Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
권호 표지
DOI QR코드

DOI QR Code

Study on Factors that Induce Musculoskeletal Symptoms in Care Workers Who Offer Visiting Home-Help Services

방문요양 요양보호사의 근골격계 통증 유발요인에 관한 연구

  • Kim, Deokju (Department of Occupational Therapy, College of Health Science, Cheongju University)
  • 김덕주 (청주대학교 보건의료대학 작업치료학과)
  • Received : 2017.10.26
  • Accepted : 2017.12.12
  • Published : 2017.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to determine the effects on musculoskeletal symptoms of both social demographic features and detailed characteristics of each task category of care workers who offer visiting home-help services. And to establish the measures that can reduce musculoskeletal symptoms among care workers. Methods: This study was conducted among 192 care workers from welfare centers C and K located in city P. After participants completed the task burden checklist regarding the scale of musculoskeletal symptoms and the details of their duties, the data collected were analyzed using the SPSS 21.0 program. Results: According to the degree of observable musculoskeletal symptoms in care workers, the highest figures were observed for back and shoulder pain. Based on the results of assessing the effect of detailed task category characteristics on musculoskeletal symptoms, "helping patients eat, helping patients move, helping patients bath, and changing body positions" were found to have an effect from the physical care category, "providing physical therapy assistance, treating bedsores" from the health care category, and "cleaning and doing laundry" from the facility management category. Conclusions: Due to the high proportion of patients requiring burdensome physical labor from care workers such as moving patients who have trouble doing so on their own, helping them change positions, and so on, it is highly likely that pain will occur in the low back, which carries most of the physical weight. So, education on human epidemiological positions that can reduce overload on areas prone to pain such as the low back and shoulders is essential. Proper equipment and personnel support must be provided for dangerous tasks. Further, multidimensional social support is required consistently.

Objectives: 본 연구의 목적은 방문요양 요양보호사들의 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아보고, 요양보호사들의 근골격계통증을 경감시키는 방안을 마련하고자 하는 것이다. Methods: 본 연구는 P시에 위치한 C, K 재가센터 소속 요양보호사 192명을 대상으로 실시하였다. 대상자들에게 근골격계통증척도와 요양보호사의 세부업무에 대한 작업부담체크리스트를 작성하게 한 후, 수집된 자료를 SPSS 21.0 프로그램을 이용하여 분석하였다. Results: 요양보호사의 근골격계통증 자각증상 정도를 보면, 허리통증과 어깨통증의 수치가 가장 높았다. 세부업무 영역별 특성이 근골격계통증에 미치는 영향을 알아본 결과, 신체수발영역의 '식사수발하기, 이동지원하기, 목욕지원하기, 체위변경하기, 건강관리영역의 '물리치료보조하기, 욕창관리하기', 시설환경 관리영역의 '청소 및 세탁물관리'가 영향을 미치는 것으로 나타났다. Conclusion: 요양보호사들은 거동이 불편한 대상자들을 이동시키거나 체위를 변경하는 동작 등 신체적으로 무리가 가중되는 환자의 비율이 높아 신체 하중을 가장 많이 받는 허리와, 어깨의 통증을 일으킬 우려가 매우 높다. 이에, 요양보호사들에게 통증이 주로 발생할 수 있는 부위의 과부하를 줄여줄 수 있는 인체역학적 자세에 대한 교육이 필요하다. 그리고 위험한 업무에 대해서는 장비 및 인력의 지원이 제공 되어야 할 것이며, 지속적으로 다각적 차원의 사회적 지원이 필요할 것이다.

Keywords

References

  1. Dhaini SR, Zuniga D, Ausserhofer. Care workers health in Swiss nursing homes and its association with psychosocial work environment. Inter J of Nurs Study 2016;53:105-115 https://doi.org/10.1016/j.ijnurstu.2015.08.011
  2. Hwang BR, Yoon KH. An exploratory study on self-perceived symptoms and pain-inducing factors of musculoskeletal diseases among care workers in residential settingsfocused on the scope of care work and care recipients' characteristics. Social Sci Research Review 2014; 30(1):69-100
  3. Hwang EH, Jung DY, Kim MJ, Kim KH, Shin SJ. Comparison of frequency and difficulty of care helper jobs in long term care facilities and client homes. J Kor Pub Health 2012;26(1):101-112
  4. Jeong SS. The job of satisfaction effect factors of care service provider, University of Catholic, Master thesis, 2011
  5. Korea Occupational Safety and Health Agency: Safety & Health information. Seoul: KOSHA, 2016
  6. Kim DS. A study on elderly nursing home worker's perception of elderly human rights violations, University of Urban Science of Seoul, Master thesis, 2010
  7. Kim SY. The development of a structural model on work-related musculoskeletal disorders of women works. J Kor Acad of Communi Health Nurs 2007; 18(4):624-633
  8. Kim MY. Study on problems and improvement of the Long-term Care Insurance. Kor Soc Legislation and Policy 2011;5(3):33-67
  9. Lee EJ. Musculoskeletal symptoms of nursing caregivers in elderly nursing homes, University of Yongnam, Master thesis, 2011
  10. Lee JM, Lee CH, Kim OY. The effect of lumbar stabilization exercise for caregivers with chronic low back pain. Physic Ther Kor 2011;18(2):9-17
  11. Lee SY. A study on job satisfaction of the care workers, University of Konyang, Master thesis, 2010
  12. Park SJ, Ham JH, Mi KA. Consideration of care workers job stress and musculoskeletal disorders. Research J Complentary and Alter Med 2012;7(4):25-34
  13. Park EM, Cho SI. A systematic evaluation for better elderly visiting home-help services. The Kor Assoc for Policy Develop 2011;11(2):109-141
  14. Power, TP, Power NJ. Should government subsidize caregiver wages? Some evidence on worker turnover and the cost of long-term care in group homes for persons with developmental disabilities. J Disability Policy Stu 2011;21(4):195-209 https://doi.org/10.1177/1044207310389176
  15. Sara V, Daniela C. Buffering effect of job resources in the relationship between job demands and work-to private-life interference: A study among health-care workers. Safety and Health at Work 2016;7(4):354-362 https://doi.org/10.1016/j.shaw.2016.05.002
  16. Seo YJ, Kim BW, Song YE, Kim JY, Kim CH. Difference in musculoskeletal symptoms and health perception and health promotion behavior of caregivers by rehabilitation hospital. Kor Soc for Wellness 2012; 7(4):25-34
  17. Shin JU, Baek JG. A comparative study on job stress and job satisfaction of long-term care staffs for physically disabled seniors with rating 1 and for demented seniors with rating 3. The Kor Gerontol Soc 2011;31(4): 1067-1081
  18. Statistics Korea. Population projection. Seoul: Statistics Korea, 2014
  19. Yim HY. The factors affecting on recognition of professionalism of caregivers. J Kor Acad of Welfare Counsel Edu 2012;1(1): 65-80