Investigation of Optimal Timing for Hand Surgery in Farmers Living in Tokachi Region

Kazuhiro Yamamoto, M. Motomiya, Shimon Nasu, Shinya Oomoto, Hisashi Koishi, Naoya Watanabe, K. Yasui, Tatsuya Iwabuchi
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Abstract

The balance between treatment and farming work must be considered when performing hand surgery in farmers, but no studies have previously examined the level of busyness in farmers in detail. We conducted a questionnaire survey on busyness by month and desirable time for hand surgery in 20 self-employed farmers in the Tokachi region of Hokkaido who had undergone hand surgery. Busyness in crop farming peaked approximately in May for fertilizer application, sowing, and raising and transplanting seedlings and in August-October for harvesting and transporting crops. On the other hand, livestock farmers were busy with rearing management throughout the year, with a peak of busyness in May-October for fertilizer application, sowing, and harvesting and transporting forage crop. Given the approximately 3-month period of work restriction following hand surgery, all respondents wished to have this period from November to January. If a farmer is injured during the peak farming period, a treatment plan is required that supports an early return to work and allows for two-stage reconstruction and treatment of degenerative disease in the quiet period for farming. Meanwhile, almost no respondents expected to receive support from official organizations and manufacturers, indicating that there is a need to provide the government with information from a medical perspective.
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多胜地区农民手部手术最佳时机的调查
在为农民进行手外科手术时,必须考虑治疗和农业工作之间的平衡,但此前没有研究详细调查过农民的忙碌程度。我们对北海道十胜地区20名接受手外科手术的个体养殖户进行了按月繁忙程度和理想手术时间的问卷调查。作物种植的繁忙程度大约在5月份达到顶峰,主要是施肥、播种、育苗和移栽,8 - 10月份则是收获和运输作物。另一方面,养殖户全年忙于饲养管理,5 - 10月是施肥、播种和饲草作物收获运输的高峰期。鉴于手部手术后大约有3个月的工作限制期,所有受访者都希望从11月到1月有这段时间。如果农民在耕作高峰期间受伤,则需要制定治疗计划,支持早日重返工作岗位,并允许在耕作平静期进行两阶段重建和治疗退行性疾病。与此同时,几乎没有受访者期望得到官方组织和制造商的支持,这表明有必要从医学角度向政府提供信息。
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