Department of Preventive Medicine and Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju 52727, Korea.
College of Nursing and Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Jinju 52727, Korea.
Int J Environ Res Public Health. 2019 Mar 2;16(5):756. doi: 10.3390/ijerph16050756.
Many firefighters suffering from traumatic events while on duty participate in the work force. However, the impact of work-related traumatic events on work performance is unclear. To address this issue, we administered a work-related traumatic event experience survey, the health-related work limitations questionnaire, the Korea Depression Scale, and the World Health Organization quality of life assessment to firefighters from four cities in Korea. The health-related work limitations questionnaire measured limitations in their ability to perform three specific work demands-physical, psychosocial, and environmental. Of 685 firefighters enrolled in the study, 618 (90.2%) were included in the final analyses. Their mean age ± standard deviation (SD) was 41.1 ± 8.0 years and mean employment period ± SD was 163.0 ± 101.2 months. A large percentage of participants reported they had experienced work-related traumatic events. Among the firefighters, the total work limitation prevalence was 21.5%, 16.8% of them were limited in their abilities to perform physical work demands, 15.5% were limited in performing psychosocial work demands, and 13.8% were limited in their abilities to function without difficulty within the ambient work environment. Based on multivariable logistic regression, with having work-related traumatic event experience of a threat or injury to self, the odds ratio (OR) of having work limitations in physical (OR = 3.32, 95% CI = 1.17⁻9.41), psychosocial (OR = 3.05, 95% CI = 1.08⁻8.61), environmental (OR = 4.89, 95% CI = 1.66⁻14.40) work demands, and total work limitation (OR = 3.73, 95% CI = 1.44⁻9.68) increased significantly. With experiences of treating fatalities or injured patients, the OR of total work limitation increased significantly (OR = 2.07, 95% CI = 1.09⁻3.91). We demonstrated a relationship between the firefighters' exposure to work-related traumatic events and their work limitations. A professional care management system for firefighters to prevent and manage work-related traumatic events should be developed in order to protect and improve their performance ability.
许多消防员在执勤时遭遇创伤性事件后仍继续工作。然而，工作相关创伤性事件对工作表现的影响尚不清楚。为了解决这个问题，我们对韩国四个城市的消防员进行了一项工作相关创伤性事件经历调查、健康相关工作限制问卷、韩国抑郁量表和世界卫生组织生活质量评估。健康相关工作限制问卷测量了他们在执行三项特定工作要求方面的能力限制，即身体、心理社会和环境。在参加研究的 685 名消防员中，有 618 名（90.2%）被纳入最终分析。他们的平均年龄±标准差（SD）为 41.1±8.0 岁，平均就业期±SD 为 163.0±101.2 个月。很大比例的参与者报告说他们经历过工作相关的创伤性事件。在这些消防员中，总工作限制的患病率为 21.5%，其中 16.8%的人在执行身体工作要求方面受限，15.5%的人在执行心理社会工作要求方面受限，13.8%的人在执行环境工作要求方面受限。基于多变量逻辑回归，有自我威胁或伤害的工作相关创伤性事件经历，身体工作限制（OR=3.32，95%CI=1.17⁻9.41）、心理社会工作限制（OR=3.05，95%CI=1.08⁻8.61）、环境工作限制（OR=4.89，95%CI=1.66⁻14.40）和总工作限制（OR=3.73，95%CI=1.44⁻9.68）的可能性显著增加。有治疗死亡或受伤患者经历的，总工作限制的 OR 显著增加（OR=2.07，95%CI=1.09⁻3.91）。我们证明了消防员接触工作相关创伤性事件与他们的工作限制之间存在关系。为了保护和提高他们的工作能力，应该为消防员开发专业的职业保健管理系统，以预防和管理工作相关创伤性事件。
