台灣工業製造業使用動力或非動力手工具工作者之肌肉骨骼危害調查與改善建議

本研究針對台灣工業製造業中使用動力或非動力手工具之工作者，探討其肌肉骨骼傷害風險與相關因子，並提出改善建議。研究分析其人口學特徵、健康行為、工具使用經驗與產業背景對不同部位肌肉骨骼傷害及其重視態度之影響。透過問卷調查蒐集101 份樣本資料，進行描述性統計與邏輯斯迴歸分析。綜合研究結果顯示：個人病史為影響頸部、肩膀、上背、下背與手肘等五個部位傷害風險之最穩定且顯著的風險因子，OR 值普遍大於3 倍；每日工具使用超過4 小時及產業年資5 年以上之工作者，在上背與手肘部位亦呈現顯著傷害風險提升；使用動力或混合型工具者於頸部與手肘部位之風險亦明顯偏高。年輕、有運動習慣或健康意識者關注度較高，然而男性、資深員工與特定產業類別者對症狀警覺性偏低。研究建議，企業應實施健康病史篩檢與作業調整，針對高風險族群進行工時與任務分配控管。對動力手工具作業者，應提供減震輔具並規劃操作輪替，以降低身體負荷。另建議推動風險監測與健康教育，強化不同性別與年齡族群之自我防護意識。政府亦應建立分級預防制度並提供改善補助，以支持高負荷產業之健康促進工作。多方面的人因介入策略可以進行預防與管理，藉由系統性監測與教育介入，將有效降低工業現場慢性勞損發生率，促進勞工健康與產業永續。

This study examines the risks of musculoskeletal disorders (MSDs) amongworkers in Taiwan's manufacturing industry who use powered or non-poweredhand tools. Through analysis of 101 survey responses using descriptive statisticsand logistic regression, the study explores how demographics, health behaviors,tool usage, and industrial background relate to MSDs across five body regions.Results show that having a medical history is the most consistent andsignificant risk factor (odds ratios >3) for injuries to the neck, shoulders, upperand lower back, and elbows. Increased tool usage time and longer industryexperience also correlate with higher risks, especially in the upper back andelbows. Use of powered or mixed tools significantly increases neck and elbowinjury risk. While younger and health-conscious workers showed greater concernfor symptoms, awareness was lower among males, senior employees, and specificindustries.The study recommends implementing health screenings and tailored jobassignments, enhancing protection for powered tool users, and promoting targetededucation to improve risk perception. Government-led tiered prevention systemsand industry support programs are also encouraged to reduce chronic MSDs andenhance workforce sustainability.