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研究生: 劉松鑫
論文名稱: 化工廠輪班制度最適化之探討
指導教授: 王茂駿
口試委員: 石裕川
邱敏綺
王茂駿
學位類別: 碩士
Master
系所名稱: 工學院 - 工業工程與工程管理學系
Department of Industrial Engineering and Engineering Management
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 115
中文關鍵詞: 輪班制度換班頻率身體疲勞心理壓力石化工業
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  • 由於產業競爭日益加劇,為增加設備使用率提高產能,生產現場24小時不間斷運轉或提供服務已成趨勢,因此員工進行輪班工作相當普遍。而不同公司之輪班制度因作業需求有所不同,各輪班制度皆有其優缺點,但從事輪班工作對員工身心狀況之影響值得企業重視。
    輪班工作之員工必須調整睡眠及工作時間配合各種輪班班別(早、中、夜班),因此其生理時鐘可能受到影響,造成生/心理方面之問題,並對其社交生活產生負面影響。本研究即針對台灣某石化產業工廠432位男性員工(平均年齡35.5歲)之身體疲勞、工作能力、生活品質、睡眠品質、憂鬱程度、心理壓力等六項指標進行數據蒐集,分析各輪班制度下員工於不同指標之表現,找出最適之輪班制度。
    研究結果顯示換班頻率為四天一輪的員工於大部分指標皆表現較差,主要原因是連續四天值夜班使員工疲勞感倍增,且與下一輪班班別(早班)中間休息時間僅一天,人體生理時鐘無法迅速適應,因此容易造成睡眠品質不佳、精神不濟等現象,間接影響工作績效與作業安全。再者,換班頻率為四天亦會使員工在逐漸適應特定作息時間之際,必須轉換生理時鐘配合下一個輪班班別,長期下來混亂的生理時鐘會造成員工身體健康問題,降低整體工作能力及生活品質。因此本研究建議將輪班制度之換班頻率訂為「兩天」,減輕員工因適應特定作息又必須調整生理時鐘造成之身心負荷,使其身體健康、精神狀況、工作能力等方面皆能有較佳之表現。
    綜而言之,換班頻率為兩天較能減輕輪班員工之生/心理負荷,且正向輪班較符合人類生理時鐘運行,因此若要制定一致性的輪班制度,建議以「正向兩天一輪」方式進行輪班工作,希望透過此最適輪班制度安排,並在良好的工作環境下,使員工之整體工作績效、工作及生活品質有所提升。


    摘要 I Abstract II 誌謝 III 目錄 IV 圖目錄 VI 表目錄 VIII 第一章、緒論 1 1.1 研究背景 1 1.2 研究動機 2 1.3 研究目的 3 1.4 研究流程 3 第二章、文獻探討 5 2.1 我國石化產業之概況與特性 5 2.2 輪班制度之介紹 7 2.3 輪班制度對員工之身心影響 11 2.3.1 生理層面 12 2.3.2 心理層面 15 2.3.3 社會與家庭層面 17 2.4 小結 19 第三章、研究方法 20 3.1 受測者資料 20 3.2 實驗設計 21 3.3 各指標施測工具介紹 23 3.3.1 人因現場工作評估 25 3.3.2 綜合性評估問卷 25 3.4 問卷施測流程 34 3.5 統計分析 35 第四章、結果與討論 36 4.1 人因現場工作評估 36 4.2 綜合性評估問卷結果 42 4.2.1 身體疲勞 43 4.2.2 工作能力 47 4.2.3 生活品質 52 4.2.4 睡眠品質 57 4.2.5 憂鬱程度 62 4.2.6 心理壓力 65 4.2.7 工作環境危害因子分析 71 4.3 小結 73 4.3.1 換班頻率因子 73 4.3.2 輪班/常日因子 75 4.3.3 年齡因子 75 4.3.4 輪班制度原則 76 第五章、結論與建議 79 5.1 結論 79 5.2 建議 80 參考文獻 82 附錄一、綜合性評估問卷 95 附錄二、MSDs詳細分析結果 111 附錄三、Pearson相關性分析 115

    王子娟、潘致弘。2010。中高齡勞工工作能力指標研究(編號:IOSH98-M318)。台北:勞工安全衛生研究所。
    王精文、賴明德。2000。輪班工作人員生活品質與工作適應關聯性研究。科技學刊,9(4),309-318。
    李欣南、潘志泉、廖亞雯。2003。憂鬱症及其治療原則。中華民國內膜異位症婦女協會會刊,10(10),6-7。
    李昱。1998。高雄地區憂鬱症流行病學調查:I.「台灣人憂鬱篩選問卷」之發展。行政院國家科學委員會專題研究成果報告(報告編號:NSC 88-2413-H-182A-001)。
    李逸。2004。公共衛生護理人員工作壓力感受、因應策略與壓力結果之探討-以互動型工作壓力模式為架構。台灣公共衛生雜誌,123(5),398-405。
    吳宗穎。2010。噪音作業員工之憂鬱症發盛行率評估。中華職業醫學雜誌,17(4), 261-265。
    林蓉珠。2005。從日週律動型態探討輪班工作者之工作績效及身心健康-以高科技產業為例。立德管理學院科技管理研究所碩士論文,台南市。
    洪于婷。2009。宅配業駕駛員下背問題之探討。國立清華大學工業工程與工程管理學系碩士論文,新竹市。
    胡佩怡、葉婉榆。2011。我國勞工心理壓力強度評估研究(編號:IOSH99-M322)。台北:勞工安全衛生研究所。
    姚開屏。2000。台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌,19(4),315-324。
    徐愫儀、塗雅雯、石東生、陳濘宏、王拔群、林茵、陳昌偉、陳秋蓉、林君黛、李學禹、Gliklich, R. E.。2007。輪班工作對台灣某工廠之睡眠品質的影響。輔仁醫學期刊,5(4),189-202。
    徐儆暉、李諭昇。2007。工作環境安全衛生狀況認知調查-2007年(編號:IOSH96-M319)。台北:勞工安全衛生研究所。
    國立科學工藝博物館。2009。台灣工業文化資產網:石化產業對台灣的貢獻與成就。取自:http://iht.nstm.gov.tw/index.asp。
    陳俊瑜、巫宇舜。2012。石化業輪班工作者健康風險與健康促進之研究(編號:IOSH100-M327)。台北:勞工安全衛生研究所。
    陳秋蓉、楊啟賢、徐儆暉、潘致弘、陳旺儀、石東生。2004。勞工勞健保資料庫建立與健康監視(編號:IOSH93-M321)。台北:勞工安全衛生研究所。
    陳濘宏、石東生、王拔群、林菌、陳昌偉、陳秋蓉、林君黛、李學禹。2007。台灣某工廠睡眠品質與呼吸障礙盛行率調查。輔仁醫學期刊,5,67-80。
    張家楨、王興耀、劉宏文。1993。The effect of shift system on sleep quality, sleep quantity, psychological disturbance, and family function of workers in Taiwan. 高雄醫學科學雜誌,9(7),410-417。
    張麗銀、楊克平。1993。某教學醫院護理人員對輪班制度與固定班別制觀點之探討。榮總護理,1(2),8-144。
    許森彥、蘇世斌。2003。夜班及輪班工作者的健康問題。中華職業醫學雜誌,10(2),71-80。
    勞工安全衛生研究所。2001。輪班作業危害預防手冊。台北:勞工安全衛生研究所。
    勞工安全衛生研究所。2003。勞工肌肉骨骼傷害檢點技術手冊(編號:IOSH92-T-049)。台北:勞工安全衛生研究所。
    黃仰田。2007。變更輪班制度、員工生活品質與工作狀況關係之研究-以半導體封裝公司為例。義守大學管理研究所碩士論文,高雄市。
    黃如瑋、劉珍芳、胡雪萍、徐彩莉。1996。輪班作業人員營養及生理狀況評估(I)(編號:IOSH85-M363)-固定式輪班。台北:勞工安全衛生研究所。
    曾蕓梃。2004。護理人員工作壓力與心理健康效應之調查。國立成功大學環境醫學研究所碩士論文,台南市。
    葉公杰、陳艷菁。1996。勞工安全衛生研究報告-比較與分析臨床診斷資料:職業性肌肉骨骼系統疾病之研究(編號:IOSH84-M322)。台北:勞工安全衛生研究所。
    葉婉榆、胡佩怡。2012。我國勞工心理壓力強度評估研究(II)(編號:IOSH100-M312)。台北:勞工安全衛生研究所。
    楊明仁。2000。社會狀況與憂鬱症:一個以高雄縣為例之社會生態學研究(II)。行政院國家科學委員會專題研究成果報告(報告編號:NSC 88-2413-H-182A-001)。
    楊建銘。2004。如何調整生理時鐘促進身心健康。取自:http://www.iosh.gov.tw/netbook/91workshop/w910727/w910727_5.htm。
    經濟部工業局。2012。石化工業政策評估說明書(初稿)。台北:經濟部。
    劉雪娥。1986。某教學醫院護理人員工作滿意程度之探討。護理雜誌,33(1),75-83。
    顏如佑、柯志鴻、楊明仁、施春華、黃維仲、廖瑛鈿、李明濱。2005。台灣人憂鬱量表與簡式症狀量表使用於大規模社區憂鬱症個案篩選之比較。北市醫學雜誌,2(8),737-744。
    蘇宗偉、李明濱。2005。憂鬱症生理病因之「神經可塑性」假說。北市醫學雜誌,2(2),121-131。
    齊藤一。1993。交替制難務。日本:勞動科學研究所。
    Adel, M., Akbar, R., Gabraeil, N. S., & Abbas, R. F. (2012). Work Ability Index (WAI) and its association with psychosocial factors in one of the petrochemical industries in Iran. Journal of Occupational Health, 54(2), 112-118.
    Åkerstedt, T. (2003). Shift work and disturbed sleep/wakefulness. Occupational Medicine, 53(2), 89-94.
    Åkerstedt, T. & Wright, K. P. Jr. (2009). Sleep loss and fatigue in shift work and shift work disorder. Journal of Clinical Sleep Medicine, 4(2), 257-271.
    Åkerstedt, T., Ingre, M., Broman, J. E., & Kecklund, G. (2008). Disturbed sleep in shift workers, day workers, and insomniacs. Chronobiology International, 25(2), 333-348.
    Aloba, O. O., Adewuya, A. O., Ola, B. A., & Mapayi, B. M. (2007). Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian university students. Sleep medicine, 8(3), 266-270.
    Almondes, K. M. & Araújo, J. F. (2009). The impact of different shift work schedules on the levels of anxiety and stress in workers in a petrochemicals company. Estudos de Psicologia (Campinas), 26(1), 15-23.
    Angersbach, D., Knauth, P.,Loskant, H., Karvonen, M. J., Undeutsch, K., & Rutenfranz, J. (1980). A retrospective cohort study comparing complaints and diseases in day and shift workers. International Archives of Occupational and Environmental Health, 45(2), 127-140.
    Angerer, P. & Petru, R. (2010). Schichtarbeit in der modernen industriegesellschaft und gesundheitliche folgen. Somnologie-Schlafforschung und Schlafmedizin, 14(2), 88-97.
    Bara, A. C. & Arber, S. (2009). Working shifts and mental health-findings from the British Household Panel Survey (1995-2005). Scandinavian Journal of Work, Environment & Health, 35(5), 361-367.
    Barnes-Farrell, J. L., Davies-Schrils, K., McGonagle, A., Walsh, B., Milia, L. D., Fischer, F. M., Hobbs, B. B., Kaliterna, L., & Tepas, D. (2008). What aspects of shiftwork influence off-shift well-being of healthcare workers? Applied Ergonomics, 39(5), 589-596.
    Beermann, B. (2010). Nacht- und Schichtarbeit, In: Badura, B., Schröder, H., Klose, J., & Macco, K. (Eds.). Fehlzeiten-Report 2009, 71-82.
    Benjamin, G. A. (1984). Shift workers: Improve the quality of life for employees who aren’t on the 9-to-5 routine. Personnel Journal, 63(6), 72-76.
    Bonnefond, A., Härmä, M., Hakola, T., Sallinen, M., Kandolin, I., & Virkkala, J. (2006). Interaction of age with shiftrelated sleep-wakefulness, sleepiness, performance, and social life. Experimental Aging Research, 32(2), 185-208.
    Borg, G. (1982). A category scale with ratio properties for intermodal and interindividual comparisons, In: Geissler H.G. and Petzold P. (eds.). Psychophysical Judgment and the Process of Perception, 25-34. Berlin: VEB Deutscher Verlag der Wissenschaften.
    Borg, G. (1998). Borg’s perceived exertion and pain scales. Champaign, IL: Human Kinetics.
    Boscolo, P., Di Gioacchino, M., Reale, M., Muraro, R., & Di Giampaolo, L. (2011). Work stress and innate immune response. International Journal of Immunopathology and Pharmacology, 24(1 Supplementum), 51S-54S.
    Bugajska, J. & Lastowiecka, E. (2005). Life style, work environment factors and work ability in different occupations. International Congress Series, 1280:247-252.
    Buysse, D. J., Reynolds, C. F. 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1988). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
    Buysse, D. J., Hall, M. L., Strollo, P. J., Kamarck, T. W., Owens, J., Lee, L., Reis, S. E., & Matthews, K. A. (2008). Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. Journal of Clinical Sleep Medicine, 4(6), 563-571.
    Chang, C. J., Wang, S. Y., & Liu, H. W. (1993). The effect of shift system on sleep quality, sleep quantity, psychological disturbance, and family function of workers in Taiwan. The Kaohsiung Journal of Medical Sciences, 9(7), 410-417.
    Chang, H. T., Liu, L. F., Chen, C. K., Hwang, S. J., Chen, L. K., & Lu, F. H. (2010). Correlates of institutionalized senior veterans’ quality of life in Taiwan. Health and Quality of Life Outcomes, 8, 70.
    Chen, L. K., Hwang, S. J., Chou, S. P., & Tang, Y. F. (2004). Self-reported well-being and circadian hormone changes in nightshift nurses. Taipei City Medical Journal, 1(3), 41-48.
    Chiang, H. H., Hanoch, L., Yen, M. L., Li, T. C., & Tsai, T. Y. (2013). Prevalence and correlates of depression among chronic kidney disease patients in Taiwan. BMC Nephrology, 14, 78.
    Chien, T. W., Hsu, S. Y., Tai, C., Guo, H. R., & Su, S. B. (2008). Using Rasch analysis to validate the revised PSQI to assess sleep disorders in Taiwan’s hi-tech workers. Community Mental Health Journal, 44(6), 417-425.
    Chiu, M. C. (2006). Evaluating the physical workload of lower extremity for nurses. Master’s dissertation. National Tsing Hua University, Taiwan.
    Christopher, L. D., Timothy, R., Gary R., James, K. W., & Thomas, R. (2004). Shift work sleep disorder: Prevalence and consequences beyond that of symptomatic day workers. Sleep, 27(8), 1453-1462.
    Costa, G. (2003). Factors influencing health of workers and tolerance to shift work. Theoretical Issues in Ergonomics Science, 4(3-4), 263-288.
    Costa, G. (2005). Some considerations about aging, shift work and work ability. International Congress Series, 1280, 67-72.
    Costa, G. & Sartori, S. (2007). Ageing, working hours and work ability. Ergonomics, 50 (11), 1914-1930.
    Costa, G., Akerstedt, T., Nachreiner, F., Baltieri, F., Carvalhais, J., Folkard, S., Dresen, M.F., Gadbois, C., Gartner, J., Sukalo, H. G., Härmä, M., Kandolin, I., Sartori, S., & Silvério, J. (2004). Flexible working hours, health, and well-being in Europe: some considerations from a SALTSA project. Chronobiology International, 21(6), 831-844.
    Cruz, L. N., Polanczyk, C. A., Camey, S. A., Hoffmann, J. F., & Fleck, M. P. (2011). Quality of life in Brazil: normative values for the WHOQOL-BREF in a southern general population sample. Quality of Life Research, 20(7), 1123-1129.
    de Zwart, B. C. H., Frings‐Dresen, M. H. W., & van Duivenbooden, J. C. (2002). Test-retest reliability of the Work Ability Index questionnaire. Occupational Medicine, 52(4), 177-181.
    Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19(1), 1-15.
    Derogatis, L. R. & Unger, R. (2010). Symptom Checklist-90-Revised. Corsini Encyclopedia of Psychology. New York: John Wiley & Sons, Inc.
    Driesen, K., Jansen, N. W., van Amelsvoort, L. G., & Kant, I. (2011). The mutual relationship between shift work and depressive complaints-a prospective cohort study. Scandinavian Journal of Work, Environment & Health, 37(5), 402-410.
    Edimansyah, B. A., Rusli, B. N., Naing, L., Mohamed, R. B. A., & Winn, T. (2007). Relationship of psychosocial work factors and health-related quality of life in male automotive assembly workers in Malaysia. Industrial Health, 45(3), 437-448.
    Gärtner, J. & Popkin, S. (2000). Influence of law on shift schedule design: USA & Europe. In S. Hornberger et al.: Proceedings of the XIV International Symposium on Night and Shiftwork. Frankfurt, Peter-Lang-Verlag.
    Goldberg, D. P. (1988). A user’s guide to the General Health Questionnaire / David Goldberg and Paul Williams. Windsor, Berkshire: NFER-Nelson.
    Harma, M. (1993). Individual differences in tolerance to shiftwork: a review. Ergonomics, 36(1-3), 101-109.
    Harrington, J. M. (2001). Health effects of shift work and extended hours of work. Occupational and Environmental Medicine, 58, 68-72.
    Healy, D. & Waterhouse, J. M. (1990). The circadian system and affective disorders: clocks or rhythms? Original Article, 7(1), 5-10.
    Hornberger, S. & Knauth, P. (1998). Follow-up intervention study on effects of a change in shift schedule on shiftworkers in the chemical industry. International Journal of Industrial Ergonomics, 21(3-4), 249-257.
    Ilmarinen, J. (2001). Ageing workers in the european union-Status and promotion of work ability, employability and employment. Geneva Papers on Risk and Insurance: Issues and Practice, 26(4), 623-641.
    International Labour Organization (1990). International standard classification of occupations (ISCO-88). Geneva: International Labour Office.
    International Labour Organization (2004). Shift work. Information sheet No. WT-8, Conditions of work and employment programme.
    Johnson-Gerard, M. S. (2011). Insomnia, depression and anxiety: symptoms of shift work Sleep disorder. In Yahoo! Health and Lifestyles Network. Retrieved from http:// http://voices.yahoo.com/insomnia-depression-anxiety-symptoms-shift-7719022.html?cat=5.
    Kantermann, T., Juda, M., Vetter, C., & Roenneberg, T. (2010). Shift-work research: where do we stand, where should we go? Sleep and Biological Rhythms, 8(2), 95-105.
    Karin, A. P., James, M. P., Christopher, J. W., Mathew, J. R., & Robert, M. M. (2002). Reliability and validity of the borg and OMNI rating of perceived exertion scales in adolescent girls. Medicine and Science in Sports and Exercise, 34(12), 2057-2061.
    Kim, Y. G., Yoon, D. Y., Kim, J. I., Chae, C. H., Hong, Y. S., Yang, C. G., Kim, J. M., Jung, K. Y., & Kim, J. Y. (2002). Effects of health on shift-work: General and psychological health, sleep, stress, quality of life. Korean Journal of Occupational and Environmental Medicine, 14(3), 247-256.
    Kishor, K. D. & Sunil, S. (2011). Influence of shift work in process industry on workers’ occupational health, productivity, and family and social life: An ergonomic approach. Human Factors and Ergonomics in Manufacturing & Service Industries, 21(3), 260-268.
    Knauth, P. (1996). Designing better shift systems. Applied Ergonomics, 27(1), 39-44.
    Knauth, P. & Hornberger, S. (2003). Preventive and compensatory measures for shift workers. Journal of Occupational Medicine, 53(2), 109-116.
    Knutsson, A. (1989). Shift work and coronary heart disease. Scandinavian Journal of Social Medicine: Supplementum, 44, 1-36.
    Knutsson, A. (2003). Health disorders of shift workers. Occupational Medicine, 53(2), 103-108.
    Knutsson, A. & Boggild, H. (2010). Gastrointestinal disorders among shift workers. Scandinavian Journal of Work, Environment & Health, 36(2), 85-95.
    Koller, M., Kundi, M., & Cervinka, R. (1978). Field studies of shift work at an Austrian oil refinery I: health and psychosocial wellbeing of workers who drop out of shiftwork. Ergonomics, 21(10), 835-847.
    Lin, Y. C., Hsiao, T. J., & Chen, P. C. (2009a). Persistent rotating shift-work exposure accelerates development of metabolic syndrome among middle-aged female employees: a five-year follow-up. Chronobiology International, 26(4), 740-755.
    Lin, Y. C., Hsiao, T. J., & Chen, P. C. (2009b). Shift work aggravates metabolic syndrome development among early-middle-aged males with elevated ALT. World Journal of Gastroenterology, 15(45), 5654-5661.
    Ljoså, C. H., Tyssen, R., & Lau, B. (2011). Mental distress among shift workers in Norwegian offshore petroleum industry-relative influence of individual and psychosocial work factors. Scandinavian Journal of Work, Environment & Health, 37(6), 551-555.
    Matthias, V., Tanja, B., Wolfgang, M., & Wolfgang, S. (2012). The effects of shift work on physical and mental health. Journal of Neural Transmission, 119(10), 1121-1132.
    Metrek, A., Mohammed, K., & Moataz, A. F. (2012). Effect of shift-work on sleeping quality of male factory workers in aseer industrial area, khamis mushayte, KSA. Asian Journal of Medical Research, 1(3), 90-97.
    Milton, K. E. & Russell, R. (2007). Modafinil for excessive sleepiness associated with chronic shift work sleep disorder effects on patient functioning and health-related quality of life. Primary Care Companion to the Journal of Clinical Psychiatry, 9(3), 188-194.
    Morgan, G. R. (2010). The health risks of shift work. In WedMD. Retrieved from http://www.webmd.com/default.htm.
    Nelson, L. RD. LN. (2011). Shift work and the impact on heart health. In HealthCentral. Retrieved from http://www.healthcentral.com/heart-disease/c/42538/143016/work-health/.
    Niu, S. F., Chung, M. H., Chen, C. H., Hegney, D., O’Brien, A., & Chou, K. R. (2011). The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. The Journal of Nursing Research, 19(1), 68-81.
    Nygård, C. H., Eskelinen, L., Suvanto, S., & Ilmarinen, J. (1991). Associations between functional capacity and work ability among elderly municipal employees. Scandinavian Journal of Work, Environment & Health, 17(Suppl 1), 122-127.
    Occupational Safety and Health Administration (1995). Draft: Instructions for Completing the Risk Factor Checklist, 24-32.
    Pietroiusti, A., Neri, A., Somma, G., Coppeta, L., Iavicoli, I., Bergamaschi, A., Magrini, A. (2010). Incidence of metabolic syndrome among night-shift healthcare workers. Occupational and Environmental Medicine, 67, 54-57.
    Roger, R. R. & Michael, J. C. (1997). Plain language about shiftwork. Department of Health and Human Services (NIOSH), Publication No. 97-145.
    Saksvik, I. B., Bjorvatn, B., Harvey, A. G., Waage, S., Harris, A., & Pallesen, S. (2011). Adaptation and readaptation to different shift work schedules measured with sleep diary and actigraphy. Journal of Occupational Health Psychology, 16(3), 331-344.
    Schneider, W. (2011). Psychosoziale Herausforderungen der Arbeitswelt in der postmodernen Gesellschaft. Psychotherapeut, 56(1), 8-15.
    Schwartz, J. R. & Roth, T. (2006). Shift work sleep disorder: burden of illness and approaches to management. Drugs, 66(18), 2357-2370.
    Selvi, Y., Ö zdemir, P. G., Ö zdemir, O., Aydın, A., & Besiroglu, L. (2010). Influence of night shift work on psychological state and quality of life in health workers. Journal of Neurological Sciences, 23, 238-243.
    Shahram, S., Jafar, A., Meghdad, K., Mohammad, A. M., & Behzad, M. (2013). Personnel’s health surveillance at work: Effect of age, body mass index, and shift work on mental workload and work ability index. Journal of Environmental and Public Health, 2013, 1-6.
    Shao, M. F., Chou, Y. C., Yeh, M. Y., & Tzeng, W. C. (2010). Sleep quality and quality of life in female shift-working nurses. Journal of Advanced Nursing, 66(7), 1565-1572.
    Skevington, S. N., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. (A Report from the WHOQOL Group). Quality of Life Research, 13, 299-310.
    Staines, G. L. & Pleck, J. H. (1986). Work schedule flexibility and family life. Journal of Organizational Behavior, 7(2), 147-153.
    Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., Miyake, T., & Harano, S. (2004). Mental health status, shift work, and occupational accidents among hospital nurses in Japan. Journal of Occupational Health, 46(6), 448-454.
    Tatsuhiko, K., Kotaro, O., Kazuya, M., Kenji, W., Yoshihisa, F., Yoshiyuki, W., Tsuneharu, M., Masahiro, N., Kyohei, H., Koji, S., Mitsuru, M., Masakazu, W., Fumio, S., Yoshinori, I., Takesumi, Y., & Akiko, T. (2006). Prospective cohort study of the risk of prostate cancer among rotating-shift workers findings from the Japan collaborative cohort study. American Journal of Epidemiology, 164(6), 549-555.
    Terry, P. D., Villinger, F., Bubenik, G. A., & Sitaraman, S. V. (2009). Melatonin and ulcerative colitis: evidence, biological mechanisms, and future research. Inflammatory Bowel Diseases, 15(1), 134-140.
    The WHOQOL Group. (1998). Development of the World Health Organisation WHOQOL-BREF QOL assessment. Psychological Medicine, 28(3), 551-558.
    Tobia, L., Giammaria, A., Pizzuti, S., Gioia, F., Lupi, A., Spera, G., & Paoletti, A. (2005). Elderly workers in chemical, energetic, sanitary and public fields: Evaluation of work ability. International Congress Series, 1280, 322-327.
    Tuomi, K., Huuhtanen, P., Nykyri, E., & Ilmarinen, J. (2001). Promotion of work ability, the quality of work and retirement. Occupational Medicine, 51(5), 318-324.
    Tuomi, K., Ilmarinen, J., Jahkola, A., Katajarinne, L., & Tulkki, A. (1998). Work Ability Index. 2nd revised edn. Helsinki: Finnish Institute of Occupational Health.
    van Boven, K., Lucassen, P., van Ravesteijn, H., Hartman, T., Bor, H., van Weel-Baumgarten, E., et al. (2011). Do unexplained symptoms predict anxiety or depression? Ten-year data from a practice-based research network. British Journal of General Practice-Royal College of General Practitioners, 61(587), e316-e325.
    Wang, X. S., Armstrong, M. E., Cairns, B. J., Key, T. J., & Travis, R. C. (2011). Shift work and chronic disease: the epidemiological evidence. Occupational Medicine, 61(2), 78-89.
    Wehrens, S. M., Hampton, S. M., Finn, R. E., & Skene, D. J. (2010). Effect of total sleep deprivation on postprandial metabolic and insulin responses in shift workers and non-shift workers. Journal of Endocrinology, 206(2), 205-215.
    Williamson, A. M. & Sanderson, J. W. (1986). Changing the speed of shift rotation: a field study. Ergonomics, 29(9), 1085-1096.
    Wittchen, H. U. & Jacobi, F. (2005). Size and burden of mental disorders in Europe-a critical review and appraisal of 27 studies. European Neuropsychopharmacology, 15(4), 357-376.
    Yao, G., Chung, C. W., Yu, C. F., & Wang, J. D. (2002). Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. Journal of the Formosan Medical Association, 101(5), 342-351.
    Yu, N. W., Chen, C. Y., Liu, C. Y., Chau, Y. L., & Chang, C. M. (2011). Association of body mass index and depressive symptoms in a Chinese community population results from the health promotion knowledge, attitudes, and performance survey in Taiwan. Chang Gung Medical Journal, 34(6), 620-627.
    Zhen, L. W., Ann, G. K., & Yu, H. K. (2006). Functional bowel disorders in rotating shift nurses may be related to sleep disturbances. European Journal of Gastroenterology & Hepatology, 18(6), 623-627.

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