초록
본 연구는 원양선박에서 발생하는 선원들의 질환을 원격의료시스템을 통해 실태를 파악하고, 이에 대한 진단명 및 질병분류의 분석을 통해 원양선박 선원들의 질병예방과 건강증진에 기여하는데 그 목적이 있다. 2016하반기부터 2017년까지 약 14개월 동안 원격 진료를 통해 수집된 총 195명의 선원들의 진단명, 개인적, 건강적 특성을 수집하여 양적분석을 하였다. 질환발생 빈도에서 두드러기(5.6%), 요부염좌(4.1%), 급성위장관염(3.1%) 및 불안(3.1%) 등이 가장 흔하게 발생되는 상병으로 분석되었다. 질병분류에서는 근골격계(25.1%), 피부계(17.9%), 소화기계(11.3%) 순으로 나타났다. 원격의료의 발생은 30세미만이 가장 많았으며, 사관 보다는 부원의 질병발생이 많았다. 교차분석($X^2$ 검정)에서 질병이 외상보다 통계학적으로 유의하게 발생이 많았으며(p<.001), 선박의 종류(상선과 어선)에 따른 병인 간에도 차이가 있었다(p<.005).
The purpose of this study is to contribute to the study of the prevention of diseases and promotion of health of ocean going vessel crew members, through the medical diagnosis and disease classification efforts of this study. From the second half of 2016 to 2017, the diagnosis and health characteristics of 195 crew members were collected through counseling, treatment, and emergency care for about 1 year and 2 months. As a result, it is noted that the incidence of diseases was in the order of urticaria (5.6%), lumbar sprain (4.1%), acute gastroenteritis (3.1%) and anxiety (3.1%). In categorical review, the incidence of musculo-skeletal disease was the most common (25.1%) which was followed by skin disease (17.9%) and digestive disease (11.3%). In addition, the disease that was noted as was the most common in the under 30 years old category, and the incidence of the disease was high in the crew group. Finally, there was a difference between the pathogenesis (trauma vs disease, etc.) (p <.001) and the type of vessel (merchant ship and fishing vessel) (p <.005) as noted in this case.