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Effects of Sleep Quality, Rehabilitation Motivation, Depression, and Anxiety on Quality of Life in Occupational Accident Patients

산업재해 환자의 수면의 질, 재활동기, 우울, 불안이 삶의 질에 미치는 영향

  • 허수지 (경희대학교 일반대학원 간호학과) ;
  • 김현경 (국립공주대학교 간호학과)
  • Received : 2023.01.25
  • Accepted : 2023.04.03
  • Published : 2023.05.31

Abstract

Purpose: The purpose of this study was to identify the effect of sleep quality, rehabilitation motivation, depression, and anxiety on quality of life in occupational accident patients. Methods: The participants were 138 patients who in and outpatient treatment at a hospital affiliated with the Korea Workers' Compensation and Welfare-service Hospital located in Daegu and Daejeon. Data were analyzed by independent t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program. Results: Quality of life had a significant negative correlation with sleep quality, depression, and anxiety, respectively, but had a significant positive correlation with rehabilitation motivation. Hierarchical multiple regression analysis showed that anxiety was a major factor affecting the quality of life of occupational accident patients. Anxiety showed 42.7% of explanatory power for the quality of life of occupational accident patients. Conclusion: Based on the results of this study, in order to improve the quality of life of patients with occupational accidents, psychological interventions for anxiety should be provided first in the early stage of treatment.

Keywords

References

  1. Korea Law Information Center. Occupational safety and health act [Internet]. Sejong: Korea Ministry of Government Legislation; 2022 Aug 18 [cited 2023 Jan 14] Available from: https://www.law.go.kr/법령/산업안전보건법
  2. Hwang JG, Kim JH. The predictors of injured workers' use of rehabilitation services from the Korea labor welfare corporation: Using the Andersen & Newman behavioral model. Disability & Employment. 2020;30(3):57-83. https://doi.org/10.15707/disem.2020.30.3.003
  3. Ministry of Employment and Labor. [Internet]. c2022. Status of industrial accidents at the end of September; 2022. Nov 7 [cited 2023 Jan 14] Available from: https://www.moel.go.kr/policy/policydata/view.do?bbs_seq=20221101040
  4. Kwon TS. A study of factors influencing the life satisfaction of industrial accident victims after termination of medical care. [Master's thesis]. Pusan: Pusan National University; 2015. pp.1-76.
  5. Han JW, Lee BS. The effect of post-traumatic stress on quality of life in industrial accident patients: Effect of recovery resilience. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(4):167-77. https://doi.org/10.5762/KAIS.2018.19.4.167
  6. Park YM, Park K. A Study of body psychotherapeutic intervention on depression and chronic pain of industry accident patients. The Journal of the Korean Association of Psychotherapy. 2012;4(1):79-90.
  7. Kim YC. A study on the influence on the quality of life of industrial accident worker. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, & Sociology. 2018;8(3);813-22. https://dx.doi.org/10.35873/ajmahs.2018.8.3.076
  8. Lee HK, Suh KH. A qualitative study on the psychological problems of injured workers. The Korean Journal of Health Psychology. 2014;9(1):431-42. https://doi.org/10.17315/kjhp.2014.19.1.024
  9. Kim SI, Yun KW, Ha EH, Woo HW, Kim YC. Quality of life, suicide ideation, and depressive symptoms in industrial injury patients. Journal of Korean Neuropsychiatric Association. 2001;40(3):416-24.
  10. Hwangbo O, Park YJ. The analysis on the causal model physically disabled women's social support, social integration and quality of life. Journal of Rehabilitation Research. 2010;14(3):299-324.
  11. Park JG. A study on factors influencing social psychological rehabilitation of people with work injury. [Master's thesis]. Cheonan: Korea Nazarene University; 2008. pp.1-120.
  12. Kim YB, Kim SW. Comparison of rehabilitation programs in traumatic low back injuries with industrial accident. Journal of Korean Society of Occupational & Environmental Hygiene. 2019;29(2):236-50. https://doi.org/10.15269/JKSOEH.2019.29.2.236
  13. Park AS. A study on influence factors on the quality of life of a re-employed worker with industrial injuries. Korea Society for Wellness. 2018;13(1):349-62. https://doi.org/10.21097/ksw.2018.02.13.1.349
  14. An ES, Suh SR, Kim EH. Influences of self-esteem, rehabilitation motivation on quality of life in stroke patients with rehabilitation therapy. Journal of the Korea Academia-Industrial cooperation Society. 2019; 20(3):176-87. https://doi.org/10.5762/KAIS.2019.20.3.176
  15. You YY, Ann CS. A study of the relationships between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident. The Journal of Korean Society of Occupational Therapy. 2009;17(2):1-16.
  16. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing. 1998;28(3):563-72. https://doi.org/10.4040/jkan.1998.28.3.563
  17. Han HS, Lim NY. Development of an instrument to measure the motivation for rehabilitation in the disabled. Korean Journal of Adult Nursing. 2002;14(4):554-63.
  18. Radloff LS. Scale: A self-report depression scale for research in the general population. Journal of Clinical & Experimental Neuropsychology. 1997;19:340-56. https://doi.org/10.1080/01688639708403863
  19. Spielberger CD. Anxiety: State-trait process. In C. D. Spielberger, & I. G. Sarason (Eds.), Stress and anxiety (pp. 115-143). New York: Wiley. pp.115-43.
  20. Kim JT, Shin DK. A study on the Korean standardization of STAI. New Medical Journal. 1978;21(11):69-75.
  21. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOLBREF). Journal of Korean Neuropsychiatric Association. 2000;39(3):571-9.
  22. Kim O. A study on the relationship among pain, sleep, powerlessness and quality of life of chronic low back pain patients. [Master's thesis]. Muan: Chodang University; 2017. pp.1-74.
  23. Kim SO, Lim NY. The rehabilitation motive and social support by spinal cord injury patients. Korean Society of Muscle & Joint Health. 2009;16(1):66-79.
  24. Kim NJ, Ahn HN. Social reactions to trauma disclosure and depression: The mediating effects of post-traumatic cognitions and gender differences. Cognitive Behavior Therapy in Korea. 2020;20(1):91-113. https://doi.org/10.33703/cbtk.2020.20.1.91
  25. Kim AR. Stress, state anxiety, family support, patient provider relationship and sleep disturbance of hemodialysis patient. Journal of The Korean Data Analysis Society, 2014;16(4): 2161-2175.
  26. Park SK, Kim DK. A study on factors affecting the mental health among patient with work-related injury. Journal of Rehabilitation Research. 2006;11(3):150-74.
  27. Kim JY, Lee EJ, Ha EH. Health related quality of life in occupationally injured workers. Korean Journal of Occupational & Environmental Medicine. 2001;13(2):141-51. https://doi.org/10.35371/kjoem.2001.13.2.141
  28. Shin MH, Park SH, Lee HC, Moon E, Lee HW, Kim BW. Impact of depression and anxiety on quality of life in patients with chest pain. Anxiety & Mood. 2011;7(2):79-84.
  29. Hyun DR, Kim YS. The influence of anxiety, uncertainty, and cancer coping on the quality of life in breast cancer patients receiving neoadjuvant chemotherapy. Asian Oncology Nursing. 2022;22(1):37-45. https://doi.org/10.5388/aon.2022.22.1.37
  30. Hyun HJ, Oh JJ, Choi JM, Lee HJ, Yoon SN. Ability of daily living, depression and quality of life of the industrial accident disabled. Korean Journal of Occupational Health Nursing. 2003;12(2):164-70.