• 제목/요약/키워드: Industrial Accident Pain

검색결과 34건 처리시간 0.025초

인공심장판막에 의한 심장질환수술에 관한 연구 (Cardiac Valve Replacement: A Report of 145 Cases)

  • 이영균
    • Journal of Chest Surgery
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    • 제11권4호
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    • pp.501-515
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    • 1978
  • The purpose of this communication is to review the 390 cases of chest trauma, treated at Department of Thoracic and Cardiovascular Surgery, School of Medicine Kyungpook National University from 1960 to 1977. Patients were grouped into two: group `60s [1960-1969] of 103 cases and group `70s [1970-1977] of 257 cases. As the number of cases of each group showed, chest trauma cases increased three times in `70s . The main causes of trauma were auto accident, falling down, industrial injury and stab wound in that order for both groups. Eighty per cent of cases of `60s were between 20 and 59 years and 73.8% of same age range for `70s. Rib fracture of fourth to eighth rib was the most common lesion in both `60s and `70s group. The incidence of hemothorax or hemopnemothorax significantly increased among `70s group than `60s. Clinical manifestations of chest pain and dyspnea remained most frequent symptoms for both groups. The pertinent principles of treatment for the chest trauma were conservative therapy, closed thoracotomy and open thoracotomy. Closed thoracotomy was performed more freely during the period of 1970-1977, with encouraging clinical results. Very few cases of complications other than pneumothorax or hemopneumothorax occurred. Those are fibrothorax, asphyxia, atelectasis and mediastinitis. The overall mortality was 3.9% for the `60s and 2.1% for the `70s group. The possible causes of death of 14 cases of chest trauma whom died on arrival during 1970-1977 were analyzed.

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흉부 외상 (Chest Trauma)

  • 김송명
    • Journal of Chest Surgery
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    • 제11권4호
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    • pp.488-500
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    • 1978
  • The purpose of this communication is to review the 390 cases of chest trauma, treated at Department of Thoracic and Cardiovascular Surgery, School of Medicine Kyungpook National University from 1960 to 1977. Patients were grouped into two: group `60s [1960-1969] of 103 cases and group `70s [1970-1977] of 257 cases. As the number of cases of each group showed, chest trauma cases increased three times in `70s . The main causes of trauma were auto accident, falling down, industrial injury and stab wound in that order for both groups. Eighty per cent of cases of `60s were between 20 and 59 years and 73.8% of same age range for `70s. Rib fracture of fourth to eighth rib was the most common lesion in both `60s and `70s group. The incidence of hemothorax or hemopnemothorax significantly increased among `70s group than `60s. Clinical manifestations of chest pain and dyspnea remained most frequent symptoms for both groups. The pertinent principles of treatment for the chest trauma were conservative therapy, closed thoracotomy and open thoracotomy. Closed thoracotomy was performed more freely during the period of 1970-1977, with encouraging clinical results. Very few cases of complications other than pneumothorax or hemopneumothorax occurred. Those are fibrothorax, asphyxia, atelectasis and mediastinitis. The overall mortality was 3.9% for the `60s and 2.1% for the `70s group. The possible causes of death of 14 cases of chest trauma whom died on arrival during 1970-1977 were analyzed.

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산업재해로 발생한 외상성 허리손상에 대한 새로운 재활치료프로그램의 효과 비교 (Comparison of Rehabilitation Programs in Traumatic Low Back Injuries with Industrial Accident)

  • 김영범;김승원
    • 한국산업보건학회지
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    • 제29권2호
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    • pp.236-250
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    • 2019
  • Objectives: The purpose of this study was to investigate the effect of intensive rehabilitation programs on pain, range of motion (ROM), lumbar muscle strength, core muscle endurance, disability, and depression in patients with traumatic low back injuries and to compare the efficacy of this therapy with that of conventional rehabilitation therapy. Methods: The study was performed with a retrospective medical chart review of patients with traumatic low back injury referred to the rehabilitation center at the Daegu Hospital of the Korean Workers Compensation and Welfare Service. Forty-four patients were allocated to either the conventional rehabilitation group (CRG; n = 22) or the intensive rehabilitation group (IRG; n = 22). The CRG group patients, who received 30-min therapist-supervised physical therapy and modality therapy five times per week for four weeks, were compared with the IRG group patients, who received 60-min therapist-supervised physical therapy, 30-min therapist-patient 1:1 matching rehabilitation therapy, and modality therapy five times per week for four weeks. Outcome measures were a numerical rating scale, ROM, lumbar muscle strength, lumbar core muscle endurance, thickness of lumbar deep focal core muscle (transverse abdominis and lumbar multifidus), Oswestry disability index (ODI), and depression (Korean version patient health questionnaire-9). Results: There were statistically significant improvements after treatment in all outcome measures in both groups (p < 0.05). In the intergroup comparison, NRS scores on the activity and thickness of lumbar deep focal core muscles increased significantly more in the IRG than in the CRG (p < 0.05). There were no statistically significant intergroup differences in NRS scores on resting, ROM except left lateral bending, lumbar muscle strength, core muscle endurance, ODI, and depression. Conclusions: We could confirm the superior effectiveness of an intensive rehabilitation program compared to conventional rehabilitation therapy in patients with traumatic low back injuries.

산재근로자에 대한 임상요인과 개인 미술치료의 효과 (Clinical Factors and Effects of Individual Art Therapy on Industrial Injured Workers)

  • 양정혜;안정아
    • 한국융합학회논문지
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    • 제12권4호
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    • pp.293-302
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    • 2021
  • 본 연구는 산재근로자의 임상요인과 개인 미술치료의 효과를 알아보기 위한 연구이다. 2017년 1월부터 2019년 7월까지 산재근로자를 10명을 연구대상으로 11회기의 미술치료를 개별적으로 시행하였고 다차원심리검사 S형을 사용하여 개인 미술치료 사전. 사후 임상요인의 변화를 살펴보았다. 분석결과 5개의 임상요인의 평균이 2.80에서 4.20까지 분포하여 산재근로자의 심리적 고통이 상당함을 알 수 있었다. 이변량 상관관계분석 결과 모든 요인들 간의 통계적인 범위내에서 유의한 상관관계가 존재하는 것을 확인할 수 있었다. 미술치료 시행 전후의 다차원심리검사 결과의 차이를 파악하기 위하여 wilconxon의 부호순위검정을 사용하여 분석한 결과 5개의 하위요인 중 우울, 분노와 불안의 Z값이 -2.405(p=.016), -2.148(p=.032), -2.102(p=.036)로 나타나 개인 미술치료 수행 후 연구참여자의 우울, 분노와 불안이 다소 완화되었음을 확인할 수 있었다.

아픈 노동자는 왜 가난해지는가? - 아픈 노동자의 빈곤화과정과 소득보장제의 경험 (Path to Poverty of Sick Workers and Fictional Korean Social Security)

  • 이승윤;김기태
    • 한국사회정책
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    • 제24권4호
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    • pp.113-150
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    • 2017
  • 본 연구는 노동자가 업무 이외의 이유로 아프게 되면, 노동시장에서 어떻게 고용 불안정성을 경험하고 또 빈곤화를 경험하는지 분석한다. 특히 아픈 노동자에 대한 한국 사회보장제의 소득보장 기능을 분석하고, 상병수당이 부재한 한국 복지국가의 특수성이 아픈 노동자의 빈곤화에 미치는 영향에 주의를 기울이며 사례 연구를 실시했다. 연구 결과, 아픈 노동자들은 상병으로 고통을 경험해도 일단 '아파도 참는다'. 특히 불안정 노동을 하는 비정규직 노동자들은 아프면 몸을 회복할 수 있는 휴직을 누릴 수 있는 여지가 없이 실직을 경험하게 된다. 그리고 아파서 실직을 경험하게 되어도 소득 감소분을 채우기 위해 더 불안정한 노동이라도 지속하는 경향이 있었다. 그 과정에서 가족 등 주변 사회적 자원이 무너지는 양상도 보이면서, 빈곤화의 경로를 밟는 것이 관찰됐다. 상병과 실업이라는 복합적인 위기에 처한 노동자를 위한 사회보장제도에도 사각지대가 확인됐다. 산재를 겪은 노동자들은 산업재해 신고를 기피하는 사업주 탓에 제도의 혜택에서 벗어나기도 하였고 또 상병으로 실직한 노동자를 고용주가 '자발적 실업'으로 신고하여 실업수당에도 배제됐다. 본 연구는 노동자의 상병으로 인한 일자리 불안정화와 빈곤화 과정을 구체적으로 확인하는 연구로 의의가 있다. 또한 상병수당의 부재와 아픈 노동자의 관계가, 상병수당을 포함하여 한국 소득보장제에 어떠한 학술적, 정책적 함의를 가지는지 고찰했다.

재취업한 산재 노동자의 업무능력, 자기효능감, 직무 만족, 후유증, 동료관계의 구조적 관계 (Relationship Between Work Ability, Self-efficacy, Work Satisfaction, Sequelae and Workplace Relationships of Reemployed Workers Who Experienced Industrial Accidents)

  • 김도희
    • 디지털융복합연구
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    • 제20권2호
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    • pp.463-477
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    • 2022
  • 본 연구는 사회인지 진로이론을 적용하여 산업 재해 이후 재취업한 노동자의 자기효능감이 업무 능력과 직무만족의 관계를 매개하는지 살펴보고, 산재 후유증과 동료 관계가 위 변인에 어떠한 영향을 미치는지 조사하였다. 2018년에 수집된 산재보험패널조사 자료를 토대로 재취업한 성인 976명의 자료를 선별하였으며 SPSS와 AMOS 프로그램을 사용하여 구조방정식 모델링을 실시하였다. 연구결과, 업무 능력은 자기효능감을 매개로 직무 만족에 긍정적인 영향을 미치며 후유증과 관련된 장해의 심각성, 일상생활 수행능력, 통증의 정도는 업무 능력과 자기효능감을 순차로 매개하여 직무 만족에 부정적인 영향을 미치는 것으로 나타났다. 한편, 일상생활 수행능력에 의해 영향을 받은 동료 관계는 자기효능감을 매개로 직무 만족에 긍정적인 영향을 미치는 것으로 나타났다. 이는 후유증을 관리하고 자기효능감을 개선하도록 돕는 것을 통해 산재 노동자가 취업시장으로 복귀하여 만족스러운 삶을 영위할 수 있도록 지원할 수 있음을 나타내며 사회인지 진로이론이 이들의 직무 만족을 설명하는 데에 유용하다는 것을 시사한다.

진동공구 사용근로자의 피부온도 변화 (Change of Skin Temperature of Workers Using Vibrating Tools in Anthracite Mines)

  • 노재훈;문영한;신동천;차봉석;조수남
    • Journal of Preventive Medicine and Public Health
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    • 제21권2호
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    • pp.357-364
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    • 1988
  • 충청북도 단양지역 착암 근로자 79명과 착암기를 사용하지 않는 광산 근로자 39명을 대상으로 1987년 6월 10일부터 1987년 6월 19일까지 면접 조사 및 집단 검사를 시행하여 다음과 같은 결과를 얻었다. 1. 창백지(white finger)는 오른쪽 손에 더 많이 나타났다. 2. 창백지 발현에 진동 노출량, 연령, 음주 및 흡연 여부가 통계학적으로 유의한 변수로 선정되었다. 3. 진동 증후군 증상자의 수지부 통각역치가 대조군에 비해 증가되었다. 4. 냉수 침적후 진동 증후군의 피부온도가 대조군에 비해 낮았으며 회복은 대조군에 비해 지연되는 경향을 보였다.

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도·소매업종의 작업위험요인에 관한 연구 (A Survey for Ergonomic Risk Factors in Wholesale/Retail Establishments)

  • 김현호;김규완;조성현;김대성;김증호;강성규
    • 대한인간공학회지
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    • 제27권1호
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    • pp.45-51
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    • 2008
  • The purpose of this survey was to identify ergonomic risk factors of work-related musculoskeletal disorders (MSD) and understand the current MSD risk status in the wholesale/retail industry. The field survey was conducted at 120 wholesale/retail establishments, and the cause of MSD occurred from the national industrial accident statistics by the Ministry of Labor in 2006 was analyzed in terms of company size, a term of work, job title, and cause of occurrence. The numbers of disasters on MSD were 602 which were included 432 disasters who met with low back pain by incident. A checklist was developed by KOSHA to use for the field survey. A total of 419 tasks were identified at the 120 establishments surveyed. The highest frequency was Task 2(45%) which was mostly observed in repetitive work (e.g. displaying, scanning, cutting or wrapping of goods). The second and third were Task 9(34%) and Task 8(14%) which were identified in manual materials handling (e.g. lifting, lowering, carrying or stocking of goods). The results suggest that the three Tasks should be first considered for the control in wholesale/retail industry and that exposure to MSD risk factors in those Tasks should be primarily addressed in order to reduce MSD risk in that industry.

척수 손상자의 사회 적응에 관한 연구 (A Study on the Social Adaptation of Spinal Cord Injured Patients)

  • 이동순;송인영
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.405-419
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    • 1997
  • This research has been conducted to provide the spinal cord injured patients with comprehensive necessity of and backup data for their rehabilitation in the community and make the aware of importance of overall community support to patients. The data was collected through questionnaire made to 83 patients charged to general hospital in Jeonbuk Province between 1 and 31 March 1997 to analyse the patients ability on activities of daily living through the research on general characteristics and Modified Barthel Index(MBI). As a result the outcome of the research was as follows : 1. Sexual distribution represented that 57 male (68.7%) and 26 female(31.3%) and in the age distribution majority group was 36 thirties (43.4 %) most active in social activities. 2. Analysis on occupation of patients showed majority group was in technicians, 21 people representing 25.4 % and the major cause of injury was traffic accident, 45people representing 54.2%, fall down, 17 people representing 20.5% and industrial accident, 13 people representing 15.7%, respectively. 3. In the multiple choice questionnaire on complications, the rate of appealing pain was highest and spasticity, pressure sore, contracture, depression which restrict the patients from activities of daily living ability were also appeared. 4. The theoretical points in MBI Should lie between 1 and 115 and the average point be 58 but the average point of the MBI among 83 patients was 63. 5. The MBI point by the level of injured represented statistically critical difference(P<0.001) and the MBI points tested by Duncan's Multiple Area Testing in lumbar(80.1) and in thoracic (65.8) represented critically higher than the one in cervical(42.5). 6. In the distribution of the method of Urination after spine injury, the intermittent catheterization represented highest numbar of 34(41.1 %). Testing by Duncan's Multiple Area Testing, as we found the critical difference in the analysis on MBI points(P<0.001), the point in independent self voiding patients ($90.87{\pm}29.34$) was higher than the one in other self voiding patients(P<0.05). 7. In th category of social activities after spine injury, the number of people classified in others, 41 people representing 49.5% was highest and in the MBI points of the spinal cord injured people in religious activity, hobby activity, private club, occupation was critically higher than the people classified in miscellancous(P<0.01) who are the spinal cord injured people and mostly depend on their family's assistance at home in their daily activities.

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일부지역 산업재해환자 실태 연구 -대구, 경북지역 일부 종합병원 중심으로- (A Study of Industrial Patients from Selected General Hospitals in the Kyung Pook and Taegu City Areas)

  • 허춘복;남철현
    • 한국환경보건학회지
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    • 제17권2호
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    • pp.78-94
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    • 1991
  • The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure pain. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu Kyung Pook University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as follows: 1. Among the 179 cases, 51.6 % were male and 48.4 % were female. The two largest age groups were 30~39, 31.8 % and 20~29, 27.4 %. Among the 179 cases, 51.6% were married, the largest family number was 2 to 3, 41.1% and 4 to 5, 25.6%. Educationally, graduation from high school was the largest group, 46.4% among the patients, followed by middle school and primary school. The largest group income level was from 40~69만원, 45.2%. The largest group of patients who worked over 50 hrs. a week was 52.0%. The largest group of patients who worked less than 1 year was 44.7%, of the patients in work places of less than 100 people, 60.3% were injured and in work places of 100~299 people, 20.1% were injured. In manufacturing, the lagest group injured was 55.3%, the next group was transport, stroage, communication. The largest group of production workers injured was 40.2%. 2. The cause of injury in the largest group was facility problems, 33.5%. The next group was unsafe habits, 30.2% a lack of safety knowledge, 17.9% and insufficient supervision, 12.3%. The 30~39 year age group was head the highest number of injuries, 40.4% work places with more than 10 yeras of work, 44.4% work palces with more than 1000 people, 56.3% and mining accidents, 80.0%. Among these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries 28.5% as the largest group, followed by falls & falling objects 17.3%, fire & electric 15.1%, struke by an object 14.5%, followed by overaction and vehicular accidents. The accident pattern showed 46.4 % among workers over the 50 year age group, workers in the 5~10 year group, 50.0 % places employing more than 1000 workers, 35.3 % : construction 73.7%, and construction workers 57.1%, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures 54.8%, trauma 14.5%, amputation 11.7%, open wound, and burns. The largest number of fractures occurred in people in the 30~39 year age group, 63.2 % over 10 years of work, 55.6% in work places of 300~400 people, 63.6% construction 63.2% and general workers 57.2 %. 5. The largest group of injuries was upper extremity 45.3%, lower extremity 24.0%, trunk 18.5 % and head or neck 12.2%. Of these groups, upper extremity injuries were the highest in those less 20 years old 75.0%, less than 1 years of work 59.5%, in work places of 500~999 people 60.0%, manufacturing 56.6 % and production workers 55.6%. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 August, 22 people July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work(r=.2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation(r =.4372) p<0.001.

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