[논문]소방공무원의 근무형태에 따른 수면의 질, 직무스트레스, 피로도, 직무만족 및 외상 후 스트레스장애 차이

최진; 송연주

doi:10.14408/kjems.2018.22.3.149

소방공무원의 근무형태에 따른 수면의 질, 직무스트레스, 피로도, 직무만족 및 외상 후 스트레스장애 차이
Differences in quality of sleep, job stress, fatigue, job satisfaction, and posttraumatic stress disorder according to the type of work in fire-fighting officers 원문보기

한국응급구조학회지 = The Korean journal of emergency medical services, v.22 no.3, 2018년, pp.149 - 162

최진 (동신대학교 상담심리학과) , 송연주 (동신대학교 상담심리학과)

초록
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연구 목적: 본 연구는 소방공무원의 근무형태에 따라 수면의 질, 직무스트레스, 피로도, 직무만족 및 외상 후 스트레스 장애 차이를 알아보고, 근무형태에 맞는 심리치료의 기초자료를 제공하고자 하였다. 연구 방법: 본 연구는 온라인 설문지를 이용하였다. 소방공무원 322명을 대상으로 하였으며, 자료수집기간은 2018년 5월 2일부터 5월 20일까지였다. 수집된 자료는 SPSS 22.0을 이용하여 분석하였다. 연구 결과: 소방공무원의 근무형태에 따라 직무스트레스, 직무만족, 외상 후 스트레스 장애는 유의미한 차이를 보였으나, 수면의 질, 피로도 차이는 없었다. 직무스트레스, 직무만족, 외상 후 스트레스 장애의 유의미한 차이를 나타낸 것은 화재진압과 구조 구급근무형태였다. 또한 외상 후 스트레스 장애는 수면의 질, 직무스트레스, 직무만족, 피로도와 유의미한 차이를 보였다. 이는 외상 후 스트레스 장애를 겪고 있는 소방공무원들은 수면의 질, 직무스트레스, 직무만족, 피로도의 어려움을 함께 경험하고 있으므로 이를 개선할 수 있는 방안을 제안하였다. 결 론: 본 연구의 결과를 토대로 소방공무원 근무형태에 따라 수면의 질, 직무스트레스, 피로도, 직무만족 및 외상 후 스트레스 장애를 극복할 수 있는 심리치료 기초 자료를 제공할 때 소방공무원의 정신건강이 좋아질 것이다.

Abstract ▼ AI-Helper

Purpose: The purpose of the study was to investigate the differences in quality of sleep, job stress, fatigue, job satisfaction, and posttraumatic stress disorder (PTSD) according to the type of work in fire-fighting officers. Methods: This study used an online questionnaire. The participants were 322 fire-fighting officers. The data were collected from May 2 to 20, 2018. Data were analyzed using SPSS 22.0. Results: According to the work styles of fire fighting officers, job stress, job satisfaction, and PTSD showed significant differences. However, There were no differences in sleep quality and fatigue. There were significant differences in job stress, job satisfaction, and PTSD in those in roles of fire suppression and rescue emergency medical technicians and this result suggests a way to improve the quality of sleep, job stress, job satisfaction and fatigue for fire-fighting officers who suffer from PTSD. Conclusion: Based on the results of this study, mental health of fire-fighting officers will be improved through basic data for psychotherapy which can overcome the quality of sleep, job stress, fatigue, job satisfaction and PTSD according to the work style of fire-fighting officers.

주제어

표/그림 (5)

표 Table 1. Demographic characteristics of study subjects
표 Table 2. Demographic comparison of work types
표 Table 3. Sleep quality, job stress, fatigue, job satisfaction, and PTSD of mean difference
표 Table 4. Difference of PTSD by work types
표 Table 5. T-test means in compared groups by PTSD

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문제 정의

The purpose of this study was to investigate the difference of sleep disability, job stress, fatigue, job satisfaction and PTSD according to working style of fire fighting officers. fire fighting officers(N=322) in K and J area were participant to use basic data and to improve that.
Therefore, it is meaningful to examine the difference between the various difficulties experienced according to their working styles. Therefore, the purpose of this study is to investigate the differences of sleep disturbance, job stress, fatigue, job satisfaction, and PTSD according to the work style of the fire fighting officer that was overlooked in the previous study.

가설 설정

1. Are there differences in sleep quality, job stress, fatigue, job satisfaction, and posttraumatic stress disorder by each type of work?
2. Are there differences in sleep quality, job stress, fatigue, and job satisfaction due to posttraumatic stress disorder?

제안 방법

In this study, fire fighting officer's working style is divided into fire suppression, rescue· EMT and desk duty.
In this study, fire suppression is suffering from PTSD rather than rescue·EMT and administrative work types.
In this study, we used a 20-item self-report questionnaire and a post traumatic stress disorder checklist. This scale measures how painful the past stressful experiences have been in the past month.
The crossover analysis was conducted to examine sex, age, class, and years of work according to work type variables. The results are shown in Table 2.
The multidimensional Fatigue Scale (MFS) developed by Chang [22] was used to measure fatigue level in this study. This scale consists of 19 items, consisting of three sub-domains: general fatigue (8 items), daily living dysfunction (6 items), and situational fatigue (5 items) due to certain environmental factors. Each item was answered with a 7 point Likert scale from 1 point (not at all) to 7 points (very much), and the higher the score, the higher the degree of fatigue.
[19] is translated into Korean (PSQI-K) used the published version of the online version in 2011. This scale is based on subjective quality of sleep (1 question), sleep latency (2 questions), sleep duration (1 question), habitual sleep effect (3 questions), sleep disturbance (9 questions) And daytime dysfunction (2 questions). It consists of 19 items.
First, it is a matter of research generalization. This study is limited to the generalization of the results of the study because it is aimed at the fire fighting officers in K and J area. Therefore, further research is needed to expand the sample size in future studies.

대상 데이터

Participants were 289 males and 33 females and the researcher explained the purpose of the study to the fire department in charge and measured the sleep quality, job stress, fatigue, job satisfaction and post traumatic stress disorder through the online questionnaire. A frequency analysis was conducted to investigate the demographic characteristics of 322 respondents. The results are shown in [Table 1].
This study was conducted on 322 fire fighting officers in Gwangju and Jeonnam. A total of 322 fire-fighting officers were selected for the final research, except for 20 of the respondents who responded unfairly to the questionnaire through the online questionnaire. Participants were 289 males and 33 females and the researcher explained the purpose of the study to the fire department in charge and measured the sleep quality, job stress, fatigue, job satisfaction and post traumatic stress disorder through the online questionnaire.
The age of the patients was the highest with 52 patients in their 50s and over but the least in the 20s with 10 patients and followed by 39 patients in their 40s and 25 patients in their 30s. For the rank, there were 25 fire suppression, 15 senior fire sergeant, 24 fire sergeant, 59 fire lieutenant and 10 fire captain. In the working period, there was more than 21 years with 62 persons.
The most common age group was 28 in the fifties and followed by 22 in the 40s to the next 16 in the 30s and 2 in the 20s. In the rank, There were 20 fire captain, 15 senior fire sergeant, 14 fire lieutenant, 13 fire sergeant and 6 fire suppression. In the working period, 33 persons were the most in 21 years, to the next 13 in 1-5 years, 9 in 6-10 years, 9 in 11-15 years, 4 in 16-20 years.
rescue·EMT were 103 males (25 females) with a relatively high percentage of males and in the age group, it is the largest at 30 to 66 persons and followed by 40s to 30 persons, 20s to 16 persons, and 50s to 16 persons. In the rank, there were 38 fire sergeant, 34 fire suppression, 31 senior fire sergeant, 21 fire lieutenant, and 4 fire captain. In the working period, was 44 in 1-5 years, 29 in 6-10 years, 26 in 21 years, 22 in 11-15, and 7 in 16-20 years.
This scale is based on subjective quality of sleep (1 question), sleep latency (2 questions), sleep duration (1 question), habitual sleep effect (3 questions), sleep disturbance (9 questions) And daytime dysfunction (2 questions). It consists of 19 items. The items in the 19 items are combined to form seven composition points, and each item is rated on a 4 point Likert scale from 0 points (no difficulty) to 3 points (very difficult).
9%) were classified as PTSD suspects. Of the total 322 participants, 109 (33.9%) were included. The results are shown in Table 4.
A total of 322 fire-fighting officers were selected for the final research, except for 20 of the respondents who responded unfairly to the questionnaire through the online questionnaire. Participants were 289 males and 33 females and the researcher explained the purpose of the study to the fire department in charge and measured the sleep quality, job stress, fatigue, job satisfaction and post traumatic stress disorder through the online questionnaire. A frequency analysis was conducted to investigate the demographic characteristics of 322 respondents.
In the working period, was 44 in 1-5 years, 29 in 6-10 years, 26 in 21 years, 22 in 11-15, and 7 in 16-20 years. The desk duty is 61 males (7 females), mostly male. The most common age group was 28 in the fifties and followed by 22 in the 40s to the next 16 in the 30s and 2 in the 20s.
The participants of the study were 289 males (89.8%) and 33 females (10.2%) and the age group was 28 (8.7%) in their 20s, 107 (33.2%) in their 30s, 91 (28.2%) in their 40s and 97 (29.8%) in their 50s or older. In the rank, 65 (20.
In this study, we used the Job Satisfaction Scale developed to examine the employee job satisfaction in Korea National Health Examination Institute [23]. This scale is a total of 35 items. In detail, the characteristics (4 items), the prospect (5 items), the reward (5 items), the promotion (4 items), the relationship with the peer (5 items) And relationship with senior (6 questions).
This study was conducted on 322 fire fighting officers in Gwangju and Jeonnam. A total of 322 fire-fighting officers were selected for the final research, except for 20 of the respondents who responded unfairly to the questionnaire through the online questionnaire.

데이터처리

041) showed significant differences among groups. One-way ANOVA was used to examine the differences in sleep quality, job stress, fatigue, job satisfaction, and posttraumatic stress according to the type of work. The results showed that job stress, job satisfaction, and posttraumatic stress were significantly different.
To investigate the effects of sleep quality, job stress, fatigue, and job satisfaction on ptsd, crossover analysis and t-test were used. According to ptsd, it was analyzed that sleep quality, job stress, job satisfaction, and fatigue differences.

이론/모형

The multidimensional Fatigue Scale (MFS) developed by Chang [22] was used to measure fatigue level in this study. This scale consists of 19 items, consisting of three sub-domains: general fatigue (8 items), daily living dysfunction (6 items), and situational fatigue (5 items) due to certain environmental factors.

성능/효과

First, the quality of sleep did not show a significant difference according to the type of work. However, the quality of sleep quality by type of work was 6.
Fourth, job satisfaction showed a significant difference in working style. There was a significant difference between fire suppression and rescue·EMT.
Statistical analysis results showed that, in case of sleep quality by work type, fire suppression was 6.48, rescue·emt to be 6.34 and desk duty to be 6.35.
The results showed that ptsd, job stress, fatigue and job satisfaction were significantly different. This means that the fire fighting officers with experience of ptsd are more likely to experience sleep quality, job stress, job satisfaction and fatigue than those who are not.

후속연구

This study is limited to the generalization of the results of the study because it is aimed at the fire fighting officers in K and J area. Therefore, further research is needed to expand the sample size in future studies.
Third, further study is needed to improve the adaptation by studying detailed measures to reduce sleep disturbance, fatigue, job stress, PTSD, and improving and supporting shift work system.
If there is a difference in the difficulties experienced by these types of work of fire fighting officers, it may be possible to provide a basis for differentiated measures to improve these factors according to the type of work. We hope that this study will provide basic data for the preparation of the psychological counseling intervention plan according to the work style of fire fighting officers. To this end, the research problems set by this study are as follows.

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표제어: PCR

동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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