일개 대학병원 간호사의 교대근무가 기능성 위장장애에 미치는 영향 = Relationship of Shift Work to Gastrointestinal Disorders in Hospital Nurses

국문 초록 (Abstract)

배경: 본 연구는 간호사의 교대근무에 따른 건강문제 중기능성 위장장애와의 관련성에 대한 연구이다. 일개 대학병원의 간호사를 대상으로 교대근무자와 비교대근무자의기능성 위장장애의 차이를 비교하고, 이러한 증상에 유의하게 영향을 미치는 요인들을 분석하였다.
방법: 2013년 8월 일개 대학병원에서 근무하는 간호사전수를 대상으로 자가보고형 설문조사를 실시하였다. 대상자 중 1,201명이 응답하였고, 이 중 응답이 부실한 자료를 제외한 851명의 자료를 최종 분석대상으로 하였다.
결과: 교대근무자가 비교대근무자에 비해 기능성 위장장애의 비율이 1.881배 높은 것으로 나타났다. 교대근무외에도 기능성 위장장애에 영향을 미치는 요인으로는 연령, 결혼상태, 근무기간, 고용형태, 업무만족도, 자각된 건강상태였다. 연령이 30-39세인 경우, 기혼인 경우, 근무경력이 5-10년인 경우, 비정규직인 경우, 업무만족도가 낮은경우, 지각된 건강상태가 나쁜 경우 기능성 위장장애의 비율이 높았다.
결론: 본 연구에서 교대근무자가 비교대근무자에 비해위장장애의 비율이 유의하게 높게 나타났다. 이러한 결론은 교대근무를 하는 병원간호사의 위장장애 문제를 예방하고 관리하는데 기여한다는 점에 의의를 둘 수 있다.

다국어 초록 (Multilingual Abstract)

Background: This study researched the relationship between shift work and one of its relevant health problems,functional gastrointestinal disorders. The study targeted nurses working at a university hospital, and comparedthe differences in gastrointestinal disorders of shift workers and non-shift workers and identified causes thatsignificantly influence these symptoms.
Methods: In August 2013, a self-report survey was conducted on nurses working at a university hospital.
Among those sent out, 1,201 responded and 851 were used for the final analysis.
Results: It was shown that the frequency of gastrointestinal disorders in shift workers was 1.881 times higherthan that of non-shift workers. Factors that influenced gastrointestinal disorders included age, marital status,work duration, type of employment, job satisfaction, and perceived health status. Gastrointestinal disorderswere seen more often with older age, being married, longer duration of employment, non-regular worker, lowjob satisfaction, bad perceived health status, and shift works.
Conclusions: To prevent gastrointestinal disorders in nurses who work shifts, a health checkup system shouldbe in place for clinical nurses who are of older age and have longer employment records. To decrease the causesof gastrointestinal disorders, campaigns suggesting regular diet and quitting alcohol use should be heldconsistently. Also, a category related to gastrointestinal disorders should be added to the employee healthcheckup for nurses with long work experience.

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