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The Effect of Post-Traumatic Stress on Quality of Life in Industrial Accident Patients: Effect of Recovery Resilience

산재환자의 외상후 스트레스가 삶의 질에 미치는 영향 : 회복탄력성의 효과

  • 한정원 (계명대학교 대학원 간호학과) ;
  • 이병숙 (계명대학교 간호대학)
  • Received : 2018.01.11
  • Accepted : 2018.04.06
  • Published : 2018.04.30

Abstract

This study was conducted to investigate the effects of post-traumatic stress on the quality of life and effects of resilience in industrial accident patients. Participants in this study were 158 patients in an industrial hospital and general hospital in two metropolitan urban areas. Data were collected from July 1 to September 30, 2017 using self-report questionnaires and analyzed by descriptive statistics, Pearson's correlation coefficient, hierarchical regression, and Sobel's test using SPSS 21.0. There were significant negative correlations post-traumatic stress, quality of life, effects of resilience and were significant positive correlations quality of life, effects of resilience. The effects of resilience showed partial mediating effects, but not moderating effects on post-traumatic stress and quality of life. Post-traumatic stress and resilience explained 45% of the effects of industrial accidents on quality of life, post-traumatic stress explained 23% of the effects on quality of life, and the mediating effect of resilience was 22%. Based on the results of this study, it is necessary to develop interventions that improve quality of life by reducing post-traumatic stress and increasing resilience among workers who experience industrial accidents.

본 연구의 목적은 산재환자에게 나타나는 외상후 스트레스가 삶의 질에 미치는 영향과 이들의 관계에 있어 회복탄력성의 효과를 확인하기 위한 서술적 조사연구이다. 본 연구는 2개 광역지역에 소재한 산재병원, 종합병원 및 준 종합병원에 입원중이거나 통원하고 있는 158명의 산재환자를 대상으로 이루어졌다. 자료수집은 2017년 7월 1일부터 9월30일까지 자기보고식 설문지로 이루어졌다. 자료는 SPSS 21.0을 이용하여, 기술통계, 상관분석, 위계적 회귀분석, Sobel test로 분석하였다. 연구결과, 연구대상자의 외상후 스트레스와 삶의 질, 회복탄력성은 음의 상관관계를, 삶의 질과 회복탄력성은 양의 상관관계를 보였다. 외상후 스트레스가 삶의 질에 대한 영향에서 회복탄력성의 효과를 규명하기위해 회귀분석을 실시한 결과, 외상후 스트레스와 삶의 질의 관계에서 회복탄력성은 부분 매개효과가 있었으나 조절효과는 없었다. 외상후 스트레스와 회복탄력성은 삶의 질에 45%의 설명력을 보여주었으며 이 중 외상후 스트레스는 삶의 질에 23%의 직접효과가 있었고 회복탄력성을 매개로 하여 22%의 간접효과가 있었다. 이상의 결과에 비추어 볼 때 외상후 스트레스와 회복탄력성은 삶의 질에 영향을 미치는 주요한 심리적 변수임을 알 수 있다. 따라서 산재환자의 삶의 질을 향상시키기 위해서는 이들의 외상후 스트레스를 줄여줄 뿐만 아니라 회복탄력성을 증가 시켜주는 중재가 필요할 것이다.

Keywords

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