119구급대원의 업무 관련성 근골격계 질환 위험성 평가: 환자 운반 작업을 중심으로
Assessing the risk of work-related musculoskeletal disorders in 119 EMT: a focus on patient-carrying tasks
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aims to evaluate the risk of work-related musculoskeletal disorders (WMSDs) in 119 EMT during patient-carrying tasks using a long backboard (LBB) and a variable stretcher. Methods: Manikins were used as patients, and 45 new 119 EMT from K Fire Academy were filmed performing patient-carrying tasks on stairs. The tasks were analyzed using Ovako working posture analysis system (OWAS) and Rapid entire body assessment (REBA). Results: In using LBB, the OWAS score was Mode 3(Mean 2.37, Maximum 3), requiring as soon as possible corrective action, the REBA score was Mode 11(Mean 9.16, Maximum 11), requiring immediate improvement. In using variable stretcher, the OWAS score was Mode 1(Mean 2.33, Maximum 3), non-necessity for corrective action, the REBA score was Mode 9(Mean 8.0, Maximum 11), requiring as soon as possible. Conclusion: In conclusion, improvement was needed in one task (carrying a patient using a LBB) in the OWAS and in two tasks (carrying a patient using a LBB, carrying a patient using a variable stretcher) in the REBA. Thereby, required attention and management of WMSDs during training. In addition, it is essential to carry out objective and quantitative assessments through ergonomic analysis by occupational health professionals when designing future training programs to prevent WMSDs.
Abstract
Purpose: This study aims to evaluate the risk of work-related musculoskeletal disorders (WMSDs) in 119 EMT during patient-carrying tasks using a long backboard (LBB) and a variable stretcher. Methods: Manikins were used as patients, and 45 new 119 EMT from K Fire Academy were filmed performing patient-carrying tasks on stairs. The tasks were analyzed using Ovako working posture analysis system (OWAS) and Rapid entire body assessment (REBA). Results: In using LBB, the OWAS score was Mode 3(Mean 2.37, Maximum 3), requiring as soon as possible corrective action, the REBA score was Mode 11(Mean 9.16, Maximum 11), requiring immediate improvement. In using variable stretcher, the OWAS score was Mode 1(Mean 2.33, Maximum 3), non-necessity for corrective action, the REBA score was Mode 9(Mean 8.0, Maximum 11), requiring as soon as possible. Conclusion: In conclusion, improvement was needed in one task (carrying a patient using a LBB) in the OWAS and in two tasks (carrying a patient using a LBB, carrying a patient using a variable stretcher) in the REBA. Thereby, required attention and management of WMSDs during training. In addition, it is essential to carry out objective and quantitative assessments through ergonomic analysis by occupational health professionals when designing future training programs to prevent WMSDs.
참고문헌 (23)
- National Fire Agency, "2022 Statistical yearbook", pp.37~112 (2022), Freebe
- "Rules on occupational safety and health standards no 656" (2023)[URL]
- "List of occupational diseases recommendation, 2002(No. 194)" (2023)[URL]
- Kwon YK, "New ergonomics", pp.120~121 (2021), Design 21 Publishing Inc
- 김대성, "119 구급대원 구급활동의 근골격계 증상 및 위험실태", 대한인간공학회지, 29(2), pp.211~216 (2010), 대한인간공학회
- 홍선우, "119 구급대원의 직무스트레스와 근골격계 증상과의 관계", 한국직업건강간호학회지, 19(2), pp.223~235 (2010), 한국직업건강간호학회
- Lavender SA, "Postural analysis of paramedics simulating frequently performed strenuous work tasks", Appl Ergon, 31(1), pp.45~57 (2000)
- 최은숙, "응급구조(학)과 교육과정의 표준화에 대한 연구", 한국응급구조학회지, 21(2), pp.17~38 (2017), 사단법인 한국응급구조학회[DOI]
- 최은숙, "응급구조(학)과 교육과정 2차 표준화 연구", 한국응급구조학회지, 24(3), pp.7~27 (2020), 사단법인 한국응급구조학회[DOI]
- "Seoul Metropolitan Fire Academy" (2023)[URL]
- Lee JW, "Comparison study of ergonomic posture analysis-comparison of cross section analysis and work sampling", master, pp.2008
- Karhu O, "Correcting working posture in industry : A practical method for analysis", Appl Ergon, 8(4), pp.199~201 (1977)
- Hignett S, "Rapid entire body assessment(REBA)", Appl Ergon, 31(1), pp.201~205 (2000)
- Myong JP, "Depression symptom features of a fire-station workers by job", Korean J Occup Health, 46(3), pp.85~94 (2007)
- 장영숙, "Work sampling 기법을 이용한 자동차부품공장 근로자의 근골격계질환 위험수준 분석", 대한작업치료학회지, 16(4), pp.77~88 (2008), 대한작업치료학회
- "119rescue and first aid law no 2" (2023)[URL]
- "Rules for classification of fire-fighting equipment no 4" (2023)[URL]
- Hong SG, "Effect on occurrence of low-back pain by duty type of fire fighting civil servant on outside duty", master, pp.2007
- 김정만, "소방관의 근골격계 증상과 직무 스트레스에 관한 연구", 한국산업보건학회지, 17(2), pp.111~119 (2007), 한국산업보건학회
- Kim JT, "A Study on risk prevention in different cases of occupational casualties for fire officials - focused on 119 rescue", master, pp.2016
- 황지영, "119 구급대원의 건강상태 및 건강관리 프로그램 운영 실태", 한국응급구조학회지, 21(1), pp.45~58 (2017), 사단법인 한국응급구조학회[DOI]
- 홍성기, "119구급대원의 근골격계 증상과 환자운반 작업의 인간공학적 평가", 한국화재소방학회 논문지, 28(4), pp.81~88 (2014), 한국화재소방학회[DOI]
- 손정원, "119 구급대원의 근골격계 질환 위험성 평가 - 소방기술경연대회 구급종목을 대상으로 -", 한국응급구조학회지, 21(3), pp.59~71 (2017), 사단법인 한국응급구조학회