• Title/Summary/Keyword: 근골격 질환

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Comparison of Patient-Sitter Ward Nurses and General Ward Nurses on Work-Related Musculoskeletal Symptoms, Occupational Stress and Nursing Work Environments (보호자 없는 병동 간호사와 일반병동 간호사의 근골격계 자각증상, 직무스트레스 및 간호업무환경 비교)

  • Bang, Mi Ran;Sim, Sun Sook;Lee, Dong-Suk
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.169-178
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    • 2015
  • Purpose: This study aimed to compare work-related musculoskeletal symptoms, occupational stress and nursing work environments of nurses working in patient-sitter wards and general wards. Methods: The study surveyed 240 nurses with more than one year of experience working in both patient-sitter wards and general wards. The collected data then was analyzed by SPSS statistics version 22. Results: As for the musculoskeletal symptoms, the survey showed that 85.2% and 67.8% of the nurses had such symptoms respectively in patient-sitter wards and general wards. In terms of occupational stress, no significant difference was observed between the patient-sitter ward and the general ward (t=-0.23, p=.821). Lastly, the study showed that there is a significant difference in terms of work environment considering the scores recorded 2.65 and 2.55 points respectively in patient-sitter ward and general ward (t=2.53, p=.012). Conclusion: Follow-up research should look at ways to lower the rate of experiencing work-related musculoskeletal symptoms; analyze work performances and establish work standards to lower occupational stress; and devise measures to improve the work environment for the nurses working in patient-sitter wards.

The Research of Job Stress and MSDs Symptoms of Small Plants with Agricultural Products (소규모 농산물 가공사업장 작업자의 직무스트레스 평가 및 근골격계부담작업 유해요인 조사)

  • Koo, Hye-Ran;Shin, Yong-Seok;Chae, Hye-Seon;Lee, Kyung-Suk
    • Journal of Agricultural Extension & Community Development
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    • v.18 no.4
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    • pp.861-877
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    • 2011
  • The purpose of this study is to survey job stress and Musculoskeletal Disorder(MSDs) of workers in small plants with agricultural products. The subjects were comprised of 69 workers participated in "Helping the rural women to get the small businesses" project. The questionnaire surveys were Korean Occupational Stress Scale(KOSS), and Legal Risk Assessment of Musculoskeletal Disorders(KOSHA CODE H-30-2003). As a result of the survey, scores of KOSS 8 sub-items except for job demand were similar to that of Korea workers. Prevalence of MSDs symptoms of small plants workers was high percent (44.9%). And the rate according to kinds of product was significant difference at neck (p<0.01), lumbar (p<0.01), and leg (p<0.01). There was no significant difference between view person sign of MSDs and non MSDs according to sex, year, the number of workers, working years, working time per one day, rest time per one day, and subjective working intensity, but there were significant difference between high stress group and low stress group about MSDs at interpersonal conflict(p<0.05). Job stress and MSDs were important factor to workers of small plants producted agricultural products. Therefore, starting a business with small plats, workers consider interpersonal conflict and body part showing MSDs.

The Factors Related to Musculoskeletal Symptoms of Male Taxi Drivers (남성 택시 운전원의 근골격계 자각증상에 영향을 미치는 요인)

  • Eum, Mi-Jung;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.4
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    • pp.227-234
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    • 2014
  • Purpose: This study was conducted to understand the subjective symptom rate of musculoskeletal disease of male taxi drivers and comprehend general features, health behavior features, and factors related to the subjective symptoms of musculoskeletal system depending on the level of job stress. Methods: The participants were 206 male taxi drivers from 4 transportation companies in the Seoul and Gyeonggi areas. The investigation was conducted from July 20th 2012 to August 20th 2012 through a self-administered questionnaire survey. Results: The participants who exercised less than three times per week complained about the subjective symptoms of the musculoskeletal system (p=.016) 13.770 times as more as than those of the participants who exercised more than three times per week the participants who had a higher level of job stress complained about the subjective symptoms of the muscular skeletal (p=.011) 1.051times as more as than those who had a relatively lower level of job stress. Conclusion: This study recommends that it is necessary to provide exercise programs and arrange various plans reducing job stress to prevent muscular skeletal disease and minimize the disease susceptibility of taxi drivers.

A Study on the Diagnostic Usefulness of Ultrasound and Magnetic Resonance Imaging for the Diagnosis of Shoulder Rotator Cuff Tear (어깨 회전근개 파열 진단을 위한 초음파 검사와 자기공명영상 검사의 진단적 유용성 연구)

  • Chae-Won, Kang;Hyo-Young, Lee
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.961-968
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    • 2022
  • Rotator cuff tears are a leading cause of shoulder pain in adults. Due to the increase in social activities, the number of patients complaining of shoulder pain is increasing, and interest in shoulder diseases is also increasing. With the development of ultrasound equipment, the sensitivity and specificity of diagnosis are high, and it is used to diagnose rotator cuff tears in musculoskeletal disease. Ultrasound is recognized as a complementary method to MRI examination in rotator cuff tears. Therefore, this study aimed to find out the diagnostic usefulness of ultrasound and MRI examinations in the diagnosis of shoulder rotator cuff tears.A retrospective analysis was performed on 262 patients who were diagnosed with final rotator cuff damage by arthroscopy after completing ultrasound and MRI examinations. Sensitivity, feature, positive predictive value, image predictive value, and touch were disassembled for the test results. In addition, the degree of clavicular tear was scored and recorded in 5 stages. Ultrasound examination was similar to MRI examination results for both full-thickness and partial tears, and there was no statistically significant difference. Partial tear test results showed higher positive predictive value and accuracy than MRI test. In conclusion, ultrasound can be fully utilized as a screening test for rotator cuff disease, and it is thought that it will be selected and used clinically according to the patient's constitution and situation.

A development of evaluation system of lifting and lowering tasks for energy expenditure at farm work (중량물 들고 내리기 농작업 자세의 에너지 소모량 평가 시스템 개발)

  • Sim, Taeyong;Kim, Bori;Youn, Su Hyun;Mun, Joung Hwan
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.145-145
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    • 2017
  • 농작업 자세 중에서 중량물을 반복적으로 들고 내리는 자세는 요통과 같은 근골격계 질환의 유발행위로 분류된다. 이는 인간공학적 유해요인 평가도구에 의해 위험도 별로 정량화 할 수 있다. 이러한 평가방법은 농작업 자세를 개선하여 근골격계 질환을 예방할 수 있다는 측면에서 매우 중요하다. 그러나 기존의 작업자세 부하 평가방법들은 동적 자세를 평가하는데 있어 어려움이 있을 뿐 만 아니라 평가 과정에서 관찰자의 주관성이 개입 될 수 있다는 한계점을 갖고 있다. 이에 본 연구에서는 중량물을 들고 내리는 동적 자세에서 발생하는 부하를 Energy expenditure를 이용하여 평가할 수 있는 시스템을 개발하는 것이다. Energy expenditure는 체중, 성별 등과 같은 작업자 관련 변수와 중량물의 무게, 들어 올리는 높이, 빈도수 등과 같은 작업환경 관련 변수를 이용하여 최대 산소소비량을 예측하는 방법이다. 본 연구에서 제안하는 작업자 및 작업환경 관련 변수를 자동 측정하는 시스템은 초음파 거리측정 센서와 깔창 형태의 센서를 이용하여 구성하였다. 이를 통해 남성(6명), 여성(6명)을 대상으로 20kg의 중량물을 들고 내리는 동작에서 발생하는 Energy expenditure 값을 산출하였고, 산소소비량 측정 장비를 통해 획득된 최대 산소소비량($VO_2$)과 비교하여 검증하였다. 여성을 대상으로 한 Energy expenditure 값과 최대 산소소비량 간 상관관계는 0.984로 나타났으며, 남성의 경우에는 0.998로 높은 상관관계를 보였다. 이와 같은 에너지 대사율 평가시스템은 연속적이고 반복적인 실제 농작업 자세 부하를 동적인 상태에서 평가할 수 있을 뿐 만 아니라 산소소비량 측정기와 같은 추가적인 장비가 필요하지 않아 현장 적용성이 뛰어 날 것으로 기대된다.

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Experiences of Middle-aged Korean-Chinese Female Migrant Workers in Korea: With Focus on Risk Factors in Work-related Musculoskeletal Diseases (한국에 이주한 조선족 중년여성 근로자의 경험: 작업 관련성 근골격계질환 위험 요인을 중심으로)

  • Lee, Hyeonkyeong;Chae, Duckhee;Lee, Kyongeun;Lee, Meenhye
    • Research in Community and Public Health Nursing
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    • v.24 no.2
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    • pp.185-194
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    • 2013
  • Purpose: This study was to explore situations that might put the middle-aged Korean-Chinese female migrant workers at risk for work-related musculoskeletal diseases (WMSDs). At the development phase of a continuing health project, the study aimed to clarify health promotion program needs of the migrant population. Methods: A qualitative description research design was used with three focus groups of 23 Korean-Chinese female migrant workers. Each focus group interview was conducted for 70-minutes using semi-structured interview guidelines. The data were analyzed using directed qualitative content analysis techniques. Results: The majority of the participants were household workers and their work included heavy material handling, standing for a long time, and working in awkward postures. They experienced discrimination from employers, lack of control at work, limitations in open-communication, job insecurity, and acculturation. They had needs to have health promotion programs for preventing and managing chronic diseases, depression and menopause as well as WMSDs. Conclusion: The participants were situated in work environments with physical demanding tasks, acculturative and job-related stress and lack of opportunities to participate in health promotion programs. It is suggested to develop a comprehensive program to better meet the needs of middle-aged Korean-Chinese female migrant workers rather than targeting the reduction of WMSDs.

Analysis of the Factors Regarding Work-related Musculoskeletal Disease by Company Size (사업장 규모별 업무상 근골격계질환 요양 실태와 영향 요인)

  • Jung, Sung Won;Kim, Kyung Ha;Suk, Min Hyun;Hwang, Rah Il
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.522-535
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    • 2014
  • Purpose: This study was constructed in order to examine factors that influence work-related musculoskeletal disease (WMSD) approvals and current status according to the company size. Method: This is a descriptive study that utilized Industrial Accident Compensation Claim Data. Workplaces with over 35,811 workers derived from the 2012 claim data, which comprised approximately 91.5%, were selected for this study. Then workplaces were divided into three groups according to the number of workers: less than 5, 5~299, and 300 and over. Results: Since 2008, the number of small sized workplaces has increased. The 2012 data showed that 32.5% of workers at small sized workplace had WMSD. However, workplaces with 5~299 workers showed WMSD approval rate of 60%. Of note most WMSD approved workers were employed by manufacturing and construction companies, regardless of the workplace size. Most of them were engaged in elementary tasks. The days of medical treatment at OPD and IPD were most prevalent among workers at the largest workplaces. Conclusions: It is certain from this study that WMSD has been polarized by the company size. More policy attention should be paid to the WMSD status of workers at small sized workplaces which usually do not have their own health office.

The Association of Health Behaviors with Musculoskeletal Diseases in Adults (성인의 보건의식행태와 근골격계질환과의 관련성)

  • Lee, Yoon-Jung;Kim, Soon-Lae;Jung, Hea-Sun;Yang, Kyung-Mi;Lee, Jong-Eun;Lee, So-Young
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.102-111
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    • 2007
  • Purpose: This study attempted to understand health behaviors and analyze the association of the health behaviors with musculoskeletal diseases in adults. Method: The subjects of this study were 6,946 adults aged between 20 and 65 who had participated in the 2001 National Health Nutrition Survey. The instrument was composed of Health Interview Survey (HIS), Health Behavior Survey (HBS) and Health Examination Survey (HES), which were used in the 2001 National Health Nutrition Survey. Data were analyzed using SPSS 10.1 by applying $x^2$ and multivariate logistic regression. Results: 1. The present smoking rate was 46.5% and the present drinking rate was 81.2%. 2. Of the subjects, 22.7% were overweight ($BMI{\geq}25$), and 28.1% were exercising regularly. 3. Major factors affecting musculoskeletal diseases were low education, poor economic state, smoking, and BMI. Middle school graduates were 2.54 times more likely to have musculoskeletal diseases than college graduates. The risk was 1.83 times higher in indigent respondents than in affluent ones, and 1.43 times higher in smokers than in non-smokers. Conclusion: Therefore, in order to reduce musculoskeletal diseases in adults, other various factors should be looked into, and public education about appropriate posture and exercise should be carried out in community. Additionally, concentrated intervention programs for patients with musculoskeletal diseases should be performed.

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The Trends and Status of Work-related Musculoskeletal Diseases under Korean Worker's Compensation System (업무상 근골격계질환 산업재해판정자에 대한 현황 분석)

  • Kim, Kyung Ha;Hwang, Rah Il;Suk, Min Hyun
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.2
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    • pp.102-111
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    • 2013
  • Purpose: This study was conducted to analyze the characteristics of work-related musculoskeletal diseases (MSD) and the factors for approving MSD by the parts of the body. Methods: The analysis was done using the data which were drawn from the Industrial Accident Compensation Insurance that is operated by the Korea Worker's Compensation & Welfare Service. The data were composed of total cases related to the work-related diseases from 2006 to 2009. In addition, MSD data input by an investigator were collected. The factors associated with MSD were analyzed using ${\times}2$ and multiple logistic regression. Results: MSD approved cases have increased since 2006 and the proportion of the approved work-related MSD cases in the workers with work-related diseases in 2009 were 33.4%. Spinal approved cases were the highest percentage and upper and lower extremities cases gradually increased. The factors for approving upper extremity were found to be age, company size, type of industry, working duration, and in the case of spine to be company size and heavy lifting. Conclusion: Work-related MSD have increased and the factors that affected MSD by the parts of the body varied. Management strategy must be established to prevent MSD by the parts of the body.

Effects of Workplace Risk Assessment-based Ergonomic Intervention on Work-Related Muscular Skeletal Disorders: Systematic Literature Review and Meta-Analysis (작업장 유해요인조사에 기반한 인체공학적 중재가 작업 관련성 근골격계 질환의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Cho, Jung Young;Kim, Gaeun
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.342-353
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    • 2020
  • Purpose: This study aimed to systematically review literature and conduct a meta-analysis to comprehensively identify and evaluate the effects of workplace risk assessment-based ergonomic intervention on work-related muscular-skeletal disorders in workers. Methods: We searched the Ovid-Medline, EMBASE, and Cochrane library and up to 2018 using search terms such as muscular-skeletal, disorder, impairment, work-related muscular-skeletal disorders, ergonomic, intervention, management with no language limitations; screened reference lists; and contacted experts in the field. Results: We identified 545 references and included 13 randomized controlled tests (3,368 workers). We judged nine studies to have a low risk of bias, while the other four studies have a high risk of bias. Conclusion: Ergonomic intervention based on risk assessment in the workplace did not significantly differ in terms of the intensity of pain or duration of workers in the workplace, but low-quality evidence decreased the frequency of musculoskeletal disorder pain in three to six months moderate-quality evidence and in six to nine months low-quality evidence. Besides, low-quality evidence to reduce discomfort and moderate-quality evidence to improve worker posture. Therefore, ergonomic intervention based on the assessment of risk factors in the workplace should be applied to reduce pain frequency and discomfort and improve workers posture among musculoskeletal disorders.