학술논문

Indeks radne sposobnosti te morbiditetni i psihički profil pripadnika profesionalnih vatrogasnih postrojbi
WORK ABILITY INDEX AND MORBIDITY & PSYCHOLOGICAL PROFILE OF PROFESSIONAL FIRE-FIGHTING SQUAD MEMBERS
Document Type
TEXT
Source
Subject
profesionalno interventno vatrogastvo
mjesta s posebnim uvjetima rada
radna sposobnost
efekt zdravog radnika
info:eu-repo/classification/udc/616.31(043.3)
morbiditetni profil
psihički profil
professional interventional fire-fighting
jobs performed under special working conditions
work ability
morbidity profile
psychological profile
healthy worker effect
BIOMEDICINE AND HEALTHCARE. Dental Medicine.
Stomatology
BIOMEDICINA I ZDRAVSTVO. Dentalna medicina.
Stomatologija
Language
Croatian
Abstract
Poslovi u vatrogastvu su poslovi s posebnim uvjetima rada te se odabir kandidata obavlja profesionalnom selekcijom. Svrha istraživanja bila je na reprezentativnom uzorku od 300 pripadnika operativne vatrogasne postrojbe (isključivo muški spol, prosječna dob 43 7,84 g, prosječni ukupni radni staž 18,57,67, a u vatrogastvu 14,96,44 g) uvidom u medicinsku dokumentaciju nadležne službe medicine rada i WAI upitnikom utvrditi indeks radne sposobnosti i morbiditetni profil. Psihički profil određen je upitnicima BDI, STAI i DSQ-40. Kvalitativne varijable opisane su apsolutnim i relativnim frekvencijama, a kvantitativne parametrima centralne tendencije i disperzije i testirane na normalnost razdiobe Kolmogorov-Smirnovljevim testom. Pouzdanost instrumenata provjerena je Cronbachovim koeficijentima. Pri strukturalnoj analizi osnovnih pokazatelja radne sposobnosti korišten je Pearsonov koeficijent korelacije. Latentna struktura prostora, koju tvore navedeni pokazatelji, istražena je faktorskom analizom. Predikcija anksioznosti uz pomoć pokazatelja depresivnosti izvedena je modelom linearne regresije. Statistički značajnim smatran je p = 0,050. Zastupljenost hipertenzije (7,1%) i kardiovaskularnih bolesti (2%) niža je negoli u općoj populaciji. Oštećenja vida zastupljena su sa 6,7%, a sluha i ravnoteže sa 2%. Uočen je i problem pretilosti (BMI do 39,6%) te povišenih razina šećera (14,8%) i kreatinina u serumu (7,1%). Ispitanici vlastitu radnu sposobnost visoko rangiraju i nisu skloni apsentizmu. Ova djelatna populacija nije rizična za razvoj depresije i anksioznosti, ali se priklanja nezrelim i neurotičnim mehanizmima psihološke obrane koja pozitivno korelira s dobi ispitanika te duljinom radnog staža općenito i u vatrogastvu. Postojeći sustav selekcije omogućuje postizanje efekta zdravog radnika, no u algoritam pregleda nužno je uključiti BDI, STAI i DSQ-40.
AIM: The study aims at determining work ability index and morbidity & psychological profile of professional fire-fighters on a representative sample of 300 interventional squad members (exclusively M, average age 43 7.84 g, average total/fire-fighting service years 18.5 7.67/14.96.44). The study made use of medical records entrusted with the attending Occupational Health Services, as well as WAI, BDI, STAI & DSQ-40 self-appraisal tools. Qualitative variables are given in absolute and relative frequencies, while quantitative variables are represented with central tendency and dispersion parameters and tested for normality using Kolmogorov-Smirnov test. Reliability of the tools was corroborated using Cronbach alpha coefficient. Structural analysis of key work ability indicators made use of Pearson correlation coefficient. Latent structure of the space composed of the latter indicators was a subject to factor analysis. The prediction of anxiety based on depression indicators made use of linear regression model. Statistical significance was set at p = 0.050. KEY RESULTS: The representation of hypertension (7.1%) and cardiovascular conditions (2%) is lower than in general population. Eyesight impairments were seen in 6.7%, and that of hearing and gait in 2% of examinees. Obesity (BMI up to 39.6%), elevated blood glucose (14.8%) and serum creatinine levels (7.1%) were identified as well. Work ability was highly self-appraised, while proneness to absenteeism failed to be seen. Professional fire-fighters are not prone to depression and anxiety, but do resort to immature and neurotic defence mechanisms, whose representation highly correlates with their age and years of total and fire-fighting service. CONCLUSION AND KEY RECOMMENDATION: The existent selection rationale enables the attainment of healthy worker effect, but the health check algorithm should definitely be supplemented by BDI, STAI & DSQ-40 tools.