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제조업 여성근로자의 근골격계 증상에 영향을 미치는 요인
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.5-15
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: The purpose of this study are to identify the influencing factors on work-related musculoskeletal disorders of women workers. Method: Data were collected by questionnaires from 616 women workers from in such industries as electronics, food product, garment product and analyzed using descriptive statistics, multiple logistic regression. Result: As its result, 71.3% of female manufacturing workers had musculoskeletal symptom. When Multiple logistic regression analysis on factors relating to musculoskeletal symptoms was carried out, age, work posture, job demand, type of industry, working hour, type of work, family support were statistically significant variables. Conclusion: In conclusion, this study identifies that age, work posture, job demand, type of industry, working hour, type of work, family support are important factors affecting WMSDs.
산재근로자 직장복귀를 위한 사업장내 보건관리자 활용방안
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.16-23
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: The Purpose of the study was to suggest how the health manager use to be easy return-to-work of injured workers. Method: The data were collected by the health managers working at the 103 companies over medium size in Incheon, Gyoung-gi and Seoul through interview and report by themselves and analyzed by SAS V8 through t-test. Result: 1. The health managers are consisted of 2 kinds, one is health manager such as physician(10%) or nurse(81%) and the other is safety manager. The former works at the manufacturing company(62.9%), the latter at the service one(42.4%). 2. Management and counseling of occupational and non-occupational diseases, and high risk workers, health education, emergency care, worksite rounding, guidance of personal protector use, and health promotion services were highly performed by health managers. Comparing to these, safety managers performed guidance of job safety, safety management. The difference of two kinds of manager was significant statistically not only the aspect of general job but also related job to the workers of return-to-work after accident. Conclusion: This result shows that health manager can function as a care manager to the workers after return-to-work for adaptation to their job and rehabilitation bio-psycho-socially. But health managers don`t have any regulations of encouraging injured workers to get their job again officially.
사업장 근로자의 흡연실태, 흡연지식 및 흡연태도에 관한 연구
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.24-33
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: This cross-sectional study was to find out smoking condition, smoking related knowledge and attitudes of white color workers to provide baseline data which were to develope smoking cessation programs. Methods: The subjects were 303 workers in G-city. Data were collected from July 1st to Aug. 31st 2003 by self-reported questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Duncan's multiple comparison test, using SAS-pc 8.0 version. Results: Average age of the laborers was 32.3 years, and 50.7% of male were smoking currently, and 2.4% of female were so. Starting age of smokers was average 20.1 and smoking period was average 12.4 years. Majority of smokers smoked more than one pack of cigarettes in a day. Average points of nicotine dependency was 3.9 out of 10 and 12.5% were more than 7. Those who wanted to 'quit smoking very soon' and 'decided to quit smoking right now' were 29.1%. But those who got any helps and advices from professional experts in smoking cessation were 6.4%. 83.5% of the smokers had tried to quit smoking but failed due to their stress(44.6%), lack of will(36.6%) etc. Laborers knowledge related smoking score were average 11points out of 15, and attitudes were average 75.7points out of 125. Smokers showed significantly low knowledge(p=.012), and more allowing attitudes(p=.001). Conclusions: The smoking cessation programs for the workers should consist of stress management skills, and strengthened willingness. And should be run the program for those who want to 'quit smoking very soon' and 'decided to quit smoking right now' first of all.
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.34-43
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: The purpose of this study is to develop the curriculum model for occupational health nurse specialist in Korea. Method: Internet searching was conducted to analyze the type of master program for occupational health nurses in the U. S. To identify the importance of occupational health nurse specialist (OHNS)'s role, self-administrative questionnaire survey was done to335 occupational health nurses through postal mail and continuing education in 2003. SPSSWIN 10.0 was used for data analysis. Results: In the U. S., two main types of nurse practitioner program and nurse manager program are separately operated for occupational health nurses as master level. Under the governmental support, geographical and financial barrier can be decreased through the distance learning and the appointment of regional ERC. Most occupational health nurses recognized importantly the role of OHNS as direct care provider, educator, consultant, and manager. Conclusion: It is recommended that the job standard for OHNS needs to be developed, and regulation has to be changed for the diverse curriculum based on the need of occupational health nurses, and governmental support must be strengthened for occupational health nurses to apply more easily to the program.
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.44-55
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: The purpose of this study was to describe the current status of work-related back pain among nurses in the U.S. Method: Literature review and website searching were conducted. Key words as 'nurse and back pain (or back injury)' were used in searching the Medline, NIOSHTIC-2and reference list ofselected studies. Total studies were selected of which subjects were nurses working in the U.S., and published since 1970. Results: Though there was variation in the measurement among studies, the prevalence rate of back pain among nurses in the U.S. could be estimated about 50%. Risk factors were confirmed as the frequency of patient lifting, ward, nursing shortage, overtime, work shift, stress on physical demand, but age and work experiences showed the inconsistent relation. It has been well known that educational approach is not enough to prevent back pain. Intervention studies to apply the ergonomic approach using mechanical devices reported the effects, but the devices were less diverse than European countries or Canada. The study for lifting team was rare. Federal government developed only the guideline for nursinghome that had no legal obligation. As a professional nursing organization, ANA has been trying to educate and advocate for "No lift policy" since 2003. Meanwhile, two trade unions of nurses made efforts to establish the law strengthening the responsibility of health care facilities. Conclusion: The research and policy development will be needed to prepare to rapid increase of back pain among Korean nurses.
산재환자의 의료재활서비스 활성화를 위한 산재보험시설과 민간시설간의 연계모형 개발
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.56-70
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfareㆍhealth services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researchs Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.
한국직업건강간호학회 한국직업건강간호학회지 제14권 제1호 2005.05 pp.71-82
※ 원문제공기관과의 협약기간이 종료되어 열람이 제한될 수 있습니다.
Purpose: This study analyzed domestic articles that studied job-stress of nurses using Meta Analysis to evaluate the responses resulted from job-stress and the factors affecting them. Method: To conduct this study, data were collected primarily from database of "richis" and additionally from 8 nursing journals and 5 theses for a degree on job-stress of clinical nurses. Result: As a result of Meta Analysis casual factor of job-stress, the result represented that two reasons; personal factor was the age, occupational factor were ward, duration of employment and position. By the result of analysis of effect of job-stress, satisfaction of the job, exhaustion, health status and immersion of the job were strongly related to job-stress. According to the general solution against job-stress that referred from job-stress related theses, there are several; Imagination Therapy, Assertive Training and Value Clarification Training could bring significant result. Conclusion: This study showed that because job-stress of clinical nurses had nothing to do with personal factors, job-stress management plans for nurses are needed to focus on occupational factors. Also the study suggested that various coping skills that proved to be effective are needed to be used to relieve job-stress and that's responses on nurses.
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