Associations between Work-Related Musculoskeletal Pain, Quality of Life and Presenteeism in Physical Therapists

물리치료사의 업무관련성 근골격계 통증, 삶의 질과 프리젠티즘의 관계

  • Bae, Young-Hyeon (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Lee, Jong-Hoon (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Yoo, Hyeon-Ju (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Kim, Dong-Eon (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Lee, Bo-Ra (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Kim, Yun-Hee (Department of Physical and Rehabilitation Medicine, Samsung Medical Center) ;
  • Ha, Hyun-Geun (Department of Physical and Rehabilitation Medicine, Samsung Medical Center)
  • 배영현 (삼성서울병원 재활의학과) ;
  • 이종훈 (삼성서울병원 재활의학과) ;
  • 유현주 (삼성서울병원 재활의학과) ;
  • 김동언 (삼성서울병원 재활의학과) ;
  • 이보라 (삼성서울병원 재활의학과) ;
  • 김연희 (삼성서울병원 재활의학과) ;
  • 하현근 (삼성서울병원 재활의학과)
  • Published : 2012.03.31

Abstract

Background: The purpose of this study was to analyze the associations between physical therapists' work-related musculoskeletal pain, quality of life (QoL), and presenteeism. Methods: Self-reported questionnaires were given to 402 physical therapists in Korea. Variables examined included the prevalence of pain sites related to work, pain intensity, pain pattern, pain frequency, pain duration, pain rating score (PRS), general characteristics, QoL, and presenteeism. Results: Of the 314 physical therapists who responded, 251 (79.9%) reported work -related musculoskeletal pain in at least one body part. The most affected regions included the wrist and hand (21.0%), shoulder (19.6%), and lower back (19.1%). On average patients, QoL and presenteeism differed significantly between physical therapists who reported pain and those who did not (P < 0.05). QoL showed a negative correlation with the work-related musculoskeletal pain (P < 0.01) and presenteeism (P < 0.01), while the presenteeism and work-related musculoskeletal pain showed positive one(P < 0.01). Factors influencing a physical therapist's QoL included presenteeism, Working venues (Convalescent hospital), Work status (Contra ct worker) and professional experience, while the presenteeism included QoL, work status (Intern), PRS, working venues (Convalescent hospital), Area of specialty (Pediatrics), age, sex and working hour. Conclusions: Results show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain. Therefore, administrators need to use the intervention strategies to manage the presenteeism and QoL of physical therapists.

Keywords

References

  1. 김정애. 근로자 근골격계 통증의 자가평가에 관한 연구. 석사학위논문, 연세대학교. 2001
  2. 김철, 김창효, 전세일. 새로운 자가통증평가법의 유용성. 대한재활의학회지 1998; 22 (2): 305-311
  3. 노동부. 2007년도 노동백서. 2008: 306
  4. 민성길, 이창일, 김광일, 서신영, 김동기. 한국판 세계 보건기구 삶의 질 간편형 척도 (WHOQOL-BREF)의 개발. 신경정신의학 2000; 39 (3): 571-579
  5. 박진욱, 노상철. 작업관련성 근골격계 질환의 자각증 상과 삶의 질간의 관련성. 대한직업환경의학회 2007; 19 (2): 156-163
  6. 오현자. 근골격계 만성통증 환자가 지각한 통증, 가족 지지 및 삶의 질과의 관계. 재활간호학회지 1998; 93-109
  7. 용준형, 이충휘, 권오윤, 전혜선. 물리치료사의 직무관련 근골격계 통증과 직무 스트레스. 한국전문물리치료학회지 2010; 17 (1): 53-61
  8. 이영미. 서울 경기지역 일부 사업장 근로자의 스트레스가 프리젠티즘에 미치는 영향. 박사학위논문, 한양대학교. 2006
  9. 이영미, 정문희, 황목전미향자, 도변리향, 영목순혜. 한국과 일본 간호사의 프리젠티즘에 영향을 미치는 요인. 한국산업위생학회지 2008; 18 (4): 253-261
  10. 전은숙, 이강숙, 이선영, 유재희, 홍아름. 병원 근로자들의 고용형태에 따른 직무 스트레스와 삶의 질의 관계. 대한직업환경의학회 2009; 21 (1): 28-37
  11. 정문희, 이영미, 황목전미향자. 중소규모사업장 근로자의 스트레스와 프리젠티즘의 관계. 대한직업환경의학회지 2007; 19 (1): 47-55
  12. 조정민, 김규성, 김미혜. 보건소 근무 간호사의 건강문제와 업무성과 손실. 한국보건간호학회지 2009; 23(1): 69-77
  13. Alrowayeh HN, Alshatti TA, Aljadi SH, Fares M, Alshamire MM, et al. Prevalence, characteristics, and impacts of work-related musculoskeletal disorders: a survey among physical therapists in the state of Kuwait. BMC Musculoskelet Disord 2010; 11 (116): 1-22 https://doi.org/10.1186/1471-2474-11-1
  14. Aronsson G, Gustafsson K. Sickness presenteeism: prevalence, attendance-pressure factors, and an outline of a model for research. J Occup Environ Med 2005; 47 (9): 958-965
  15. Babatunde OA, Ashiyat KA, Adewale LO. Work-related musculoskeletal disorders among Nigerian physiotherapists. BMC Musculoskelet Disord 2008; 9 (112): 1-9 https://doi.org/10.1186/1471-2474-9-1
  16. Boles M, Pelletier B, Lynch W. The relationship between health risk and work productivity. J Occup Environ Med 2004; 46 (7): 737-745 https://doi.org/10.1097/01.jom.0000131830.45744.97
  17. Bork BE, Cook TM, Rosecrance JC. Work-related Musculoskeletal disorders among physical therapists. Phys Ther 1996; 76 (8): 827-835 https://doi.org/10.1093/ptj/76.8.827
  18. Burton WN, Chen CY, Conti DJ, Schultz AB, Pransky G, et al. The association of health risks with on the job productivity. J Occup Environ Med 2005;47 (8): 769- 777 https://doi.org/10.1097/01.jom.0000169088.03301.e4
  19. Campo M, Weiser S, Koenig KL, Nordin M. Work-related musculoskeletal disorders in physical therapists: A prospective cohort study with 1-year follow-up. Phys Ther 2008; 88 (5): 608-619 https://doi.org/10.2522/ptj.20070127
  20. Campo M, Darragh AR. Impact of work-related pain on physical therapists and occupational therapists. Phys Ther 2010; 90 (6): 905-920 https://doi.org/10.2522/ptj.20090092
  21. Cesar AH, David CJ, Pierre C. Is a history of work-related low back injury associated with prevalent low back pain and depression in the general population. BMC Musculoskelet Disord 2008: 9 (22): 1-10 https://doi.org/10.1186/1471-2474-9-1
  22. Glover W, McGregorb A, Sullivana C, et al. Work-related musculoskeletal disord ers affecting members of the chartered society of physiotherapy. Physiotherapy 2005: 91 (3): 138-147 https://doi.org/10.1016/j.physio.2005.06.001
  23. Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, et al. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med 2004; 46 (4): 398-412 https://doi.org/10.1097/01.jom.0000121151.40413.bd
  24. Levin-Epstein J. Presenteeism and Paid sick days. Center for law and social policy Available: http://www.clasp.org (cited 23 March 2006)
  25. Leanne P, Steven M. Work related musculoskeletal disorders amongst therapists in physically demanding roles: qualitative analysis of risk factors and strategies for prevention. BMC Musculoskelet Disord 2011; 12:24 https://doi.org/10.1186/1471-2474-12-24
  26. Morken T, Riise T, Moen B, Bergum O, Hauge SH, et al. Frequent musculoskeletal symptoms and reducedhealth- related quality of life among industrial workers. Occup Med (Oxford) 2002; 52 (2): 91-98 https://doi.org/10.1093/occmed/52.2.91
  27. Salik Y, Ozcan A. Work-related musculoskeletal disorders: A survey of physical therapists in Izmir- Turkey. BMC Musculoskelet Disord 2004; 5 (27): 1-7 https://doi.org/10.1186/1471-2474-5-1
  28. Trinkoff AM, Storr CL, Lipscomb JA. Physically demanding work and inadequate sleep, pain medication use, and absenteeism in registered nurses. J Occup Environ Med 2001; 43 (4): 355-363 https://doi.org/10.1097/00043764-200104000-00012
  29. Turpin RS, Ozminkowski RJ, Sharda CE, Collins JJ, Berger ML, et al. Reliability and validity of the stan ford presenteeism scale. J Occup Environ Med 2004; 46 (11): 1123-1133 https://doi.org/10.1097/01.jom.0000144999.35675.a0
  30. Wilhelmus JAG, Philip W, Marc C. Work-related musculoskeletal disorders In fe male Swedish physical therapists with more than 15 years of job experience: prevalence and associations with work exposures. Physiother Theory Pract 2011; 27 (3): 213-222 https://doi.org/10.3109/09593985.2010.481323
  31. Yesim S, Ayse O. Work-related musculoskeletal disorders: A survey of physical therapists in Izmir-Turkey. BMC Musculoskelet Disord 2004; 5 (27): 1-7 https://doi.org/10.1186/1471-2474-5-1