Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Risk Assessment and Intervention of Ergonomic Risk Factor in Beekeeping

치과위생사의 직무스트레스 그리고 작업자세와 상지의 증상여부 및 기능과의 관련성

  • Kwon, Yu-jin (Graduate School of Public Health, Gyeongsang National University) ;
  • Kang, Yong Ju (Jinju Health College, Department of Dental Hygiene) ;
  • Seo, Sung-Hyo (Department of Preventive Medicine & Health Science Institute, College of Medicine, Gyeongsang National University) ;
  • Kim, Bokyoung (Department of Preventive Medicine & Health Science Institute, College of Medicine, Gyeongsang National University) ;
  • Park, Ki-Soo (Graduate School of Public Health, Gyeongsang National University)
  • 권유진 (경상대학교 보건대학원) ;
  • 강용주 (진주보건대학교 치위생과) ;
  • 서성효 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 김보경 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 박기수 (경상대학교 보건대학원)
  • Received : 2019.09.30
  • Accepted : 2019.12.10
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study investigated musculoskeletal symptoms in upper limbs according to the working environment (job stress) of dental hygienists and examine their relationship with upper limb functions. Methods: The subjects include 198 dental hygienists in dental hospitals and dental clinics in Pusan and Gyeongnam. The questionnaire was consisted of general characteristics of the subjects, job stress, musculoskeletal symptoms in upper limbs and function (Disability Measurement Tool for Upper Extremity Disorders-11, DASH-11). Results: The study was analyzed their musculoskeletal symptoms in upper limbs according to their general characteristics and found that the symptoms occurred in the neck (39.4%), the shoulders (54.6%), elbows (14.7%), and the hands (50.0%). Job stress was associated with upper limb functions (DASH-11) (model 3, B=5.210, p=0.012) and repeated elbow bending and spreading posture was associated with DASH-11 (model 3, B=6.561, p=0.029). Elbow symptoms were associated with DASH-11 in the upper limbs (B=10.679, p=0.003). Conclusion: Dental hygienists are experiencing limitations of upper limb function due to job stress. In particular, even if the correction of their uncomfortable posture is significantly related to the job stress and upper limb function, in order to improve the upper limb function of the dental hygienist, efforts to reduce the job stress as well as the uncomfortable posture are necessary.

이 연구는 치과위생사의 직무스트레스와 상지의 근골격계 기능 장애의 관련성을 알아보고자 수행하였다. 연구 대상자는 부산·경남 지역의 병원급 이상, 치과의원에 근무하는 치과위생사를 220명을 편의 표집하여 설문지를 배포한 후 최종 수거된 200부에서 응답이 부실한 2부를 제외하고 최종적으로 198명의 자료를 분석하였다. 설문문항으로는 일반적 특성, 직무스트레스, 작업관련 상지 근골격계 통증, 동작수행능력에 따른 기능평가 문항으로 구성하였다. 치과위생사의 대한 상지근골격계질환 통증은 목 39.4%, 어깨 54.6%, 팔/팔꿈치 14.7%, 손/손목/손가락 50.0% 였다. 그리고, 상지의 기능 장애는 치과위생사에서 호발하는 건강관련 문제로 불편한 작업자세와 상지 부위별 근골격계 통증을 보정하더라도 직무스트레스와 유의한 관련이 있었다. 즉, 팔꿈치를 굽혔다 펴는 반복 작업, 팔꿈치 부위에 통증이 있는 경우외에도 직무스트레스 역시 상지의 기능 장애와 관련이 있었다. 치과위생사의 직무스트레스는 이들의 상지 기능 장애로 이어져 결과적으로 의료서비스의 저하로 이어지므로, 장단기 계획하에 근무환경개선 등을 통하여 직무 스트레스를 감소시킬 수 있는 방안을 모색하여야 할 것이다.

Keywords

References

  1. P eter AL, Urepron K, Derek RS. Occupational Health Problems in Modern Dentistry: A Review. Industrial Health 2007;45:611-621 https://doi.org/10.2486/indhealth.45.611
  2. Puts AV. Recognizing Cumulative Trauma Disorders. In: Cumulative Trauma Disorders: a Mannual for Musculoskeletal Disease of the Upper Limbs. Bristol:Taylor&Francis Inc ,;1994:3-31
  3. Bureau of labor statistics. National occupational illness by category of illness, private industry. U.S. :Department of Labor, Bureau of Labor Statistics;2000
  4. L ee SS, Yu BC, Urm SH, et al. Relationship between musculo-skeletal symptom and workrelated factors in dental hygienist. J Korean Acad Oral Health 2011;35:486-496 (Korean)
  5. P ark JR, Park JY. A study on the factors that affect dental hygienist's work related musculo-skeletal. J Korean Acad Dent Health 2007;31:416-431 (Korean)
  6. H ong SW, Yeom DC, Jeon MH. Job stress and work-related musculoskeletal symptoms of 119 emergency medical technicians. Korean J Occup Health Nurs 2010;19:223-235 (Korean)
  7. K im JH, Yoo WK. Subjective symptoms and risk assessment of musculo-skeletal disorders of the dental hygienists. J Korean Soc Dent Hyg 2012;12:67-79 (Korean) https://doi.org/10.13065/jksdh.2012.12.1.067
  8. P ark SR, Shim YS, Jung SH. Dental hygienists work-related musculoskeletal symptoms and factor analysis. J Korean Soc Dent Hyg 2012;12:685-693 (Korean) https://doi.org/10.13065/jksdh.2012.12.4.685
  9. Moon AE. The Relationship between Working Environment Factors and Stress and Musculoskeletal Disorders in Dental Hygienists. J Dent Hyg Sci 2015;15(4):472-479 (Korean) https://doi.org/10.17135/jdhs.2015.15.4.472
  10. K ang DM, Kim YK, Kim JE. Job stress and musculoskeletal diseases. J Korean Med Assoc 2011;54(8):851-858 (Korean) https://doi.org/10.5124/jkma.2011.54.8.851
  11. Bongers PM, Kremer AM, Laak J. Are psychosocial factors, risk factors for symptoms and signs of the shoulder,elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med 2002;41(5):315-42 https://doi.org/10.1002/ajim.10050
  12. Kwon SC, Ryu HC, In HK, Lee KS, Lee SJ. Effect of the Prevention Programs for Musculoskeletal Disorders in one Farming Village. J Agri Med & Community Health 2008:33(1):1-10 (Korean) https://doi.org/10.5393/JAMCH.2008.33.1.001
  13. K im JG, Kang JW. The Characteristics of QuickDASH for Workers in the Manufacturing Industry. Korean J of Occup Ther 2013;21(1):107-118 (Korean) https://doi.org/10.14519/jksot.2013.21.4.09
  14. S uh YS, Cheon YH, Kim HO, Kim RB, Park KS, Yang HS, Park HB, Na JB, Lee SI. Prevalence and Risk Factors of Upper Extremity Musculoskeletal Diseases among Farmers in Gyeongnam. J Rheum Dis 2016;22(6):366-373 (Korean) https://doi.org/10.4078/jrd.2015.22.6.366
  15. Kim JY. Effects of job stress of dental hygienist on turnover intention [dissertation]. Seoul, Catholic University, 2018 (Korean)
  16. K Im MA, Seo HJ. Dental Hygienists Work on the Impact of Factors Associated with Musculoskeletal Pain. J Dent Hyg Sci 2012;12(6):558-565 (Korean)
  17. Kim MJ. The manifestation and management of subjective symptoms of the musculoskeletal system according to the working posture of dental hygienists. [dissertation]. Seoul, Chung-Ang University, 2013 (Korean)
  18. Choi SY, Yang JY, Lim YY, Shin KH, Shin DC. An Analysis about Building-related Health Symptoms of Workers at Dental College Hospitals in Seoul, J. Environ. Toxicol. 2009;24(2):149-157 (Korean)
  19. Oh IS, Park SE, Yang JY, Shin DC. A study on building symptom index of workers in large buildings, J. Korean Soc. Atmos. Environ. 1999;2:295-296. (Korean)
  20. Kim BT, Choi HY, Moon SJ. Research on the Subjective Symptoms of Musculoskeletal Disorders for Dental Hygienists in Daegu. The Korean Society of Health Service Management Vol.8 No.4 pp.121-130 (Korean)
  21. Andrianakos AA, Kontelis LK, Karamitsos DG, Aslanidis SI, Georgountzos AI, Kaziolas GO, et al. Prevalence of symptomatic knee, hand, and hip osteoarthritis in Greece. The ESORDIG study. J Rheumatol 2006;33:2507-13
  22. Gumina S, Carbone S, Campagna V, Candela V, Sacchetti FM, Giannicola G. The impact of aging on rotator cuff tear size. Musculoskelet Surg 2013;97 Suppl 1:69-72 https://doi.org/10.1007/s12306-013-0263-2
  23. Moon DK, Park YJ, Song SY, Kim MJ, Park JS, Nam DC, Kim DH, Na JB, Lee SI, Hwang SC, Park KS. Common Upper Extremity Disorders and Function Affect Upper Extremity-Related Quality of Life: A Community-Based Sample from Rural Areas. Yonsei Med J 2018;59(5):669-676 https://doi.org/10.3349/ymj.2018.59.5.669
  24. Lee SY, Ko HJ, Yu BC. Relationship between occupational stress and musculoskeletal symptoms of upper extremities among dental-hygienists. J Korean Soc Dent Hyg 2012;12(5):897-908 (Korean) https://doi.org/10.13065/jksdh.2012.12.5.897
  25. Faucett J1, Rempel D. VDT-related musculoskeletal symptoms: interactions between work posture and psychosocial work factors. Am J Ind Med. 1994;26(5):597-612 https://doi.org/10.1002/ajim.4700260503