소방관의 근골격계 증상과 직무 스트레스에 관한 연구 = The study for musculoskeletal symptoms and job stress in firemen

다국어 초록 (Multilingual Abstract)

Firemen are directly exposed to various harmful chemicals, physical factors and mental stress during rescue and firefighting. In fire extinguishing, unstable posture, poisonous gas, dust, high temperature and heavy equipments are possible hazardous factors. The alertness for emergency, shift work, job strain and stress are also possibly hazardous. Therefore, this study aimed to investigate the prevalence of musculo-skeletal symptoms and job stress and to determine risk factors in firemen. This study was carried out in a group of 226 firemen in Busan City, Korea. Standardized Nordic Questionnaire was used to investigate the prevalence of musculo-skeletal symptoms and Psycho-social Well-being Index (abbreviated PWI) was used to investigate the prevalence of job stress. General and occupational characteristics were included education, marital status, alcohol and smoking history, working duration, and work shift system. Body mass index (BMI) scores were calculated by physical examination including height and weight. Concerning musculo-skeletal complaints, the commonest site was neck, and shoulder, lower back, upper back were the next. Complaint site above one area of body was about 80%. From multiple logistic regression analysis, working duration was significant variable in musculo-skeletal symptoms. Odds ratio were 15.4 in working duration. About 16.8% was high risk stress group. From multiple logistic regression analysis, shift work and alcohol drinking were significant variables in PWI scores. Odds ratios were 2.25 in shift work. Accordingly, interventions are needed for health promotion of long term and shift worker.

참고문헌 (Reference)

1 오장균, "한 사업장 근로자들의 스트레스 생활습관 및 건강수준과의 관계" 12 (12): 26-40, 2000

2 김보경, "중소규모 사업장에서 근골격계 증상의 고 위험군 선정과 운동프로그램의 효과" 17 (17): 10-25, 2005

3 "전자제품 조립업체 근로자에서 직무 요구 경력 개발 경제적 압력 등의 직무 스트레스가 업무관련 상지 근골격계 질환에 미치는 영향" 15 (15): 269-278, 2003

4 김양옥, "전자렌지 조립작업자에서 발생한 경견완증후군의 조사연구 -설문증상을 중심으로-" 7 (7): 306-319, 1995

5 박종, "전자렌지 조립작업자에서 발생한 경견완증후군의 조사연구 - 진찰 및 검사소견을 중심으로-" 7 (7): 320-331, 1995

6 김일룡, "자동차 조립작업자의 사회·심리적 스트레스와 근골격계 증상과의 연관성" 13 (13): 220-231, 2001

7 강경화, "일부 소방관의 음주와 직무스트레스와의 관련성" 13 (13): 401-412, 2001

8 임상혁, "은행창구 작업자(VDT 작업자)의 경견와장애 자각증상 호소율과 관련 요인에 관한 연구." 9 (9): 85-98, 1997

9 "소방행정자료 및 통계" 행정자치부 147-, 2001

10 "소방대원의 출동충격스트레스에 관한 구조모형" 2000

11 조길영, "소방관의 직무만족에 관한 연구 경상남도 하위직 공무원을 중심으로" 1998

12 김진태, "소방관의 이직 결정요인 분석"

13 이병길, "소방공무원 직무관련질환과 건강관리 방안" 인천 남동공단 소방서 2000

14 송동빈, "반복 작업 근로자들에서의 경견완장애에 관한 연구" 8 (8): 301-019, 1996

15 김윤규, "교대근무가 건강에 미치는 영향 -일반건강, 수면, 스트레스, 삶의 질과 정신건강에 관하여-" 대한직업환경의학회 14 (14): 247-256, 2002

16 정숙희, "교대근무 간호사의 주관적 수면특성과 우울성향" 7 (7): 155-162, 1998

17 "VDT 취급근로자의 신체적 자각증상과 정신사회적 안녕상태의 관련성" 8 (8): 403-413, 1996

18 "Shiftwork, occupation and coronary heart disease over 6 years of follow-up in the Helsinki Heart Study" 23 (23): 257-265, 1997Aug

19 "Protective equipment affects balance abilities differently in younger and older firefighters" 74 (74): 1151-1156, 2003Nov

20 "Prevalence of symptoms of post-traumatic stress Disorder in German professional firefighter American Journal of Psychiatry" 155 : 1727-1732, 1998

21 "Predicting posttraumatic stress symptoms from pretraumatic risk factors a 2-year prospective follow-up study in firefighters" 162 (162): 2276-2286, 2005

22 "Postural analysis of paramedics simulating frequently performed strenuous work tasks" 31 (31): 45-57, 2000Feb

23 "Latent health effects in firefighters" 9 (9): 95-103, 2003

24 "Health reason for firefighters to leave their job" 53 (53): 2002

25 "Frequency and type of injuries in responders of hazardous substances emergency events 1996 to 1998" 42 (42): 1115-1120, 2000nov

26 "Environmental study of firefighters" 581-602,

27 "Control of work-related cumulative trauma disorders - Part : upper extremities, ANSI(1998) Z-365 Working Draft" Itasca, Ⅱ 1998

28 "Compassion fatigue following the September 11 terrorist attacks a study of secondary trauma among New York City social workers" 6 (6): 57-66, 2004

29 "Characterization of firefighter exposures during fire overhaul" 61 (61): 636-641, 2000

30 "Carotid artery dissection following minimal postural trauma in a firefighter" 54 (54): 430-431, 2004Sep

31 "Cardiovas-cular risks in firefighters implications for occupational health nurse practice" 52 (52): 66-76, 2004

32 "Assessing the office" 69 (69): 24-26, 2000

33 "3교대 근로자에서 교대근무기간과 혈압 및 심박수 변동성" 13 (13): 180-189, 2001