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Purpose: The purpose of the study was to find the ways to prevent the fatigue of the office of railroad employees. Method: The data were collected from the male employees of Korea Railroad Corporation. Results: The mean score of the degree of fatigue was 4.33. The factors that affected the level of fatigue were support from senior officials, exercise, age, work stress, number of work hours per week, alcohol intake and working area. To be more specific, the level of fatigue was lower when the support from senior officials was higher. The employees who did no exercise, who are in the age between 31 and 40, with high working stress, who worked 61 hours per week of higher, non-drinkers were found to have higher level of fatigue. The employees with the age of 51 years or older with unspecified work area had relatively lower level of fatigue. Conclusion: In conclusion, to decrease the level of fatigue of the office of railroad employees, the development of health improvement programs are required such as increase of the support from senior officials, change in exercise and drinking habit, decrease of the work stress and adjustment of the working hours.

The purpose of this study was to investigate the difference in gender related to health status, occupational environment, occupational safety and health and hazardous chemicals use of migrant workers in Korea. Method: The survey was conducted in clinics that provided free healthcare services for migrant workers. Of the 413 respondents, 66.3% were males and 33.7% were females. Result: In the case of male migrant workers, many worker were not fluent in Korean, had illegal status in the country, and had moved jobs frequently. There were many cases in which migrant workers worked in small-scale enterprises and worked long hours. Job stress score was high for many workers and they dealt with heavy materials and risky machines. Many workers had not received proper occupational health and safety education and those that were previously injured had repeated injuries. Among the female migrant workers, many worker received low salary and shift work was common. Many worker complained of gastrointestinal and musculoskeletal illnesses and treated toxic substances. Conclusion: As a result, it will be necessary to focus on the strategies for decreasing occupational injuries from physical risk factors for males and from chemical risk factors for female migrant workers.

The purpose of this study was to provide exercise program according to the relevant characteristics in order to provide practical information for intervention programs to prevent and manage musculoskeletal symptoms of workers who are employed in a hotel. Method: A self-administered questionnaire was used in order to identify any musculos- keletal symptoms among 280 employees who works at the hotel. Each experiment and control groups, consisting of 16 employees respectively, was assembled. The 10-minute exercise program was conducted twice a day for 6 weeks between 23 October and 3 December 2006. Results: The subjective symptom of subjects before and after implementing the exercise program for the period of 6 weeks was decreased in most body parts. In the control group the subjective symptom of subjects was decreased partly. Conclusion: The exercise program according to the symptom & task characteristics of hotel employees need to be introduced in preventive & proactive manners in order to ease and prevent the musculoskeletal symptom.

The purpose of this study is to investigate the degree of job stress and job satisfaction and the relationship between job stress and job satisfaction of Medical Aid Client Managers. Method: Data were collected from 185 Medical Aid Client Managers in 234 areas between April 2-15, 2007. Collected data was analyzed for the frequency, t-test, ANOVA, Pearson's Correlation Coefficient etc. Results: The average score of job stress was 2.6. Job instability was highest as 2.9 and job autonomy was lowest as 2.2. in eight items. When the job stress of Medical Aid Client Managers was converted to 100 point, the average was 51.7 and ranked in upper 50% of Korean woman workers' job stress. Among the eight items, because the relationship satisfaction and the instability of duty regime ranked in upper 25% of Korean woman workers' job stress, those items were identified to have high stress. The average score of job satisfaction was 2.3 out 4.0 which could be interpreted as unsatisfactory. The correlation between the job stress and the job satisfaction demonstrated significant difference. Decrease of the job satisfaction was associated with increase of the job stress. In regard to the eight items, the inverse correlation was demonstrated to be significant in organization, inappropriate compensation, and workplace culture. Conclusion: Medical Aid Client Managers have high stress in carrying out their duties. They have experienced very severe instability in their duty regime. Also, they have felt alienated from their organization and experienced unfair rewards. They had low duty satisfaction but got a heavy workload and experienced overtime work. To relieve job overburden of Medical Aid Client Managers. it was necessary to improve business system and also was necessary to relieve a regional disparity of business charge.

The purpose of this study was to investigate the condition, recognition of breast feeding of 273 nurses. Method: Data was collected using a structured questionnaire form April to June 2007. The subjects were 273 nurses in Kyunggido. The data analysis was done with descriptive statistics, x2-test procedures using SPSS/WIN 12.0 PC. Result: There are 23.9% of child day care center, 5.2% of rest room for women, 16.8% of breast feeding room in workplace. Rate of breast- feeding practice was 78.4% of nurses. The reasons why they could not perform the breast-feeding include mother's job(45.4%), lacking breast milk(25.8%). The characteristics of nurses found to be related breast-feeding include age, number of employers. Conclusion: The results showed that the rest supports of the work environment was insufficient to perform breast-feeding in the workplace. These results suggest that nursing intervention for employed mother's breast-feeding practice behavior promotion should focus on characteristics influencing factors on workplace. Also, efficient breast-feeding education program for employed mothers should be developed by continuous qualitative researches based on breast-feeding experiences of employed mothers.

Purpose: This study was conducted to understand the situation of general hospital worker's health management and health promotion. Methods: To investigate the current situation of health management in the hospital, structured questionnaires were sent to 122 occupational health providers by post. About 79% hospitals returned questionnaires. The data were analyzed using descriptive analysis, χ2-test by SPSS 12.0 program. Results: A quarter hospitals responded set up separated health care office for workers, 87.5% provided health educations, and 56.5% operated health promotion projects. In the contents of health promotion program embraced both health behavior practice and disease prevention, musculoskeletal disease control, infection control, smoking cessation, and exercise program were most commonly provided to the workers in order. Occupational health care provider chose the item such as budget limitation, manager's apathy, lack of employee's participation, cooperation provider, and so on as the reason of difficulty to run health promotion program in the hospital setting. Conclusion: Hospital managers need to construct infra to manage and promote worker's health. For example, establishing Industrial safety and health committee in hospital and arranging nurses who being fully responsible to worker's health. And occupational health care provider should advertise health promotion projects both managers and workers actively.

Purpose: The present study was intended to assess stress, depression and fatigue of nurses working for university hospitals and to reveal its association with the type A behavior pattern. Method: The self-administered question- naires were given to 810 nurses employed in 4 participating hospitals located in Daejeon City. The questionnaire items included sociodemographic, job-related, and the type A behavior patterns as independent variables and the PWI, SDS and MFS as dependent variables. Result: The proportion of the type A behavior pattern was 24.3% of subjects, in the degree of stress, high risk stress group was 87.0%, in the degree of depression, normal group was 60.9%, in the degree of fatigue, high risk fatigue group was 48.6%. The degree of stress, depression, and fatigue were significantly higher in the type A behavior pattern group then the type B behavior pattern group. The type A behavior pattern was significant positive correlation with stress, depression, and fatigue. The degree of stress(OR=1.2, 95%CI=1.167-1.262), depression(OR=1.1, 95%CI=1.11-1.17) and fatigue (OR=1.1, 95%CI=1.04-1.06) were significantly higher for the type A then the type B behavior pattern group. Conclusion: The degree of stress, depression, and fatigue were significantly higher in the type A then the type B behavior pattern group.

Purpose: The purpose of this study were to investigate the health status and to identify the influencing factors on health status by gender among service workers. Method: Data were collected from the self-reported survey of 781 service workers in sales, food & lodging industry. The data were analyzed by descriptive statistics and multiple linear regression analysis using SPSS Win 10.0. Result: The influencing factors of male workers' health status were job satisfaction, standing hour during work time, physical work environment, job demand and family support. The influencing factors of female workers' health status were job satisfaction, emotional labor, physical work environment, regular exercise, standing hour during work time, social support and age. Conclusion: Gender specific occupational Health program for service workers should be developed in consideration of these influencing factors.

Purpose: This study was designed to find out the related factor of the health promotion behavior of pneumonconiosis patients. Method: Data were collected by questionnaires from 160 patients in a Workers Accident Medical Center. Data were analyzed by Pearson's correlation coefficient and multiple regression. Result: There were positive correlations among health promotion behavior, self-efficacy(r=.674, p= .000), perceived benefit(r=527, p=000) and self-esteem(r-471, p=000). But there was not correlation between the health promotion behavior and perceived health state. Multiple regression analysis showed that the most powerful predictor was self-efficacy, followed by self esteem. Conclusion: This study revealed that important factors such as self-efficacy and self-esteem should be treated for increasing of the health promotion behavior of pneumonconiosis patients.

Purpose: This study aimed to find the factors affecting medical sequelae management service satisfaction among injured workers. Method: This study population were 200 randomised samples of 619 medical sequelae management beneficiaries from April to June 2007 among occupational accident treatment ending workers in 2006. Data were collected through the telephone survey from November 28 to December 7 in 2007. Data were analyzed by χ2 test and multiple logistic regression using SAS 9.1 version. Results: According to the finding of this study, positive perceptions for the purpose and the effect of medical sequelae management were the factors influencing the satisfaction of medical sequelae management service. Conclusions: We recommend key issues to take into account for enhancing medical sequelae management service satisfaction in workers' compensation as follows; explaining the purpose and effect of medical sequelae management to client, evaluating medical sequelae management effect, and the policy participation of medical profession.

Purpose: This study was performed to evaluate the worker's job stress status in the workplace of a local area. Method: Data were collected from October to December, 2007. The subjects were 208 workers at 2 work sites in Busan Metropolitan area, who were examined using Job-Strain-Model Questionnaire. Data were analyzed by SPSS 12.0 Win Program to get the percentage, mean, standard deviation, t-test, χ²-test, ANOVA. Results: The results of this study were as follows: In the mean sub-factors job stress level, the mean of job demand was 28.7±4.4(median 29.0), the mean of job discretion was 54.7±8.2(median 54.0), the mean of social support was 21.8±2.9 (range:8-32). This study‘s subjects were appeared as active group with relatively higher score of job demand and job discretion than the average value of those. There was no statistically significant difference of general characteristics among the different job strain groups. There was statistically significant difference with of social supports among the different job strain groups. Conclusion: In conclusion, the subjects of this study's were active group. Thus, it is suggested that it is be necessary to repeated the education of the job task work for active group with high score of job demand and job discretion.

Purpose: The purpose of this study was to identify foreign worker's health problem. Method: Data were collected by interview and analyzed by using the Chi-square test and Fisher's exact test. Result: The most frequent health problem was ‘diarrhea’ and the next, ‘cold’ and ‘dental caries’. There were significant differences in health problem by gender. There were significant differences in health problem, regular health checkup between legal workers and illegal workers. Conclusion: Judging from this study result, health program for foreign workers should be developed according to whether they are male or female and whether they are legal or illegal immigrants.

Purpose: This study was to investigate the lifestyle characteristics and risk of cardiovas- cular disease (CVD) among workers with metabolic syndrome(MS). Methods: The descriptive cross-sectional survey design was used. A total of 187 workers with MS were recruited from a university hospital. The anthropometric measures were used and blood data were reviewed from the health record. Data were analyzed using descriptive statistics and multiple logistic regressions with SPSS/WIN 12.0. Results: While 52.2% of women did not do exercise regularly, 30.5% of men did not at all. The prevalence of MS according to each component was as follows: hypertension was 92.0%, obesity was 89.8%, hyperlipidemia was 63.1%, and hyperglycemia was 61.0%. The high prevalence of each component of MS in workers with MS indicated a significantly higher risk of CVD. The odds ratio of risk of CVD was 16.04 (p=.017) in workers with hypertension, when compared to workers without hypertension. Similarly, the odds ratio of risk of CVD was 11.04 (p=.000) in workers with hyperglycemia, compared to workers without hyperglycemia. Conclusion: Increased risk of CVD was significantly associated with lifestyle characteristics and MS risk factors among Korean workers with MS.

Purpose: This study intended to investigate how health and safety organization, manage- ment, activities and safety culture of healthcare industries are different from other industries (food, lodging, gas, and electricity industries). Method: Data were analyzed using '2005 The National Survey for Occupational Safety and Health Tendency'. Results: For health and safety training, both new training and regular training time of healthcare sector was lower than comparison sectors. For health and safety manager assigning form, there were many case in healthcare sector to assign a safety manager as a deputy and a health manager as an additional job, there were some differences from comparison sectors. It was found that establishment of countermeasures by cause investigation and analysis execution for occupational accidents in the healthcare sector was lower than comparison sectors. For health and safety activities and safety culture awareness, they were estimated in healthcare sector to be lower than comparison sectors. Conclusion: Healthcare sector had relatively lower health and safety activities and safety culture awareness compared with comparison sectors. So, it is required business owner's concerns and efforts to assign exclusively responsible health and safety manager and to activate health and safety training and occupational accident prevention.

Purpose: The purpose of this study was to identify the relation of Job Stress, Heart Rate Variability, Blood Pressure and Lifestyle on White-Collar Workers. Method: Data were collected from August to December in 2007. HRV was measured using Freeze-Framer. WSRI and Lifestyle data were collected from the self-reported questionnaire. Result: 1) Total score of WSRI was 32.88, H score was 47.92, L score was 16.90, systolic blood pressure was 138.88mmHg, diastolic blood pressure was 81.20 mmHg. 2) WSRI correlated with L score of HRV, BP, smoking, drinking positively. WSRI correlated with H score, exercise times negatively. H correlated with exercise positively and had negative correlation with BP and L. Systolic pressure correlated with smoking and drinking positively. Conclusion: WSRI, HRV, BP and lifestyle are interrelated strongly and they need to be monitor continually. It is considered that education of health and intervention with HRV make white-collar workers concern more about their health and care.