某醫學中心肌肉骨骼不適員工介入方案之成效

Effectiveness of Core Muscle Intervention Programs for Workers with Musculoskeletal Disorders in a Medical Center

目的：探討肌肉骨骼不適醫療從業人員介入教育訓練與核心肌群訓練課程之成效。研究對象與方法：以某醫學中心肌肉骨骼不適員工為對象，介入教育訓練與核心肌群訓練課程，運用教育訓練考題、肌肉骨骼症狀調查、體適能檢測，進行前後比較研究。結果：收案員工20人，完訓20人，知識正確率由40.0%提升至94.5%；頸、上背、下背、左肩、右肩、左膝、右膝、左腳踝/腳、右腳踝/腳等部位肌肉骨骼不適症狀介入前後有顯著改善（p < 0.05）；身體質量、骨骼肌重、腰圍、收縮壓與體適能檢測介入前後有顯著改善（p < 0.05）。結論：介入方案對於提升相關知識正確率、改善肌肉骨骼不適症狀和增進體適能是有幫助的，將做為未來推動員工健康促進方案之參考。

The aim of this study was to discuss the effect of interventional education training and core muscle training courses on muscular skeletal discomfort among medical-center staff. At a medical center in south Taiwan, many workers with musculoskeletal discomfort are involved in education training and core muscle training courses. This study employed a pretest–posttest design with a comparison group. Assessments were conducted using questions related to education training, a musculoskeletal symptoms questionnaire, and a physical fitness test. Twenty workers undertook the training. Following the intervention, the workers’ cognition rose from 40.0% to 94.5%. The neck, upper back, lower back, left shoulder, right shoulder, left knee, right knee, left ankle or foot, right ankle or foot, and other parts affected by musculoskeletal symptoms were significantly improved (P < 0.05). Significant differences were observed in body mass index, skeletal muscle weight, waist circumference, systolic blood pressure, and physical fitness (P < 0.05). Interventions through education training and core muscle training courses are helpful in improving workers’ musculoskeletal discomfort and fitness. This study can serve as a reference for workplace health promotion programs in the future.