1) The occupational injured patients have some characteristic problems during their treatment with lack of motivation or psychosocial adaptation on disability.

2) This study was conducted to locate the causes of problem concerning to the rehabilitation of industrial accident patients.

3) The study was subjected to 326 cases (310 male, 6 female) which have been treated as inpatients at Industrial Rehabilitation Hospital, and the subjected were analyzed the causes of injuries, the status of disabilities and the vocational training program including psychosocial backgrounds. The results were as follows:

The age in average was 36.8 years in male and 44.9 years in female. The occupations prior to injury were mining 104 cases (31.9%), construction 94 cases (28.8%), manufacturing 83 cases (25.5%), transport & express 19 cases (5.8%). The most frequent cause of injury was fall down 95 case (29.1%), and struck by, caught in, overexertion respectively. The disabilities were pain 114 cases (30.8%), limited range of motion of joint 97 cases (26.2%), cord injury 90 cases (24.3%), amputation 30 cases (8.1%), hemiplegia 22 cases (5.9%), among these 370 disabilities the 44 cases (11.9%) were noticed as multiple disabilities. The lesions of injury were spine in 157 cases (29.1%), fractures in 154 cases (28.5%), back injury in 97 cases (18.0%), joint injury in 71 cases (13.1%). The level of spine lesion was at lumbar spine 40.0%, thoracic spine 39.5%, cervical spine 16.6%, and sacral spine 1.9%, and the associate injury of spinal cord were 88.5% in cervical spine, 51.6% in thoracic spine, and 48.5% in lumbar spine. The site of the fracture was tibia & fibula in 22.1%, femur in 18.8%, radius & ulna in 14.3%. In joint injuries, the knee joint was most frequent site in 54.9%. The average duration of treatment prior to transfer to the Rehabilitation Hospital was 385.9 days at more than 2 hospitals. The duration of admission at Industrial Rehabilitation Hospital is 454.5 days in average from 16 days to 1956 days. The admission at indicated cases were noted in 60.5% which included only nursing care needed 12.1% patients. Among the total 326 cases, only 19.0% who 29.4% years old in average were under taking vocational training rehabilitation program, and 58.7% of cooperated 46 subjects had taken legal action to get compensation payment.

These findings indicate that average stay in Rehabilitation Hospital are longer and most of patients are lack in motivation, due to unable to accept of their disabilities and too much depend on the compensation. The 39.5% of patients are indicated to be disadvantage on economic condition with discontinuation of monthly compensation salary if discharged. A permanent nursing home for the severely disabled patients who need constant nursing care should be innovated by government. It is also suggested that psychosocial rehabilitation program should be enhanced with the medical rehabilitation program.