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.
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.
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...
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: 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.
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문제 정의
There are 6 areas in the human body for measuring pain: the neck, shoulders, arm/ elbows, wrists/fingers, back, and legs/feet. The survey includes questions about the frequency and duration of observable symptoms for each of these. The frequency of symptom has the range like ‘once in six months’ for 1point, ‘once in 2-3 months’ for 2point, ‘once in a month’ for 3point, ‘once in a week’ for 4point, and ‘everyday’ for 5point.
This study aimed to find the task categories that affect musculoskeletal symptoms of both social demographic features and characteristics of each task category of care workers who offer visiting home-help services. And to search out the measures that can reduce musculoskeletal symptoms among care workers.
제안 방법
0. Descriptive statistics were used to analyze demographic characteristics, actual conditions regarding observable symptoms of musculoskeletal symptoms, and degree of musculoskeletal symptoms induced by each detailed task category. The effect of characteristics of each detailed task category on musculoskeletal symptoms and the effect of general characteristics on musculoskeletal symptoms were analyzed through multiple regression analysis.
To achieve this, furnishing various materials and equipment should be made mandatory, and care workers should be actively encouraged to use them. Second, training for preventing musculoskeletal disease should be conducted with a focus on the low back and shoulders, which were found to be the main areas of pain in this study. Education on human epidemiological positions that can reduce overload on areas prone to pain such as the low back and shoulders is essential.
, 2014). Tasks were divided into 5 categories: physical assistance, health care, facility management, emotional services, and restorative training. Each task category included sub-categories, and a total of 22 detailed task categories were determined.
This study was conducted among 192 care workers from welfare centers C and K located in city P from June 10 to July 15, 2017. The principal investigator first explained the purpose of the study and the method and procedure for participating in the study, then conducted a survey on care workers who offered their consent to participate. A total of 200 surveys were distributed, and 192 surveys were used after excluding 8 with responses that were not appropriate to the purpose of the study.
Therefore, this study assessed the observable symptoms of musculoskeletal symptoms in care workers who visit the homes of elderly patients to provide home-help services, then determined how the characteristics of detailed tasks categories influenced musculoskeletal symptoms, and to establish the measures that can reduce musculoskeletal symptoms among care workers.
This study was conducted to determine the task categories that affect musculoskeletal symptoms in care workers who visit the homes of elderly patients to perform their job and to establish the measures that can reduce musculoskeletal symptoms among care workers.
대상 데이터
The principal investigator first explained the purpose of the study and the method and procedure for participating in the study, then conducted a survey on care workers who offered their consent to participate. A total of 200 surveys were distributed, and 192 surveys were used after excluding 8 with responses that were not appropriate to the purpose of the study. The study was conducted after receiving approval from the Institutional Review Board of Cheongju University.
The area with the most common musculoskeletal symptom was found to be low back pain at 43%(Lee, 2011). The majority of the help recipients in this study were those with brain injuries or Grade 1 or 2 patients. 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.
This study was conducted among 192 care workers from welfare centers C and K located in city P from June 10 to July 15, 2017. The principal investigator first explained the purpose of the study and the method and procedure for participating in the study, then conducted a survey on care workers who offered their consent to participate.
데이터처리
A multiple regression analysis was performed to determine the effect of detailed task category characteristics on musculoskeletal symptoms. The dependent variable was suggested by using the ‘total score value of pain’.
Descriptive statistics were used to analyze demographic characteristics, actual conditions regarding observable symptoms of musculoskeletal symptoms, and degree of musculoskeletal symptoms induced by each detailed task category. The effect of characteristics of each detailed task category on musculoskeletal symptoms and the effect of general characteristics on musculoskeletal symptoms were analyzed through multiple regression analysis. Statistical significance was accepted for p < 0.
성능/효과
Caregivers most frequently complained of low back and shoulder pain. The results of 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. Therefore, it is necessary to provide continuous support such as human epidemiological position training, especially training for preventing musculoskeletal symptom focus on the low back and shoulders.
The study results on the degree of musculoskeletal symptoms induced by each detailed task category as perceived by care workers showed that care workers experienced above-average pain(average, high, extremely high) for most task categories.
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