從台灣盒餐業員工工作內容探討肌肉骨骼不適之危險因子

Risk Factors Associated with Work-Related Musculoskeletal Discomfort among Commissary Foodservice Workers

10.6288/TJPH2005-24-02-07

全中妤(Jong-Yu A. Chyuan)；何汝惠(Ju-Hui Ho)；宋鴻樟(Fung-Chang Sung)

盒餐業 ； 工作有關之肌肉骨骼不適或傷病 ； 危險因子 ； 盛行率 ； 勝算比 ； Commissary foodservice factory ； Work-related musculoskeletal discomfort (WMSD) ； Prevalence rate ； Odds ratio ； Risk factors

台灣公共衛生雜誌

24卷2期（2005 / 04 / 01）

154 - 161

繁體中文

Objectives: To investigate work-related musculoskeletal discomfort (WMSD) and its association with tasks carried out by commissary foodservice employees in northern Taiwan. Methods: A cross-sectional survey of a convenient sample of 309 commissary employees was conducted at 20 factories from 2002-2003 to collect information on individual’s demographic characteristics, work characteristics, and perceived discomfort from work. Results: The study participants frequently used both hands (55.0%) while working. The tasks for most study participants included moving objects (61.2%), packing lunch boxes (56.3%), and cleaning dishes (52.1%). Most study participants used trolleys (62.5%) and spent a lot of time standing (88.7%). Results showed significant WMSD was found from the tasks of packing lunch boxes using the upper arm or the ankle/feet, moving objects using the forearm, and washing materials using the lower back and waist. Carrying heavy objects for more than 1 minute for each task was associated with an increased risk of 12 body site-specific WMSD, especially for the upper back (OR=16.9) and feet (OR=14.4). Shoulder pain was significantly associated with awkward postures including lifting the hand over the shoulder, twisting the body trunk, and carrying heavy objects for more than 1 minute. Conclusion: Different postures at work may lead to different body site-specific WMSD. Carrying heavy materials was found to be associated with an elevated risk of discomfort in the upper back and feet.

Objectives: To investigate work-related musculoskeletal discomfort (WMSD) and its association with tasks carried out by commissary foodservice employees in northern Taiwan. Methods: A cross-sectional survey of a convenient sample of 309 commissary employees was conducted at 20 factories from 2002-2003 to collect information on individual’s demographic characteristics, work characteristics, and perceived discomfort from work. Results: The study participants frequently used both hands (55.0%) while working. The tasks for most study participants included moving objects (61.2%), packing lunch boxes (56.3%), and cleaning dishes (52.1%). Most study participants used trolleys (62.5%) and spent a lot of time standing (88.7%). Results showed significant WMSD was found from the tasks of packing lunch boxes using the upper arm or the ankle/feet, moving objects using the forearm, and washing materials using the lower back and waist. Carrying heavy objects for more than 1 minute for each task was associated with an increased risk of 12 body site-specific WMSD, especially for the upper back (OR=16.9) and feet (OR=14.4). Shoulder pain was significantly associated with awkward postures including lifting the hand over the shoulder, twisting the body trunk, and carrying heavy objects for more than 1 minute. Conclusion: Different postures at work may lead to different body site-specific WMSD. Carrying heavy materials was found to be associated with an elevated risk of discomfort in the upper back and feet.

1. 全中妤、杜宗禮、葉文裕、李中一(2002)。台灣旅館餐飲人員工作動作特性與肌肉骨骼傷病之橫斷式研究。台灣衛誌。
   連結：
2. Bkberg K,Bjorkqvist B,Malm P,Bjerre-Kiely B,Karisson M,Axelson O(1994).Case-control study of risk factors for disease in the neck and shoulder area.Occup Environ Med.
3. Buckle PW,Devereux JJ(2002).The nature of work-related neck and upper limb musculoskeletal disorders.App Ergo.
4. Chiang HC,Ko YC,Chen SS,Yu HS,Wu TN,Chang PY(1993).Prevalence of shoulder and upper-limb disorders among workers in the fish-processing industry.Scand J Work Environ Health.
5. Duff SV、Sanders MJ(1997)。Tendinitis, entrapment neuropathies, and related conditions。Management of Cumulative Trauma Disorders。
6. Hagberg M,Silverstein B,Wells R,Kuorinka I,Forcier L(1997).Work related muscu]oskeletal disorders (WMSDs): A Reference Book for Prevention.
7. Haviid AJ,Anette K,Poul F(2002).Psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work.Spine.
8. Hoogendoorn WE,Bongers PM de Vet,Twisk JWR,Mechelen W,B outer LM(2002).Comparison of two different approaches for the analysis of data from a prospective cohort study: an application to work related risk factors for low back pain.Occup Environ Med.
9. Jensen C,Finsen L,Sogaard K,Christensen H(2002).Musculoskeletal symptoms and duration of computer and mouse use.Intern Indus Ergo.
10. Johansson JA(1994).Work-related and non-work-related musculoskeletal symptoms.App Ergo.
11. Keyserling WM(2000).Workplace risk factors and occupational musculoskeletal disorders, Part 2: A review of biomechanical and psychophysical research on risk factors associated with upper extremity disorder.Am Indus Hygiene Assoc J.
12. Mizoue T,Nishisaka S,Nishikuma K,Yoshimura T(1996).Occupational and lifestyle factors related to musculoskeletal and fatigue symptoms among middle-aged female workers in a frozen food processing factory.Sangyo Riseigaku Zasshi.
13. Nakata M(1999).Evaluation of Japanese school lunch cooks work by foreign researchers: an attempt to promote an effective discussion by presenting a videotape record.Sangyo Eiseigaku Zasshi.
14. Pagano M,Kimberlee G,林為森,陳怡君,陳青浩,陳俞成,謝秀幸,魏美珠(2002).生物統計原理.
15. Punnett L,Fine LJ,Keyserling WM,Herrin GD,Chaffin DB(1991).Back disorders and nonneutral truck postures of automobile assembly workers.Scand J Work Environ Health.
16. Xu Y,Bach E,Orhede E(1997).Work environment and low back pain: The influence of occupational activities.Occup Environ Med.
17. 林彥輝(2001).日本職業下背痛傷害概況.勞工安全衛生簡訊.
18. 陳志勇(2001).骨骼肌肉傷害預防相關防護具介紹.勞工安全衛生簡訊.

1. 劉立文、黃淑倫、陳志勇、王安祥(2012)。餐飲業廚師肌肉骨骼不適與肥胖之相關性探討。勞工安全衛生研究季刊，20(3)，342-351。
2. 鄔蜀芳,鄔蜀文(2010)。Pace of Work and Its Effects on the Musculoskeletal System。大仁學報，37，49-61。
3. 嚴雯聖、何汝惠、全中妤(2006)。餐旅服務業工作有關之肌肉骨骼傷病之省思。勞工安全衛生研究季刊，14(2)，146-155。