Safety and Health at Work

  • 제9권1호
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  • Pages.79-83
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  • 2018
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  • 2093-7911(pISSN)
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  • 2093-7997(eISSN)
산업안전보건연구원 (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
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A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital

  • Yun, Myeong-Ja (Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University) ;
  • Kim, Young-Ki (Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University) ;
  • Kang, Dong-Mug (Department of Preventive and Occupational Medicine, School of Medicine, Pusan National University) ;
  • Kim, Jong-Eun (Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Ha, Won-Choon (Nursing Administration & Education Team, Pusan National University Hospital) ;
  • Jung, Kap-yeol (Department of Occupational & Environmental Medicine, Dong-A University Hospital) ;
  • Choi, Hyun-Woo (Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital)
  • 투고 : 2017.03.25
  • 심사 : 2017.08.20
  • 발행 : 2018.03.30
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초록

Background: Lower-limb varicose veins (VVs) are common and known to have a higher prevalence among people who work in occupations requiring prolonged standing. In the Republic of Korea, however, VV-related occupational factors have seldom been examined. This study was conducted to assess the prevalence of VVs among nurses, an occupational group considered to be at high risk of VVs, and determine the occupational risk factors of prolonged standing. Methods: Between March and August 2014, a questionnaire survey coupled with Doppler ultrasonography was conducted on the nurses working at a university hospital. Results: A total of 414 nurses participated in the survey and diagnostic testing. From the survey analysis and test results, the prevalence of VVs in nurses was estimated to be 16.18%. Significant factors for venous reflux were age [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.03-1.10], pregnancy (OR = 2.15, 95% CI = 1.17-3.94), and delivery (OR = 2.02, 95% CI = 1.08-3.78). The statistical significance of these factors was verified after risk adjustment for sociodemographic factors (OR = 3.40, 95% CI = 1.27-9.09). Conclusion: Factors significantly associated with venous reflux were increasing age and prolonged working hours (${\geq}4hours$) in a standing position (OR = 2.80, 95% CI = 1.08-7.25), even after risk adjustment for sociodemographic factors. This study is significant in that an objective diagnosis of VVs preceded the analysis of the risk factors for VV incidence, thus verifying objectively that VVs are associated with occupations requiring prolonged hours of working in a standing position.

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참고문헌

  1. Callam MJ. Epidemiology of varicose veins. Br J Surg 1994;81:167-73. https://doi.org/10.1002/bjs.1800810204
  2. Evans CJ, Fowkes FG, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health 1999;53:149-53. https://doi.org/10.1136/jech.53.3.149
  3. Brand FN, Dannenburg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: The Framingham Study. Am J Prev Med 1988;4:96-101. https://doi.org/10.1016/S0749-3797(18)31203-0
  4. Criqui MH, Jamosmos M, Fronek A, Denenberg JO, Langer RD, Bergan J. Chronic venous disease in an ethnically diverse population: The San Diego Population Study. Am J Epidemiol 2003;158:448-56. https://doi.org/10.1093/aje/kwg166
  5. Hirai M, Naiki K, Nakayama R. Prevalence and risk factors of varicose veins in Japanese women. Angiology 1990;41:228-32. https://doi.org/10.1177/000331979004100308
  6. Scott TE, LaMorte WW, Gorin DR, Menzoian JO. Risk factors for chronic venous insufficiency: a dual case-control study. J VascSurg 1995;22:622-8.
  7. Dindelli M, Parazzini F, Basellini A, Rabaiotti E, Corsi G, Ferrari A. Risk factors for varicose disease before and during pregnancy. Angiology 1993;44:361-7. https://doi.org/10.1177/000331979304400504
  8. Gourgou S, Dedieu F, Sancho-Garnier H. Lower limb venous insufficiency and tobacco smoking: a case-control study. Am J Epidemiol 2002;155:1007-15. https://doi.org/10.1093/aje/155.11.1007
  9. Seidell JC, Bakx KC, Deurenberg P, Van Den Hoogen H, Hautvast J, Stijnen T. Overweight and chronic illness-a retrospective cohort study, with a follow-up of 6-17 years, in men and women of initially 20-50 years of age. J Chron Dis 1986;39:585-93. https://doi.org/10.1016/0021-9681(86)90183-9
  10. Abramson JH, Hopp C, Epstein LM. The epidemiology of varicose veins. A survey in western Jerusalem. J Epidemiol Community Health 1981;35:213-7. https://doi.org/10.1136/jech.35.3.213
  11. Fowkes FGR, Lee AJ, Evans CJ, Allan PL, Bradbury AW, Ruckley CV. Lifestyle risk factors for lower limb venous reflux in the general population: Edinburgh Vein Study. Int J Epidemiol 2001;30:846-52. https://doi.org/10.1093/ije/30.4.846
  12. Tuchsen F, Krause N, Hannerz H, Burr H, Kristensen TS. Standing at work and varicose veins. Scan J Work Environ Health 2010;26:414-20.
  13. Tuchsen F, Hannerz H, Burr H, Krause N. Prolonged standing at work and hospitalisation due to varicose veins: a 12 year prospective study of the Danish population. Occup Environ Med 2005;62:847-50. https://doi.org/10.1136/oem.2005.020537
  14. Kohno K, Niihara H, Hamano T, Takeda M, Yamasaki M, Mizumoto K, Nabika T, Morita E, Shiwaku K. Standing posture at work and overweight exacerbate varicose veins: Shimane CoHRE Study. J Dermatol 2014;41:964-8.
  15. Tabatabaeifar S, Frost P, Andersen JH, Jensen LD, Thomsen JF, Svendsen SW. Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study. Occup Environ Med 2015;72:330-8. https://doi.org/10.1136/oemed-2014-102495
  16. Chen CL, Guo HR. Varicose veins in hairdressers and associated risk factors: a cross -sectional study. BMC Public Health 2014;14:885. https://doi.org/10.1186/1471-2458-14-885
  17. Sharif Nia H, Chan YH, Haghdoost AA, Soleimani MA, Beheshti Z, Bahrami N. Varicose veins of the legs among nurses: occupational and demographic characteristics. Int J Nurs Pract 2015;21:313-20. https://doi.org/10.1111/ijn.12268
  18. Lee YK, Kim SB, Chung JJ, Jung MJ, Kim MH. The "Chair Campaign" in Korea: an alternative approach in occupational health and safety for service workers. J Environ Occup Health Policy 2011;21:269-82.
  19. Lee YK, Yim SH. A study of varicose veins in prolonged standing at work. J Korean Society of Occup Environ Hyg 2010;20:139-46.
  20. Kang D, Kim Y, Lee YI, Koh S, Kim I, Lee H. Work-related musculoskeletal disorders in Korea provoked by workers' collective compensation claims against work intensification. Ann Occup Environ Med 2014;26:19. https://doi.org/10.1186/2052-4374-26-19
  21. Korean Occupational Safety and Health Agency. 2012 Industrial Accidents Statistics. Ulsan (Korea); 2013.
  22. Kang D, Kim Y, Lee YI, Koh S, Kim I, Lee H. Prevention of work-related musculoskeletal disorders. Ann Occup Environ Med 2014;26:14. https://doi.org/10.1186/2052-4374-26-14
  23. Industrial Accident Compensation Insurance Act, South Korea Code, Title 34. 2014 ed.
  24. Ryu E, Ye B, Yi Y, Kim J. Risk factors of musculoskeletal symptoms in university hospital nurses. Ann Occup Environ Med 2014;26:47. https://doi.org/10.1186/s40557-014-0047-7
  25. Kim SJ, Sung MS. Subjective symptoms on fatigue in hospital nurses. J Korean Acad Nurs 1998;28:908-19. https://doi.org/10.4040/jkan.1998.28.4.908
  26. Minar E. To work in a hospital-a new factor for development of venous disease? Wiener Klinische Wochenschrift 2003;115:549-51. https://doi.org/10.1007/BF03040447
  27. Ziegler S, Eckhardt G, Stoger R. High prevalence of chronic venous disease in hospital employees. Wiener Klinische Wochenschrift 2003;115:575-9. https://doi.org/10.1007/BF03040451
  28. Neil MK, Robert JM. Imaging of venous insufficiency. Semin Intervent Radiol 2005;22:178-84. https://doi.org/10.1055/s-2005-921950
  29. Labropoulos N, Tiongson J, Pryor L, Tassiopoulos AK, Kang SS, Mansour MA, Baker WH. Definition of venous reflux in lower-extremity veins. J Vasc Surg 2003;38:793-8.
  30. Kostas TI, Ioannou CV, Drygiannakis I, Georgakarakos E, Kounos C, Tsetis D, Katsamouris AN. Chronic venous disease progression and modification of predisposing factors. J Vasc Surg 2010;51:900-7. https://doi.org/10.1016/j.jvs.2009.10.119

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