일부 공공서비스 종사자의 직무스트레스 감정노동과 근골격계 증상 및 결근 조퇴와 관련성

Relationship between Occupational Stress-Emotional Labor and Musculoskeletal Symptoms and Experience of Absence or Early Leave in Some Civil Affairs Officials

  • 유상곤 (조선대학교 의과대학 직업환경의학과) ;
  • 최창기 (조선대학교 의과대학 직업환경의학과) ;
  • 송한수 (조선대학교 의과대학 직업환경의학과) ;
  • 이철갑 (조선대학교 의과대학 직업환경의학과)
  • Yoo, Sang-Kon (Department of Occupational & Environmental Medicine, School of Medicine, Chosun University) ;
  • Choi, Chang-Ki (Department of Occupational & Environmental Medicine, School of Medicine, Chosun University) ;
  • Song, Han-Soo (Department of Occupational & Environmental Medicine, School of Medicine, Chosun University) ;
  • Lee, Chul-Gab (Department of Occupational & Environmental Medicine, School of Medicine, Chosun University)
  • 발행 : 2011.06.30

초록

목적: 공공서비스 종사자에게 한국인 직무스트레스 측정도구(KOSS)와 감정노동 간에 관련성을 살펴보고, 근골격계 증상 호소 및 결근이나 조퇴와 어떠한 관련이 있는지 알아보고자 하였다. 방법: 2009년 8월 감정노동을 하는 국민건강보험공단 직원 391명을 대상으로 설문조사를 하였다. 설문지는 KOSS와 감정노동 및 근골격계 증상, 결근 및 조퇴 현황 등을 묻는 문항으로 구성하였다. 일반적 특성 및 건강행태, 범주화한 KOSS와 감정노동 총점수를 독립변수하고, 근골격계 증상 호소, 결근 및 조퇴 경험 유무를 종속변수로 한 로지스틱 회귀분석을 실시하여 대응비와 신뢰구간을 구하였다. 결과: KOSS의 직무요구와 감정노동의 상관계수는 0.409이었다. 근골격계 증상 호소의 대응비(odds ratio)는 KOSS 점수가 낮은 군에 비해 중간 군이 1.64(95% CI: 0.82~3.28), 높은 군이 3.32(95% CI: 1.55~7.10)이었고, 감정노동 점수가 낮은 군에 비해 중간 군이 2.32(95% CI: 1.17~4.61), 높은 군이 2.48(95% CI: 1.15~5.33)이었다. 신체적 불편함으로 인한 결근이나 조퇴 경험은 KOSS 점수가 낮은 군에 비해 중간 군이 2.26(95% CI: 1.12~4.56), 높은 군이 2.69(95% CI: 1.24~5.84)이었고, 감정노동 점수가 낮은 군에 비해 중간 군이 2.43(95% CI: 1.24~4.76), 높은 군이 3.08(95% CI: 1.44~6.57)이었다. 결론: 감정노동은 서비스업 종사자에게 직무요구와 관련된 스트레스 요인으로 작용하며, 근골격계 증상 호소 및 결근이나 조퇴와 같은 노동력 손실에 영향을 미친다.

Objectives: The objectives of this study are to identify the relationship between the Korean occupational stress scale (KOSS) and emotional labor, and to study the association between emotional labor and musculoskeletal symptoms, absence or early leave due to physical problems among civil affairs officials. Methods: 391 public workers who provide social insurance service were analyzed. A structured selfreported questionnaire was used to assess sociodemographics, job stress, emotional labor, musculoskeletal symptoms and the experience of absence or early leave due to physical problems. For a comprehensive understanding of the relationship among these factors, multiple logistic regression analysis was used. Results: The Pearson coefficient was 0.409 between the job demand of KOSS and the emotional labor score. The odds ratio of musculoskeletal symptoms is 2.32(95% CI: 1.17~4.61), 2.48(95% CI: 1.15~5.33) in the groups of moderate and, high emotional labor score, respectively, compared to the low score group. On the other hand, the odds ratio of the experience of absence or early leave due to physical problems is 2.43(95% CI: 1.24~4.76) and, 3.08(95% CI: 1.44~6.57) in the same groups. Conclusions: Emotional labor acts as a factor of job demand of KOSS, and has an effect on musculoskeletal symptoms and absence or early leave among civil affairs officials.

키워드

참고문헌

  1. Sauter S, Murphy L, Colligan M, Swanson N, Hurrell J, Scharf F, Grubb RSP, Goldenhar L, Alterman T, Johnston J, Hamilton A, Tisdale J. Stress at work. In: DHHS (NIOSH) Publication No. 99-101. 1999. pp 6.
  2. Hong JY, Kim HR, Lee BR, Kim YK, Koo JW, Park CY. The relationship between job stress and liver dysfunction among male white-collar workers. Korean J Occup Environ Med 2009;21(2):165-73. (Korean)
  3. Sakong J, Chung JH, Kim HS. The effects of job stress on psychosomatic strain and gastrointestinal symptom. Korean J Occup Med 1997;9(3):530-42. (Korean)
  4. Kim DH, Park SG, Kim HC, Lee EC, Kim JH, Leem JH. The relationship between job stress and the common cold. Korean J Occup Environ Med 2008;20(2):74-80. (Korean)
  5. Park KC, Lee KJ, Park JB, Min KB, Lee KW. Association between occupational stress and depression, anxiety, and stress symptoms among white-collar male workers in an automotive company. Korean J Occup Environ Med 2008;20(3):215-24. (Korean)
  6. Hwang CK, Koh SB, Chang SJ, Park CY, Cha BS, Hyun SJ, Park JH, Lee KM, Cha KT, Park WJ, Jhun HJ. Occupational stress in relation to cerebrovascular and cardiovascular disease: longitudinal analysis from the NSDSOS project. Korean J Occup Envrion Med 2007;19(2):105-14. (Korean)
  7. Koh SB, Chang SJ, Park JK, Park JH, Son DK, Hyun SJ, Cha BS. Occupational stress and risk factors for cardiovascular diseases. Korean J Occup Environ Med 2005;17(3):186-98. (Korean)
  8. Yoon JW, Yi KJ, Kim SY, Oh JG, Lee JT. The relationship between occupational stress and musculoskeletal symptoms in call center employees. Korean J Occup Environ Med 2007;19(4):293-303. (Korean)
  9. Lee EC, Kim HC, Jung DY, Kim DH, Leem JH, Park SG. Association between job-stress and VDT work, and musculoskeletal symptoms of neck and shoulder among white-collar workers. Korean J Occup Environ Med 2007;19(3):187-95. (Korean)
  10. Jo MH, Kim KS, Lee SW, Kim TG, Ryu HW, Lee MY, Won YL. The relationship between job stress and musculoskeletal symptoms in migrant workers. Korean J Occup Environ Med 2009;21(4):378-87.(Korean)
  11. Kim JH, Park SG, Kim DH, Kim HC, Leem JH, Lee EC, Lee DH, Lee JY. Absence and early leave status due to job stress and its relationship to job stress factors according to the Korean occupational stress scale among workers in small and medium scale industry. Korean J Occup Environ Med 2009;21(2):107-14.(Korean)
  12. Samsung Economic Research Institute. The Feature of Korean Hospitality Industry Employment and Improvement (translated by Yoo SK). Available: http://www.seri.org [cited 8 April 2011].(Korean)
  13. Hochschild AR. The Managed Heart: Commercialization of Human Feeling. University of California Press. Berkeley. 1983.
  14. Zajonc RB. Emotion and facial efference: a theory reclaimed. Science 1985;228(4695):15-21. https://doi.org/10.1126/science.3883492
  15. Zapf D, Holz M. On the positive and negative effects of emotion work in organizations. European of Work and Organizational Psychology 2006;15(1):1-28. https://doi.org/10.1080/13594320500412199
  16. Ahn JY, Jung HS, Kim HA. The relationship between emotional labor and job stress of clinical nurses in a hospital. Korean J Occup Health Nurs 2007;16(2):139-46.(Korean)
  17. Kim SY, Chang SJ, Kim HR, Roh JH. A study on the relationship between emotional labor and depressive symptoms among Korean industrial service employees. Korean J Occup Environ Med 2002;14(3):227-35.(Korean)
  18. Byun DS, Yom YH. Factors affecting the burnout of clinical nurses: focused on emotional labor. J Korean Acad Nurs Admin 2009;15(3):444-54. (Korean)
  19. Johnson HA, Spector PE. Service with a smile: do emotional intelligence, gender, and autonomy moderate the emotional labor process? J Occup Health Psychol 2007;12(4):319-33.
  20. Grandey AA. Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol 2000;5(1):95-110.
  21. Ahn DH, Park JC. The effect of emotional labor and emotional dissonance on burnout and turnover intention for the hotel's employee. The Journal of the Korea Contents Association 2009;9(9):335-45. (Korean) https://doi.org/10.5392/JKCA.2009.9.9.335
  22. Cho SK, Jung HS. A study on response of job stress and emotional labor of the sales workers of department store. Korean J Occup Health Nurs 2006;15(2):83-93.(Korean)
  23. Lee JP, Lee SK. Newly developed quality evaluation model on pubic service. Korean Public Management Review 2009;23(1):1-32.(Korean)
  24. Kim SG. An exploratory study on the emotional labor in pubic sector: focused on street-level bureaucrats in the civil service system. The Korean Journal of Local Government Studies 2009;13(1):51-70.(Korean)
  25. Chang SJ, Koh SB, Kang DM, Kim SA, Kang MG, Lee CG, Chung JJ, Cho JJ, Son MA, Chae CH, Kim JW, Kim JI, Kim HS, Roh SC, Park JB, Woo JM, Kim SY, Kim JY, Ha MN, Park JS, Rhee KY, Kim HR, Kong JO, Kim IA, Kim JS, Park JH, Huyun SJ, Son DK. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2005;17(4):297-317. (Korean)
  26. Korea Occupational Safety and Health Agency. Guideline of ocupational stressor measurement (translated by Yoo SK). Available: http://www.kosha.or.kr [cited 8 April 2011]. (Korean)
  27. Choi WJ, Sung NJ, Kang YJ, Han SH. Validity of NIOSH- and Nordic-style questionnaires in the screening and surveillance of neck and upper extremity workrelated musculoskeletal disorders. Korean J Occup Environ Med 2008;20(3):205-14. (Korean)
  28. Kim KH. A study on interactive service work: Emotional labor and materiality of service work. Economy and Society 2006;72:206-29. (Korean)
  29. Ahn BC, Kim JY, Lee DH. The historical change and trait in public service - focused on content analysis of public service law in Korea - The Korean Governance Review 2009;16(2):287-317. (Korean)
  30. Lee SY, Yang HS. The relations of emotional labor to emotional exhaustion and turnover intention in call center workers. The Journal of the Korea Contents Association 2008;8(4):197-210. (Korean) https://doi.org/10.5392/JKCA.2008.8.4.197
  31. Yoo JH. Effects of emotional labor and job stress of broadcast staff on psychological well-being and burnout. Journal of Psychology and behavior 2010;2(1):97-114. (Korean)
  32. Han JH, Lim JP, Lee SK. A study of emotional labor and job stress effects on job attitude of airline employees. Journal of Hospitality and Tourism Studies 2008;10(3):37-51. (Korean)
  33. Huang GD, Feuerstein M, Sauter SL. Occupational stress and work-related upper extremity disorders: concepts and models. Am J Ind Med 2002;41(5):298-314. https://doi.org/10.1002/ajim.10045
  34. Carayon P, Smith MJ, Haims MC. Work organization, job stress, and work-related musculoskeletal disorders. Hum Factors 1999;41(4):644-63. https://doi.org/10.1518/001872099779656743
  35. Warren N. Work stress and musculoskeletal disorder etiology: The relative roles of psychosocial and physical risk factors. Work 2001;17(3):221-34.
  36. Schleifer LM, Ley R, Spalding TW. A hyperventilation theory of job stress and musculoskeletal disorders. Am J Ind Med 2002;41(5):420-32. https://doi.org/10.1002/ajim.10061
  37. Visser B, van Die?n JH. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol 2006;16(1):1-16. https://doi.org/10.1016/j.jelekin.2005.06.005
  38. Kim SE. A study on the job burnout of secretaries. Journal of Secretarial Science 2007;16(2):5-26. (Korean)
  39. Na TK, Park IS, Jeon KC. A study on the emotional labor and burnout in food service industry. The Korean Journal of Culinary Research 2005;11(3):89-102. (Korean)
  40. Na TK, Park IS, Jeon KC. A study on the emotional labor and burnout in food service industry. The Korean Journal of Culinary Research 2007;16(2):5-26. (Korean)