일부 의료서비스업 VDT작업자의 상지 근골격계 증상의 정도와 관련된 요인

Abstract

OBJECTIVES: This study was designed to quantify symptoms in the upper extremities and to identify the pain related factors among hospital workers using video display terminals. METHODS: The subject-group consisted of 138 employees working at a hospital using video display terminals. A structured questionnaire was used to estimate the participants' general characteristics, and job contents. Job stress was measured using Karaseks JCQ (Job Content Questionnaire). Pain in the upper extremities was identified according to the NIOSH symptoms survey criteria. Quantification was measured using Kim Chul's method. Pearson's Correlation analysis was used to identify validity in quantification. VAS (visual analog scale) was used to compare with this method. Multiple regression analyses elucidated the relationship between quantified pain and various work factors, such as job stress. Data were analysed with SAS 6.12 program. RESULTS: First, in quantification using Kim Chul's method, the correlation between modified PRS (pain rating score) and VAS was extremely high by 0.60 (P<0.01), indicating the high validity of PRS. Second, the groups of high job demand, high job control, and females were related to an increased pain level. CONCLUSIONS: These results suggest that the self pain assessment method, PRS, is valuable and useful in analyzing occupational musculoskeletal symptoms. High demand, job control and gender may influence the levels of pain. Prospective studies about musculoskeletal disorder are required.