방문 돌봄 노동자의 근골격계 자각증상, 수면문제와 주관적 정신건강 간의 관련성 : 수면문제의 매개효과를 중심으로

• Published in: 한국직업건강간호학회지 Vol. 31; no. 1; pp. 11 - 21
• Main Authors: 양주현, 이은정, 정인옥, 박보현
• Format: Journal Article
• Language: Korean
• Published: 한국직업건강간호학회 28.02.2022
• Subjects: 간호학; 근골격계 문제; 정신건강; 돌봄노동자; Home health aides; Musculoskeletal pain; Sleep deprivation; Mental health; Mediation analysis; 수면문제; 매개분석
• ISSN: 2287-2531; 2466-1856
• DOI: 10.5807/kjohn.2022.31.1.11

Purpose: This study aimed to identify the relationship among musculoskeletal problems, sleep problems, and self-rated mental health of home-care workers. Methods: Data were collected from 447 home-care workers spanning three occupation types: life supporters for the elderly, home-visit caregivers, and life supporters for the disabled. Musculoskeletal problems, sleep problems, and self-rated mental health were assessed using structured questionnaires. Factors affecting self-rated mental health were analyzed using multiple regression. SPSS was used to test the mediating effects of sleep problems on musculoskeletal problems and self-rated mental health. Results: Among the general characteristics, the variables that showed significant differences in musculoskeletal problems were monthly income level, caring-related career duration, weekly working hours, and occupation type; and the variable that showed significant differences in self-rated mental health was occupation type. Among the occupation types, supporters for the disabled had the most musculoskeletal problems and the lowest self-rated mental health. Musculoskeletal problems among home-care workers had a direct negative effect on self-rated mental health and indirect negative effects on sleep problems. Conclusion: Measures are needed to reduce the differences in working conditions and health status among the occupation types of home-care workers. Considering the relevance between the health issues of home-care workers, the development of a carefully designed health promotion strategy is required.