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來源文獻資料
摘要
外文摘要
引文資料
題名:
職業性下背痛
書刊名:
中華公共衛生雜誌
作者:
郭浩然
作者(外文):
Guo, How-ran
出版日期:
2000
卷期:
19:5
頁次:
頁332-339
主題關鍵詞:
下背痛
;
職業衛生
;
醫療人員
;
肌肉骨骼不適
;
人體工學
;
Low back pain
;
Occupational health
;
Health-care worker
;
Musculoskeletal disorder
;
Ergonomics
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
7
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
7
共同引用:
8
點閱:47
目標:背痛是非常普遍的職業病。以美國為例,背痛佔去所有職業傷病賠償案件的四分之一,且有研究發現約17.6%的勞工在一年期間曾有背部疼痛至少持續一星期的情形,其中又以下背痛佔絕大多數。本文以一位職業性下背痛的個案為例,做一綜合性的實務報告,希望能提高國人對這一項職業傷害的警覺。方法:本文以一位因長期從事重物的搬運而引起下背痛的醫事技術人員為例,參考國內外文獻,討論職業性下背痛的危險因子、診斷、治療、及預防等事項。此外,也分析勞工安全衛生研究所「工作環境安全衛生狀況調查-受雇者認知調查」所收集的資料,估計臺灣勞工的 下背痛盛行率,並試圖找出高危險行業。結果:回顧國內的調查報告發現,臺灣地區勞工下背痛的情形其實很普遍;男性以「土木工程業」,女性以「農、牧、狩獵業」盛行率最高。而文獻中記載的危險因子主要為搬動及舉起重物、費力的工作、不自然的姿勢、全身性的震動、長時間靜態的姿勢、肥胖、抽煙、及心理因素。職業性下背痛的診斷需要多方的考慮,其治療則有許多選擇,但最重要的工作是預防。結論:下背痛是國人常見但容易被忽視的職業傷害;我們應提高警覺,做好預防措施,以減低其危害。
以文找文
Objectives: Low back pain is a very common occupational disorder. In the United States, for example, one fourth of the workers' compensation claims are filed due to back pain, and a survey found that about 17.6% of workers had back pain everyday for a week or more during a one-year period and that most of them suffered from low back pain. To call for raising the attention to this occupational disorder, a case of occupational low back pain is reported, and an overview of this problem is provided. Methods: A case of low back pain in a medical technician due to long-term lifting is used as an example. Together with a review of literature, risk factors, diagnosis, treatment, and prevention of occupational low back pain are discussed. In addition, data obtained from the Survey of Employees' Perceptions of Safety and Health in the Work Environment conducted by the National Institute for Occupational Safety and Health were analyzed to estimate the prevalence of low back pain among Taiwanese workers and to identif y high risk industries. Results: The review of literature found that low back pain is quite prevalent among the workers in Taiwan. "Infrastructure Construction" was the industry with the highest risk for males, and "Agriculture, Animal Husbandry and Hunting" was the industry with the highest risk for females. Well-documented risk factors included lifting and moving heavy objects, heavy physical load, awkward postures, whole body vibration, static work postures obesity, smoking, and psychological factors. The diagnosis of occupational low back pain requires consideration from multiple aspects, and a variety of choices are available for its treatment. The most important issue, however, is the prevention. Conclusions: Low back pain is a common but easily over-looked occupational disorder among workers in Taiwan. We should raise our attention to this problem and apply various prevention measures to reduce its impacts. (Chin J Public Health.
以文找文
期刊論文
1.
Guo, H. R.、Tanaka, S.、Halperin, W. E.、Cameron, L. L.(1999)。Back pain prevalence in US industry and estimates of lost workdays。Am J Public Health,89(7),1029-1035。
2.
李開偉、葉文裕、朱振群、陳志勇(19970300)。半導體製造業累積性工作傷害現況調查。勞工安全衛生研究季刊,5(1),1-14。
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3.
粘秋桂、柯德鑫(19960100)。護理人員下背痛及其職業相關危險因子之調查。中華職業醫學雜誌,3(1),37-44。
延伸查詢
4.
Guo, H-R.、Tanaka, S.、Cameron, L. L.、Seligman, P. J.、Behrens, V. J.、Ger, J.、Wild, D. K.、Putz-Anderson, V.(19951100)。Back pain among workers in the United States: national estimates and workers at high risk。American Journal of Industrial Medicine,28(5),591-602。
5.
Labar, G.(1992)。A battle plan for back injury prevention。Occupational Hazards,11,29-33。
6.
李永輝、邱文科、黃美涓(19931200)。護理人員下背痛問題之探討(I)--問卷調查分析。勞工安全衛生研究季刊,1(3),51-60。
延伸查詢
7.
李開偉、許耀文(1998)。新竹科學園區從業人員肌肉骨能系統傷害症狀分布調查。勞工安全衛生研究季刊,6(4),21-34。
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8.
Chiou, W-K.、Wong, M-K.(1992)。Epidemiology of low back pain in the nurses of Chang Gung Memorial Hospital。Chang Gung Medical Journal,15,64-71。
9.
Hong, M-C.、Guo, L. Y. L.、Hsiao, J. S-C.、Guo, H-R.(2000)。High Prevalence of musculoskeletal discomfort among health-care workers of a medical canter。New Taipei J Med,2,121-130。
10.
Garzillo, M. J.、Garzillo, T. A.(1994)。Does obesity cause low back pain?。J Manipulative Physiol Therap,17,601-604。
11.
Leboeuf-Yde, C.、Kyvik, K. O.、Bruun, N. H.(1999)。Low back pain and lifestyle. Part II--Obesity. Information from a population-based sample of 29,424 twin subjects。Spine,24,779-783。
12.
Han, T. S.、Schouten, J. S.、Lean, M. E.、Seidell, J. C.(1997)。The prevalence of low back pain and associations with body fatness’ fat distribution and height。Int J Obesity Related Meta Dis,21,600-607。
13.
Leboeuf-Yde, C.(1999)。Smoking and low back pain, A systematic literature review of 41 journal articles reporting 47 epidemiologic studies。Spine,24,1463-1470。
14.
Leboeuf-Yde, C.、Kyvik, K. O.、Bruun, N. H.(1998)。Low back pain and lifestyle. Part I: Smoking. Information from a population-based sample of 29, 424 twins。Spine,23,2207-2213。
15.
Scott, S. C.、Goldberg, M. S.、Mayo, N. E.、Stock, S. R.、Poitras, B.(1999)。The association between cigarette smoking and back pain in adults。Spine,24,1090-1098。
16.
Eriksen, W.、Natvig, B.、Bruusgaard, D.(1999)。Smoking, heavy physical work and low back pain: a four-year prospective study。Occupational Hazards,49,155-160。
17.
Ueno, S.、Hisanaga, N.、Jonai, H.、Shibata, E.、Kamijima, M.(1999)。Association between musculoskeletal pain in Japanese construction workers and job, age, alcohol consumption, and smoking。Industrial Health,37,449-456。
18.
Leino, P. I.(1993)。Does leisure time physical activity prevent low back disorders?A prospective study of metal industry employees。Spine,8,863-871。
19.
Videman, T.、Sarna, S.、Battie, M. C. et al.(1995)。The long-term effects of physical loading and exercise, lifestyles on back-related symptoms, disability, and spinal pathology among men。Spine,20,699-709。
20.
Josephson, M.、Hagberg, M.、Hjelm, E. W.(1996)。Self-reported physical exertion in geriatric care. A risk indicator for low back symptoms?。Spine,21,2781-2785。
21.
Harreby, M.、Hesselsoe, G.、Kjer, J.、Neergaard, K.(1997)。Low back pain and physical exercise in leisure time in 38-year-old men and women: a 25-year prospective cohort study of 640 school children。European Spine Journal,6,181-186。
22.
Leino, P. I.、Hanninen, V.(1995)。Psychosocial factors at work in relation to back and limb disorders。Scandinavian Journal of Work, Environment & Health,21,134-142。
23.
Papageorgiou, A. C.、Macfarlane, G. J.、Thomas, E.、Croft, P. R.、Jayson, M. I.、Silman, A. J.(1997)。Psychosocial factors in the workplace--do they predict new episodes of low back pain? Evidence from the South Manchester Back Pain Study。Spine,22,1137-1142。
24.
Lampe, A.、Sollner, W.、Krismer, M. et al.(1998)。The impact of stressful life events on exacerbation of chronic low-back pain。J Psych Res,44,555-563。
圖書
1.
U.S. National Institute for Occupational Safety and Health(1997)。Musculoskeletal Disorders and Workplace Factors: A critical Review of Epidemiologic Evidence for Work-Related Musculoskeletal Disorders of the Neck, Upper Extremity, and Low Back。Cincinnati, OH:U. S. Department of Health and Human Services, National Institute for Occupational Safety and Health。
2.
National Institute for Occupational Safety and Health(1996)。National Occupational Research Agenda。Washington, DC:US Department of Health and Human Services, Public Health Services, Center for Disease Control。
3.
施鴻志、楊瑞鐘、宋欽增等人(1995)。工作環境 安全衛生狀況調查--受雇者認知調查。臺北:行政院勞工委員會勞工安全衛生研究所。
延伸查詢
4.
行政院勞工委員會(1998)。我國職業疾病認定基準。臺北:行政院勞工委員會。
延伸查詢
其他
1.
魏忻忻(20000503)。上下背痛87年健保給付達30億--96%患者符合三個月黃金療程,4%過度利用醫療資源。
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