非酒精性脂肪肝與勞工健檢資料相關性之研究

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題名:	非酒精性脂肪肝與勞工健檢資料相關性之研究
其他題名:	Study on The Correlation Between Nonalcoholic Fatty Liver And Labor Health Examination Data
作者:	陳淑楣
貢獻者:	陳盈璋
關鍵詞:	非酒精性脂肪肝;勞工健檢;職業類別;Nonalcoholic fatty liver;Labor health check;Occupational category
日期:	2019
上傳時間:	2020-09-09T05:55:15Z
出版者:	經國管理暨健康學院;健康產業管理研究所
摘要:	動機：近年來社會經濟成長與國人生活水準提高，台灣勞工人數達1027萬人(勞動部，2018)，工作型態因產業改變也導致工時過長、輪班、工作壓力等，勞工體檢中最常被關注的問題是肝功能問題，針對台灣勞工族群的非酒精性脂肪肝之危險因子和盛行率目前未有大型研究或探討。目的：本研究目的分析無酗酒之勞工健檢資料與非酒精性脂肪肝如下：一、分析非酒精性脂肪肝患者生化血液檢測數據異常狀況。二、探討身體質量指數、腰圍與非酒精性脂肪肝之相關性。三、探討非酒精性脂肪肝與勞工發生之職業類別之相關性。四、能有效評估非酒精性脂肪肝發生率。五、此研究結果提供給勞動部在勞工健康促進計畫參考。方法：回溯抽取2016年至2017年北部某區域醫院健康檢查中心的勞工健康檢查，總數量達21,386筆，排除重複個案及酗酒勞工，並選取桃園市內勞工群體，共得3,176名受試者，其人數已大於10分之1，符合立意取樣選取勞工體檢的樣本有其代表性，以增加此研究對區域性脂肪肝問題的領悟和洞察。統計方法說明如下：一、用描述性統計分析人口變項及勞工體檢變項之分布。二、卡方檢定分析人口變項及勞工體檢變項在非酒精性脂肪肝分布之差異。三、以羅吉斯迴歸分析探討影響非酒精性脂肪肝之人口變項、勞工體檢變項的因子。結果：本研究分析結果如下：一、個人基本變項與非酒精性脂肪肝有相關性。二、不同個人基本變項在非酒精性脂肪肝之分布能有顯著差異。三、勞工體檢變項與非酒精性脂肪肝之分布能有顯著差異。四、不同個人基本變項因素健檢結果對非酒精性脂肪肝有相關性比較。討論：此份研究具有參考價值，勞工體檢項目與非酒精性脂肪肝有很大的相關性，目前3年或5年才實施勞工體檢，無法及早警示勞工們，為降低勞工們未來致病率，應鼓勵或修正條例每年執行勞工體檢，讓勞工朋友有更好的健康繼續在職場上努力。 Motivation: In recent years, social and economic growth and the standard of living of taiwan people have improved. The number of workers in Taiwan has reached 10.27 million (Ministry of Labor, 2018). The work pattern has also led to long working hours, shifts, work pressures, etc. The problem that is often concerned is liver function problems. There is currently no large-scale research or discussion on the risk factors and prevalence of non-alcoholic fatty liver in Taiwans labor community. Objective: The purpose of this study was to analyze the labor health examination data and non-alcoholic fatty liver disease without alcohol abuse as follows: 1.Analyze the abnormal status of biochemical blood test data in patients with nonalcoholic fatty liver disease. 2.Explore the body mass index, the correlation between waist circumference and non-alcoholic fatty liver. 3.Explore the correlation between non-alcoholic fatty liver and occupational categories in which labor occurs. 4.Effectively assess the incidence of non-alcoholic fatty liver disease. 5.The results of this study are provided to the Ministry of Labor for reference in the Labor Health Promotion Program. Methods: A total of 21,386 labor health examinations were conducted from 2016 to 2017 in a regional health check-up center in Taoyuan City. Excluding duplicate cases and alcohol abuse, there were 3,176 people, The number is more than one-tenth of the number, which is representative of the sample of labor examinations selected for the purpose of sampling, in order to increase the understanding and insight of the regional fatty liver problem. The statistical methods are as follows: 1.Descriptive statistics are used to analyze the distribution of population variables and labor examination variables. 2.The chi-square test analyzes the difference between the population variables and the distribution of labor examination variables in non-alcoholic fatty liver. 3.The regression analysis of Logis to explore the factors affecting the population change of non-alcoholic fatty liver disease and the labor examination variables. Results: The results of this study are as follows: 1.Personal basic variables are related to non-alcoholic fatty liver. 2.The distribution of different individual basic variables in non-alcoholic fatty liver can be significantly different. 3.The distribution of labor health check variables and non-alcoholic fatty liver can be significantly different. 4. The basic variables of different individuals, the results of the health check for non-alcoholic fatty liver have a correlation. Discussion: This research has reference value. The labor health check-up has a great correlation with non-alcoholic fatty liver disease. It is health check-up are only carried out in 3 or 5 years, and it is impossible to warn the workers early to reduce the future morbidity of the workers. The health checkups should be every year, to have better health and continue to work hard in the workplace.
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顯示於類別:	[學位論文] 107學年度

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