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소방공무원의 직무스트레스와 피로수준과의 관련성

Association Between Job Stress and Fatigue Symptoms Among Fire-Fighting Officials

  • Lee, Kwang-Sung (Department of Radiological Technology, Daejeon Health Institute Technology)
  • 투고 : 2020.11.11
  • 심사 : 2021.02.05
  • 발행 : 2021.02.28

초록

본 연구는 소방공무원들의 직무스트레스와 피로수준과의 관련성을 규명하는 것을 목적으로 실시하였다. 조사대상은 D광역시의 5개 소방서에 근무하고 있는 소방공무원 330명을 대상으로 2019년 9월 1일부터 10월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 조사대상자의 피로수준은 직무스트레스 총점이 높을수록 유의하게 높았으며(p<0.001), 하위영역별로는 업무요구도가 높을수록(p=0.046), 업무의 자율성이 낮을수록(p=0.006), 상사의 지지가 낮을수록(p<0.001), 동료의 지지가 낮을수록(p<0.001) 유의하게 높았다. 조사대상자의 피로수준과 직무스트레스 내용 간의 상관관계를 보면, 피로수준은 직무스트레스 총점(r=0.348, p<0.05) 및 업무의 요구도(r=0.301, p<0.05)와는 유의한 양의 상관관계를 보인 반면, 업무의 자율성(r=-0.306, p<0.05), 상사의 지지(r=-0.340, p<0.05) 및 동료의 지지(r=-0.355, p<0.05)와는 유의한 음의 상관관계를 보였다. 피로수준에 대한 직무스트레스의 관련성을 파악하기 위해 다변량 로지스틱 회귀분석을 실시한 결과, 직무스트레스 총점이 낮은 집단(Q1)에 비해 매우 높은 집단(Q4)에서 「고위험 피로군」에 속할 위험비가 유의하게 상승하였다(ORs=3.03, 95% CI=1.13~8.12). 위와 같은 연구결과는 소방공무원들의 피로수준은 직무스트레스와 유의한 관련성이 있음을 시사하고 있다. 따라서 직장에서의 직무스트레스 요인들을 줄일 수 있는 구체적인 방안이 마련될 필요가 있다고 생각된다.

This study examined the relationship between job stress and fatigue symptom of fire-fighting officials. The study subjects were 330 fire-fighting officials working at five fire stations in the D metropolitan city. The study survey was a structured self-administered questionnaire from September 1 to October 31, 2019. The level of fatigue symptoms and job stress were significantly higher (p<.0.001). By the sub-region, the level of fatigue symptoms and job demand were significantly higher (p=0.046), but the decision latitude, the supervisor support, and co-worker support were lower (p=0.006, p<0.001, and p<0.001, respectively). The level of fatigue symptom showed a significant positive correlation with the total score of job stress (r=0.348, p<0.05) and the job demand (r=0.301, p<0.05). In contrast, it showed a significant negative correlation with the decision latitude (r=-0.306, p<0.05), supervisor support (r=-0.340, p<0.05), and co-worker support (r=-0.355, p<0.05). Multivariate logistic regression showed that the odds ratio of the high-risk fatigue group was significantly higher in the high-risk group of job stress than in the low group of job stress (ORs=3.03, 95% CI=1.13~8.12). These findings suggest that the level of fatigue symptoms of fire-fighting officials is related significantly to job stress.

키워드

참고문헌

  1. Jeoung YB. Improvement of work standards of fire fighting organization. Graduated School of Construction Engineering and Industry Kyonggi University, Master's Thesis, 2016.
  2. Kim GS. The relationship of job stress with depression and fatigue of the firemen. Graduated School of Public Health Chosun University, Master's Thesis, 2009.
  3. Bogucki S, Rabinowitz PM. Occupational health of police and fire fighters. In: Rosenstock L, Cullen MR, Brodkin CA, Redlich CA, (eds) Textbook of Clinical Occupational and Environmental Medicine, 2nd ed, Philadelphia, 272-281, 2005.
  4. Oh DW. The effect of fire officials' shift work and job stress on fatigue. Graduated School of Public Health Ajou University, Master's Thesis, 2010.
  5. NIOSH Working Group. Stress at work. NIOSH; 1999
  6. Aneshensel CS. Social stress: Theory and research. Ann Rev Sociol, 18: 15-38, 1992. DOI : https://dx.doi.org/10.1146/annurev.so.18.080192.000311
  7. Dimeo FC. "Effects of exercise on cancer-related fatigue. Am Cancer Soc, Vol.92, No.6 pp. 1689-1693, 2001. DOI : http://dx.doi.org/10.1002/1097-0142(20010915)92:6+<1689::aid-cncr1498>3.0.co;2-h
  8. David A, Pelosi A, McDonald E, Stephens D, Ledger D, Rathbone R, Mann A. "Tired, weak or in need of rest: a profile of fatigue among general practice attenders", BMJ, Vol. 301, No.6762 pp. 1199-120, 1990. DOI : http://dx.doi.org/10.1136/bmj.301.6762.1199
  9. Chen M. The epidemiology of self-perceived fatigue among adults. Prev Med, 15: 74-81 1986. DOI : http://dx.doi.org/10.1016/0091-7435(86)90037-X
  10. Akerstedt T, Knutsson A, Westerholm P, Theorell T, Alfredsson L, Kecklund G. Sleep disturbances, work stress and work hours a cross - sectional study J Psychosom Res, 53: 741-748, 2002. https://doi.org/10.1016/S0022-3999(02)00333-1
  11. Harma M. Are long workhours a health risk? Scand J Work Environ Health, 29(3):167-169, 2003. https://doi.org/10.5271/sjweh.719
  12. van der Hulst M, Long work hours and Health. Scand J Work Environ Health, 29(3):171-188, 2003. https://doi.org/10.5271/sjweh.720
  13. de Croon EM, Blonk RWB, de Zwart BCH, Frings-Dresen, Broersen JPJ. Job stress, fatigue, and job satisfaction in Dutch Lorry drivers: towards and occupation specific model of job demend and control. Occup Environ Med, 59:356-361, 2002. https://doi.org/10.1136/oem.59.6.356
  14. Bultmann U, Kant J, Kasl SV, Beurskens AJ, Van den Brandt PA. Fatigue and psychological distress in the working population psychometrics, prevalence, and correlates. J Psychosom Res, 52:445-452, 2002. https://doi.org/10.1016/S0022-3999(01)00228-8
  15. Faul F, Erdfelder E, Lang AG, Buchner Al. "G*power 3: A flexible statistical power analysis program for the social, behavioral, and science", Behavior Research Methods, Vol.32, No.2 pp. 175-191, 2007. DOI : https://doi.org/10.3758/BF03193146
  16. WHO western pacific region. The Asia-Pacific perspective: redefining obesity and its treatment. p.17, Health Communications Australia Pty Ltd. Sydney, 2000.
  17. Karasek RA, Theorell T, Schwartz JE, Schnall PL, et al. Job characteristics in relation to the prevalence of myocardial infarction in the US health examination survey(HES) and the health and nutrition examination survey(HANES). Am J Public Health, Aug;78(8):910-8. 1988. DOI : https://doi.org/10.5762/KAIS.2016.17.1.622
  18. Chang SJ. A study on the distribution and risk factors for psychosocial distress, and the development work site stress reduction program. Ministry of Health & Welfare 2001.
  19. Schwartz JE, Jandorf L, Krupp LB. The measurement of fatigue: a new instrument, J Psychosom Res, 37(7):753-762, 1993. https://doi.org/10.1016/0022-3999(93)90104-N
  20. Chang SJ. Standardization of collection and measurement of health statistics data. The Korean Society for Preventive Medicine. Seoul, p92-143. 2000.
  21. Lee HJ. A study on the impact of fire fighter's job stress, social-psychological factor, and sleep quality and their relationship to fatigue Symptoms. Graduated School of Chungnam National University, Doctor's Thesis, 2016.
  22. Lee HY, Baek JT, Cho YC. Relationship between Job Stress and Fatigue Symptoms among Manufacturing Male Workers. Journal of the Korea Academia-Industrial cooperation Society, 17(7): 543-554, 2016. DOI : http://dx.doi.org/10.5762/KAIS.2016.17.7.543
  23. Kim SY, Kwon IS, Cho YC. Relationship Between Job Stress and Fatigue Symptoms Among Nurses in a University Hospital. Journal of the Korea Academia-Industrial cooperation Society, 13(4); 1759-1768, 2012. DOI : http://dx.doi.org/10.5762/KAIS.2012.13.4.1759
  24. Fields WL, Loveridge C. Critical thinking and fatigue: how do nurses on 8 and 12 hour shifts compare. Nurs Econ, 6:189-191, 1988.
  25. Park AS, Son MK, Cho YC. Factors Related to Psychosocial Stress and Fatigue Symptom Among Nurses Working at Ward and Operating Room in University Hospitals. Journal of the Korea Academia-Industrial cooperation Society, 14(4): 1781-1791, 2013. DOI : http://dx.doi.org/10.5762/KAIS.2013.14.4.1781
  26. Park SP, Kwon IS, Cho YC. Job Stress and Psychosocial Factors and Its Association with Self Perceived Fatigue among White Collar Male Workers. Journal of the Korea Academia-Industrial cooperation Society, 12(1): 301-311, 2011. DOI : http://dx.doi.org/10.5762/KAIS.2011.12.1.301
  27. Cha KT, Kim IW, Koh SB, Hyun SJ, et al. "The association of occupational stress with self-perceived fatigue in white collar employees", Korean Journal of Occupational And Environmental Medicine, Vol.20, No.3 pp. 82-192, 2008.
  28. Kant IJ, Beurskens A, Schroer C, Nijhuis F, van Schayck C, Swaen G. An epidemiological approach to study fatigue in the working population: results from the Maastricht Cohort Study of Fatigue at Work. J Occup Environ Med 60(9):32-39, 2003. DOI : http://dx.doi.org/10.1136/oem.60.suppl_1.i32
  29. Kang JW, Hong YS, Lee HJ, Yeah BJ, Kim JI, Kim JM, Jung KY, Kim JY. Factors affecting fatigue and stress in male manufacturing workers. Korean J Occup Environ Med, 17(2):129-37, 2005. https://doi.org/10.35371/kjoem.2005.17.2.129
  30. Lee KH, Koh SB, Kang DNM, Chung JJ, et al. Job stress and self-perceived fatigue in Korean farmers.. Korean J Occup Environ Med, 23(2): 213-224, 2011.. https://doi.org/10.35371/kjoem.2011.23.2.213
  31. Kil KO, Cho YC. Relationship Between Type A Behavior Pattern and Fatigue Symptoms Among Nurses in General Hospitals. Journal of the Korea Academia-Industrial cooperation Society, 13(6): 2589-2599, 2012. DOI : http://dx.doi.org/10.5762/KAIS.2012.13.6.2589