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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 蕭淑銖(Judith SC Shiao) | |
dc.contributor.author | Wei-Shan Chin | en |
dc.contributor.author | 秦唯珊 | zh_TW |
dc.date.accessioned | 2021-06-15T01:55:23Z | - |
dc.date.available | 2010-04-04 | |
dc.date.copyright | 2009-09-15 | |
dc.date.issued | 2009 | |
dc.date.submitted | 2009-06-29 | |
dc.identifier.citation | Abell, A., Juul, S., & Bonde, J. P. (2000). Time to pregnancy among female greenhouse workers. Scand J Work Environ Health, 26(2), 131-136.
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/43415 | - |
dc.description.abstract | 醫療工作環境中潛藏著許多健康危害物質,台灣勞工安全衛生研究所對有進行化學治療的醫院進行調查,發現只有38.7%的醫療院所對懷孕或哺乳期的工作人員做特殊保護措施。芬蘭的研究亦發現相較於一般辦公室人員,女性護理人員懷孕時期從事護理工作有較高的風險生產體重小於懷孕週數的新生兒(Small for gestational age;SGA)。在台灣醫療院所中執業的醫事人員以女性護理人員為最多,而這些護理人員又大多處於育齡年齡,目前國內外探討女性護理人員生殖危害之研究大多僅就單一危害因子進行探討,缺乏全面性的職業暴露與生殖結果之研究,故本研究將廣泛地探討護理特殊職業暴露對護理人員致孕力、生殖結果與胎兒出生狀況之影響。
研究對象為『醫療人員健康安全衛生中心』長期合作的60家醫院中年齡介於20~49歲之女性護理人員,以自填式問卷調查個人基本資料、歷年工作史與歷次懷孕史。以第一次懷孕經驗分析特殊工作暴露對生產結果與胎兒出生狀況之影響,以最後一次懷孕經驗分析特殊工作暴露對於致孕力之影響。 結果發現特殊工作暴露對受孕力之影響並未有統計上相關。不過,有使用輻射劑量章者,生產結果為未足月或不良生產結果(早產、死產、非自願性流產)的風險都比沒有使用輻射劑量章者高(AOR=2.3,95% CI=1.1~4.9,P<0.05;AOR=2.4,95% CI=1.1~5.1,P<0.05) 。每班工作站立7小時以上會增加非自願性流產的風險(AOR=2.2,95% CI=1.1~4.1,P<0.05)。使用酒精的人胎兒發生死產的風險高於未使用者,且達統計上之意義(AOR=13.1,95% CI=1.9~59.0,P<0.01)。至於胎兒出生狀況,曾經輪班的人其胎兒出生時異常的風險比不曾輪過班者高(AOR=2.2,95% CI=1.2~4.5,P<0.05)。使用消毒溶液的人胎兒死亡(死產與非自願性流產)的風險高於未使用者,且達統計上之意義(AOR=1.8,95% CI=1.0~3.3,P<0.05)。 本研究雖未發現特殊工作暴露對於女性護理人員致孕力之影響,但懷孕前或懷孕當時曾經輪班、使用輻射劑量章、每班工作站立時間超過7小時,以及使用消毒溶液對生產結果與胎兒出生狀況之不良影響,均達統計上之相關。建議有生育計劃的女性護理人員應盡量避免上述之工作暴露。 | zh_TW |
dc.description.abstract | There are potential hazards in healthcare settings. According to a study conducted by the Institute of Occupational Safety and Health (IOSH ) of Taiwan, there were only 38.7% hospitals provided adequate personal protective equipments to expectant nursing staff in those hospitals provided chemotherapy. One Finnish study identified a higher risk of having a baby being small for gestational age (SGA) in nursing staff, compared to babies of other female working groups. Relatively few studies had focused on the occupational reproductive health in Taiwan nurses, despite the majority of such group are in their childbearing years. This study was therefore intended to explore the potential impact of occupational exposures to nurses’ fecundability and birth outcomes.
The study population was all female nurses aged from 20~49 years old, from the sixty hospitals of Center of Medical Employee Safety and Health (C-MESH). Data collected using a self-administered questionnaire. Questions include demographic information, employment history, and pregnant history. We analyzed the relationship between occupational exposure and birth outcomes using information given from the first pregnancy of the respondent, and the relationship between occupational exposure and fecundability using information given from the latest pregnancy. Occupational exposure did not significantly affect nurses’ fecundability. However, adverse birth outcomes (prematurity, stillbirth, and spontaneous abortion) were found to be significantly higher in those whose work required to wearing a radiation badge than not (AOR=2.3,95% CI=1.1~4.9,P<0.05;AOR=2.4,95% CI=1.1~5.1,P<0.05). Standing for longer than 7 hours at each shift increased the risk of spontaneous abortion (AOR=2.2,95% CI=1.1~4.1,P<0.05). Exposed to alcohol was also associated with stillbirth (AOR=13.1,95% CI=1.9~59.0,P<0.01). As for other birth outcomes, shift work was found to be highly associated with fetal congenital abnormalities (AOR=2.2,95% CI=1.2~4.5,P<0.05). In addition, exposed to disinfectant fluids at work was also found to be associated with fetal death (stillbirth and spontaneous abortion) (AOR=1.8,95% CI=1.0~3.3,P<0.05). Occupational exposures were not significantly associated with poor fecundability in nurses. However, shift work, required to wearing a radiation badge at work, standing for longer hours (>7), and exposed to disinfectant fluids at work, before and during pregnancy, had negative impacts on birth outcomes. We suggest female nurses who plan to conceive should avoid occupational exposures to the above mentioned working environment. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T01:55:23Z (GMT). No. of bitstreams: 1 ntu-98-R95426025-1.pdf: 1053340 bytes, checksum: c6a7d0337f8b313116adc7b33909fb34 (MD5) Previous issue date: 2009 | en |
dc.description.tableofcontents | 目錄
口試委員會審定書 i 誌謝 ii 中文摘要 iii 英文摘要 v 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第二章 文獻查證 4 第一節 女性生殖危害 4 第二節 護理人員生殖危害 8 第三章 研究方法 13 第一節 研究架構 13 第二節 研究變項的定義 16 第四章 研究設計 18 第一節 研究對象之收集 18 第二節 研究工具 19 第三節 資料收集過程 20 第四節 資料處理與分析 21 第五章 研究結果 23 第一節 致孕力分析之研究對象 24 第二節 致孕力分析之護理人員基本屬性 25 第三節 特殊工作暴露與致孕力相關分析 29 第四節 生殖結果之研究個案 39 第五節 生殖結果分析之個案基本資料 40 第六節 特殊工作暴露與生殖結果 45 第七節 特殊工作暴露與胎兒出生狀況 51 第六章 討論 57 第一節 整體研究探討 57 第二節 特殊工作暴露對致孕力的影響 59 第三節 特殊工作暴露對生殖結果的影響 62 第四節 特殊工作暴露對胎兒出生狀況的影響 65 第七章 結論與建議 67 第一節 結論 67 第二節 建議 69 第八章 護理應用 70 參考文獻 71 附件一 人體試驗倫理委員會 80 附件二 研究問卷 82 表目錄 表 一、TTP計算方式說明 22 表 二、致孕力分析之研究對象個人基本資料 26 表 三、致孕力分析之研究對象工作史 27 表 四、研究對象最近一次懷孕前與懷孕當時特殊工作暴露 28 表 五、研究對象致孕力相關變項 28 表 六、懷孕時年齡與致孕力相關變項之相關性 30 表 七、特殊工作暴露與致孕力相關變項之相關性 31 表 八、最近一次懷孕經驗胎次與受孕時間分佈 32 表 九、特殊工作暴露與曾經因不容易受孕而尋求醫之勝算比 37 表 十、特殊工作暴露與未懷孕之勝算比 37 表 十一、各項特殊工作暴露對受孕力之影響 38 表 十二、生殖結果之研究對象個人基本資料 41 表 十三、生殖結果之研究對象工作史 42 表 十四、研究對象第一胎懷孕前與懷孕當時特殊工作暴露狀況 43 表 十五、研究對象第一胎懷孕前身體狀況 43 表 十六、研究對象第一胎生殖結果與胎兒出生狀況 44 表 十七、特殊工作暴露與第一胎生殖結果之相關性 46 表 十八、特殊工作暴露對發生未足月之勝算比 48 表 十九、特殊工作暴露對發生不良生殖結果之勝算比 48 表 二十、特殊工作暴露對發生死產之勝算比 49 表 二十一、特殊工作暴露對發生非自願性流產之勝算比 49 表 二十二、特殊工作暴露對自願性流產之勝算比 50 表 二十三、特殊工作暴露與胎兒出生結果之相關性 52 表 二十四、特殊工作暴露對胎兒出生狀況發生異常之勝算比 55 表 二十五、特殊工作暴露對胎兒出生發生先天缺陷之勝算比 55 表 二十六、特殊工作暴露對胎兒發生畸形之勝算比 55 表 二十七、特殊工作暴露對胎兒發生死亡之勝算比 56 表 二十八、消毒溶劑中cidex對胎兒發生死亡之勝算比 56 圖目錄 圖 一、特殊工作暴露與致孕力之研究架構 14 圖 二、特殊工作暴露與生殖結果、胎兒出生狀況之研究架構 15 圖 三、分析致孕力之個案選取流程 24 圖 四、特殊工作暴露與受孕力 33 圖 五、分析生殖結果之個案選取流程 39 | |
dc.language.iso | zh-TW | |
dc.title | 臺灣女性護理人員生殖健康之探討 | zh_TW |
dc.title | Explore Reproductive Health in Female Nurses in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 郭育良(Yueliang Leon Guo),楊秋月(Chiu-Yueh Yang) | |
dc.subject.keyword | 女性生殖危害,工作暴露,生殖結果,受孕力,護理人員, | zh_TW |
dc.subject.keyword | female reproductive hazards,occupational exposure,birth outcome,fecundability,nurse., | en |
dc.relation.page | 85 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2009-06-30 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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