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研究生: 劉美蘭
Liu, Mei-Lan
論文名稱: 北區某高科技公司員工職業坐式行為改善策略之效果研究
The Effect of Intervention Strategies on Occupational Sedentary Behaviors among Technology Company Employees in the Northern Taiwan
指導教授: 胡益進
Hu, Yih-Jin
廖邕
Liao, Yung
口試委員: 張鳳琴
Chang, Fong-Ching
陳政友
Chen, Cheng-Yu
陳俊瑜
Chen, Chun-Yu
胡益進
Hu, Yih-Jin
廖邕
Liao, Yung
口試日期: 2022/07/20
學位類別: 博士
Doctor
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 183
中文關鍵詞: 職業坐式行為介入措施健康信念自我效能
英文關鍵詞: occupational sedentary behavior, intervention, health belief, self-efficacy
研究方法: 準實驗設計法
DOI URL: http://doi.org/10.6345/NTNU202201837
論文種類: 學術論文
相關次數: 點閱:199下載:22
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  • 本研究的目的是了解高科技員工職業坐式行為的現況,驗證工作職場中推動「降低職業坐式行為時間」介入措施的效果,期望在高科技員工除了了解坐式行為對健康產生的影響外,還能實際應用在工作與生活中,降低職業坐式行為與其他類別的坐式行為。
    本研究第一階段進行橫斷性的調查,了解高科技產業員工坐式行為的現況、坐式行為健康信念及自我效能,回收之有效問券共230份。員工職業坐式行為平均工作天7.9小時/天。第二階段為介入性實驗共91位參與者,分為實驗組與控制組,兩組皆進行前後測,實驗組進行為期四週「降低職業坐式行為介入措施」,控制組無介入措施。以SPSS軟體進行分析,分析結果為實驗組員工經過介入措施後職業坐式行為時間平均減少0.95小時/天,以GEE檢驗其介入效果值達顯著水準 (p<.05)。實驗組坐式行為健康信念與自我效能有明顯進步,以配對t檢定及GEE檢驗其介入效果值達顯著水準 (p<.05)。
    本研究結果驗證工作職場推動「降低職業坐式行為介入措施」具有良好效果,建議:(1)本研究結果顯示以衛生教育的方式進行職場健康促進是有效的,相較於可調式工作桌、坐站工作站或運動工作桌等設備成本低得多,更可大量推廣。(2)本介入措施未來在職場推動時應與時俱進,搭配新的科技與創新的想法,不只能引起員工的興趣,更能增加參與意願。(3)本研究對象僅限高科技產業員工,其結果無法推論至其他行業,未來研究可以探討其他行業別的職業坐式行為,提升更多勞工的健康。

    The purpose of this study is to understand the current situation of occupational sedentary behavior of high-tech employees, and to verify the effect of the intervention measures to promote "Reduce occupational sedentary behavior time" in the workplace. It can also be practically applied in work and life to reduce occupational sedentary behavior and other types of sitting behavior.
    In the first phase of this study, a cross-sectional survey was conducted to understand the current status of sedentary behavior, health beliefs and self-efficacy of employees in high-tech industries, and a total of 230 valid questionnaires were recovered. The average working day of employees' occupational sedentary behavior is 7.9 hours/day. The second stage was an interventional experiment with a total of 91 participants, divided into an experimental group and a control group. Both groups were tested before and after. The experimental group underwent a four-week "interventional measure to reduce occupational sedentary behavior", and the control group had no intervention. The SPSS software was used for analysis, and the result of the analysis was that the occupational sitting behavior time of the experimental group was reduced by an average of 0.95 hours/day after the intervention measures, and the intervention effect value reached a significant level (p<.05) by the Generalized estimating equation (GEE) analysis. The health belief and self-efficacy of the sitting behavior in the experimental group were significantly improved, and the intervention effect value of the paired t test and GEE analysis reached a significant level (p<.05).
    The results of this study verifies that the workplace promotion of "intervention measures to reduce occupational sitting behavior" has a good effect. Recommendations: (1) The results of this study show that workplace health promotion through health education is effective, compared with adjustable work desks, Equipment such as sit-stand workstations are much less expensive and more widely available. (2) This intervention measure should keep pace with the times when it is promoted in the workplace in the future, and with new technology and innovative ideas, it will not only arouse the interest of employees, but also increase the willingness to participate. (3) The object of this study is limited to high-tech industry employees, and the results cannot be inferred to other industries. Future research can explore other occupational sitting behaviors in other industries to improve the health of more workers.

    第一章 緒 論1 第一節 研究動機與重要性1 第二節 研究目的5 第三節 研究問題6 第四節 研究假設7 第五節 名詞操作型定義8 第六節 研究限制9 第二章 文獻探討11 第一節 台灣勞工常見的健康狀態11 第二節 職業坐式行為14 第三節 職業坐式行為與健康狀態的關係36 第五節 改善職業坐式行為介入性研究46 第七節 健康信念模式的探討50 第三章 研究方法55 第一節 研究設計55 第二節 研究架構57 第三節 研究對象59 第四節 研究工具60 第五節 研究步驟65 第六節 資料處理與分析67 第七節 研究倫理68 第四章 研究結果69 第一節 研究對象背景變項分佈69 第二節 研究對象坐式行為健康信念及自我效能、坐式行為現況分析 77 第三節 研究對象背景變項與坐式行為健康信念及自我效能、職業坐式行為之關係88 第四節 實驗組與對照組背景變項之描述115 第五節 介入前後效果分析118 第五章 綜合討論129 第一節 研究對象職業坐式行為現況129 第二節 研究對象坐式行為健康信念與自我效能分佈131 第三節 研究對象職業坐式行為介入效果之評價134 第六章 結論與建議137 第一節 結論137 第二節 建議139 參考書目141 附錄一 調查問卷 167 附錄二 問卷使用授權書176 附錄三 專家效度與問卷信度分析結177 附錄四 降低職業坐式行為介入課程光碟 183

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