한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

대졸 취업여성의 실태와 대책

조정아,손승영 이화여대 한국여성연구소 1993 여성학논집 Vol.10 No.-

The main purpose of this study is to examine the status of college-graduated women in the labor market. Even though Korean women's educational attainments have been increased remarkably during the past thirty years, the status of educated women in the labor market has not been much improved. We suspect that women's low public status in Korea is mainly due to the rigid patriarchal system operating in our society. This sutdy is divided into three parts. First, we present the results of a survey conducted to explore actual condition of college-graduated women at the workplace. Three hundred full-time employed women having adminstrative, professional, or office jobs were interviewed in August and September of 1993. To explore various forms of gender discrimination at the workplace, we focused the questionnaire on respondent's subjective evaluations of working condition and interpersonal relationships. Despite the facts that all but three respondents started to work in their twenties and most of them have a quite stable job as colleae-graduates, majortiy of them sense serious gender discrimination at their workplace. To mane a few, they most frequently list discrimination in promotion, task division, and wage increase. Second, considering the limits of the survey only with full-time employed women to represent the general status of college-graduated women in the labor market, we attempted case studies of 20 women in various situations with regards to their work. The study included women hoping to have a job, those who quit working, and under-employed women as well as currently employed women. The results of the case studies demonstrate heavy discrimination against college-graduated women especially in the recruitment process. Third, case studies of 20 personnel managers working at big organizations were done immediately after the survey of working women. The 20 selected organizations were two domestic banks, one foreign bank, one TV station, and 15 big corporations. The personnel managers were questioned about general characteristics of their organization which include the number of workers, proportion of college-graduated women, recruitment process of educated women, evaluation of women's work performance, their perception of married women as a labor force, future prospects for hiring college-graduated women, etc. The survey results prove how much conservative attitudes personnel managers have against educated female workers in general. It weems to be very difficult to expect a rapid increase of recruitment opportunities or promotion for college-graudated women in a near future. Finally, fully acknowleging the existing differential opinions between college-graduated women and personnel managers, we suggest several ways to improve educated women's we suggest solutions for each agency in turns - changes at individual-level, family, college, corporation, government, and society in general.

강원대학교 구내림 이용행태에 대한 설문분석

최정기,구소영,조선아,원종현 江原大學校 森林科學硏究所 2003 Journal of Forest Science Vol.19 No.-

본 연구는 강원대학교 학교 숲 이용자들의 행태를 분석하기 위하여 학생, 교수, 행정직원, 외부 방문자를 대상으로 설문조사를 실시하였다. 학교 구내림 필요성에 대한 질문에 대해서 학생이용자는 97%, 교수 이용자는 100%, 행정직원 91%가 필요하다고 응답하였고, 학교구성원의 80%이상이 구내림을 이용하는 것으로 나타났다. 가장 많이 이용하는 구내림 장소로는 학생과 행정직원은 연적지, 교수는 예술대 뒷산으로 조사되었으며, 구내림 이용동기에 대한 질문에는 학교구성원 모두 산책을 위해서라는 답변이 가장 많았다. 구내림 만족도에 대한 설문에서는 학교 구성원 모두 보통수준으로 답하였으며, 체육시설에 대해서는 불만족스럽다라고 응답하였다. 구내림 개선사항으로는 구내림 보존 및 정비, 체육시설확대, 조깅코스개발, 약수 및 연적지 물 관리 등에 대한 의견이 도출되었다. 구내림의 외부 방문자들에 대한 설문에서는 대부분 50세 이상인 퇴직자와 전업주부가 학교 숲을 찾고 있으며, 방문자들은 주로 오전시간에 80%가 찾아오는 것으로 조사되었고, 혼자 방문하는 경우가 70%를 차지하였다. 방문목적은 건강을 위한 산책 및 약수물 이용을 위하여 방문하는 것으로 나타났으며, 가장 많이 이용하는 구내림 장소는 연적지인 것으로 조사되었다. 구내림에 대한 만족도는 대부분 만족하는 것으로 나타났고, 구내림 개선에 대한 사항에는 체육시설 확대가 가장 많았으며 구내림 훼손방지, 산책로 및 벤치시설증대에 대한 요구가 있었다. This study was carried out to investigate the behavioral pattern of student faculty, administration staff, and visitor by questionnaire about campus forest of Kangwon National University. In the question of the necessity of the campus forest, 97% of students, 100% of faculty and 91% of administration staff agreed with the necessity of the campus forest and 80% of university members use the campus forest. The most frequent site of the campus forest was the Yeon-Juk pond for students and administration staff and was the site behind the art building for faculty. The main reason for use of the campus forest was mostly a walk. About the questions dealt with one's satisfaction regarding the campus forest, most members evaluated the average level, and the facilities of physical training were evaluated if the unsatisfied level. The improvements for the campus forest were suggested about conservation of the campus forest, increasing of physical training facilities and the jogging courses, and managing the mineral water and pond. The visitors using the campus forests were mostly retied people or housewives elder than 50 years old. 80% of visitors visits mostly in the morning and 70% of the visitors comes to the campus forest by oneself. The main reasons for use of the campus forest were a walk and dipping the mineral water. The most frequent location was the Yeon-Juk pond for the visitors. Most visitors were strongly satisfied with using of the campus forest. In the questionnaire about improvements of the campus forest, the visitors suggested the increasing of physical training facilities, conservation of the campus forest, and establishing more walking roads and beaches.

인천 인현동 호프집 화재 피해자 분석

최정태,안무업,안희철,최영미,정재봉,서정열,유기철,이삼우,박석현,조준휘,김성환,김아진,송근정 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Purpose : This study was conducted to develop field triage, transportation, distribution, and prehospital care at a fire disaster by analyzing the victims of the fore that broke out at a bar in Incheon. Method : We analyzed the cases of the victims of a fire in Incheon in Oct. 1999. We determined the primary care hospital, the arrival time, the burn size, the outcome, and the injury type from the medical records, the concerned organ records, and interviews with concerned persons. Result : The total number of victims was 137: 56 prehospital deaths, 1 hospital death, and 80 survivals. The Pearson correlation coefficient between the burn size and the severity was -0.175. There were 121(89.6%) cases of inhalation injury, 59 (43.7%) cases of flame burns, 66 (48.9%) cases of hypoxic brain damage, and 16 (11.9%) cases involving other types of injury. Conclusion : The causes of death of the fire victims were inhalation injury and hypoxic brain damage due to CO poisoning and other toxic inhalants. We propose the use of a simple triage and rapid treatment(START) system and a reassessment the delayed category in fire disasters.

구미지역 직업성질환 감시체계

김성아,김진석,전혜리,정상재,김상우,이채용,함정오,유재영,최태성,하봉구,조민환,우극현 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.1

목적: 구미지역 내 대학병원이자 특수건강진단·보건관리대행기관의 산업의학전문의, 보건관리대행 간호사, 사업장 간호사를 중심으로 직업성질환감시체계를 구축하여 주요 직업성질환들의 발생현황과 규모를 파악하고자 하였다. 또한 연차적으로 산업, 직업, 업무내용 등에 따른 분포나 원인을 기존 자료원(특수건강진단의 직업병 유소견자와 산재요양승인 되는 직업병자)과 비교하여 분석·기술하고 예방 및 관리를 포함한 보건의료기술개발까지을 포함하는 종합적인 감시체계를 구축하고 운용하고자 하였다. 방법: 구미지역의 산업적 특성에 맞는 직업성질환감시체계를 구축하고 지역 감시체계의 모델을 제시하였다. 6대 감시대상 직업성질환(독성 간염, 직업성천식, 직업성 근골격계질환, 직업성 피부질환, 직업성 암, 수지진동증후군)의 실행적 환례정의, 보고양식 및 보고체계 개발, 분석양식 및 결과 배포 형식을 개발하였으며, 그 유병규모를 파악하고, 감시질환의 분포 및 특성, 관련인자 등을 분석·기술하고자 하였다. 이때, 1년간의 환례분석시 직업병 유소견자 및 직업병 요양자에 대한 자료와 함께 비교 분석하였으며, 노동통계자료를 이용하여 년간 발생률을 추정하였다. 결과: 2001. 1. 1일부터 2002.4.30일까지 총 287건이 보고되었으며, 직업성 근골격계질환 132건(46.0%), 직업성 피부질환 100건(34.8%), 독성간염 34건 (11.8%), 직업성천식 16건 (5.6%), 수지진동증후군 5건 (1.7%) 이었으며 직업성 암은 한건도 보고되지 않았다. 보고경로별로는 보건관리대행에서 33건 (11.5%), 해당 유해인자별로 실시되는 특수검진 외의 각종 건강진단업무 수행 중 발견된 환례에 대한 보고가 206건(71.7%)이었다. 직종별 분류의 결과는 섬유업종사자, 단순노무종사자, 음식업종사자 등이 다수를 차지하였다. 근골격계질환의 경우, 수근관증후군이 42건(33%), 외상과염/내상과염이 39건(30%)로 가장 많았다. 직업성 피부질환은 97건이 접촉성 피부염으로 유기용제류가 59건(59%)으로 가장 많고, 니켈 및 에폭시수지에 의한 알레르기성 접촉성 피부염이 각각 6건과 5건이었다. 독성 간염은 모두 DMF 나 DMAc에 의한 것으로, 근무시작 후부터 간기능이상이 발견되기까지의 근무기간은 대부분이 3개월 이하이며, 1개월 이하인 경우도 10건이나 되었다. 동 기간 중 감시환례에 대해 산재요양 자료와 중복여부를 확인한 결과, 중복되는 것은 하나도 없었다. 특수건강진단에서 직업병유소견자로 판정된 경우는 독성간염에서 3건이 있었으며, 나머지 질환은 중복되는 것은 없었다. 2001도 구미지역의 근로자수와 보고환례건수를 이용하여 연간 발생률을 추정하였다. 근로자 10만 명당 연간 발생률은 상지 근골격계질환은 63.6명, 피부질환 48.2명, 독성 간염 17.9명, 천식 7.7명, 수진진동증후군 2.4명이었다. 참여예상인원은 총 46명이었으며, 실제 참여자수는 21명, 평균참여율은 46%, 실제 참여 1이당 평균 보고건수는 산업의학전문의가 28건으로 가장 많았고, 대행간호사는 45,건, 사업장 간호사는 3.3건이었다. 결론: 지역 감시체계는 기존 통계자료들에서 발견되지 않았던 직업성질환의 발견에 유용한 통계원이며, 특히 지역의 특성과 여건을 고려하여 체계화된 시스템을 구축하여 운용한다면 더 성과가 클 것이다. Objectives: Area-based occupational disease surveillance in Kumi (KODS) was used to collect data on occupational diseases. The data was used to estimate the magnitude of the diseases, to analyze for their characteristics and to find links for their intervention and prevention. Methods: Since January 2001, occupational physicians and nurses in Occupational Health Service (OHS) have reported six major occupational diseases; occuaptional musculoskeletal disorders of the upper extremities (MSDUE), occupational dermatoses, toxic hepatitis, occupational asthma (OA), hand-arm vibration syndrome (HAVS), and occupational cancer. For the respective diseases, a reporting sheet and operational diagnostic criteria were developed by the KODS. An analysis of the KODS data, collected over a certain period, was compared with data from the Korea Labor Workers Corporation (KLWC) and the Specific Health Examination (SHE), and the incidence rates of the diseases estimated. Results: Between Jan 2001 and Apr 2002, 287 cases of the six major occupational disease were reported. Of these, there were 132 (46.0%), 100 (34.8%), 34 (11.8%), 16 (5.6%), and 5 (1.7%), cases of MSDUE, occupational dermatoses, toxic hepatitis, OA, and HAVS, repectively. But, there were no cases of occupational cancer. 33 (11.5%) of the incidence were reported via the OHS, 206 (71.7%) from health checkups, and the other 48(16.8%) from other routes. The synthetic fibers and electronic components manufacturing industries accounted for the greatest number of reported cases. With resport to occupation, the greatest numbers of incidence were reported from the elementary occupations, textile workers, assemblers, and cooks and food services worker, in that order. Of the MSDUE cases, carpal tunnel syndrome and epicondylitis were the two most common diseases. Most of the occupational dermatoses were due to contact dermatitis, with organic solvents (59%), nickel (6%), and epoxy resin (5%) accounting for the majority of these cases. All cases of toxic hepatitis were induced by dimethylformamide or dimethylacetamide, which were reported by a unique monitoring system. During same period, there were no cases claimed by workers to the KLWC, and only three cases from SHE, were identified. Using data from workers' number and surveillance, the annual incidence of MSDUE, dermatoses, hepatitis, OA, and HAVS, per 100,000 workers were 63.6, 48.2, 17.9, 7.7, and 2.4, respectively. Conclusions: These results show that an area-based surveillance system can be very effective for the collection of data on work-related diseases, at least in Kumi.

Sol-Gel 법으로 제작한 (Pb_xBa_₁-_x)TiO₃박막의 특성에 관한 연구

홍석민,이정아,조정희,김옥경 漢陽大學校 工學技術硏究所 1996 工學技術論文集 Vol.5 No.1

We tried to find optimal condition of (PbxBa1-x)TiO3(x=0.0, 0.2, 0.5, 0.8, 1.0) thin films produced by sol-gel spin coating. Barium acetate, Lead acetate trihydrate and Ti-isopropoxide are used as the coating sol for producing the thin film, and acetic acid, methanol, and distilled water are used as the solvent. It is found that the manufactured sol was at the most stable condition when the component content satisfied H2O/Ba=65, after observing the state transition for a specified period. We coated sol for coating on the various kinds of substrate and pre-annealed on 68℃ and 460℃. Then we annealed them on 700℃ for 30 minutes and found that they showed a good growth of crystal by the XRD measurement. We selected Pt as the bottom electrode, using the substrate Pt/SiO2/Si in order, we raised the different conditional thin films and obtained the capacitor by evaporating Al as the top electrode. We measured the electric capacitance and dielectric loss by changing the frequency for three step as 1, 10, 100kHz for each and calculated the dielectric constant. The dielectric constant of the thin film (PbxBa1-x)TiO3 was decreased below x=0.8 and increased upto x=1.0 as x increases.

직장인의 스트레스 양과 정신건강 상태와의 관계

남기남,조정아,정소희,소천 대한가정의학회 1999 Korean Journal of Family Medicine Vol.20 No.2

근적외 분광 분석법을 이용한 사향 대체 물질별 우황청심원액의 분류

김선민,우영아,김효진,조창희,조정희 동덕여자대학교 종합약학연구소 2005 동덕약학연구지 Vol.9 No.-

The object of this study is to develop a nondestructive and rapid analytical method to classify WooHwangChongShimWon solution according to the types of musk substitutes such as L-muscone, civet, camphor, etc. Its indications are apoplexy, hypertension, palpitation, convulsions and unconsciousness. Musk was one of major components for WooHwangChongShimWon in the traditional prescription which is secreted by the glands of the male Moschus moschiferus parvipes. Because the use of musk is prohibited for the animal protection by the Convention on International Trade in Endangered Species of wild Fauna and Flora(CITES), manufacturing companies are using various type of substitutes for musk for musk in the recent. The quality and price of the musk substitutes will be different. However, there have been difficulties to classify of different products from different companies base on the substitutes. In this study, Near infrared spectroscopy was used for the development of classification methods. Seven different samples depending the substitutes from five pharmaceutical companies were used as samples and Near infrared(NIR) transmittance spectra were collected over the region 1100 to 1750nm. Even though spectral features based on the substitutes were not different, NIR spectral data of samples were clearly classified using principal component analysis(PCA). The proper conditions for sample preparation and measurement of spectral data were investigated; sampling preparation such as clear supenatant samples after centrifugation and uniformly suspended samples were compared and the comparison of water and air as reference materials were performed when acquring spectral data. In the PCA, the optima PC numbers were also investigated for classification condition. Overall, NIR transmittance spectroscopy using PCA was shown to have significant potential as a rapid method for classification of WooHwangChongShimWon solution based on musk substitutes.

피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

여성 노인의 건강인식에 관한 질적 연구

천희란,강민아,정최경희,조성일,조성일 이화여자대학교 한국여성연구소 2010 여성학논집 Vol.27 No.2

이 연구는 실증주의적이고 계량적 연구방법에 치우쳐 온 건강과학분야에서 노년기 건강에 관한 일반적 연구방법의 한계를 보완하고자 시도되었다. 반-구조화된 질문과 심층면접을 통해 생애단계별로 수집된 구술 자료를 분석하여, 여성 노인들이 자신의 건강을 어떻게 평가하고 있으며 현재의 건강을 결정하는데 중요하다고 인식하는 사건이나 요인은 무엇인지 살펴보고자 하였다. 대상은 기준표본방법(criterion sampling)에 의거해 서울거주 67-79세 여성 노인 12명을 모집하였고, 기초생활수급자 및 비수급자를 비례적으로 포함하였다. 분석은 colaizzi의 현상학적 분석 방법을 사용하였다. 연구에 참여한 여성 노인들은 ‘젊어서 고생’, ‘자식 사망’이나 ‘사업 실패’와 같은 충격적 사건이나 ‘화병’, ‘유산, 출산, 산후조리와 같은 여성특이적 경험’, ‘어릴적 영양상태’와 같이 “생애사유인(誘因)적”으로 건강과 질병의 원인을 찾는 경향이 있었다. 더불어 질병이나 노화를 필연적 인생과정으로 인식하거나, 타고난 체질로 받아들이는 “인생순응(順應)적” 범주도 나타났다. 여성 노인들에게 현재의 건강과 질병은 의학적 진단명이나 임상적 수치로만 표현할 수 없는, 일생동안 축적된 슬픔과 한의 간접적 표현이기도 하고, 사회적 관계의 건전성과 관련된 포괄적 삶의 질 지표이기도 하다. 노인의 입장에서 건강의 의미를 찾고 문제를 검토하는 다양한 연구가 필요하다. This phenomenological study describes how older women evaluate their health and what they perceive attributes to their current health status. Despite recent growing recognition of the need for qualitative methods, there has been little literature on the health of older Korean women from their own subjective perspective. In an effort to fill this gap, we conducted semi-structured, face-to-face in-depth interviews with 12 women aged 67 to 79, residing in Seoul. Each woman was interviewed for 50 to 120 minutes regarding her life course and health perception. We found that, in the case of older females, health and illness might be an expression of accumulated sadness/anger and that their perceptions of health were influenced by life trajectory events according to ‘her lived experience’. Moreover, an individual’s health status in old age seemed to reflect the overall quality of life, particularly in regards to the soundness of social relations. This analysis, following Colaizzi's method, revealed such ‘life experiences’ categories as ‘overwork in younger ages,’ ‘death of a child,’ ‘business failure,’ ‘abortion or post-partum care’ and ‘wha-byung (culturally bounded mental illness due to suppressed anger).’ At the same time, the women interviewed seemed to accept diseases and frailty as ‘part of being old,’ or a ‘natural process.’ For a deeper understanding of health and the meaning of health in later life, further studies should take into consideration, and explore in more details, not only what is answered, but the unique perspective, from which it is said.