• 제목/요약/키워드: shift workers

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교대근로자의 심리적 안녕감, 피로 및 자기효능감이 건강증진행위에 미치는 영향 (The Effect of Well-being, Fatigue, and Self-efficacy on Health Promotion Behaviors among Shift Workers)

  • 박진웅;권명진
    • 한국직업건강간호학회지
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    • 제28권4호
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    • pp.293-299
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    • 2019
  • Purpose: This study aimed to identify the factors that affect the health promotion behaviors of shift workers. Methods: Using self-administered questionnaires, data were collected between August 13th and 31st, 2018. Descriptive statistics were computed, and t-test, analysis of variance, and correlational and multiple stepwise regression analyses were conducted using International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 22. Results: Health promotion behaviors were significantly and positively correlated with psychological well-being (r=.491, p<.001), fatigue (r=.170, p=.030), and self-efficacy (r=.520, p<.001). Psychological well-being (${\beta}=.249$, p=.014), fatigue (${\beta}=.179$, p=.007), and self-efficacy (${\beta}=.335$, p=.001) had significant effects on health promotion behaviors and together explained 31.7% of the variance. Conclusion: A systematic educational program that enhances psychological well-being should be developed and implemented to nurture health promotion behaviors among shift workers. Additionally, an intervention program that can enhance health promotion behaviors should be implemented to improve self-efficacy and prevent fatigue among shift workers.

Impact of Reduced Working Hours and Night Work Hours on Metabolic Syndrome: A Quasi-Experimental Study

  • Hye-Eun Lee;Ichiro Kawachi
    • Safety and Health at Work
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    • 제14권1호
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    • pp.59-65
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    • 2023
  • Objectives: Epidemiological evidence linking long working hours and shift work to metabolic syndrome remains inadequate. We sought to evaluate the impact of reducing working hours on metabolic syndrome. Methods: We compared the prevalence of metabolic syndrome among male manual workers in a manufacturing company (N = 371) before and after the introduction of policy to reduce daily work hours from 10 to 8 hours. Components of metabolic syndrome were measured in periodic health examinations before the intervention, 6-9 months after, and 1.5-2 years after the intervention. Generalized estimating equation models were used to estimate changes in the prevalence of metabolic syndrome. Analyses were stratified by day work versus shift work. Results: The results showed a significantly decreased prevalence of metabolic syndrome 6-9 months following the intervention in day workers (risk ratio = 0.68, 95% confidence interval 0.52-0.88), but the benefit disappeared after 1.5-2 years. Shift workers showed a decreased prevalence of metabolic syndrome for the whole follow-up duration after the intervention, although the change was not statistically significant. Conclusion: Reducing working hours was associated with short-term improvement in metabolic syndrome in male manual workers.

대규모 사업장 남녀 근로자의 직무스트레스 수준에 따른 건강행태 (Health Behaviors by Job Stress Level in Large-Sized Company with Male and Female Workers)

  • 박현주;정혜선
    • 대한간호학회지
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    • 제40권6호
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    • pp.852-862
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    • 2010
  • Purpose: This study was done to investigate differences in health behaviors by job stress level in male and female workers in a large-sized company. Methods: Participants were 576 male and 228 female workers who completed questionnaires. Job stress was measured using the 'Short Form Korean Occupational Stress Scale (SF-KOSS)'. Health behaviors included smoking, alcohol consumption, regular exercise, and diet. Frequency, mean, SD, chi-square test, and multivariate logistic regression using SAS version 9.1 were used to analyze data. Results: Smoking, drinking and regular exercise rates were not different by job stress level in male or female workers. Only regular diet was significantly different by job stress level in male and female workers. From multivariate analysis, the alcohol consumption rates for female workers differed by marital status. Regular exercise rate was significantly related to age for male workers and type of employment for female workers. After adjusting for demographic and work-related characteristics, regular diet significantly differed by shift work for male workers and marital status and shift work for female workers. Conclusion: The findings of the study indicate that nursing interventions should be developed to manage job stress to improve diet habits for male and female workers in large-sized companies.

Sleep Assessment During Shift Work in Korean Firefighters: A Cross-Sectional Study

  • Jeong, Kyoung Sook;Ahn, Yeon-Soon;Jang, Tae-Won;Lim, Gayoung;Kim, Hyung Doo;Cho, Seung-Woo;Sim, Chang-Sun
    • Safety and Health at Work
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    • 제10권3호
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    • pp.254-259
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    • 2019
  • Background: This cross-sectional study assessed the sleep quality using the ActiGraph and investigated the relationship between the parameters of sleep assessment and the type of shift work in Korean firefighters. Methods: The participants were 359 firefighters: 65 day workers (control group) and 294 shift workers (shift work group: 77 firefighters with 3-day shift, 72 firefighters with 6-day shift, 65 firefighters with 9-day shift, and 80 firefighters with 21-day shift). Sleep assessments were performed using the ActiGraph (wGT3X-BT) for 24 hours during day shift (control and shift work group) and night shift and rest day (shift work group). The participants recorded bed time and sleep hours during the measurement period. Results: Sleep efficiency, total sleep time, and percentage of wake after sleep onset during night work were lower in the shift work group than control group (p < 0.05). Sleep efficiency decreased in night shift and increased in rest day, whereas wake after sleep onset increased in night shift and decreased in rest day (p < 0.05). Among shift work groups, sleep efficiency of 6-day shift was higher in day shift, and sleep efficiency of 21-day shift was lower in night shift than other shift groups (p < 0.05). Conclusion: We found that the sleep quality in night shift of the shift work group was poorer than the control group. As to the type of shift work, sleep quality was good in 6-day shift and poor in 21-day shift. Thus, fast rotating shift such as 6-day shift may be recommended to improve the sleep quality of the firefighters.

산업장 교대근무 근로자의 건강증진행위 예측요인 (Predictive Factors of Health promotion behaviors of Industrial Shift Workers)

  • 김영미
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.13-30
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    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

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Validity of Breast Cancer Symptom Questionnaire and Its Relationship With Breast Ultrasonography in Young Female Night Workers

  • Chae, Chang-Ho
    • Safety and Health at Work
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    • 제11권3호
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    • pp.361-366
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    • 2020
  • Background: This study aimed to identify the validity of breast cancer symptom questionnaire of worker's special health examination and its relationship with breast ultrasonography findings in young female night workers. Methods: The breast cancer symptom questionnaire data of worker's special health examination and breast ultrasonography results in young female shift workers who worked in one electronic manufacture company were collected from 2014 to 2018. Results: Of the 857 workers, 18 had a Breast Imaging Reporting and Database System category 4 or higher. Among other variables, shift work tenure alone was associated with the risk of having a Breast Imaging Reporting and Database System category higher than 4. The sensitivity, specificity, positive predictive value, and negative predictive value of the symptom questionnaire were 16.7%, 87.7%, 2.8%, and 98.0%, respectively. Conclusion: The current breast cancer symptom questionnaire of the worker's special health examination is inappropriate due to its low sensitivity and positive predictive value. In the future, female night workers will need alternative measures for more accurate screening for breast cancer.

일개 산업장 남성 근로자의 근무형태별 건강상태와 건강행위 및 건강증진 프로그램 요구도 (Health Status, Health Behavior, and Health Promotion Program Needs of Industrial Male Workers according to Shift Work at an Workplace)

  • 황승숙
    • 지역사회간호학회지
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    • 제17권2호
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    • pp.210-222
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    • 2006
  • Purpose: This study was performed to identify the health status, healthy behavior, and health promotion program needs of day time and shift time industrial male workers at an workplace. Method: Relevant data were collected from June 20 to August 18, 2005. Questionaries were distributed to all subjects along with their medical records of 2005 and 151 sets of responses were used for the analysis. Collected data were analyzed using SPSS WIN 10.0. Result: 1. Health Status - day time and shift-time workers had significant differences in obesity ($x^2=8.38$, p<.01) and blood pressure ($x^2=-2.17$, p<.05). 2. Healthy Habits - Full-time and part-time workers had significant differences in regular meals (63.83, p<.01), preferred foods ($x^2=7.10$, p<.05), and sleep time (t=-3.55, p<.01). They also had significant differences in exercising ($x^2=13.11$, p<.01), exercising time (minutes) (t=-2.25, p<.01), and use of fitness centers ($x^2=7.02$, p<.05). 3. They also had significant differences in their needs of health programs ($x^2=8.66$, p<.01). Conclusion: This study revealed that day time and shift-time workers had differences in obesity and blood pressure, as well as differences in eating sleeping, and exercising patterns. Both groups needed 'fitness programs' more than any other types of health programs and picked 'weight loss' and 'stress control' programs for other options. Industrial nurses should be able to create appropriate health programs for each group based on the above results and induce the workers' active participation.

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사무종사자의 직업 특성과 고혈압의 관련성 (Association of Work-related Characteristics and Hypertension among White Collar Workers)

  • 김채봉;김규상
    • 한국산업보건학회지
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    • 제25권3호
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    • pp.418-427
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    • 2015
  • Objectives: This study evaluated the association between work related characteristics and hypertension among white collar workers in Korea. Materials and methods: This study was based on the Third Korean Working Conditions Survey(KWCS) conducted in 2011 among workers 15 years of age or older. The total number of individuals included in the analysis was 10,365 white collar workers. Results: The prevalence rate of hypertension was 3.7% among men and 1.0% among women. In multiple logistic analysis the adjusted odds ratio showed statistically effective association to hypertension. For work related characteristics, 1.73 (95% confidence interval, 1.22-2.46) resulted for large-company workers compared with the small-company group, 2.14 (95% CI, 1.22-3.75) for the long working hours group (61 or above) compared with short working hours group(52 or below), 1.78(95% CI, 1.08-2.95) for night shift workers compared with day workers, and 1.54 (95% CI, 1.18-2.01) for high job stress workers compared with low job stress workers. Conclusions: This study showed that it is important for workers to manage their work environment in order to prevent hypertension by modifying their types of work.

Lack of Association of the NPAS2 Gene Ala394Thr Polymorphism (rs2305160:G>A) with Risk of Chronic Lymphocytic Leukemia

  • Rana, Sobia;Shahid, Adeela;Ullah, Hafeez;Mahmood, Saqib
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7169-7174
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    • 2014
  • Background: NPAS2 is a product of the circadian clock gene. It acts as a putative tumor suppressor by playing an important role in DNA damage responses, cell cycle control and apoptosis. Chronic lymphocytic leukemia (CLL) appears to be an apoptosis related disorder and alteration in the NPAS2 gene might therefore be directly involved in the etiology of CLL. Here, the Ala394Thr polymorphism (rs2305160:G>A) in the NPAS2 gene was genotyped and melatonin concentrations were measured in a total of seventy-four individuals, including thirty-seven CLL cases and an equal number of age- and sex-matched healthy controls in order to examine the effect of NPAS2 polymorphism and melatonin concentrations on CLL risk in a Pakistani population. Materials and Methods: Genotyping of rs2305160:G>A polymorphism at NPAS2 locus was carried out by amplification refractory mutation system-polymerase chain reaction (ARMS-PCR). Melatonin concentrations were determined by enzyme linked immunosorbent assay (ELISA). Statistical analysis was performed using Statistical Package for Social Sciences software. Results: Our results demonstrated no association of the variant Thr genotypes (Ala/Thr and Thr/Thr) with risk of CLL. Similarly, no association of rs2305160 with CLL was observed in either females or males after stratification of study population on a gender basis. Moreover, when the subjects with CLL were further stratified into shift-workers and non-shift-workers, no association of rs2305160 with CLL was seen in either case. However, significantly low serum melatonin levels were observed in CLL patients as compared to healthy subjects (p<0.05). Also, lower melatonin levels were seen in shift-workers as compared to non-shift-workers (p<0.05). There was no significant difference (p>0.05) in the melatonin levels across NPAS2 genotypes in all subjects, subjects with CLL who were either shift workers or non-shift-workers. General Linear Model (GLM) univariate analysis revealed no significant association (p>0.05) of the rs2305160 polymorphism of the NPAS2 gene with melatonin levels in any of the groups. Conclusions: While low melatonin levels and shift-work can be considered as one of the risk factors for CLL, the NPAS2 rs2305160 polymorphism does not appear to have any association with risk of CLL in our Pakistani population.

아동양육시설 보육사 2교대 제도에 따른 시설 내 변화에 대한 질적 사례연구 (A Qualitative Case Study on the Changes in Child Care Institutions Adopting Daily Two-shift Roster of Child Care Workers)

  • 권지성;김정득;상혜진
    • 한국사회복지학
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    • 제58권1호
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    • pp.115-141
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    • 2006
  • 본 연구의 목적은 아동양육시설에서 근무하는 보육사들의 2교대 제도가 실시되면서 시설 내에 어떤 변화가 발생하였는지 이해하고자 하는 것이다. 이러한 목적을 달성하기 위해 2교대 제도를 도입하여 운영하고 있는 아동양육시설의 관리자와 보육사, 아동들을 대상으로 보육사와 아동의 생활, 시설전체에서의 변화를 중심으로 한 심층면접 등을 실시하여 자료를 수집하고 분석하였다. 분석결과 보육사들은 재충전의 기회가 생기고 근무조건이 좋아졌으며, 자기개발과 사회적 관계를 형성할 수 있게 된 반면에 주인의식이 부족해졌다는 지적이 있었고, 아동의 경우에는 개별적인 돌봄이 가능해졌지만 애착관계 형성이 어려워졌으며, 혼란스러움이 있었고 파트너 보육사들간의 상호보완적인 양육이 가능해졌다. 시설 전체로 보면, 인적 자원이 양적, 질적으로 향상되었다는 점이 두드러졌다.

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