작업관련성 근골격계질환 산재요양환자의 직장복귀에 관한 연구

Abstract

[한글]

본 연구의 목적은 작업관련성 근골격계질환 산재요양환자들의 특성 및 직장 복귀에 영향을 주는 요인을 파악함으로써 근골격계질환자의 직장복귀를 위한 기초자료를 제공하는 데 있다.연구 대상은 2002년도부터 2004년도까지 3년 동안 산재요양을 받은 안산 및 안양지방노동사무소 관할지역인 안산, 시흥, 안양, 의왕, 군포, 광명, 과천시 등 7개시에서 발생한 근골격계질환자 474명 중 2005년도 4월 30일 이전에 요양이 종결되고 이후 고용보험 기록이 남아있는 346명의 근로자들이다.연구 결과 근골격계질환자의 직장복귀에 영향을 주는 요인으로는 성별, 요양기간, 사업장 규모, 일 평균임금이었다.성별로는 여성근로자보다 남성 근로자의 직장복귀가 월등히 높았으며, 요양기간은 1년 이상 요양 근로자의 직장복귀율이 낮았다.사업장 규모의 경우 100인 미만 보다 100인 이상의 사업장에서, 일 평균임금이 높을수록 직장복귀율이 높았으며, 특히 10만 원 이상의 경우 5만 원 미만보다 8배 이상 직장복귀율이 높았다.이러한 결과로 볼 때 여성근로자의 요양기간을 단축하는 것이 무엇보다도 필요하며, 소규모 사업장 근로자의 직장복귀에 더 많은 관심을 기울여야 할 것으로 판단된다. 또한 근골격계질환으로 인한 경제적 손실이 급격히 증가하고 있으므로 이러한 요인을 근골격계질환자의 사후관리에 적극 반영하고 직장복귀를 체계적으로 관리함으로써 경제적 손실을 최소화하여야 한다.

[영문]The purpose of this study is to provide baseline data for the return to work of muscular skeletal disease patience by understanding the characteristic of patients under treatment for industrial accidents due to occupation related muscular skeletal disorder, and factors that affect their return to work.For the subject of this study, among the cases of 474 patients under treatment of occupational disease that occurred during three years between 2002 and 2004 in the seven cities, such as as Ansan, Seehung, Anyang, Eui-wang, Kunpo, Kwang-myoung, and Kwa-chun. under the jurisdiction of the Labor office of Ansan and Anyang, 346 workers whose treatment was ended before April 30th 2005, and whose records of occupational insurance were preserved were selected.The study found that the factors that affect the rate of return to work of muscular skeletal disorder were gender, duration of treatment, the size of the work place, average daily wage.As for the gender, the rate of return to work of male workers was higher than female workers. As for the duration of the treatment, the rate of return to work of workers under treatment from 6 month and to one year was high. but the rate of return to work of the workers under treatment for shorter than 6 months or longer than one year was low.As for the size of the work place, the rate of return to work in the work places with the sizw of greater than 100 workers was higher than the rate of return to work in the work places with the size of less than 100 workers. As for the average daily wage. the rate of return to work was higher when the average daily wage was higher. Especially, when the everage daily wage was greater than 100,000 won, the rate of return to work was 8 times higher than when average daily wage was less than 50,000 won.With this result in mind, for the returning to work of muscular skeletal disorder patients, it is necessary to shorten the duration of treatment by providing primary elements to promote rehabilitation or return to work. In order to shorten the duration of treatment, it is necessary to develop organized rehabilitation system for the muscular disorder patints such as occupational rehabilitation and ouucpational training. Especially, it is necessary to focus on the occupational stability, occupational training, and rehabilitation program for female workers. In addition, as the economic loss due to the muscular skeletal disorder is rapidly increasing, it is necessary to minimize the economic loss by reflecting these factors on the post management of the muscular skeletal disorder patients and by managing their return to work systematically.