与门诊手术相关的与工作相关的肌肉骨骼风险研究

Sang D. Choi, K. Ahn
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摘要

目的:本研究的目的是检查外科医生和内科医生从事门诊手术的职业危害和与工作有关的肌肉骨骼损伤和疾病的风险。材料和方法:开发了一份两页的调查工具来评估进行门诊或门诊手术的全科医生和专科医生的职业风险因素。总共150份问卷被分发给位于美国中西部的医院、独立外科中心和医生办公室。结果:23名从事门诊手术的医师/外科医生完成了自我报告问卷。大约80%的受访者报告了某种类型的肌肉骨骼症状或颈部、背部、肩部、手腕/手和腿/膝盖的损伤。仅站立操作体位的感知身体不适得分显著高于坐着/两种操作体位。大多数受访者在实践中没有接受任何人体工程学修改的培训或指导。结论:门诊医师/外科医生易患与工作相关的肌肉骨骼损伤和疾病。通过正确使用人体工程学评估技术,有关人体工程学实践和工作场所设计/选择的有价值信息可以帮助门诊手术行业预防肌肉骨骼损伤的早期干预。
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A study of work-related musculoskeletal risks associated with the outpatient surgeries -
Objective: The purpose of this study is to examine the occupational hazards and risks of work-related musculoskeletal injuries and disorders of surgeons and physicians performing outpatient surgery. Material and Methods: A two-page survey instrument was developed to assess the occupational risk factors of general practice physicians and specialty practitioners performing ambulatory or outpatient surgeries. A total of 150 questionnaires were distributed to hospitals, free-standing surgical centers, and doctor offices located in the upper Midwestern United States. Results: Twenty-three physicians/surgeons performing outpatient surgery procedures completed the self-reporting questionnaire. About 80% of respondents reported some type of musculoskeletal symptoms or injuries in the neck, back, shoulder, wrists/hands, and legs/knees. The perceived body discomfort scores were significantly higher for the standing-only operating position than for the sitting/both operating position. Most respondents did not receive any training or instructions for ergonomic modifications in their practices. Conclusion: The outpatient physicians/surgeons are susceptible to prevalence of work-related musculoskeletal injuries and disorders. By properly using the ergonomic assessment techniques, valuable information on ergonomic practices and workplace design/selection could assist in the early interventions of musculoskeletal injury prevention in the outpatient surgery industry.
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