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종합병원 간호사의 근골격계질환 증상요인 및 관리방안

Musculoskeletal Disorder Symptom Factors and Control Strategies in General Hospital Nurses

  • 박정근 (한국산업안전보건공단 산업안전보건연구원)
  • Park, Jung-Keun (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
  • 투고 : 2014.04.15
  • 심사 : 2014.07.29
  • 발행 : 2014.09.30

초록

Objectives: This study was undertaken in order to examine how musculoskeletal disorder(MSD) symptoms were affected by particular factors and then to explore control strategies to prevent MSDs in general hospital nurses. Materials: This, as part of a large study, was conducted using a set of information on literature review, questionnaire survey and focus group interview. It obtained prevalence and factors of MSD symptoms and examined how MSD symptoms were distributed and affected by the factors in nurses working at 15 general hospitals across Korea. The factors were personal factors, work organization, nursing tasks, physical factors and psychosocial factors. Results: A total of 501 nurses were determined as subjects. The highest MSD symptom prevalence was 61% for the shoulder, among body parts, followed by leg/feet(55%), low back(51%), neck(42%), wrist(38%), and elbow(21%). Prevalence for the whole body was 80%. Odds ratios ranged from 0.4 to 22.4 in logistic regression analyses. The symptoms were significantly attributed to factor variables such as body mass index, current health status, daily work time, nursing task, pooled-physical factors, ergonomic factors, work load, interpersonal conflict, and job insecurity. Conclusions: Two or more factor variables were significant, depending on body part, for MSD systems in the general hospital nurses. It was noticeable that physical factors, such as pooled-physical factors, ergonomic factors or work load, were selectively significant for MSD symptoms in all body parts, indicating that such information should be used for prevention of MSDs in the hospital sector.

키워드

참고문헌

  1. Choi WK. Characteristics of musculoskeletal pain in nurses. Master's thesis, Yeonsei University; 2005
  2. Cho KH. Musculoskeletal disorder symptom prevalence and risk factors in hospital workers. Doctoral thesis, Inje University; 2003
  3. Choo SH, Kim IA, Lee SJ. Factors of musculoskeletal disorder symptoms in female workers at a hospital. Proceedings of 3rd Semi-annual meeting of Korea SocOccup&Environ Med 2007; 463-64
  4. Daraiseh, NM, Cronin, SN, Davis, LS, et al. Low back symptoms among hospital nurses, associations to individual factors and pain in multiple body regions, Int J Ind Ergon 2010; 40:19-24 https://doi.org/10.1016/j.ergon.2009.11.004
  5. Deeney C and O'Sullivan L, Work related psychosocial risks and musculoskeletal disorders: Potential risk factors, causation and evaluation methods, Work 2009;34: 239-248
  6. Hales T, Fine L. Cargill poultry division, HETA 89-251-1997. National Institute for Occupational Safety and Health (NIOSH), Cincinnati; 1989
  7. Heo KH, Park JK, Jang SH, Kim DS. Analysis on the psychosocial factors by job characteristics in general hospital nurses. Proceedings of Ergon Soc Korea, Semi-annual meeting(CD), Je-JooDo, Korea, May 2011
  8. Jang SJ. Re-evaluation of Korean Occupational Stress System (KOSS) - Focus on contents and structure of KOSS. J Korean SocOccup Stress 2007;1(1): 83-96
  9. Kim DS and Park JK. Analysis of posture and job tasks in general hospital nurses. Proceedings of Ergon Soc Korea, Semi-annual meeting(CD), Je-Joo Do, Korea, May 2011
  10. Kim SL and Lee JE. Development of an intervention to prevent work-related musculoskeletal disorders among hospital nurses based on the participatory approach. Applied Ergon 2010; 41:454-460 https://doi.org/10.1016/j.apergo.2009.09.007
  11. Kim YH, Kim RH, Song JC, Lee SJ, Chung KS et al. A study on reasonable management and national system establishment in prevention for occupational diseases. Occupational Safety and Health Research Institute (OSHRI) Report, OSHRI-121-1349, 2009
  12. Kleinbaum, DG, Kupper, LL, Muller, KE and Nizam, A. Applied regression analysis and other multivariable methods. 3rd ed, Duxbury Press: Pacific Grove, CA:1998. p.395-396
  13. Koppelaar, E, Knibbe, JJ, Miedema, HS, Burdorf, A. The influence of individual and organizational factors on nurses'behavior to use lifting devices in healthcare, Applied Ergon 2013; 44: 532-537 https://doi.org/10.1016/j.apergo.2012.11.005
  14. Long, MH, Johnston, V, Bogossian, F. Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: A systematic review of risk factors and functional consequences, Applied Ergon 2012; 43:455-467 https://doi.org/10.1016/j.apergo.2011.07.002
  15. Malkin R and Mc Glothlin J. HETA 98-0032-2795, Health hazard evaluation report. National Institute for Occupational Safety and Health (NIOSH), Cincinnati, OH: 2000
  16. Ministry of Employment and Labour (MOEL). Annual report on 2011 Workers' Compensation. 2012. p. 270 and 300
  17. Ministry of Health, Welfare and Family (MHWF). 2009 MHWF Annual report on statistics. 2009
  18. National Institute for Occupational Safety and Health (NIOSH). Elements of ergonomics programs. NIOSH, DHHS Publication No. 97-117, Cincinnati, OH: 1997
  19. Occupational Safety and Health Research Institute (OSHRI). A study on development and standardization of a measurement tool for occupational stress in Korean population. 2nd year project, OSHRI 2004-56-427, 2004
  20. Park JK, Jang SH, Kim DS, Heo KH et al. Musculoskeletal disorders and job stress risk factors in general hospital nurses: Nursing tasks and musculoskeletal disorder symptoms. Proceedings of Ergon Soc Korea,Semi-annual meeting (CD), Pyung-Chang, Korea, October 2010a
  21. Park JK, Jang SH, Kim DS, Heo KH et al. Musculoskeletal disordersand job stress risk factors in general hospital nurses.Occupational Safety and Health Research Institute (OSHRI) Report, 2010-OSHRI-1094, 2010b
  22. Park JK, Jang SH, Kim DS, Heo KH. Factors affecting low back pain symptoms in general hospital nurses. Proceedings of Ergon SocKorea, Semi-annual meeting (CD), Je-Joo Do, Korea, May 2011
  23. Park JK, Kim DS, Jang SH, Heo KH. Musculoskeletal disorder symptoms and risk factors in general hospital nurses. Proceedings of 8th International conference on prevention of work-related musculoskeletal disorders (PREMUS2013), Busan, Korea, July 2013. p. 50
  24. Park JK, Kim DS, Seo KB. Musculoskeletal disorder symptom features and control strategies in hospital workers. J Ergon Soc Korea 2008; 27(3):81-92 https://doi.org/10.5143/JESK.2008.27.3.081
  25. Park SG and Park JS. Application of the Korean-version assessment on occupational stress using a Fun Management approach. National Safety Week: Seminar of Korea SocOccup Environ Med, Seoul, Korea, July 2007
  26. Public Citizen, Health Care Workers Unprotected, Insufficient inspections and standards leave safety risks unaddressed, 2013 [cited on Apr 11, 2014], Available from: URL:http://www.citizen.org/documents/health-care-workers-unprotected-2013-report.pdf
  27. SAS Institute Inc. Statistical analysis software. Version 9.1 for windows, Cary, North Carolina: 2003
  28. Sezto, GPY, Wong, TKT, Law, RKY, et al. The impact of a multifaceted ergonomic intervention program on promoting occupational health in community nurses, Applied Ergon 2013; 44:414-422 https://doi.org/10.1016/j.apergo.2012.10.004
  29. US Bureau of labor statistics(USBLS). Nonfatal occupational injuries and illnesses requiring days away from work in 2012.USBLS News Release, USDL-13-2257, November 26, 2013. Available from:URL:http://www.bls.gov/news.release/pdf/osh2.pdf

피인용 문헌

  1. Comparison of Patient-Sitter Ward Nurses and General Ward Nurses on Work-Related Musculoskeletal Symptoms, Occupational Stress and Nursing Work Environments vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.169
  2. Influences of Daily Life Posture Habits and Work-related Factors in Musculoskeletal Subjective Symptoms among Hospital Employees vol.23, pp.2, 2016, https://doi.org/10.5953/JMJH.2016.23.2.125