Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Multifaceted Intervention Program on Multi-Dimensional Psychologic Condition, Empowerment, Work Readiness, and Functional Capacity in Industrially Injured Workers

다면재활프로그램이 산업재해근로자의 다차원 심리상태, 역량강화, 직업복귀준비 및 작업능력에 미치는 효과

  • Noh, Dong-hee (Dept. of Health Science and Technology, Graduate School of Inje University) ;
  • Song, Moon-Hee (Workers' Compensation and Welfare Service, Changwon Hospital) ;
  • Jo, Eun-Ju (Workers' Compensation and Welfare Service, Changwon Hospital) ;
  • Kang, Seong-Gu (Workers' Compensation and Welfare Service, Changwon Hospital) ;
  • Kim, Kyoung-Hwa (Workers' Compensation and Welfare Service, Changwon Hospital) ;
  • Kam, Kyung-Yoon (Dept. of Occupational Therapy, College of Healthcare Medical Science and Engineering, Inje University)
  • 노동희 (인제대학교 대학원 융합의과학과) ;
  • 송문희 (근로복지공단 창원병원) ;
  • 조은주 (근로복지공단 창원병원) ;
  • 강성구 (근로복지공단 창원병원) ;
  • 김경화 (근로복지공단 창원병원) ;
  • 감경윤 (인제대학교 보건의료융합대학 작업치료학과)
  • Received : 2017.11.01
  • Accepted : 2018.02.02
  • Published : 2018.02.28
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Abstract

This study examined the effects of a multifaceted intervention program on the psychological condition, empowerment, work readiness, and functional capacity for job performance of industrially injured workers. Twelve injured workers in C hospital were included in this study. The subjects participated in a social rehabilitation program 2 hours a day, twice a week, for 8 weeks in total, as well as a work hardening program 3 to 4 hours a day, 5 times a week, for 8 weeks in total. The study was conducted from March to September, 2017. A multi-dimensional psychological examination, empowerment scale, work readiness interview and functional capacity evaluation were conducted and the test scores compared before and after the program with the Wilcoxon signed rank test. In the multi-dimensional psychological examination, there were significant differences in the levels of anxiety, depression, lack of social support, and somatization symptoms (p<.05) except anger. The participants also showed significant differences in the empowerment scale, work readiness scale, and functional capacity evaluation. This study suggests that a multifaceted intervention program can be effective in improving the psychologic condition, empowerment, work readiness, and functional capacity of industrially injured workers and, in turn, may improve their rate of returning to work.

본 연구는 다면재활프로그램이 산업재해근로자의 다차원 심리 변화와 역량강화, 직업복귀준비 및 작업능력에 미치는 효과를 알아보고자 하였다. 2017년 3월부터 9월까지 경남 창원에 위치하는 C병원에 입원한 산업재해근로자 12명을 대상으로 실시하였다. 다면재활프로그램으로는 주 2회 2시간씩 8주 동안 희망찾기프로그램과 주 5회 3~4시간씩 8주 동안 작업능력강화프로그램을 병행 실시하였다. 이 때 중재효과를 검증하기 위해서 다차원 심리검사, 역량강화척도, 직업복귀준비도 및 작업능력평가를 실시하여 윌콕슨부호순위검정으로 전 후 검사 결과를 비교하였다. 그 결과, 다차원 심리검사에서 불안, 우울, 신체화, 사회적 지지에서 유의하게 향상된 반면(p<.05), 분노에서는 유의한 차이가 없었다(p>.05). 역량강화척도와 직업복귀준비도에서는 유의미한 차이가 있었다(p<.05). 작업능력평가에서는 바닥에서 허리높이로 들기, 허리에서 어깨높이로 들기, 바닥에서 어깨높이로 들기, 옮기기, 밀기 및 당기기에서 모두 유의한 차이가 있었다(p<.05). 본 연구는 사회심리적 요소와 신체적 측면을 함께 고려한 다면재활프로그램이 산업재해근로자의 직업복귀에 있어서 다차원 심리의 긍정적인 변화, 역량강화, 직업복귀준비 및 작업능력에 효과적임을 알 수 있었고 직업재활의 효과적인 방법임을 제안한다.

Keywords

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