to boost response rates and adding reminders to facilitate health outcomes. It is recommended to standardize assessment timing and collect information regarding environmental factors, exercise routines, and injuries to reduce potential data collection biases.
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