Occupational Health Department, Korea Occupational Safety and Health Agency, Bupeong-Gu, Incheon 403-711, South Korea.
Ind Health. 2011;49(1):3-7. doi: 10.2486/indhealth.ms1191. Epub 2010 Sep 1.
The effects of work on the heart are mediated by chemical, physical, and psychological stressors. It is standard clinical practice to assess personal risk factors such as cigarette smoking, hypertension, and cholesterol. Evaluation of a patient's acute symptoms and activity level at the time of presentation is also standard practice. However, clinicians typically do not assess workplace risk factors; nor do they usually identify the location and its possible exposures that may have contributed to the patient's symptoms. In Korea, work-related cerebrovascular and cardiovascular diseases (WR-CVDs) are among the most compensated cases, second only to work-related musculoskeletal disorders (WR-MSDs). The average accumulated insurance benefit per injured worker is an estimated USD 75,000, which is thought to have a major impact on the financial stability of insurers. Therefore, the present study was performed to 1) review the physicochemical agents of cardiovascular diseases in Korea, 2) review the effects of psychosocial factors such as work-related stress on WR-CVDs in Korea, and 3) discuss the concepts and perspectives of WR-CVDs in Korea by comparing with those in Japan.
工作对心脏的影响是由化学、物理和心理压力源介导的。评估个人风险因素(如吸烟、高血压和胆固醇)是标准的临床实践。评估患者在就诊时的急性症状和活动水平也是标准做法。然而,临床医生通常不会评估工作场所的风险因素;他们也通常不会确定可能导致患者症状的工作场所位置及其可能的暴露。在韩国,与工作相关的脑血管和心血管疾病(WR-CVDs)是最常见的赔偿案例之一,仅次于与工作相关的肌肉骨骼疾病(WR-MSDs)。每位受伤工人的平均累积保险福利估计为 75,000 美元,这被认为对保险公司的财务稳定性有重大影响。因此,进行本研究是为了 1)回顾韩国心血管疾病的物理化学因素,2)回顾工作相关压力等社会心理因素对 WR-CVDs 的影响,以及 3)通过与日本进行比较,讨论韩国 WR-CVDs 的概念和观点。