DOI QR코드

DOI QR Code

Musculoskeletal Symptoms and Related Factors among Nurses in a University Hospital

한 종합병원 간호사들의 근골격계 자각증상과 관련요인

  • Park, Jae-Young (Department of Physical Therapy, College of Health Welfare, Kyungwoon University) ;
  • Kwon, In-Sun (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 박재영 (경운대학교 보건복지대학 물리치료학과) ;
  • 권인선 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Received : 2011.03.10
  • Accepted : 2011.05.12
  • Published : 2011.05.31

Abstract

This study evaluated the complaint rates of musculoskeletal symptoms and investigated the related factors of musculoskeletal symptoms among nurses in a university hospital. For 249 nurses working at the ward, we used the self-administered questionnaires to examine sociodemographic, health related factors, job-related, subjective musculoskeletal symptoms designed by NIOSH. during the period from Aug. 1st to Aug. 31st, 2010. As a results, one and more of musculoskeletal symptoms was 66.3%, and two and more of that was 45.8%. The complaint rates of musculoskeletal symptoms were 44.2% in the shoulders, 33.7% in the low back, 33.3% in the legs/feet, 29.7% in the neck, 14.9% in the hands/wrists/fingers, 4.8% in the arms/elbows. For the age adjusted odds ratio for the musculoskeletal symptoms of neck, shoulders, low back and legs/feet, the groups who are shift work, staff nurse, who reported that their subjective health status are not good, and whose physical burden of works are hard were increased than their respective counterparts. In conclusion, the complaint rates of musculoskeletal symptoms was differently revealed by variable factors such as sociodemographic, health related factors and job-related factors.

본 연구는 간호사들의 근골격계 자각증상을 파악하고, 인구사회학적 특성, 건강행태 및 직업관련 특성과의 관련성을 규명하고자 시도하였다. 조사대상은 대전광역시의 한 대학병원의 병동근무 간호사 249명으로 하였으며, 조사는 2010년 8월 1일부터 8월 31일까지의 기간에 자기기입식 설문조사(self administration questionnaire)를 실시하였다. 연구결과 근골격계증상이 1개 이상 있는 경우는 66.3% 2개 이상 있는 경우는 45.8%를 차지하고 있었으며, 신체부위별 호소율은 어깨 44.2%, 허리 33.7%, 다리/발 33.3%, 목 29.7%, 손/손목/손가락 14.9%, 팔/팔꿈치 4.8%의 순위였다. 연령을 보정한 로지스틱회귀분석을 실시한 결과, 목, 어깨, 허리, 다리/발 부위 증상의 위험비는 주관적 건강 상태가 좋다는 군보다 좋지 않다는 군, 교대근무를 하지 않는 군보다 한다는 군, 책임/수간호사 군보다 평간호사 군. 업무에 대한 육체적 부담정도가 견딜만하다는 군보다 힘들다는 군에서 유의하게 증가한 것으로 나타났다. 결론적으로 근골격계 자각증상은 개인의 인구사회학적 특성이나 건강상태 및 직업관련 특성에 따라 호소율이 다르게 나타남을 시사하고 있다.

Keywords

References

  1. Occupational Safety and Health Administration. OSHA Draft Ergonomic Standard, 1996.
  2. Bigos SJ, Spengler DM, Matin NA. Back injuries in industry: a retrospective study. Spine, 11:246-251. 1986. https://doi.org/10.1097/00007632-198604000-00011
  3. Gamperiene M, Stigum H. Work related risk factors for musculoskeletal complaints in the spinning industry in Lithuania. Occupational and Environmental Medicine, 6(6):411-416. 1999.
  4. National Institute for Occupational Safety and Health(NIOSH). In Putz-Anderson V. Cummulative trauma disorders: A manual for musculoskeletal disease of the upper limbs. 1988.
  5. National Institute for Occupational Safety and Health(NIOSH). Work related musculoskeletal disorders, 1997.
  6. http://cafe.daum.net/safetyhealth06
  7. Hardy GE, Shapior DA, Borrill CS. Fatigue in the workforce of national health service trust: Levels of symptomatology and lings with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosomatic Research 43(1):83-92. 1997. https://doi.org/10.1016/S0022-3999(97)00019-6
  8. Wall TD, Bolden RI, Borrill CS, Carter AJ, Golya DA, Hardy GE, Haynes CE, Rick JE, Shapiro DA, West MA. Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry, 171:519-523, 1997. https://doi.org/10.1192/bjp.171.6.519
  9. 김영옥, 구정환. 일부 종합병원 간호사의 근골격계 증상과 관련요인. 한국의 산업의학, 41:131-141. 2002.
  10. 한국산업안전공단. 근골격계 부담작업 유해요인 조사 지침. 2003. KOSHA CODE(H-28-2002).
  11. 박수경, 최영진, 문덕환, 전준호, 이종태, 손혜숙. 미용사들의 작업관련성 근골격계 장애에 관한 연구. 대한산업의학회지, 12(3):395-404. 2000.
  12. 허경화, 한영선, 정혜선, 구정완. 골프장 경기보조원의 근골격계 자각증상과 관련 요인. 대한산업의학회지, 16(1):92-102. 2003.
  13. 김재호, 이종영. 상선 승무원들의 근골격계 증상 경험률과 관련요인. 예방의학회지, 31:127-38. 1998.
  14. 김형렬, 원종욱, 송재석, 김현수, 김치년. 일부 의료서비스업 VDT작업자의 상지 근 골격계 증상의 정도와 관련요인. 대한산업 의학회지, 15(2):140-149. 2003.
  15. Krause N, Ragland DR, Greiner BA, Syme SL, Fisher JM. Psychosocial job factors associated with back and neck pain in public transit operators. Scan J Work Environ Med, 23(3):179-186. 1997. https://doi.org/10.5271/sjweh.196
  16. IJzelenberg W, Molenaar D, Burdorf A. Different risk factors for musculoskeletal complaints and musculoskeletal sickness absence. Scan J Work Environ Med, 30(1):56-63. 2004. https://doi.org/10.5271/sjweh.765

Cited by

  1. Musculoskeletal Disorder Symptoms and Its Related Factors among Male Workers in Manufacturing Industries vol.16, pp.10, 2015, https://doi.org/10.5762/KAIS.2015.16.10.6627
  2. Comparison of Patient-Sitter Ward Nurses and General Ward Nurses on Work-Related Musculoskeletal Symptoms, Occupational Stress and Nursing Work Environments vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.169
  3. Factors Associated with Job-related Injuries among Cleaners in Hospitals vol.24, pp.3, 2015, https://doi.org/10.5807/kjohn.2015.24.3.214