Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
권호 표지

The study for musculoskeletal symptoms and job stress in firemen

소방관의 근골격계 증상과 직무 스트레스에 관한 연구

  • Kim, Jung Man (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Suh, Byung Seong (Department of Occupational and Environmental Medicine, College of Medicine) ;
  • Jung, Kap Yeol (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Kim, Dong Il (Department of occupational Medicine, Kangbuk Samsung Hospital & Sungkyunkwan University, School of Medicine) ;
  • Kim, Won Sool (Department of occupational Medicine, Kangbuk Samsung Hospital & Sungkyunkwan University, School of Medicine) ;
  • Cho, Han Seok (Department of Rehabilitation Medicine, Dong-A University medical center) ;
  • Kim, Jin Wook (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Kwon, Jae (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Yoon, Dong Young (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Kim, Jung Il (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University) ;
  • Roh, Young-Man (Institute of Environmental and Industrial Medicine, Hanyang University)
  • 김정만 (동아의대 예방의학교실 및 산업의학교실) ;
  • 서병성 (성균관의대 강북삼성병원 산업의학과) ;
  • 정갑열 (동아의대 예방의학교실 및 산업의학교실) ;
  • 김동일 (성균관의대 강북삼성병원 산업의학과) ;
  • 김원술 (성균관의대 강북삼성병원 산업의학과) ;
  • 조한석 (동아대학교병원 재활의학과) ;
  • 김진욱 (동아의대 예방의학교실 및 산업의학교실) ;
  • 권재 (동아의대 예방의학교실 및 산업의학교실) ;
  • 윤동영 (동아의대 예방의학교실 및 산업의학교실) ;
  • 김정일 (동아의대 예방의학교실 및 산업의학교실) ;
  • 노영만 (한양대학교 환경및산업의학연구소)
  • Received : 2007.04.09
  • Accepted : 2007.05.14
  • Published : 2007.06.30
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Abstract

Firemen are directly exposed to various harmful chemicals, physical factors and mental stress during rescue and fire-fighting. 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.

Keywords

Acknowledgement

Supported by : 동아대학교

References

  1. 강경화, 이강숙, 김석일, 맹관호, 홍현숙, 정춘화. 일부 소방관 의 음주와 직무스트레스와의 관련성. 대한산업의학회지 2001;13(4):401-412
  2. 김보경, 박정일 ,임현우, 구정완, 이강숙. 중소규모 사업장에 서 근골격계 증상의 고 위험군 선정과 운동프로그램의 효과. 대한산업의학회지. 2005;17(1):10-25
  3. 김양옥, 박종, 류소연. 전자렌지 조립작업자에서 발생한 경견 완증후군의 조사연구(I)-설문증상을 중심으로-. 대한산업의학회지 1995;7(2):306-319
  4. 김윤규, 윤동영, 채창호, 홍영습, 김정일. 교대 근무가 건강에 미치는 영향. 대한산업의학회지 2002;14(3):247-256
  5. 김일룡 2001- 자동차 조립작업자의 사회.심리적 스트레스와 근골격계 증상과의 연관성. 대한산업의학회지 2001;13(3):220-231
  6. 김진태. 소방관의 이직 결정요인 분석. 부산대학교 대학원 석 사학위논문 1991
  7. 박종, 김양옥, 류소연, 하상호, 박병권. 전자렌지 조립작업자 에서 발생한 경견완증후군의 조사연구(II)- 진찰 및 검 사소견을 중심으로-.대한산업의학회지 1995;7(2): 320- 331
  8. 송동빈, 최재욱, 염용태. 반복 작업 근로자들에서의 경견완장 애에 관한 연구 대한산업의학회지 1996:8(2):301-019
  9. 오장균, 한 사업장 근로자들의 스트레스, 생활습관 및 건강수 준과의 관계. 대한산업의학회지 2000;12(1):26-40
  10. 이병길, 이연주, 정병권, 손세일, 이종일,김성광, 소방공무원 직무관련질환과 건강관리 방안. 인천 남동공단 소방서. 2000
  11. 임상혁, 이윤근, 조정진, 손정일, 송재철. 은행창구 작업자 (VDT 작업자)의 경견와장애 자각증상 호소율과 관련 요인에 관한 연구. 대한산업의학회지 1997;9(1):85-98
  12. 정숙희. 교대근무 간호사의 주관적 수면특성과 우울성향. 산업간호학회지 1998 Dec;7(2):155-162
  13. 조길영. 소방관의 직무만족에 관한 연구 경상남도 하위직 공 무원을 중심으로. 경상대학교 경영행정대학원 석사학위 논문 1998
  14. 장세진. 스트레스. 대한예방의학회. 건강 통계 자료 수집 및 측정의 표준화 연구. 제 5장. 1995
  15. 차봉석, 고상백, 장세진, 박창식. VDT 취급근로자의 신체적 자각증상과 정신사회적 안녕상태의 관련성. 대한산업의학회지 1996;8(3):403-413
  16. 최은숙. 소방대원의 출동충격스트레스에 관한 구조모형, 충 남대학교대학원 박사학위논문, 2000
  17. 하미나. 3교대 근로자에서 교대근무기간과 혈압 및 심박수 변동성. 대한산업의학회지 2001;13(2): 180-189
  18. 한상환, 조수헌, 김지영, 성낙정. 전자제품 조립업체 근로자 에서 직무 요구, 직무 조직, 경력 개발, 역할 압력, 경제적 압력 등의 직무 스트레스가 업무관련 상지 근골격계 질 환에 미치는 영향. 대한산업의학회지 2003;15(3):269- 278
  19. 행정자치부, 소방행정자료 및 통계, 행정자치부, 2000- 2001:147
  20. Amstrong, T.J. and Snock, S.H. Control of work-related cumulative trauma disorders - Part : upper extremities, ANSI(1998) Z-365 Working Draft. Itasca, II
  21. Bolstard-Johnson DM, Burgess JL, Crutchfield CD, Storment S, Gerkin R, Wilson JR. Characterization of firefighter exposures during fire overhaul. AIHAJ 2000:61(5):636-641 https://doi.org/10.1202/0002-8894(2000)061<0636:COFEDF>2.0.CO;2
  22. Boscarino JA, Figley CR, Adams RE. Compassion fatigue following the September 11 terrorist attacks: a study of secondary trauma among New York City social workers. Int J Emerg Ment Health. 2004 Spring;6(2):57-66
  23. Byczek L, Walton SM, Conrad KM, Reichelt PA, Samo DG. Cardiovas-cular risks in firefighters: implications for occupational health nurse practice. AAOHN J. 2004 Feb;52(2):66-76
  24. Haas NS, Gochfeld M, Robson MG, Wartenberg D. Latent health effects in firefighters. Int J Occup Environ Health. 2003 Apr- Jun;9(2):95-103 https://doi.org/10.1179/oeh.2003.9.2.95
  25. Heinrichs M, Wagner D, Schoch W, Soravia LM, Hellhammer DH, Ehlert U. Predicting posttraumatic stress symptoms from pretraumatic risk factors: a 2-year prospective follow-up study in firefighters. Am J Psychiatry. 2005 Dec;162(12):2276-86 https://doi.org/10.1176/appi.ajp.162.12.2276
  26. Jankovic J, Jones W, Burkhart J, Noonan G. Environmental study of firefighters. Ann Occup Hyg 1991; 35(6):581-602 https://doi.org/10.1093/annhyg/35.6.581
  27. Johnson. Assessing the office. Occup Health Saf. 2000 Apr;69(4):24-26
  28. Lavender SA, Conrad KM, Reichelt PA, Meyer FT, Johnson PW. Postural analysis of paramedics simulating frequently performed strenuous work tasks. Appl Ergon. 2000 Feb;31(1):45-57 https://doi.org/10.1016/S0003-6870(99)00027-7
  29. Lloyd S. Carotid artery dissection following minimal postural trauma in a firefighter. Occup Med (Lond). 2004 Sep;54(6):430-431 https://doi.org/10.1093/occmed/kqh044
  30. Punaxallio A, Lusa S, Luukkonen R. Protective equipment affects balance abilities differently in younger and older firefighters. Aviat Space Environ Med. 2003 Nov;74(11):1151-1156
  31. Szubert Z and Sobala W. Health reason for firefighters to leave their job. Med Pr. 2002;53(4) abstract
  32. Tenkanen L, Sjoblom T, Kalimo R, Alikoski T, Harma M. Shiftwork, occupation and coronary heart disease over 6 years of follow-up in the Helsinki Heart Study. Scand J Work Environ Health. 1997 Aug;23(4):257-265 https://doi.org/10.5271/sjweh.218
  33. Wagner, D., Heinrichs, M. & Ehlert, U. Prevalence of symptoms of post-traumatic stress Disorder in German professional firefighter. American Journal of Psychiatry, 1998;155:1727- 1732 https://doi.org/10.1176/ajp.155.12.1727
  34. Zeitz P, Berkowitz Z, Orr MF, Haugh GS, Kaye WE. Frequency and type of injuries in responders of hazardous substances emergency events, 1996 to 1998. J Occup Environ Med. 2000 Nov;42(11):1115-1120 https://doi.org/10.1097/00043764-200011000-00017