의료업종의 작업위험요인에 대한 실태조사 결과 = A Result of Field Survey for Ergonomic Work Risk Factors in General Hospital

다국어 초록 (Multilingual Abstract)

The purposes of this research are to survey work-related risk factors of musculoskeletal disorders(MSDs) in various departments and tasks at general hospitals in non-manufacturing sectors, and to use basic data derived from the survey results in preventing work-related MSDs in hospital workers. Investigation started in March of 2006 and continued for 6 months in 220 general hospitals at Seoul, Incheon, Kyeongi, and Kangwon area. Investigators visited and interviewed workers in hospitals to identify the presence of tasks of musculoskeletal burden, the investigation results of ergonomic risk factors required by the Occupational Safety and Health Law, statistical analysis from questionnaire for musculoskeletal symptoms, and major departments and tasks that have such risk factors. Twenty-seven percents of hospitals finished the investigation of ergonomic risk factors, and 69% did not do the investigation while remained 4% did not have such factors in their hospitals. The rank order of major departments that had such musculoskeletal burdens was kitchen rooms of 143, managing departments/computer rooms/dispensaries of 137, physical treatment rooms of 109, nursing departments of 96, radiological and clinical laboratories of 63. Eighteen hospitals that did not hold legal duties by the section 148 of labor minister decree practiced prevention programs of MSDs according to the labor-management cooperation. Nursing departments ranked in the first place for the numbers of musculoskeletal symptoms of 438. Managing departments/computer rooms/dispensaries, kitchen rooms, and medical treatment departments held 127, 52 and 45 symptoms, respectively. The magnitude order of physical symptom areas followed shoulder of 185, backs and waist of 166, hand wrists of 120, necks of 110, and legs/feet of 106. The departments and jobs that had major work-related ergonomic risks were patient transporting, central supplying, patient nursing (moving patients into wheel-chairs, changing of patient posture and sheet alteration), manual transporting, operation, and managing/computer departments.

참고문헌 (Reference)

1 서순림, "종합병원 간호사의 근골격계질환 실태조사" 24 (24): 17-24, 2005.

2 한국산업안전공단, "작업자세별 스트레칭 근로자용" 한국산업안전공단 2003

3 정은희, "일개 대학병원 간호사의 근골격계 부담작업 분석" 25 (25): 97-103, 2006.

4 한국산업안전공단 서울지역본부, "의료업종 근골격계질환 예방 매뉴얼(기술세미나 책에 포함)" 한국산업안전공단 서울지역본부 2006.

5 김대성, "비제조업 근골격계질환 예방 실태조사 연구 ; 한국산업위생학회 동계학술대회" 2007.

6 "부산대학교 의과대학 예방의학 및 산업의학교실" 2003.

7 기도형, "병원 환자 운반 업무의 작업부하 분석에 NIOSH 들기 작업 공식의 적용 가능성" 25 (25): 43-50, 2006.

8 OSHA, "Technical manual" OSHA 2003.

9 Silverstein, "Reducing back and shoulder injuries in the nursing home industry Proceedings of the Human Factors and Ergonomics Society 45th Annual Meeting" 2001.

10 Marras, "A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques" 42 (42): 904-926, 1999.

11 노동부, "2006년 산업재해분석" 노동부 2006.

12 03-24-344, "2004년 의료기관 보건관리 실태조사" 한국산업안전공단 2005.