Titreşime Maruz Kalan İnşaat İşçileri İçin Optimal Emeklilik Yaşı: Türkiye'de Bir Vaka Çalışması

Year 2019, Issue: 17, 1294 - 1306, 31.12.2019

Sadık Alper Yıldızel , Mustafa Tolga Çöğürcü , Mehmet Uzun , Kemal Armağan

https://doi.org/10.31590/ejosat.661690

Abstract

Titreşimler yani; ses dalgaları, belirli bir süre içinde belirli sayıda tekrar eden dalgalardır. Ses dalgalarından farkı, sesin hava yoluyla iletilmesidir, titreşim ise vücudun katı kısımlarını kullanır. Titreşimler, operatörlerin el ve kollarına ve hatta tüm yapılarına bina operasyonlarında kullanılan makine ve ekipmanlardan geçer. Titreşimler birçok rahatsızlığa neden olur. Özellikle inşaat sektöründe, yüksek frekanslı titreşim yayıcı makina ve ekipmanlarda çalışan işçilerde ciddi sağlık sorunları gözlenmektedir. Bu sağlık sorunlarından en yaygın olanı orta ve uzun vadede ciddi mesleki ve bazı sağlık sorunlarına neden olan titreşimli bir sendromdur. Titreşim sendromu hastaları özellikle inşaat işlerinde fonksiyonel, sosyal ve psikolojik sakatlık yaşarlar. Bu nedenle, bu mesleklerin sigortaları ve amortismanları diğer çalışanlardan farklı olmalıdır.
Bu çalışmada inşaat işçilerinin titreşim sendromu risk sınıflamaları yapılmıştır. Sıkı kavanoz açma zorluğu, el kavrama zayıflığı ve parmak rengi değişiklikleri çalışanların genel sorunları arasında öne çıkmaktadır. Ankete göre parmak soğukluğu ve parmak uyuşukluğu daha az ortaya çıkmaktadır. Bu sonuca göre gerekli önlemler ve yasal mevzuat önerileri sunuldu. Titreşime maruz kalan inşaat işçilerinin emeklilik yaşı için Taguchi metoduna dayalı bir optimizasyon yapıldı. İnşaat işçilerinin çalışma sürelerinin analiz sonuçlarına göre yeniden incelenmesi gerektiği sonucuna varılmıştır. İlgili mevzuat, her meslek için önerilen emeklilik yaşı uyarınca güncel tutulabilir.

Keywords

Titreşim sendromu, çalışma koşulları, inşaat işçileri, sağlık sorunu, optimum emeklilik yaşı, anket çalışması

Optimal Retirement Age for Construction Workers Exposed to Vibration: A Case Study in Turkey

Abstract

Vibrations namely; sound waves are the waves that have a certain number of repetitions in a period. The difference from the sound waves is that the sound is transmitted through the air, while the vibration uses the solid parts of the body. Vibrations pass to operators' hands and arms and even to all their bodies from machinery and equipment used in building operations. Vibrations cause many discomforts. Especially in the construction sector, serious health problems are observed in workers working in high-frequency vibration-emitting machines and equipment. The most common of these health problems is a vibratory syndrome, which causes serious occupational and some health problems in the medium and long term. Vibration syndrome sufferers especially in construction works experience functional, social and phycological disabilities. Hence, the insurances and the depreciation of these occupations must be different from those of other employees.

In this study, construction workers’ vibration syndrome risk classifications were conducted. Difficulty in tight jar opening, weak hand grip and finger color changes are among the general problems of the employees. According to the questionnaire, finger coldness and finger numbness are less common. According to this results suggestions on necessary precautions and legal legislation were presented. A Taguchi method-based optimization was performed on the retirement age of construction workers exposed to vibration. It is concluded that the working time of construction workers should be re-examined as per the analysis results. Related legislations can be kept up with the date as per the recommended retirement age for each occupation.

Keywords

Vibration syndrome, working conditions, construction workers, health problem, optimum retirement age, questionnaire study

References

• Alwasel, A., Elrayes, K., Abdel-Rahman, E. M., & Haas, C. (2017). Sensing Construction Work-Related Musculoskeletal Disorders (WMSDs). 28th International Symposium on Automation and Robotics in Construction (ISARC 2011). https://doi.org/10.22260/isarc2011/0027
• Antwi-Afari, M. F., Li, H., Edwards, D. J., Pärn, E. A., Seo, J., & Wong, A. Y. L. (2017). Biomechanical analysis of risk factors for work-related musculoskeletal disorders during repetitive lifting task in construction workers. Automation in Construction. https://doi.org/10.1016/j.autcon.2017.07.007
• Antwi-Afari, Maxwell Fordjour, Li, H., Edwards, D. J., Pärn, E. A., Owusu-Manu, D. G., Seo, J., & Wong, A. Y. L. (2018). Identification of potential biomechanical risk factors for low back disorders during repetitive rebar lifting. Construction Innovation. https://doi.org/10.1108/CI-05-2017-0048
• Antwi-Afari, Maxwell Fordjour, Li, H., Yu, Y., & Kong, L. (2018). Wearable insole pressure system for automated detection and classification of awkward working postures in construction workers. Automation in Construction. https://doi.org/10.1016/j.autcon.2018.10.004
• Anyfantis, I. D., & Biska, A. (2018). Musculoskeletal Disorders Among Greek Physiotherapists: Traditional and Emerging Risk Factors. Safety and Health at Work, 9(3), 314–318. https://doi.org/10.1016/j.shaw.2017.09.003
• Ayre, C., & Scally, A. J. (2014). Critical values for Lawshe’s content validity ratio: Revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development. https://doi.org/10.1177/0748175613513808
• Balogh, I., Ørbæk, P., Ohlsson, K., Nordander, C., Unge, J., Winkel, J., & Hansson, G. Å. (2004). Self-assessed and directly measured occupational physical activities - Influence of musculoskeletal complaints, age and gender. Applied Ergonomics. https://doi.org/10.1016/j.apergo.2003.06.001
• Barton, K. L., Wrieden, W. L., & Anderson, A. S. (2011). Validity and reliability of a short questionnaire for assessing the impact of cooking skills interventions. Journal of Human Nutrition and Dietetics. https://doi.org/10.1111/j.1365-277X.2011.01180.x
• Borg, G., & Löllgen, H. (2001). Borg’s perceived exertion and pain scales. Deutsche Zeitschrift Fur Sportmedizin.
• Bovenzi, M. (2005). Health effects of mechanical vibration. Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia.
• Bovenzi, M. (2010). A prospective cohort study of exposure-response relationship for vibration-induced white finger. Occupational and Environmental Medicine. https://doi.org/10.1136/oem.2009.046128
• Cederlund, R., Nordenskiöld, U., & Lundborg, G. (2001). Hand-arm vibration exposure influences performance of daily activities. Disability and Rehabilitation. https://doi.org/10.1080/09638280010036535
• Cederlund, Ragnhild, Isacsson, Å., & Lundborg, G. (1999). Hand function in workers with hand-arm vibration syndrome. Journal of Hand Therapy. https://doi.org/10.1016/S0894-1130(99)80029-5
• Charles, L. E., Ma, C. C., Burchfiel, C. M., & Dong, R. G. (2018). Vibration and Ergonomic Exposures Associated With Musculoskeletal Disorders of the Shoulder and Neck. Safety and Health at Work, 9(2), 125–132. https://doi.org/10.1016/j.shaw.2017.10.003
• Chen, D., Cai, Y., Cui, J., Chen, J., Jiang, H., & Huang, M. C. (2018). Risk factors identification and visualization for work-related musculoskeletal disorders with wearable and connected gait analytics system and kinect skeleton models. Smart Health. https://doi.org/10.1016/j.smhl.2018.05.003
• Chen, J., Qiu, J., & Ahn, C. (2017). Construction worker’s awkward posture recognition through supervised motion tensor decomposition. Automation in Construction. https://doi.org/10.1016/j.autcon.2017.01.020
• David, G. C. (2005). Ergonomic methods for assessing exposure to risk factors for work-related musculoskeletal disorders. Occupational Medicine. https://doi.org/10.1093/occmed/kqi082
• Falkiner, S. (2003). Diagnosis and treatment of hand-arm vibration syndrome and its relationship to carpal tunnel syndrome. Australian Family Physician.
• Forman, J., & Damschroder, L. (2007). Qualitative Content Analysis. Advances in Bioethics. https://doi.org/10.1016/S1479-3709(07)11003-7
• George, D., & Mallery, P. (2013). SPSS for Windows Step by Step: A Simple Guide for Reference 11.0 Update. In Allyn & Bacon.
• Gilbert, G. E., & Prion, S. (2016). Making Sense of Methods and Measurement: Lawshe’s Content Validity Index. Clinical Simulation in Nursing. https://doi.org/10.1016/j.ecns.2016.08.002
• Gleason, P. M., Harris, J., Sheean, P. M., Boushey, C. J., & Bruemmer, B. (2010). Publishing Nutrition Research: Validity, Reliability, and Diagnostic Test Assessment in Nutrition-Related Research. Journal of the American Dietetic Association. https://doi.org/10.1016/j.jada.2009.11.022
• Handford, M., Lepine, K., Boccia, K., Ruddick, F., Alyeksyeyeva, D., Thompson, A., … Switzer-McIntyre, S. (2017). Hand-arm vibration syndrome: Workers′ experience with functional impairment and disability. Journal of Hand Therapy. https://doi.org/10.1016/j.jht.2016.10.010
• House, R. A., Sauvé, J. T., & Jiang, D. (2010). Noise-induced hearing loss in construction workers being assessed for hand-arm vibration syndrome. Canadian Journal of Public Health.
• House, R., Wills, M., Liss, G., Switzer-McIntyre, S., Lander, L., & Jiang, D. (2012). DASH work module in workers with hand-arm vibration syndrome. Occupational Medicine. https://doi.org/10.1093/occmed/kqs135
• House, Ron, Wills, M., Liss, G., Switzer-McIntyre, S., Manno, M., & Lander, L. (2009). Upper extremity disability in workers with hand-arm vibration syndrome. Occupational Medicine. https://doi.org/10.1093/occmed/kqp016
• House, Ronald, Holness, L., Taraschuk, I., & Nisenbaum, R. (2017). Infrared thermography in the hands and feet of hand-arm vibration syndrome (HAVS) cases and controls. International Journal of Industrial Ergonomics. https://doi.org/10.1016/j.ergon.2017.01.001
• Hua, Y., Lemerle, P., & Ganghoffer, J. F. (2017). A two scale modeling and computational framework for vibration-induced Raynaud syndrome. Journal of the Mechanical Behavior of Biomedical Materials. https://doi.org/10.1016/j.jmbbm.2017.03.019
• Kim, J. (2018). The Relationship Between Frequency of Injuries and Workplace Environment in Korea: Focus on Shift Work and Workplace Environmental Factors. Safety and Health at Work, 9(4), 421–426. https://doi.org/10.1016/j.shaw.2018.01.006
• Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., & Jørgensen, K. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics. https://doi.org/10.1016/0003-6870(87)90010-X
• Kurozawa, Y., Nasu, Y., Hosoda, T., & Nose, T. (2002). Long-term follow-up study on patients with vibration-induced white finger (VWF). Journal of Occupational and Environmental Medicine. https://doi.org/10.1097/00043764-200212000-00017
• Markovina, J., Stewart-Knox, B. J., Rankin, A., Gibney, M., de Almeida, M. D. V., Fischer, A., … Frewer, L. J. (2015). Food4Me study: Validity and reliability of Food Choice Questionnaire in 9 European countries. Food Quality and Preference. https://doi.org/10.1016/j.foodqual.2015.05.002
• Nath, N. D., Akhavian, R., & Behzadan, A. H. (2017). Ergonomic analysis of construction worker’s body postures using wearable mobile sensors. Applied Ergonomics. https://doi.org/10.1016/j.apergo.2017.02.007
• Pelmear, P. L., & Taylor, W. (2006). Hand-Arm Vibration Syndrome: Clinical Evaluation and Prevention. Journal of Occupational and Environmental Medicine. https://doi.org/10.1097/00043764-199111000-00010
• Poole, K., & Mason, H. (2005). Disability in the upper extremity and quality of life in hand-arm vibration syndrome. Disability and Rehabilitation. https://doi.org/10.1080/09638280500164610
• Postema, S. G., Bongers, R. M., Brouwers, M. A., Burger, H., Norling-Hermansson, L. M., Reneman, M. F., … van der Sluis, C. K. (2016). Upper Limb Absence: Predictors of Work Participation and Work Productivity. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2015.12.022
• Sakakibara, H., Akamatsu, Y., Miyao, M., Kondo, T., Furuta, M., Yamada, S., … Hosokawa, M. (1988). Correlation between vibration-induced white finger and symptoms of upper and lower extremities in vibration syndrome. International Archives of Occupational and Environmental Health. https://doi.org/10.1007/BF00378475
• Sauni, R., Virtema, P., Pääkkönen, R., Toppila, E., Pyykkö, I., & Uitti, J. (2010). Quality of life (EQ-5D) and hand-arm vibration syndrome. International Archives of Occupational and Environmental Health. https://doi.org/10.1007/s00420-009-0441-6
• Sevinç, A. H., Durgun, M. Y., & Eken, M. (2017). A Taguchi approach for investigating the engineering properties of concretes incorporating barite, colemanite, basaltic pumice and ground blast furnace slag. Construction and Building Materials. https://doi.org/10.1016/j.conbuildmat.2016.12.209
• Spielholz, P., Silverstein, B., Morgan, M., Checkoway, H., & Kaufman, J. (2001). Comparison of self-report, video observation and direct measurement methods for upper extremity musculoskeletal disorder physical risk factors. Ergonomics. https://doi.org/10.1080/00140130118050
• Teschke, K., Trask, C., Johnson, P., Chow, Y., Village, J., & Koehoorn, M. (2009). Measuring posture for epidemiology: Comparing inclinometry, observations and self-reports. Ergonomics. https://doi.org/10.1080/00140130902912811
• Thompson, A., Turcot, A., Youakim, S., & House, R. (2011). Compensation of hand-arm vibration syndrome in Canada. Canadian Acoustics.
• Türkmen, I., Gül, R., & Çelik, C. (2008). A Taguchi approach for investigation of some physical properties of concrete produced from mineral admixtures. Building and Environment. https://doi.org/10.1016/j.buildenv.2007.02.005
• Umer, W., Li, H., Szeto, G. P. Y., & Wong, A. Y. L. (2016). Identification of Biomechanical Risk Factors for the Development of Lower-Back Disorders during Manual Rebar Tying. Journal of Construction Engineering and Management. https://doi.org/10.1061/(asce)co.1943-7862.0001208
• Valero, E., Sivanathan, A., Bosché, F., & Abdel-Wahab, M. (2016). Musculoskeletal disorders in construction: A review and a novel system for activity tracking with body area network. Applied Ergonomics. https://doi.org/10.1016/j.apergo.2015.11.020
• Verra, S. E., Benzerga, A., Jiao, B., & Ruggeri, K. (2018). Health Promotion at Work: A Comparison of Policy and Practice Across Europe. Safety and Health at Work, 10(1), 21–29. https://doi.org/10.1016/j.shaw.2018.07.003
• Vihlborg, P., Bryngelsson, I. L., Lindgren, B., Gunnarsson, L. G., & Graff, P. (2017). Association between vibration exposure and hand-arm vibration symptoms in a Swedish mechanical industry. International Journal of Industrial Ergonomics. https://doi.org/10.1016/j.ergon.2017.02.010
• Walker-Bone, K., & Palmer, K. T. (2002). Musculoskeletal disorders in farmers and farm workers. Occupational Medicine. https://doi.org/10.1093/occmed/52.8.441
• Yildizel, S. A., & Calis, G. (2019). Design and Optimization of Basalt Fiber Added Lightweight Pumice Concrete Using Taguchi Method. Revista Română de Materiale / Romanian Journal of Materials, 49(4), 544–553.