• 한국콘텐츠학회논문지
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• 제13권9호
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• pp.270-280
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• 2013

본 연구의 목적은 선천성 근육사경과 산모의 직업적 활동 간의 관련성을 알아보는 것이다. 2006년부터 2011년 4월까지 수원 "C" 병원 재활의학과를 내원한 선천성 근육사경아동의 산모 89명을 대상으로 실시하였다. 결과는 첫째, 연구대상자의 일반적 특성을 보면, 출산 평균연령은 30.09세, 교육수준은 대졸이상이 많았으며, 초산이 82.0%로 나타났으며, 자연분만, 제왕절개, 흡입분만 순이었고, 분만 시 둔위여부는 20.2%로 나타났으며, 첫째 아동이 사경인 경우가 82.0%로 나타났고, 둘째, 연구대상자의 직업적 특성에서 직장생활을 한 산모가 59.6%이고 전문가 및 관련종사자가 45.3%를 차지하였고, 직장생활을 임신 3기까지 한 산모가 75.5%로 나타났고, 주로 서서 일하는 자세보다 앉아서 일하는 자세로 앉아서 일하는 시간이 7시간 이상이 54.7%로 나타났으며, 하루 평균 근무시간은 8.75시간으로 나타났고, 셋째, 연구대상자의 직무스트레스는 하위 25%이하 수준으로 나타났으며, 하위 요인별 정도에선 관계갈등영역에서만 상위 50%이상으로 나타났다. 넷째, 연구대상자의 직무스트레스와 직업적 업무 특성간의 상관관계를 보면, 스트레스(100점 환산)와 직무스트레스의 직무요구, 관계갈등, 보상 부적절, 직장문화와 양의 상관관계가 높게 나타났으며, 직장문화와 보상 부적절간에도 양의 상관관계가 높게 나타났다. 직업적 업무 중 하루 평균 근무시간과 평균 일주일 근무시간과 양의 상관관계가 높게 나타났다.

• Safety and Health at Work
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• 제15권1호
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• pp.66-72
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• 2024

Background: This study examines the relationship between functional disability and work ability in workers affected by low back pain (LBP) through an analysis of correlations between the Oswestry Disability Index (ODI) and Work Ability Index (WAI). The role of personal and work factors on functional disability/work ability levels has also been studied. LBP is the most common musculoskeletal problem and a major disabling health problem worldwide. Its etiology is multifactorial. Multidisciplinary approaches may help reduce the burden of pain and disability and improve job continuity and reintegration at work. Methods: A cohort of 264 patients affected by LBP from an Italian outpatient clinic were included in a clinical diagnostic/therapeutic trial aiming at rehabilitation and return to work through an integrated investigation protocol. Data were collected during the first medical examination using anamnestic and clinical tools. The final sample is composed of 252 patients, 57.1% man, 44.0 % blue collars, 46.4% with the high school degree, 45.6% married. Results: WAI and ODI reported a negative and fair correlation (r = -0.454; p = .000). Workers with acute LBP symptoms have a higher probability of severe disability than those with chronic LBP symptoms. White collars without depressive symptoms reported higher work ability - even in chronic disability conditions-than those with depressive symptoms. Conclusion: The study found that ODI and WAI have a convergent validity and this suggests that the two tools measure capture distinctive aspects of disability related to personal, environmental, and occupational characteristics. The most important and modifiable prognostic factors found for ODI and WAI were depressive symptoms, workday absence, and intensity of back pain. The study also found a mild association between age and ODI. The study's findings highlight the importance of using a multidisciplinary approach to manage and prevent disability due to LBP.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.60-66
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• 2024

Purpose: This study investigated changes in interpersonal violence and utilization of trauma recovery services during the COVID-19 pandemic. At an urban level I trauma center, trauma recovery services (TRS) provide education, counseling, peer support, and coordination of rehabilitation and recovery to address social and mental health needs. The COVID-19 pandemic prompted considerable changes in hospital services and increases in interpersonal victimization. Methods: A retrospective analysis was conducted between September 6, 2018 and December 20, 2020 for 1,908 victim-of-crime patients, including 574 victims of interpersonal violence. Outcomes included length of stay associated with initial TRS presentation, number of subsequent emergency department visits, number of outpatient appointments, and utilization of specific specialties within the year following the initial traumatic event. Results: Patients were primarily female (59.4%), single (80.1%), non-Hispanic (86.7%), and Black (59.2%). The mean age was 33.0 years, and 247 patients (49.2%) presented due to physical assault, 132 (26.3%) due to gunshot wounds, and 76 (15.1%) due to sexual assault. The perpetrators were primarily partners (27.9%) or strangers (23.3%). During the study period, 266 patients (mean, 14.9 patients per month) presented before the declaration of COVID-19 as a national emergency on March 13, 2020, while 236 patients (mean, 25.9 patients per month) presented afterward, representing a 74.6% increase in victim-of-crime patients treated. Interactions with TRS decreased during the COVID-19 period, with an average of 3.0 interactions per patient before COVID-19 versus 1.9 after emergency declaration (P<0.01). Similarly, reductions in length of stay were noted; the pre-COVID-19 average was 3.6 days, compared to 2.1 days post-COVID-19 (P=0.01). Conclusions: While interpersonal violence increased, TRS interactions decreased during the COVID-19 pandemic, reflecting interruption of services, COVID-19 precautions, and postponement/cancellation of elective visits. Future direction of hospital policy to enable resource and service delivery to this population, despite internal and external challenges, appears warranted.