목적 : 본 연구는 감염병으로 인해 면회가 통제된 상황에서 재활요양병원에 입원한 환자의 면회가 기능회복 영역 및 정신 사회적 영역의 미치는 영향에 대해 알아보고자 하였다. 연구방법 : 본 연구는 재활요양병원에 입원 중인 환자 52명의 기능회복 영역에 대하여 Mini Mental State Ezamination-K(MMSE-K), Global Deterioration Scale(GDS), K-Modified Barthel Index(K-MBI), Grooved Pegboard Test를 평가하였고, 정신 사회적 영역에 대하여 Quality of Life(QoL), Emotional aspects of Loneliness and Isolation(ESLI), General Self-Efficacy Scale(GSE), Geriatric Depression Scale(GDS)를 평가하였다. 연구 대상자는 면회집단과 비면회집단으로 구분되었고, 초기와 재평가 자료를 분석하였다. 수집된 자료 분석은 기술통계, 대응표본 t-test, Spearman's 상관관계 분석, 단순 회귀분석을 사용하였다. 결과 : 면회집단 20명, 비면회집단 32명이었으며, 면회집단의 K-Modified Barthel Index(K-MBI)에서 유의한 향상을 보였으며, General Self-Efficacy scale(GSE) 점수는 유의한 감소를 나타냈다(p < .05). 비면회집 단의 Mini Mental State Ezamination-K(MMSE-K), K-Modified Barthel Index(K-MBI) 점수에 유의한 향상이 있었으며, 정서평가의 Emotional aspects of Loneliness and Isolation(ESLI), Geriatric Depression Scale(GDS) 점수는 유의한 증가가 있었다(p < .05). 면회와 Global Deterioration Scale(GDS) 는 유의한 양의 상관관계를 나타냈고, Quality of Life(QoL)과 유의한 음의 상관관계를 보였다(p < .05). 결론 : 본 연구를 통해 감염병으로 인해 면회가 제한된 재활요양병원 입원환자를 위한 정서지지 프로그램과 면회 제한에 대한 작업치료 프로그램 개발의 기초자료가 되기를 기대한다.

Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson’s correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at α=.05. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress (KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

목적 : 본 연구는 환자의 인지기능을 쉽고 간편하게 평가할 수 있을 뿐만 아니라, 현재 수준에 맞는 치료계획을 세우는데 도움을 주는 Allen Cognitive Level Screen(ACLS)과 정신분열병 환자의 심리사회적 특성, 인지적 특성, 증상과의 상관관계를 알아보고자 하였다. 연구방법 : 30명의 정신분열병 환자를 선정하여 ACLS, 심리사회적 특성으로는 자아존중감척도, 대인관계변화척도, 사회적문제해결능력척도, Beck Depression Inventory(BDI), 인지적 특성은 전산화 신경인지기능 검사 V4.0 중 언어기억검사, 단어-색채 검사, 위스콘신 카드분류검사, 증상은 Positive and Negative Syndrome Scale(PANSS)를 사용하여 평가하였다. 결과 : 첫째, ACLS는 교육정도, 연령 및 유병기간에서 유의한 상관관계를 보였다. 둘째, ACLS는 사회적문제해결능력척도의 하위항목인 인지척도만 제외하고 그 외의 심리사회적 특성과는 유의한 상관관계를 보이지 않았다. 셋째, ACLS는 언어기억검사, 단어-색채검사(색단어 단어읽기를 제외), 위스콘신카드분류검사에서 유의한 상관관계를 보였다. 넷째, ACLS와 PANSS는 상관관계를 보이지 않았다. 결론 : 본 연구의 결과를 종합하여 볼 때, 정신분열병 환자에게 ACLS 실시 시 교육수준, 연령, 유병기간을 고려해야 할 것으로 보이며, ACLS는 정신분열병환자의 증상 및 심리사회적 특성과는 관계성이 없는 것으로 보인다. 또한, 신경인지검사 중 언어기억검사, 단어-색채 검사, 위스콘신 카드분류검사의 상관관계를 볼 때, 정신분열병 환자의 인지적 장애를 평가하는 유용한 도구로 여겨진다.