• Safety and Health at Work
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• 제6권1호
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• pp.1-8
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• 2015

Time-loss injuries are still a major occurrence in Canada, injuring thousands of Canadian workers each year. With obesity rates on the rise across the country, as well as around the world, it is important that the possible effects of obesity in the workplace be fully understood, especially those effects linked to lost-time injuries. The aim of this paper was to evaluate predictors of workplace lost-time injuries and how they may be related to obesity or high body mass index by examining factors associated with lost-time injuries in the health care sector, a well-studied industry with the highest number of reported time loss injuries in Canada. A literature review focusing on lost-time injuries in Registered Nurses (RNs) was conducted using the keywords and terms: lost time injury, workers' compensation, occupational injury, workplace injury, injury, injuries, work, workplace, occupational, nurse, registered nurse, RN, health care, predictors, risk factors, risk, risks, cause, causes, obese, obesity, and body mass index. Data on predictors or factors associated with lost-time injuries in RNs were gathered and organized using Loisel's Work Disability Prevention Management Model and extrapolated upon using existing literature surrounding obesity in the Canadian workplace.

• Safety and Health at Work
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• 제6권4호
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• pp.305-311
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• 2015

Background: The purpose of this study was to examine the relationship nursing personal and workplace system factors (work disability) and work ability index scores in Ontario, Canada. Methods: A total of 111 registered nurses were randomly selected from the total number of registered nurses on staff in the labor, delivery, recovery, and postpartum areas of four northeastern Ontario hospitals. Using a stratified random design approach, 51 participants were randomly selected in four northeastern Ontario cities. Results: A total of 51 (45.9% response rate) online questionnaires were returned and another 60 (54.1% response rate) were completed using the paper format. The obstetric workforce in northeastern Ontario was predominately female (94.6%) with a mean age of 41.9 (standard deviation = 10.2). In the personal systems model, three variables: marital status (p = 0.025), respondent ethnicity (p = 0.026), and mean number of patients per shift (p = 0.049) were significantly contributed to the variance in work ability scores. In the workplace system model, job and career satisfaction (p = 0.026) had a positive influence on work ability scores, while work absenteeism (p = 0.023) demonstrated an inverse relationship with work ability scores. In the combined model, all the predictors were significantly related to work ability scores. Conclusion: Work ability is closely related to job and career satisfaction, and perceived control at work among obstetric nursing. In order to improve work ability, nurses need to work in environments that support them and allow them to be engaged in the decision-making processes.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.18-29
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• 2000

Back injury is frequent in industry workers and is a common cause of productivity loss. It has been reported that the insured of industrial accident insurance tend to stay in hospital longer than that of other types of insurance. The purpose of this study was to identify factors affecting the length of hospital stay for the treatment of back injury in the workers under industrial accident insurance. The results of this study help insurers develop reasonable industrial accident insurance policy for back injury claims and prevention strategies of work-related back injury. A total of 2,949 patients whose industrial accident insurance claim has been approved for the treatment of work-related back injury from January to December 1999 were included in this study. Relationship between the length of hospital stay and characteristics of patient, work place, back injury, and hospital were assessed using ANOVA, t-test, simple linear regression and multiple resgression. The major findings of this study are as follows : 1. The average length of hospital stay(LOS) was 91.82 days, respectively. 2. Characteristics of Patient LOS of male patients was longer than that of female patients, there was positive correlation between age and LOS and between average wage and LOS. Working period was negatively correlated with LOS. Distance from resident to hospital was positively correlated with LOS and LOS was significantly different dependign on type of duty. 3. Characteristics of Work Place LOS was significantly different depending on types of industry and geographical region of work place. Size of work place was positively correlated with LOS. 4. Characteristics of Back Injury Occupational back pain required shorter LOS compared with back injury due to electric shock. Number of concomitant illnesses and severity of disability were positively correlated with LOS. 5. Characteristics of Hospital Patients treated in community hospitals required significantly longer LOS. Treatment in hospitals with rehabilitation program required decreased LOS. This was more prominent as number of physicians specialized in rehabilitation. 6. Multiple regression analysis revealed that distance form resident to hospital, geographical region of work place, size of work place, number of concomitant illnesses, severity of disability, and type of hospital were factors affecting LOS.

• 대한지역사회작업치료학회지
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• 제3권1호
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• pp.1-10
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• 2013

목적 : 충남지역 일개 농촌마을에서 농작업 자세를 기초로 설계한 근골격계 질환 예방운동 프로그램이 참여자의 균형능력, 요통의 기능적 장애 수준 및 사회 심리적 스트레스에 미치는 영향을 알아보고자 하였다. 연구방법 : 충남지역 일개 마을의 농업인으로 근골격계 증상이 있는 21명에게 2008년 7월 10일부터 10월 11일까지 총 12주간, 주 1회, 회당 90분씩의 운동프로그램을 제공하였다. 운동프로그램은 농작업 자세를 고려하여 유연성 및 근력을 강화하도록 구성하였다. 참여자 중 8회 이상 출석하고 중재 전, 후 평가에 모두 참여한 13명의 자료를 기초로 균형능력, 요통의 기능적 장애 수준 및 사회 심리적 스트레스 수준을 분석하였다. 결과 : 참여자 13명은 모두 여성으로 평균 70.55(${\pm}6.78$)세였다. 참여자들은 대부분 일반 밭농사(92.3%)에 종사하고 있으며, 작업 중 통증을 주로 느끼는 부위는 허리(69.2%)와 무릎(61.5%)이었고, 전반적인 건강상태에 대해서는 46.2%가 '건강하지 않다'고 응답하였다. 균형능력은 눈뜨고 오른발서기가 중재 전 평균 9.27(${\pm}5.53$)초에서 중재 후 14.22(${\pm}5.47$)초로 유의하게 증가하였다(p<.05). 요통의 기능적 장애 수준은 평균 19.84(${\pm}6.89$)점에서 14.38(${\pm}7.58$)점으로 유의하게 감소하였다(p<.05). 그러나 사회 심리적 스트레스 수준에는 변화가 나타나지 않았다. 결론 : 밭농사를 주로 하는 여성 농업인을 대상으로 실시한 본 운동프로그램은 참여자의 균형능력 향상 및 요통의 기능적 장애의 감소에 기여하였다. 향후에는 작업특성에 따라 차별화된 운동프로그램의 효과에 대한 연구가 진전되기를 기대한다.

• Safety and Health at Work
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• 제8권3호
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• pp.246-249
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• 2017

Health-care workers are at risk of exposure to occupational infections with subsequent risk of contracting diseases, disability, and even death. A systematic collection of occupational disease data is useful for monitoring current trends in work situations and disease exposures; however, these data are usually limited due to under-reporting. The objective of this study was to review literature related to knowledge, risk perceptions, and practices regarding occupational exposures to infectious diseases in Malaysian health-care settings, in particular regarding blood-borne infections, universal precautions, use of personal protective equipment, and clinical waste management. The data are useful for determining improvements in knowledge and risk perceptions among health-care workers with developments of health policies and essential interventions for prevention and control of occupational diseases.

• 한국콘텐츠학회논문지
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• 제15권2호
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• pp.333-343
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• 2015

본 연구는 요양병원 간병사의 낙상예방인지도에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 자료수집기간은 2014년 7월 1일부터 8월 31일까지였다. D광역시와 N시에 소재하는 7개 요양병원의 간병사를 대상으로 편의 표집 하였다. 수집된 자료 215부 중 200부를 분석에 이용하였다. 연구결과 첫째, 요양병원 간병사의 학력, 요양보호사 자격증 유무, 근무경력과 낙상관련 교육시간에 따른 낙상예방인지도에서 유의한 차이가 있었다. 둘째, 낙상예방건강신념 중 지각된유익성, 지각된장애성, 지각된민감성과 낙상예방효능감은 낙상예방인지도와 유의한 양의 상관관계가 있었다. 셋째, 요양병원 간병사에게 영향을 주는 개인적 특성을 통제한 상태에서 위계적 회귀분석한 결과, 정적영향요인은 지각된유익성, 낙상예방효능감, 지각된민감성, 부적영향요인은 근무경력으로 나타났으며, 이들 변수의 낙상예상인지도에 대한 설명력은 31.7%였다. 이러한 결과로 요양병원 간병사의 낙상예방인지도를 증가시키기 위해 간병사의 근무경력에 따른 낙상예방효능감과 건강신념 중 지각된 유익성과 지각된 민감성을 높일 수 있는 프로그램을 적극 모색해야할 것이다.

• Safety and Health at Work
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• 제7권1호
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• pp.43-48
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• 2016

Background: Work Ability Index (WAI) is a well-known and valid self-report tool that has been widely used in various studies to identify and avoid early retirement and work-related disability. Nevertheless, very few studies have been carried out to evaluate work ability in Iran. We aimed to investigate the WAI and the effect of work-related stress on it among Iranian workers. Methods: A cross-sectional, descriptive and analytic study was carried out among 449 workers from five working sectors in three big cities of Iran. Work ability and work-related stress were measured using the Persian version of WAI and the Persian version of Health and Safety Executive Stress Indicator Tool. Results: More than a third of the workers surveyed (34.70%) did not have an appropriate level of work ability (WAI < 37). There was a significant correlation between subscales of work-related stress and the mean score of WAI. Furthermore, the variables of body mass index, sleep quality, exercise activity, job tenure, and three subscales of work-related stress including demands, supervisor support, and role were significant predictors of WAI. Conclusion: According to the results of this study, the interventional programs must be focused on improving supervisors support, eliminating ambiguity and conflicts in the role of workers in their job and organization, reducing job demands, improving sleep quality, and increasing exercise activity.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.266-276
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• 2014

본 연구는 사과, 배 작목 농업인을 위해 개발한 근골격계질환 예방운동프로그램이 농업인의 신체적 능력 및 삶의 질에 미치는 영향을 알아보고자 하였다. 근골격계 자각증상(NIOSH 기준1)이 있는 농업인 25명을 대상으로 2011년 4월 7일부터 7월 1일까지 12주간 예방운동프로그램을 실시하였다. 그 결과 과수재배 농업인들을 위해 실시한 근골격계질환 예방운동프로그램은 농업인들의 신체적인 능력(상지지구력, 하지지구력, 평형성, 민첩성)을 향상시키고 삶의 질을 개선하는 데 효과적이었다. 또한 삶의 질은 요통장애지수, 심리사회적 스트레스와도 유의한 상관성을 보였다. 향후 연구에서는 농작업의 특성을 고려한 운동프로그램의 개발 및 적용을 위해 다양한 연구가 시도되기를 기대한다.

• 대한정형도수물리치료학회지
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• 제6권2호
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• pp.15-29
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• 2000

Low back pain is generally defined as a complex symptom rather than a specific diseases entity, especially when musculoskeletal lesions of the low back, neurogenic, vasculogenic and discogenic lesions are present. Sixty to eighty percent of all human being have experienced low back pain once or more times during in their lifetime. Low back pain is a one of the commonest cause of physical impairment and induces disability the activities of everyday living or the activities of work. Today, low back pain plays important part for the loss of working capability from social, industrial field and individual daily life. But there are no study about incidence and prevention program of low back pain in rural peoples. This study was conducted to find out current status and characteristics related to low back pain in rural peoples(especially engaged in agriculture), so that could provide basic data to establish prevention program for them. The data were gathered from 301 rural adults(female 62.1%, male 37.9%) with low back pain by the structured interview in the 4 communities(south and north Gyeong-sang Do and Chung-cheong Do), and sampled at local hospital, local clinic, and health clinic center in May, 2000. The results were as followed. About one third of cases(35.5%) were aged from 60 to 69, 34.6% were smoker, and 91.4% not used to regular exercise. Low back pain frequently due to intervertebral articulopathy(42.5%), follewed by herniated intervertebral disk(19.9%), sprain(17.3%), vertebral dislocation(4.0%), and etc(16.2%). Above half of cases(56.5%) were a eight-hour workday, and 61.8% complained of low back pain during work. Mostly, period of agricultural experience was more than 20 years, and cultivated more than 2 crops. Low back pain is common to rural adults, therefore adequate resting time from work and lumbar strengthening exercise program needed to prevent low back pain in rural peoples.

• 대한물리치료과학회지
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• 제6권1호
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• pp.861-877
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• 1999

The hand is a very specialized organ that functions to obtain information and to execute motor acts essential to human interaction with the environment. Loss of hand function through infections affects the mechanical tasks that the hand performs and psychological adjustments to their disability. Infection is a disastrous complication of hand injuries and adequacy of circulation is of greatest importance to prevention of infection. Careful debridement, incision, and adequate drainage and antibacterial treatment are of great importance. Optimal care of the infected hand demands that carefully surgical care, early postoperative exercises and other therapy. Hand rehabilitation has grown as a specialty area of both physical and occupational therapy. It is essential that the surgeon and therapist work together, and communicate freely-all of which generally require daily contact. Treating the psychological loss suffered by the patient with a hand infections is an integral part of the rehabilitation therapy as well. Treatment techniques, Whether thermal modalities or specifically designed exercises, are used as a bridge to reach a further goal of returning to functional performance.