Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Job Stress and Mental Health of Care Service Workers on Self-diagnosed Oral Symptom in Seoul

서울시 돌봄 서비스 노동자의 직무스트레스와 정신건강이 주관적 구강 증상에 미치는 영향

  • Hong, Min-Hee (Division of Health Science, Baekseok University) ;
  • Lee, Jung-Min (Korea Foundation of Industrial Health Care and Welfare) ;
  • Jang, Ki-Won (Korea Foundation of Industrial Health Care and Welfare)
  • 홍민희 (백석대학교 보건학부) ;
  • 이정민 (한국산업의료복지연구원) ;
  • 장기원 (한국산업의료복지연구원)
  • Received : 2020.09.01
  • Accepted : 2020.10.05
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the effect of job stress and mental health factors on the oral symptoms of caring service workers in Seoul. For the research method, a survey was conducted from July 24 to August 6, targeting 150 caring service workers. The survey items were job stress, mental health (physical symptoms, anxiety, and insomnia), and self-diagnosed oral symptoms. The results of the study were as follows. Job stress (p=0.001) had a significant effect on the oral symptoms. In addition, physical symptoms (p<0.001), anxiety symptoms (p<0.001), and insomnia symptoms (p<0.001) all had significant effects on the oral symptoms. Among the risk factors, physical symptoms had the greatest influence on oral symptoms. In addition, according to the correlation result of job stress, anxiety symptoms, insomnia symptoms, oral symptoms, as job stress increases, physical symptoms (p<0.001), anxiety symptoms (p<0.001), insomnia symptoms (p<0.001), oral symptoms (p<0.01) showed an increasing positive correlation and a statistically significant difference. Physical and psychological labor power is greatly exhausted by care service workers performing tasks that require physical and mental care for those who are being cared for. Therefore, there is a need for systematic expansion measures for the mental health of workers and the introduction of customized oral health education programs to improve oral health because improved health and oral health conditions can increase work performance.

본 연구의 목적은 서울시 돌봄 서비스 노동자들의 직무스트레스와 정신건강 요인이 구강 증상에 미치는 영향에 대하여 살펴보고자 한다. 연구 방법은 돌봄 서비스 노동자 150명을 대상으로 7월 24일부터 8월 6일까지 설문조사를 시행하였다. 조사항목으로는 직무스트레스, 정신건강(신체증상, 불안, 불면), 주관적 구강 증상을 조사하였으며, 연구 결과 다음과 같다. 직무스트레스(p=0.001)는 구강 증상에 유의한 영향을 주는 것으로 나타났다. 또한, 신체증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001) 모두 구강 증상에 유의한 영향을 주는 것으로 나타났다. 위험 요인 중 신체 증상이 구강 증상에 가장 큰 영향을 미치는 것으로 나타났다. 또한 직무스트레스, 불안 증상, 불면 증상, 구강 증상의 상관성 결과, 직무스트레스가 증가할수록 신체 증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001), 구강 증상(p<0.01)이 모두 증가하는 양의 상관성을 나타냈다. 돌봄 서비스 노동자들은 돌봄 대상자를 신체적·정신적으로 보살펴야 하는 업무를 수행하므로 육체적·심리적 노동력 소진이 크다. 자신의 건강과 구강건강 상태가 좋아야 업무수행력을 높일 수가 있기에 노동자들의 정신건강을 위한 제도적 확대 방안이 필요하며, 구강건강 증진을 위한 맞춤별 구강보건교육 프로그램 도입이 매우 필요하다고 사려된다.

Keywords

References

  1. S. K. Park, H. G. Kang, H. Y. Kim, K. W. Eom, C. H. Sim et al. Case Study on Job Creation and Enhancing Employability for Women in the Social Service Sector, Korea Institute for Health and Social Affairs, pp.6, 2007.
  2. C. I. Park, S. R. Lee, J. Y. Yoon, H. G. Shin. Industrial Accidents and Protection Plan of Care Service Workers, Korea Labor Institute, No.12. pp.2, 2013.
  3. E. K .Yu. "Work and health problems of social care service workers", Korean Journal of Siciology, No.12, pp.54-56, 2014.
  4. S. H. Park, E. J. Lee, K. J. Chang, "Dietary Habits and Snack Consumption Behaviors according to Level of Job Stress among 20- to 30-year old Office Workers in the Seoul Metropolitan Area", Journal of the Korean Society of Food Culture, Vol.35, No.2, pp.143-55, 2020. DOI : https://doi.org/10.7318/KJFC/2020.35.2.143
  5. M. H. Hong. "The Influence of occupational stress on dry mouth, temporomandibular disorder and oral symptoms on workers" J Dent Hyg Sci, Vol.13, No.1, pp.136-45, 2013. DOI : https://doi.org/10.13065/jksdh.2013.13.1.136
  6. I. Y. Ku. "The Relationship between Job Stress and the Subjective Oral Health Status of Firefighters in Selected Rural Areas", The Journal of Korean Island, Vol.30, No.33, pp.161-75, 2018. DOI : https://doi.org/10.26840/JKI.30.3.161
  7. I. Y. Ku, H. Y. Choi, M. K. Park, K. H. Ka, S. J. Moon. "The Effects of Job Stress in Local Government Officials on Temporomandibular Disorders and Xerostomia", The Korean Journal of Health Service Management, Vol.9, No.14, pp.119-30, 2015. DOI: https://doi.org/10.12811/kshsm.2015.9.4.119
  8. M. H. Hong, H. J. Cho, M. H. Cho, Y. J. Jo, Y. E. Jang et al. "The Influence of Occupational Stress in Dry Mouth and Self-Diagnosed Oral Symptoms on Workers", J Dent Hyg Sci, Vol.12, No.6, pp.634-43, 2012.
  9. I. Y. Ku, K. H. Ka, E. H. Kim, S. J. Moon. "The Relationship between Job Stress and Self-rated Oral Health Status of Police Officers in Some Rural Areas" The Journal of Korean Island, Vol.29, No.33, pp.133-49, 2017. DOI : https://doi.org/10.26840/JKI.29.3.133
  10. S. K. Kim, S. R. Kim, H. K. Kim, J. S. Park, Y. J. Lee et al. "Factors affecting subjective symptoms of temporomandibular joint disorders in adults", J Korean Soc Denl Hyg, Vol.17, No.4, pp.601-11, 2017. DOI : https://doi.org/10.13065/jksdh.2017.17.04.601
  11. H. O . Lee, C. H. Yang, J. Kim, Y. I. Kim, "Domestic Disabled People's Use of Dental Service Institutes and Their Oral Health Related Quality of Life", J Dent Hyg Sci, Vol.9, No.5, pp.593-600, 2009.
  12. S.H. Shin, Y. J. Kang, S.H. Kim, J. S. Kim, H. H. Min et al, Oral health statistics and practice. Seoul: DaehanNarae Publishing Inc, p.101-130, 2013.
  13. J .B. Kim, Y. J. Choi, H. S. Moon, J. B. Kim, D. K. Kim et al, Public Oral Health, Ed 4th, Seoul: Komoonsa, p.144-152, p275-315, 2009.
  14. M .S. Yoon, "A Study on the Effect and Related Factors of Self-Perceived Oral Health Awareness and Dental Care on Work Loss of Workers in the Capital Region", J Dent Hyg Sci, Vol.18, No.6, pp.389-97, 2018. DOI : https://doi.org/10.17135/jdhs.2018.18.6.389
  15. J. W. Kim, E. S. Song, C. Y. Kim, "Health Risk and Intervention of Long-term Care Givers: Realist Review in Realist Perspective", Health and Social Research, Vol.36, No.2, pp.421-53. 2016. DOI : http://dx.doi.org/10.15709/hswr.2016.36.2.421
  16. WHO. "Health workers", 2018. http://www.who.int/occupational_health/topics/hcworkers/en/
  17. WHO. Occupational Health: A Manual for Primary Helath Care Service Workers. WHO:Cairo, 2001.
  18. M. H. Hong, "Relationship of Stress, Oral Habits and TMJ Symptoms in 20-30 ages Adults", J Korean Soc Dent Hyg, Vol.14, No.5, pp.739-46, 2014. DOI: http://dx.doi.org/10.13065/jksdh.2014.14.05.739
  19. S. J. Jang, H. T. Kang, S. B. Ko, I. A. Kim, H. R. Kim et al. "A study on improvement of stress assessment tools for emotional labor workers and preparation of utilization plans" Institute for Industrial Safety and Health, pp.139, 2018.
  20. K. Kroenke, R. L. Spitzer, B. W. Janet, "The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms", Psychosomatic Medicine, Vol.64, No.2, pp.258-66, 2002. DOI : http://dx.doi.org/10.1097/00006842-200203000-00008
  21. R. L. Spitzer, K. Kroenke, J. B. Williams, B. Lowe, "A brief measure for assessing generalized anxiety disorder: the GAD-7", Archives of internal medicine, Vol.166, No.10, pp.1092-7, 2006. DOI : http://dx.doi.org/doi:10.1001/archinte.166.10.1092
  22. Y. W. Cho, "Sleep scale and sleep hygiene", J Korean Sleep Res Soc, Vol.1, No.1, pp.12-23, 2004. DOI: https://doi.org/10.13078/jksrs.04003
  23. N. H. Kim, "A study on the factors influencing on the perceived oral health of the elderly", Master's thesis. Seoul National University. 2003.
  24. M. H. Soon, "Oral Health Status and Oral Health Practices of Workers", Master's thesis. Kyungpook National University. 2012.
  25. H. S. Jeon, S. Y. Han, W. G. Chung, J. H. Choi. "Knowledge, Attitude, and Behavior Status on Oral Health Care of Geriatric Care Workers in Long-Term Care Facilities", J Dent Hyg Sci Vol.15, No.5, pp.569-76, 2015. DOI : http://dx.doi.org/10.17135/jdhs.2015.15.5.569
  26. J. S. Bang, "A Legal Study for Care Service Enterprise and Care Work". Hanyang Law Review, Vol.29, No.2, pp.29-45, 2012.
  27. E. Y. Choi, "Job Characteristics of Care Workers in Elderly Care Voucher Service as a Quality Element". Korea Journal of Population Studies, Vol.33, No.3, pp.101-21, 2010.
  28. H. J. Lee, S. H. Kwon, "The effects of Work Environment Characteristics and Job Stress on the Job Satisfaction among Caregivers", Journal of Welfare for the Aged, Vol.51, No.0, pp.125-44, 2011,
  29. Y. H. Lee, W. K Lim, "Effects of the Long-Term Caregivers' Job Stress on Psychological Burnout and Organizational Effectiveness and the Moderating Role of Social Support", The Korea Contents Society, Vol.11, No.9, pp.414-428, 2011. DOI : https://doi.org/10.5392/JKCA.2011.11.9.414
  30. B. J. Suh, "Effects of orofacial pain experience on psychological symptoms under emotional stress", Korean Acad Orofac Pain Oral Med, Vol.24, No.2, pp.107-15, 1999.
  31. S. J. Chang, S. B. Ko, D. M. Kang, S. A. Kim, M. K. Kang et al, "Developing an occupational stress scale for Korean employees". Korean Journal of Occupational and Environmental Medicine, Vol.17, No.4, pp.297-317, 2005. DOI : https://doi.org/10.35371/kjoem.2005.17.4.297
  32. Y. N. Park, S. U. Yoon, "Health Promotion Behavior of Some Logical Dental Hygienist Convergence Impact on Emotional Labor, Quality of Life, Job Satisfaction", Journal of the Korea Convergence Society, Vol.7, No.3, pp.25-33. 2016. DOI : https://doi.org/10.15207/JKCS.2016.7.3.025
  33. E. B. Faragher, M. Cass, C. L. Cooper, "The relationship between job satisfaction and health: A meta-analysis", Occupational and Environmental Medicine, Vol.62, No.2, pp.105-12, 2005. DOI: https://doi.org/10.1136/oem.2002.006734
  34. B. H. Kim, "A study on the job satisfaction for employees working with the social service voucher system", Master's thesis, Chosun University, 2010.
  35. Hanyang University Industry-Academic Cooperation Foundation, Occupational diseases caused by emotional labor Research on the scope and standards of accreditation, Ministry of Employment and Labor, p.15, 2015.
  36. M. Dolic, J. Bailer, H. J. Staehle, P. Eickholz, "Psychosocial factors as risk indicators of periodontitis". J Clin Periodontol, Vol.32, No.11, pp.1134-40, 2005. DOI: https://doi.org/10.1111/j.1600-051X.2005.00838.x
  37. E. S. Lee, K. Y. Do, K. S. Lee. "Association of Anxiety and Depressive Symptoms with Periodontal Disease in Korean Women" J Dent Hyg Sci Vol.17, No.1, pp.73-80, 2017. DOI : https://doi.org/10.17135/jdhs.2017.17.1.73
  38. S. Kisely, "No Mental Health without Oral Health, Can J Psychiatry", Vol.61, No.5, pp.277-82. DOI : https://doi.org/10.1177/0706743716632523
  39. J. H. Hwang, H. J. Park, S. Y. Choi, "Effects of job stress and supervisory support on depression of caregivers in elderly care facilities", Korean Journal of Occupational Health Nursing, Vol.24, No.4, pp.352-62, 2015. DOI : https://doi.org/10.5807/kjohn.2015.24.4.352
  40. K. S. Han, E. Y. Park, Y. H. Park, Y, H. Lim, H. S. Lee et al, "Factors influencing sleep quality in clinical nurses", Journal of Korean Academy of Psychiatric Mental Health Nursing, Vol.20, No.2, pp.121-31, 2011. DOI: https://doi.org/10.12934/jkpmhn.2011.20.2.121
  41. C. M. Morin, Insomnia: psychological assessment and management. New York: Guilford Press. 1993.
  42. E. H. Hwang, "Influence of sleep quality, depression and fatigue on job stress of geriatric hospital workers" Journal of the Korean Academia-Industrial Cooperation Society, Vol.16, No.8, pp.5413-21, 2015. DOI : https://doi.org/10.5762/KAIS.2015.16.8.5413
  43. S. O. Shin, E. K. Roh, E. S. Kim, "Caregiver's of the Correlation between Self-efficacy and Quality of life", Korea entertainment industry assocition, Vol.8, No.3 pp.85-91, 2014. DOI : https://doi.org/10.21184/jkeia.2014.09.8.3.85