Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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The Factors Related to Health-related Quality of Life(HRQOL), and Correlation between Occupational Stress and HRQOL among Municipal Fire Officers in Incheon

인천지역 일부 소방공무원의 건강관련 삶의 질과의 관련 요인 및 직무스트레스요인과의 상관성

Lee, KyungJin;Heo, Hyeon-Taeck;Kim, Dong-Won;Kim, In-Ah;Kim, Soo-Young;Rho, Jun-Rae;Jung, Soo-Young;Mun, Je-Hyeok
이경진;허현택;김동원;김인아;김수영;노준래;정수영;문제혁

  • Published : 20090900
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Abstract

Objectives: This study was performed to investigate the factors related to HRQOL, and a correlation between occupational stress and HRQOL among municipal fire officers. Methods: In November 2005, 341 male municipal fire officers submitted to the following tests: A general questionnaire, a medical questionnaire, the Korean Occupational Stress Scale Short Form(KOSSSF), and the SmithKline Beecham quality of life scale (SBQOL). Results: Back pain (OR=3.54, 95% C.I.=1.81-6.93) and occupational stress (OR=6.33, 95% C.I.=3.12- 12.83) were significantly related to poor HRQOL scores among municipal fire officers, and there is negative relationship between KOSS-SF score and SBQOL score. Logistic regression analysis indicated that the medium occupational stress group (OR=2.21, 95% C.I.=1.04-4.71) and the high occupational stress group (OR=6.33, 95% C.I.=3.12-12.83) were more significantly associated with poor HRQOL than low occupational stress group. Conclusions: Among municipal fire officers, back pain and occupational stress were found to be related to their HRQOL. Based on this study, we suggest that the management of back pain and occupational stress are instrumental to improving the HRQOL among municipal fire officers.

연구 목적: 이 연구는 소방공무원의 건강 관련 삶의 질을 평가하고 여기에 어떤 요인들이 관련이 있는지 알아보고자 하였으며, 특히 직무스트레스요인이 건강관련 삶의 질에 어느 정도 관련이 있는지 알아보고자 하였다. 연구 방법: 이 연구는 2005년 11월 28일부터 2005년 12월 7일 까지 인천지역 소재의 3개 소방서에서 근무하는 341명의 공무원들을 대상으로 한 단면연구이다. 연구대상자들의 나이, 근무 년 수, 결혼 상태, 주택 소유 여부, 근무 형태, 직위, 교대근무, 요통, 병력 등을 조사하였으며, 단축형 한국인 직무스트레스요인 측정도구(KOSS-SF)와 스미스클라인 비참의 건강관련 삶의 질(SBQOL) 측정도구를 이용하여 평가하였다. 여기에서 KOSS-SF는 총 점수를 삼분위수로 나누어 KOSS-SF 점수가 낮은 군, 중간인 군, 높은 군으로 나누었으며, SBQOL은 점수의 하위 25%를 낮은 건강관련 삶의 질로 정의하였다. 연구 결과: 소방공무원에서 요통과 직무스트레스요인이 건강관련 삶의 질과 유의한 관련성이 있었으며(각각 OR=3.54, 95% C.I.=1.81-6.93, OR=6.33, 95% C.I.=3.12-12.83), 직무스트레스요인과 건강관련 삶의 질 사이에는 통계학적으로 유의한 음의 상관관계를 보였다. 나이, 근무 년 수, 결혼 상태, 주택 소유 여부, 근무형태, 직위, 교대근무, 요통 및 병력 등을 보정한 상태에서 로지스틱 회귀분석 결과 KOSS-SF 점수가 중간인 군(OR=2.21, 95% C.I.=1.04-4.71)과 KOSS-SF 점수가 높은 군(OR=6.33, 95% C.I.=3.12-12.83)이 KOSSSF 점수가 낮은 군보다 낮은 건강관련 삶의 질에 더 많은 관련이 있는 것으로 나타났다. 결론: 소방공무원에서 요통과 직무스트레스요인이 건강 관련 삶의 질에 관련이 있었으며, 직무스트레스요인 점수가 높아질수록 건강관련 삶의 질이 저하되었다. 따라서 소방공무원에게서 요통과 직무스트레스를 줄이도록 관리하는 것이 소방공무원의 건강관련 삶의 질을 높이는데 도움이 될 것이다.

Keywords

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