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KMID : 0853020130160010024
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Journal of Korean Burn Society
2013 Volume.16 No. 1 p.24 ~ p.29
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Non-Adherence to Psychiatric Intervention in Work Related Burns
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Jeon Sang-Bae
Han Chang-Hwan
Yeon Byeong-Kil
Ryu Seong-Gon
Kim Sun-Ja
Park Mi-Ja
Chun Wook
Hur Jun
Kim Do-Hern
Lee Boung-Chul
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Abstract
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Purpose: Patients with work related burns suffer from anxiety, depression, insomnia and suicide ideation etc. Psychiatric symptoms could be reduced by treatment. Almost all patients are referred to psychiatric intervention in our hospital. However, a number of patients show non-adherence. The aim of this study is to figure out the reason of non-adherence and psychiatric symptoms of work related burns patients. Methods: 123 patients participated in this study. Startle, Physiological arousal, Anger, and Numbness (SPAN), Feeling Suicide, Patient Health Questionnaire-2 (PHQ-2) were administered as screening tool. Questions about psychiatric intervention and reasons to refuse psychiatric intervention were asked. Results: 32% patients were depressed, 34% patients had suicide ideation and 59% had PTSD after work related burns. However, 46% of burn patients had not been treated. Stigma of psychiatric intervention and concerns about dependency were major reasons for non-adherence. Conclusion: There are gap between necessity and reality of psychiatric intervention on work related burn patients.
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KEYWORD
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Burns, Psychiatry, Stress disorder, Traumatic, Occupational injuries, Referral and consultation
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