Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Application of Participatory Action-Oriented Training (PAOT) to Small and Medium Sized Enterprises for Prevention of Work-related Musculoskeletal Disorders

중소규모 사업장의 작업관련성 근골격계질환 예방을 위한 참여형 개선기법( PAOT) 적용사례

Yoon, Seong-Yong;Woo, Kuck-Hyeun;Kim, Jin-Seok;Yu, Jay-Young;Choi, Tae-Sung;Ha, Bong-Goo;Jang, Yong-Seok;Jo, Seong-Yong
윤성용;우극현;김진석;유재영;최태성;하봉구;장용석;조성용

  • Published : 20050900
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Abstract

Objectives: The purpose of this study was firstly to introduce a Participatory Action-Oriented Training (PAOT) program for the prevention of work-related musculoskeletal diseases (WRMSDs) in Small and Medium sized Enterprises in the Gumi Industrial Zone, and secondly to assess its effect. Methods: Two PAOT workshops to prevent WRMSDs were conducted with 39 volunteer participants from 10 companies selected (on a first-come, first-served basis) among 200 small- or medium-sized enterprises in Gumi. These companies had been provided with mandatory occupational health management agency services for Small and Medium sized Enterprises by an occupational medicine clinic. Each workshop consisted of 6 technical sessions and one closing ceremony. At the 1st session, the principles of each action checklist item were explained and an on-site checklist exercise was carried out. The 2nd to 5th sessions presented good example pictures on 4 subjects: material storage and handling, working environment, work organization and work-related welfare. Group discussions were carried out by the participants. In the final 6th session on the implementation of improvement, each participant was asked to present 6 action plans, 3 short-term and 3 long-term, for their own workplace improvement. Results: Overall, the participants worked out 47 real action plans, 27 short-term and 20 long-term, for improvement of their own workplaces. Three to 6 months after the workshops, through in-person visits to each company, it was confirmed that more than half of these 47 plans had been completed; 25 plans (53.2%) had been completed as planned, 8 (17.0%) were in processing, and 14 (29.8%) had not yet been put into practice. Conclusions: The study findings confirmed that the PAOT program holds strong potential as an intervention method to prevent WRMSDs in Small and Medium sized Enterprises, although the final results have not been fully assessed yet.

목적: 급증하고 있는 작업관련성 근골격계질환을 예방하기위해 중소규모 사업장에 적용한 참여형 개선활동 기법(PAOT)의 실행과정과 결과를 기술하고자 한다. 방법: 경북 구미소재 일개 대학병원에서 보건관리대행 서비스를 실시하고 있는 200여 개 사업체 중 선착순으로 워크샵 참가를 신청한 10개 사업체, 39명을 대상으로 작업관련성 근골격계질환 예방을 위한 PAOT 워크샵을 2회 실시하였다. 워크샵은 현장 체크리스트 실습을 통한 실습교육과 체크리스트 항목에 대한 원리 및 모범사례 사진을 설명하는 주제 발표 시간, 참가자들의 그룹토의로 이루어졌으며, 마지막 시간에는 참가자들이 자신의 사업장에서 시행할 개선활동을 단기계획 3가지와 장기계획 3가지로 나누어 수립하여 발표하도록 하였다. 결과: 2회의 워크샵에서 참가자들이 제시한 작업환경 개선계획은 모두 47건으로 단기개선계획 27건, 장기개선계획 20건이었다. 3~6개월 후 각 사업체를 직접 방문하여 작업환경 개선계획의 실행여부를 확인한 결과, 개선이 계획대로 완료된 건이 전체 47건 중 25건(53.2%), 현재 진행 중인 건이 8건(17.0%), 아직 실시되지 않은 건이 14건(29.8%)으로 과반수 이상의 개선계획이 실제적으로 수행되었다. 결론: PAOT 프로그램이 아직 객관적으로 평가되지는 않았지만 국내 중소기업에서의 작업관련성 근골격계질환 예방을 위한 중재기법으로서 하나의 대안이 될 가능성이 있으므로 이에 대한 연구가 계속되어야 할 것이다.

Keywords

References

  1. 노동부, 산업재해통계, 2001-2004
  2. 한국산업안전공단 산업안전보건연구원. 사업장 근골격계질환 예방관리 프로그램개발, 2001
  3. Ahn YS, Choi YH, Kang SK, Chung HK. Analysis of Work-Related Musculoskelectal Disease by Approved Korea Labor Welfare Corporation in 1999. Korean J Occup Environ Med 2002;14(2):154-68
  4. Albers JT, Li Y, Lemansters G, Sprague S, Stinson R, Bhattacharya A. An ergonomic education and evaluation program for apprentice carpenters. Am J Ind Med 1997;32(6):641-6 https://doi.org/10.1002/(SICI)1097-0274(199712)32:6<641::AID-AJIM10>3.0.CO;2-1
  5. Batino J. Work improvement in small enterprises (WISE) Project in the Philippines, in the Proceedings of the Fifth Southeast Asian Ergonomics Society Conference on Human Factors; Vision-Care for the Future 1997;536-41
  6. Bohr PC, Evanoff BA, Wolf LD. Implementing participatory ergonomics teams among health care workers. Am J Ind Med 1997;32(3):190-6 https://doi.org/10.1002/(SICI)1097-0274(199709)32:3<190::AID-AJIM2>3.0.CO;2-1
  7. Buckle P, Devereux J. Work-related neck and upper limb musculoskelectal disorders. Bibao. European Agency for Safety and Health at Work. 1999
  8. Conferido RD. Low-cost solution to improving Philippine working conditions; is it wise. Environmental Management and Health 1997;8:171-2 https://doi.org/10.1108/09566169710179184
  9. Evanoff BA, Bohr PC, Wolf LD. Effects of a participatory ergonomics team among hospital orderlies. Am J Ind Med 1999;35(4):358-65 https://doi.org/10.1002/(SICI)1097-0274(199904)35:4<358::AID-AJIM6>3.0.CO;2-R
  10. Israel BA, Schurman SJ, House JS. Action research on occupational stress: involving workers as researchers. Int J Hlth Serv 1989;19(1):135-55 https://doi.org/10.2190/L2JF-U13W-FT0X-DFXM
  11. Jafry T, O'Neill DH. The application of ergonomics in rural development: a review. Appl Ergon 2000;31(3):263-8 https://doi.org/10.1016/S0003-6870(99)00051-4
  12. Kawakami T, Batino JM, Khai TT. Ergonomic strategies for improving working conditions in some developing countries in Asia. Ind Health 1999;37(2):187-98 https://doi.org/10.2486/indhealth.37.187
  13. Kawakami T, Khai T, Kogi K. Development and practice of the participatory action training programme for improving working and living conditions of farmers in the Mekong Delta Area in Vietnam. J Science Labour 1998;75:51-63
  14. Kawakami T, Kogi K, Toyama N, Yoshikawa T. Participatory approaches to Improving Safety and Health under Trade Union Initiative-experiences of POSITIVE training program in Asia. Ind Health 2004;42(2):196-206 https://doi.org/10.2486/indhealth.42.196
  15. Khai T, Kawakami T. Work Improvement in Neighbourhood Development (WIND) Programme. Centre for Occupational Health and Environment, Cantho. Vietnam 2002
  16. Khai T, Kawakami T, Kogi K. Participatory Action Oriented Training-Trainer's Manual. Center for Occupational Health & Environmental. Can Tho. Vietnam. 2001. pp 5-50
  17. Kim IA, Koh SB, Kim JS, Kang DM, Son M, Kim YK, Song JC. The Relationship between Musculoskeletal Symtoms and Job Stress & Intensity of Labor among Shipbuilding Workers. Korean J Occup Environ Med 2004a;16(4):401-12. (Korean)
  18. Kim YK, Kang DM, Koh SB, Son BC, Kim JW, Kim DW, Kim GH, Han SH. Risk Factors of Work-related Musculoskeletal Symtoms Among Motor Engine Assembly Plant Workers. Korean J Occup Environ Med 2004b;16(4):488-98. (Korean)
  19. Koda S, Nakagiri S, Yasuda N, Toyota M, Ohara H. A followup study of preventive effects on low back pain at worksites by providing a participatory occupational safety and health program. Ind Health 1997;35(2):243-8 https://doi.org/10.2486/indhealth.35.243
  20. Kogi K, Kawakami T , Itani T, Batino JM. Low-cost work improvements that can reduce the risk of musculoskelectal disorders. Int J Ind Ergon 2003;31:179-84 https://doi.org/10.1016/S0169-8141(02)00195-6
  21. Moir S, Buchholz B. Emerging participatory approaches to ergonomic interventions in the construction industry. Am J Ind Med 1996;29(4):425-30 https://doi.org/10.1002/(SICI)1097-0274(199604)29:4<425::AID-AJIM31>3.0.CO;2-1
  22. Moore JS, Garg A. Participatory ergonomics in a red meat packing plant. Part II: Case studies. Am Ind Hyg Assoc J 1997;58(7):498-508 https://doi.org/10.1080/15428119791012595
  23. Moore JS, Garg A. Use of participatory ergonomics teams to address musculoskeletal hazards in the red meat packing industry. Am J Ind Med 1996;29(4):402-8 https://doi.org/10.1002/(SICI)1097-0274(199604)29:4<402::AID-AJIM25>3.0.CO;2-4
  24. Rainbird G, O'Neil DH. Occupational disorders affecting agricultural workers in tropical developing countries. Appl Ergon 1995;26:185-7
  25. Rampal KG, Kogi K, Che Man ABB, Chaikittiporn C, Ismail N, Kawakami T, Musri M. Experiences of action-oriented field ergonomics training in Malaysia. Journal of Science of Labour(Part II) 1996;24-30
  26. Rosecrance JC, Cook TM. The use of participatory action research and ergonomics in the prevention of work-related musculoskelectal disorders in the newspaper industry. Appl Occup Environ Hyg 2000;15(3):255-62 https://doi.org/10.1080/104732200301575
  27. Tandhanskul N, Duangsa-Ad S, Pongpanich C, Pungok A, Punpeng T, Juengprasert W, Kawakami T. Experiences of successful action programmes for occupational health, safety, and ergonomics promotion in small scale enterprises in Thailand. J Hum Ergol 1995;24(1):105-15
  28. Zalk DM, Biggs TW, Perry CM, Tageson R, Tittiranonda P, Burastero S, Barsnick L, Participatory ergonomics approach to waste container handling utilizing a multidisciplinary team. In: Proceedings of the International Ergonomics Association 14th Triennial Congress/HFFS 2000,San Diego,31 July-4 August,2000:324-7
  29. Zalk DM, Tolley JC, Kim Y. Grassroots ergonomics to modify custodial training procedures. Profess Safe 1997;42:21-5
  30. Zalk DM. Grassroots Ergonomics: Initiating an Ergonomics Program Utilizing Participatory Techniques. Ann Occup Hyg 2001;45(4):283-289 https://doi.org/10.1016/S0003-4878(01)00005-9