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中華職業醫學雜誌

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篇名 南部某醫學中心使用工作能力強化訓練服務之職災勞工相關資料分析
卷期 27:3
並列篇名 Work-hardening for occupational accident labor: experience from a southern medical center
作者 黃虹雅朱娟滿楊家麟
頁次 193-208
關鍵字 職災勞工職業傷病職業重建職務再設計勞工復工Disaster Labor Occupation Reconstruction Programjob redesignwork-related disastersTSCI
出刊日期 202007

中文摘要

本院復健部申請勞動部職業安全衛生署職災勞工職業重建計畫,為了解服務個案性質,探討開辦105年09月起至107年12月31日於本院接受工作強化訓練之個案質性分析,期望在標準化的服務下,個案能夠更順利安全地邁向復工之路。本研究為回溯型研究,收集105年9月至107年12月接受工作強化訓練之勞工資料,個案來源分為內、外部途徑。內部經由職業醫學科初篩職災勞工轉介名單、復健部、骨科部轉介獲得,外部由勞工局職業重建科、公司廠醫護、或個案自行尋求職災相關資源而來,透過中心治療師進行訪視與常規資料問卷蒐集,後續分析與統計細項依循勞動部職業安全衛生署標準進行分類,並使用描述性統計方式進行分析結果呈現。於本院以職災身份就醫並接受職能復健服務之個案男性比例多於女性,原因多為工作因素造成,女性職災原因較多為交通事故,而男女回到職場之比例相近,整體而言職業傷害比例仍較職業病比例多,由公司投保者多於自行投保工會者,整體平均訓練時數達53.9小時,不論職業傷害或職業病,其訓練時數並無達到顯著差異。本院辦理勞動部職災勞工職業重建計畫,服務面向包含工作能力評估與強化、心理輔導及社會適應、職務再設計,期望未來可增加服務的廣度,不論是在人數、服務面向上的拓展,作為職災勞工復工路上的好夥伴。

英文摘要

Background: After the establishment of the work-hardening center in September 2016, this hospital has provided successively the assistance of the workers involved in hospitalization and medical consultations in this hospital, including intensive training for work abilities, job redesign, psychological reconstruction and social adaptation services. The program help workers return to the workplace appropriately and safely. However, the relevant labor-related information for the current occupational accident is still not clearly understood. Method: This research method is expected to use a retrospective study to collect cases from September 2016 to August 2019. The cases originated from this hospital and were obtained through the referral lists after screening by occupational medicine departments. Some of the cases were obtained from outside the hospital (acquired from: Occupational Rehabilitation Branch of the Labor Affairs Bureau of Kaohsiung City Government, other companies, and resources for self-disposal of occupational accidents). After obtaining the list, the center’s therapist went to the location of the case to collect questionnaires for visits and routine data, and before the start of the project. The project facilitator conducted cross-professional contacts and obtained cross-professional links. SPSS was used for data analysis and statistics. The analysis and statistics were classified according to the standards of the Ministry of Labor of Occupational Safety and Health Administration, and descriptive statistics were used to analyze the results. For example, the construction industry is more prone to fall-related occupational injuries. Common injuries are pelvic fractures. The average length of illness is 6 months etc. Result: In the case of occupational disaster, we received functional rehabilitation services in our hospital. The proportion of male was more than women, and the causes of male work injury were mostly caused by work factor. The higher proportion of female was caused by traffic accidents, and men and women returned to the workplace. The proportion is similar. Overall, the proportion of work injuries is still higher than the proportion of occupational diseases. There are more insured companies than self-uninsured worker. The overall average training time is 53.9 hours. Regardless of occupational injury or occupational disease, the training hours have not reached a significant difference. Conclusion: The implementation of the Ministry of Labor ’s Occupational Disaster Labor Occupation Reconstruction Program has been very effective, and its services include: work ability assessment and work hardening, psychological counseling and social adaptation, and job redesign. We hope to increase the breadth of services in the future, whether it is in The service-oriented expansion shows that the hospital attaches great importance to and supports the government's attention to the rights and interests of the resumption of work-related disasters, and serves as a good partner on the way of resuming work-related disasters.

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