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산업재해 환자의 개인적 특성과 우울간의 관계

Association of Individual Characteristics with Depressive Symptoms among Patients with On-the-job Injuries in South Korea

박수경
(사)위기관리이론과실천 (Crisis and Emergency Management: Theory and Praxis)|2014.02|Crisisonomy|제10권 제2호|pp. 85-103

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참고문헌

키워드

우울depressive symptom자기 효능감self efficacy산업재해 환자patients with on-the-job injuries

초록

산재환자에게 우울은 일반적으로 나타나는 문제로 신체적인 회복을 지연시킬 뿐만 아니라 직업복귀나 직장생활 유지에도 방해가 되므로 재활과정에서 중요한 관심대상이다. 본 연구의 목적은 산재환자의 인구사회학적 요인, 산재 관련 요인, 심리적 요인 등의 개인적 특성과 우울간의 관계를 살펴보고, 이러한 결과를 토대로 효과적인 개입프로그램 개발을 위한 제언을 하는 데 있다. 조사대상자는 전국에 있는 근로복지공단 직영 산재병원에 입원 중인 산재환자 122명이다. 분석결과, 자기효능감이 우울을 예측하는 가장 강력한 요인으로 나타났고, 주관적 경제상태와 근로제한성도 유의미한 영향요인으로 밝혀졌다. 이러한 결과는 산재환자의 우울에 개입하는 재활 프로그램을 개발할 때, 자기 효능감 향상에 초점을 두어야 하며, 주관적 경제상태와 근로제한성에 대한 개입을 우선적으로 고려할 필요가 있음을 보여준다.

Abstract

The purpose of this study is to explore individual factors such as demographic, job injury-related, psycho-social factors associated with depression among patients with on-the-job injuries in South Korea. Participants consisted of 122 patients in five public hospitals nationwide for workers' compensation clients. Analyses were conducted using univariate analyses and multiple regression to explore factors related to depression. Univariate analyses showed that duration of hospitalization, work limitation, subjective economic status, the role of bread winner, objectives for returning to work, recovery expectancy, self efficacy, coping strategies were significantly associated with depression. The strongest predictor of depressive symptoms was self efficacy, which accounted for 32% of the variance in depression. Subjective economic status and work limitation added 11% to the variance in depression. These results suggested that there is a need to develop intervention program focused on improving self efficacy.

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