Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors Influencing Health Status by the salutogenic Theory of Radiologists

방사선사의 건강생성이론에 의한 건강상태 영향요인

  • Seo, Young-Ho (Department of Public Health, Graduate School of Kyungpook National University) ;
  • Kim, Keon-Yeop (Department of Public Health, Graduate School of Kyungpook National University) ;
  • Nam, Hang-Me (Department of Medical Administration of Taegu Science University) ;
  • Park, Chang-Hee (Department of Radiologic Technology Daegu Health College)
  • 서영호 (경북대학교 대학원 보건학과) ;
  • 김건엽 (경북대학교 대학원 보건학과) ;
  • 남행미 (대구과학대학교 의무행정과) ;
  • 박창희 (대구보건대학교 방사선과)
  • Received : 2019.09.27
  • Accepted : 2020.01.03
  • Published : 2020.01.31
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Abstract

This study is based on the theory of salutogenesis, and investigates factors affecting the health status of radiologists who experience high stress and health problems in the rapidly changing medical environment. The study enrolled 379 radiologists working at hospitals in Daegu. A health structure model was established by applying the theory of salutogenesis. Sense of coherence had a direct effect on the health status of radiologists. Psychological stress, social support, and drinking were also influential factors, due to their mediating effect on the sense of coherence. Moreover, social support was also found to be lower when job stresses were higher. Hence, increased psychological stress resulted in lower levels of sense of coherence, social support and exercise. Taken together, results of this study indicate that effects on the sense of coherence have maximum influence on the health status of radiologists, and social support among general resistance resources is an important factor for enhancing sense of coherence. In addition to social support and health behaviors, researches involving various resources and the development of organizational strategies and health promotion intervention programs are required in future, to enable radiologists to cope with their stresses and improve health.

이 연구는 급격한 의료환경의 변화 속에서 높은 스트레스와 건강문제를 경험하고 있는 방사선사의 건강상태와 관련된 영향요인을 건강생성 이론기반 분석함으로써 건강증진사업 및 프로그램 개발과 보건정책에 필요한 기초자료를 제공하고자 한다. 이를 위하여 대구광역시 소재의 상급종합병원, 종합병원, 병·의원에 근무하고 있는 방사선사 379명을 대상으로 건강생성 이론의 핵심개념인 통합성과 일반적 저항자원인 사회적 지지, 건강행위와 직무 스트레스, 사회심리적 스트레스를 적용한 건강구조모형을 구축하고 모형의 적합도 및 직·간접적 경로의 유의성을 검증하고자 하였다. 방사선사의 건강상태에 통합성이 직접적으로 영향을 미쳤고, 사회심리적 스트레스는 통합성을 매개로 건강상태에 유의한 총효과를 미쳤으며, 사회적 지지와 음주는 통합성을 통하여 건강상태에 유의한 간접효과를 나타내었다. 또한, 방사선사의 직무 스트레스가 높을수록 사회적 지지는 낮아지고, 사회심리적 스트레스가 높을수록 통합성, 사회적 지지, 건강행위의 운동은 낮아졌다. 본 연구결과, 통합성은 방사선사의 건강상태에 가장 크게 영향을 미치고 있었고 일반적 저항자원 중 사회적 지지가 통합성을 높이는 중요한 요인이었다. 향후 본 연구에 조사된 일반적 저항자원인 사회적 지지와 건강행위 이외에 다양한 자원을 포함한 연구와 방사선사 스스로 자신의 스트레스에 대처하고 건강을 생성할 수 있도록 조직차원의 전략과 건강증진 중재 프로그램 개발이 필요하다 하겠다.

Keywords

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