辦公室工作者腕隧道症候群問卷調查及人因介入探討

本研究旨在探討辦公室工作者腕隧道症候群的相關議題，分為兩個階段進行。第一階段進行橫斷面網路問卷調查，收集個人基本資料、工作相關資料、腕隧道症候群問卷量表及SF-36健康生活品質量表進行評估，共有262名辦公室工作者參與，其中包括77名男性和185名女性，探討辦公室工作者的腕隧道症候群盛行率、相關風險因子及生活品質。第二階段則進行上肢人因介入措施的實驗設計，招募了10名有工作經驗的辦公室人員及技術人員參與，評估上肢人因介入措施對於改善手腕部不適之效益。 研究結果顯示辦公室人員腕隧道症候群盛行率為10.3%。風險因子包括身高較矮、體重和BMI較高、每週平均工時較長、工作日內需長時間持續或重複使用手腕或手指。腕隧道症候群對整體生理功能影響較大，對於整體心理功能沒有明顯影響。若能增加足夠的運動與鍛鍊、戒除個人不良習慣、管控合理工時，皆有助於改善腕隧道症候群症狀對個人的影響。 在人因介入實驗中，上肢人因介入措施能減少受試者雙手疼痛並提升握力，但研究結果顯示可能只能維持短暫的效果，因此未來需要更長期的研究，以了解上肢人因介入措施的持久效果和長期影響。

This study aims to explore issues related to carpal tunnel syndrome（CTS） among office workers, conducted in two phases. The first phase involves a cross-sectional online questionnaire survey, collecting personal demographic data, work-related information, CTS questionnaire scales, and 36-item short form health survey（SF-36） for assessment. A total of 262 office workers participated, including 77 males and 185 females, to investigate the prevalence of CTS among office workers, related risk factors, and quality of life. The second phase entails an experimental design of upper limb ergonomic interventions, recruiting 10 experienced office workers to evaluate the benefits of upper limb ergonomic interventions in alleviating hand and wrist discomfort. The study findings reveal a CTS prevalence rate of 10.3% among office workers. Risk factors include shorter stature, higher body weight and BMI, longer average weekly working hours, and prolonged or repetitive use of wrists or fingers during workdays. CTS significantly impacts physical component summary score, with no apparent effect on mental component summary score. Increasing physical activity and exercise, eliminating personal bad habits, and managing reasonable working hours all contribute to improving the impact of CTS symptoms on individuals. In the ergonomic intervention experiment, upper limb ergonomic interventions reduce hand pain and improve grip strength, albeit with potentially only short-term effects. Therefore, future research is needed to understand the sustained effectiveness and long-term impact of upper limb ergonomic interventions.