Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Factors Affecting Fatigue of Care Helpers in Long-term Care Facilities

장기요양시설 요양보호사의 피로 영향요인

  • Lim, Jong Mi (Department of Nursing, Shinsung University) ;
  • Cho, Ok-Hee (Department of Nursing, College of Nursing and Health, Kongju National University)
  • Received : 2020.02.03
  • Accepted : 2020.05.14
  • Published : 2020.08.31
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Abstract

Purpose: This study aims to investigate the factors affecting fatigue of care helpers in long-term care facilities. Methods: The subjects consisted of 131 care helpers at six long-term care facilities in Chungcheongnam-do. A survey was conducted between July and September 2019 to collect data, which were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis.Results: An increase in fatigue of care helpers owing to taking care of over 10 patients a day, increase in emotional labor and sleep disturbance, and a decrease in economic status was observed. Their fatigue decreased when there was an increase in their subjective health status and job satisfaction. Work-related stress (β=.37, p<.001), emotional labor (β=.21, p=.014), and sleep disturbance (β=.18, p=.026) significantly predicted fatigue. These factors explained 37% of the total variance in fatigue (F=10.48, p<.001).Conclusion: In addition to improving the work environment, interventions that alleviate emotional labor and improve sleep quality, are needed to lower the fatigue of care helpers.

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References

  1. Buysse, D. J., Reynolds, C. F. 3rd., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  2. Daneshmandi, H., Choobineh, A., & Ghaem, H. (2019). Psychometric properties of the Persian version of the multidimensional assessment of fatigue scale. International Journal of Preventive Medicine, 10(1), 53. https://doi.org/10.4103/ijpvm.IJPVM_172_17
  3. Hall, W. A., Moynihan, M., Bhagat, R., & Wooldridge, J. (2017). Relationships between parental sleep quality, fatigue, cognitions about infant sleep, and parental depression pre and post-intervention for infant behavioral sleep problems. BMC Pregnancy and Childbirth, 17(1), 104. https://doi.org/10.1186/s12884-017-1284-x
  4. Han, K., Trinkoff, A. M., & Geiger-Brown, J. (2014). Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health & Safety, 62(10), 409-414. https://doi.org/10.3928%2F21650799-20140826-01 https://doi.org/10.3928/21650799-20140826-01
  5. Hwang, B. R., Youn, K. H., Lee, J. Y., Kang, J. H., & Yoo, E. K. (2014). An exploratory study on self-perceived symptoms and pain-inducing factors of musculoskeletal diseases among care workers in residential settings -Focused on the scope of care work and care recipients' characteristics-. Social Science Research Review, 30(1), 69-100.
  6. Hwang, E. H. (2015). Influence of sleep quality, depression and fatigue on job stress of geriatric hospital workers. Journal of the Korea Academia-Industrial cooperation Society, 16(8), 5413-5421. https://doi.org/10.5762/kais.2015.16.8.5413
  7. Hwang, E. H., & Kang, J. S. (2011). A study on job involvement according to working pattern and daytime sleepiness among hospital nurses. Journal of East-West Nursing Research, 17(2), 81-86. https://doi.org/10.14370/jewnr.2011.17.2.081
  8. Hwang, E. H., & Lee, H. B. (2019). Effects of job stress, depression and fatigue on sleep quality of care workers in long-term care facilities. Journal of Korea Public Health Nursing, 33(2), 163-174. https://doi.org/10.5932/JKPHN.2019.33.2.163
  9. Kim, H. S. (2014). The effects of emotional labor, long term care service self-efficacy of geriatric hospital workers on their job satisfaction. Unpublished master's thesis, Konyang University, Daejeon.
  10. Kim, K. S., Park, J., Park, B. Y., Kim, S. G., & Hwang, E. Y. (2014). The effects of job stress with depression and fatigue of firemen. The Journal of the Korea Contents Association, 14(3), 223-231. https://doi.org/10.5392/JKCA.2014.14.03.223
  11. Kim, M. J. (1998). Effects of the hotel employee's emotional labor upon the job- related attitudes. Journal of Tourism Sciences, 21(2), 129-141.
  12. Korean Statistical Information Service. (2019, March 28). Estimated future population: major population indices, Retrieved November 13, 2019, from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&conn_path=I2
  13. Korean Statistical Information Service. (2019, October 22). The Current Situation of Long-term Care Service Experts, Retrieved November 20, 2019, from http://kosis.kr/statHtml/statHtml.do?orgId=637&tblId=DT_637003_A045&conn_path=I2
  14. Lee, E. Y., & Kim, J. S. (2017). Relationships among emotional labor, fatigue, and musculoskeletal pain in nurses. The Korea Academy Industrial cooperation Society, 18(1), 351-359. https://doi.org/10.5762/kais.2017.18.1.351
  15. Lee, H. J., & Kwon, S. H. (2011). The effects of work environment characteristics and job stress on the job satisfaction among caregivers. Korean Journal of Gerontological Social Welfare, 51, 125-144. https://doi.org/10.21194/kjgsw..51.201103.125
  16. Lee, H. Y., Yoo, S. H., & Choi, S. Y. (2013). Comparison of exposure levels to occupational factors for beauty workers. Journal of the Korean Safety Management and Science, 15(3), 83-91. https://doi.org/10.12812/ksms.2013.15.3.83
  17. Lee, J. J., Moon, H. J., Lee, K. J., & Kim, J. J. (2014). Fatigue and related factors among hotel workers: The effects of emotional labor and non-standard working hours. Annals of Occupational and Environmental Medicine, 26(1), 51. https://doi.org/10.1186/s40557-014-0051-y
  18. Lee, K. H., Koh, S. B., Kang, D., Chung, J. J., Kim, H. R., Kim, I. A., et al. (2011). Job stress and self-perceived fatigue in Korean farmers. Korean Journal of Occupational and Environmental Medicine, 23(2), 213-224. https://doi.org/10.35371/kjoem.2011.23.2.213
  19. Lee, K. S., Lee, E. O., & Song, K. J. (1999). Factors influencing fatigue in women with rheumatoid arthritis. The Journal of Muscle and Joint Health, 6(1), 136-152.
  20. Osaki, T., Morikawa, T., Kajita, H., Kobayashi, N., Kondo, K., & Maeda, K. (2016). Caregiver burden and fatigue in caregivers of people with dementia: Measuring Human Herpesvirus (HHV)-6 and-7 DNA levels in saliva. Archives of Gerontology and Geriatrics, 66, 42-48. https://doi.org/10.1016/j.archger.2016.04.015
  21. Park, A. S., Kwon, I. S., & Cho, Y. C. (2009). Fatigue symptoms and its related factors among general hospital nurses. Journal of the Korea Academia-Industrial cooperation Society, 10(8), 2164-2172. https://doi.org/10.5762/kais.2009.10.8.2164
  22. Park, Y. H., Rah, J. D., & Kim, S. H. (2011). Influences of working environmental factors of care providers on their job stress: Based on variables self-efficacy level. Journal of Welfare for the Aged, 52(52), 349-368. https://doi.org/10.21194/kjgsw..52.201106.349
  23. Powell, L. H., Lovallo, W. R., Matthews, K. A., Meyer, P., Midgley, A. R., Baum, A., et al. (2002). Physiologic markers of chronic stress in premenopausal, middle-aged women. Psychosomatic Medicine, 64(3), 502-509. https://doi.org/10.1097/00006842-200205000-00015
  24. Seol, M. J., Lee, B. S., & Lee, S. K. (2018). Effects of labor intensity and fatigue on sleep quality of clinical nurses. Journal of Korean Academy of Nursing Administration, 24(4), 276-287. https://doi.org/10.11111/jkana.2018.24.4.276
  25. Seoul Metropolitan Government. (2019, July 26). Comprehensive plan for improvement of labor conditions for care helpers (2019- 2021). Retrieved October 20, 2019, from http://opengov.seoul.go.kr/sanction/18429004
  26. Smith-Miller, C. A., Harden, J., Seaman, C. W., Li, Y., & Blouin, A. S. (2016). Caregiver fatigue: Implications for patient and staff safety, part 2. The Journal of Nursing Administration, 46(7/8), 408-416. https://doi.org/10.1097/NNA.0000000000000366
  27. Sohn, S. I., Kim, D. H., Lee, M. Y., & Cho, Y. W. (2012). The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep and Breathing, 16(3), 803-812. https://doi.org/10.1007/s11325-011-0579-9
  28. Sung, K. J. (2017). Turnover intention and its influencing factors among care workers. Journal of the Korea Academia-Industrial cooperation Society, 18(5), 285-293. https://doi.org/10.5762/KAIS.2017.18.5.285
  29. Tack, B. B. (1992). Dimensions and correlated of fatigue in older adults with rheumatoid arthritis. Unpublished doctoral dissertation, University of California San Francisco, USA.