대한인간공학회지 (Journal of the Ergonomics Society of Korea)

  • 제29권4호
  • /
  • Pages.465-471
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  • 2010
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  • 1229-1684(pISSN)
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  • 2093-8462(eISSN)
대한인간공학회 (Ergonomics Society of Korea)
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작업관련성 근골격계질환과 사회심리적 요인

Work-related Musculoskeletal Disorders and Psychosocial Factors

  • 김인아 (을지대학교 의과대학 예방의학교실) ;
  • 배규정 (한양대학교 의과대학 산업의학교실) ;
  • 권순찬 (한양대학교 의과대학 산업의학교실) ;
  • 송재철 (한양대학교 의과대학 산업의학교실)
  • Kim, In-Ah (Department of Preventive Medicine, School of Medicine, Eulji University) ;
  • Bae, Kyu-Jung (Department of Occupational Medicine, Hanyang University College of Medicine) ;
  • Kwon, Soon-Chan (Department of Occupational Medicine, Hanyang University College of Medicine) ;
  • Song, Jae-Chul (Department of Occupational Medicine, Hanyang University College of Medicine)
  • 투고 : 2010.07.07
  • 심사 : 2010.07.15
  • 발행 : 2010.08.31
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초록

Work-related musculoskeletal disorders (WMSDs) have been the most common health problem covered by worker's accident compensation insurance for several years in Korea. Korean government has strengthened related regulations since 2003. People looked forward to decreasing the incidence and prevalence of WMSDs. At first, the expectation could be realized. However, we were bumped against to limit at present. The authors think it is due to the negligence of psychosocial factors for WMSDs. Many researchers reported that the various psychosocial factors were associated with WMSDs or symptoms. Job demand, social support, job satisfaction and decision latitude are the major risk factors in job stress aspect. Work pressure, lack of rest, qualified workload, workload variability and monotonous job are the significant risk factors in work context of work organization. Employment flexibility, downsizing, lean production, contingent work and pay for by the piece are also the risk factors in an organizational context. Furthermore, these risk factors are associated with each other across different dimensions of work organization. Suggestive possible pathways between these risks and WMSDs have been taken note of increasing muscle strain or ergonomic stress and of a cognitive aspect. The authors suggest these risk factors could explain the limitation of the regulation system for WMSDs. In conclusion, the strategy to manage psychosocial factors is the one of the essential approach to prevent WMSDs.

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참고문헌

  1. 강동묵, 근육골격계질환, 1st ed., (pp. 146-147), 2005.
  2. 김종훈, 박민용. Macroergonomics와 21세기의 Work System, 대한인간공학회 학술대회논문집, (pp. 19-22), 1999.
  3. 노동부, 근골격계 부담작업의 범위 고시, 2003-24호, 2004.
  4. 노동부, 2005년도 산업재해 발생현황, 2006a.
  5. 노동부, 성명 자료실, 작년 산재 사망자 크게 줄어, http://news.naver.com/main/read.nhn?mode=LSD&mid=sec&sid1=123&oid=178&aid=0000000056, 2006b.
  6. 노동부, 2007년 산업재해 발생현황, 2008.
  7. 노동부, 2009년 산업재해 발생현황, 2010.
  8. 이윤근, 박희석, 심리사회적 요인과 근골격계질환 증상과의 관계에 대한 연구, Journal of the Ergonomics Society of Korea, 22(4), 15-25, 2003. https://doi.org/10.5143/JESK.2003.22.4.015
  9. 이철갑, 박종, 박정식, 손석준, 작업관련성 근골격계질환 증상 호소와 관련된 사회심리적 요인, Korean Journal of Occupational and Environmental Medicine, 17(2), 104-115, 2005.
  10. 한국노동안전보건연구소, 2006 산재통계와 노동자 건강, 일터, 2007. 5., http://www.kilsh.or.kr, 2007.
  11. 한국산업안전보건공단, 근골격계 부담작업 유해요인조사 지침, 2008.
  12. 한상환, 조수헌, 김지영, 성낙정, 전자제품 조립업체 근로자에서 직무 요구, 직무조직, 경력개발, 역할 압력, 경제적 압력 등의 직무 스트레스가 업무관련 상지 근골격계질환에 미치는 영향, Korean Journal of Occupational and Environmental Medicine, 15(3), 269-280, 2003.
  13. Bernard, B. P., Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back (NIOSH publication No. 97-141), Cincinnati, OH , U.S., Department of health and human services, 7(1)-7(10), 1997.
  14. Bongers, P. M., de Winter, C. R., Kompier, M. A. and Hildebrandt, V. H., Psychosocial factors at work and musculoskeletal disease, Scandinavian Journal of Work and Environmental Health, 19(5), 297-312, 1993. https://doi.org/10.5271/sjweh.1470
  15. Bongers, P. M., Kremer, A. M. and ter Laak, J., Are Psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A Review of the Epidemiological Literature, American Journal of Industrial Medicine, 41(5), 315-342, 2002. https://doi.org/10.1002/ajim.10050
  16. Bongers, P. M., Ijmker, S, van den Heuvel, S. and Blatter, B. M., Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioral perspective (part II), Journal of Occupational Rehabilitation, 16(3), 279-302, 2006.
  17. da Costa, B. R. and Vieira, E. R., Risk factors for work-related musculoskeletal disorders, A systematic review of recent longitudinal studies, American Journal of Industrial Medicine, 53(3), 285-323, 2010.
  18. Ergonomics in Wikipedia, available: http://en.wikipedia.org/wiki/Ergonomics, 2010.
  19. Feuerstein, M., Work style: Definition, Empirical Support, and Implications for Prevention, Evaluation, and Rehabilitation of Occupational Upper Extremity Disorders. In SD Moon, SL Sauter(eds), Beyond Biomechanics and Psychosocial Aspects of Musculoskeletal Disorders in Office, Taylor & Francis, (pp. 177-206), Bristol. PA. 1996.
  20. Feuerstein, M., Shaw, W. S., Nicholas, R. A. and Huang, G. D., From confounders to suspected risk factors: psychosocial factors and work-related upper extremity disorders, Journal of Electromyography and Kinesiology, 14(1), 171-178, 2004. https://doi.org/10.1016/j.jelekin.2003.09.016
  21. Fredriksson, K., Alfredsson, L., Ahlberg, G., Josephson, M., Kilbom, A., Wigaeus Hjelm, E., Wiktorin, C. and Vingard, E., MUSIC/Norrtalje Study Group, Musculoskeletal Intervention Centre, Work environment and neck and shoulder pain: the influence of exposure time. Results from a population based case-control study, Occupational and Environmental Medicine, 59(3), 182-188, 2002. https://doi.org/10.1136/oem.59.3.182
  22. Fucini, J. and Fucini, S., Working for the Japanese: Inside Mazda's, American auto plant, Free Press, New York. NY. 1990.
  23. Graham L., On the line at Subaru-Isuzu, The Japanese model and the American worker, 1995.
  24. Hales, T. R., Sauter, S. L., Peterson, M. R., Fine, L. J., Putz-Anderson, V., Schleifer, L. R., Ochs, T. T. and Bernard B. P., Musculoskeletal disorders among visual display terminal users in a telecommunications company, Ergonomics, 37(10), 1603-1621, 1994. https://doi.org/10.1080/00140139408964940
  25. Himmelstein, J. S., Feuerstein, M., Stanek, E. J., Koyamatsu, K., Pransky, G. S., Morgan, W. and Anderson, K. O., Work-related upper-extremity disorders and work disability: clinical and psychosocial presentation, Journal of Occupational and Environmental Medicine, 37(11), 1278-1286, 1995. https://doi.org/10.1097/00043764-199511000-00006
  26. Hopkins, A., Stress, the quality of work, and repetitive strain injury in Australia, Work and Stress, 4(2), 129-138, 1990. https://doi.org/10.1080/02678379008256975
  27. Houtman, I. L, Bongers, P. M., Smulders, P. G. and Kompier, M. A., Psychosocial stressors at work and musculoskeletal problem, Scandinavian Journal of Work and Environmental Health, 20(2), 139-145, 1994. https://doi.org/10.5271/sjweh.1419
  28. Huang, G. D., Feuerstein, M., Kop, W. J. et al., Individual and combined impacts of biomechanical and work organization factors in work-related musculoskeletal symptoms, American Journal of Industrial Medicine, 43(5), 495-506, 2003. https://doi.org/10.1002/ajim.10212
  29. Knardahl, S., Psychological and social factors at work: contribution to musculoskeletal disorders and disabilities, Giornale Italiano di Medicina del Lavoro ed Ergonomia, 27(1), 65-73, 2005.
  30. Lansbergis, P. A., The changing organization of work and the safety and health of working people: A commentary, Journal of Occupational and Environmental Medicine, 45(1), 61-72, 2003. https://doi.org/10.1097/00043764-200301000-00014
  31. Lindstrom, K., Psychosocial criteria for good work organization, Scandinavian Journal of Work and Environmental Health, 20, 123-133, 1994.
  32. Linton, S. J., Risk factors for neck and back pain in a working population in Sweden, Work and Stress, 4(1), 41-49, 1990. https://doi.org/10.1080/02678379008256963
  33. Moore, J. S. and Garg, A., Use of participatory ergonomics teams to address musculoskeletal hazards in the red meat packing industry, American Journal of Industrial Medicine, 29(4), 402-408, 1996. https://doi.org/10.1002/(SICI)1097-0274(199604)29:4<402::AID-AJIM25>3.0.CO;2-4
  34. Punnett, L., Cherniack, M., Henning, R., Morse, T. and Faghri, P., CPH-NEW Research Team, A conceptual framework for integrating workplace health promotion and occupational ergonomics programs, Public Health Reports, 124(Supplement 1), 16-25, 2009. https://doi.org/10.1177/00333549091244S103
  35. Sauter, S. L. and Swanson, N. G., An ecological model of musculoskeletal disorders in office work, In SD Moon, SL Sauter(des), Beyond Biomechanics: Psychosocial Aspects of Musculoskeletal Disorder in Office Work, Taylor & Francis, (pp. 3-12), Bristol. PA. 1996.
  36. Sauter, S. L., et al., The changing organization of work and the safety and health or working people, NIOSH, Report No. 2002-2116, 2002.
  37. Smith, C. K., Silverstein, BA., Fan, ZJ., Bao, S. and Johnson, P. W., Psychosocial factors and shoulder symptom development among workers, American Journal of Industrial Medicine, 52(1), 57-68, 2009. https://doi.org/10.1002/ajim.20644
  38. Street, S. L., Kramer, J. E., Harburn, K. L., Hansen, R. and MacDermid, J. C., Changes in postural risk and general health associated with a participatory ergonomics education program used by heavy video display terminal users: a pilot study, Journal of Hand Therapy, 16(1), 29-35, 2003. https://doi.org/10.1016/S0894-1130(03)80021-2
  39. Svensson, H. O. and Andersson, G. B., Low-back pain in 40- to 47-year-old men: work history and work environment factors, Spine (Phila Pa 1976), 8(3), 272-276, 1983. https://doi.org/10.1097/00007632-198304000-00007
  40. Theorell, T., Harms-Ringdahl, K., Ahlberg-Hulten, G. and Westin, B., Psychosocial job factors and symptoms from the loco motor system-a multicausal analysis, Scandinavian Journal of Rehabilitation Medicine, 23(3), 165-173, 1991.
  41. Tola, S., Riihimaki, H., Videman, T., et al., Neck and shoulder symptoms among men in machine operating, dynamic physical work and sedentary work, Scandinavian Journal of Work and Environmental Health, 14(2), 299-305, 1988. https://doi.org/10.5271/sjweh.1916
  42. Trinkoff, A. M., Le, R., Geiger-Brown, J., Lipscomb, J. and Lang G., Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses, American Journal of Industrial Medicine, 49(11), 964-971, 2006. https://doi.org/10.1002/ajim.20330
  43. Viikari-Juntura, E., Vuori, J., Silverstein, B. A., Kalimo, R., Kuosma E. and Videman, T., A life-long prospective study on the role of psychosocial factors in neck-shoulder and low-back pain, Spine (Phila Pa 1976), 16(9), 1056-1061, 1991. https://doi.org/10.1097/00007632-199109000-00008