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外科医生的体力工作要求和相关健康问题。

Physical job demands and related health complaints among surgeons.

机构信息

Academic Medical Centre, Coronel Institute of Occupational Health, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands.

出版信息

Int Arch Occup Environ Health. 2013 Apr;86(3):271-9. doi: 10.1007/s00420-012-0763-7. Epub 2012 Mar 29.

Abstract

PURPOSE

Surgeons' poor physical health and high physical job demands might threaten good quality of care. We aimed to compare the prevalence of physical complaints of surgeons, their physical work ability and the physical job demands of surgeons with that of other hospital physicians.

METHODS

All medical doctors (n = 958) of one academic medical center were invited to complete the online questionnaire to assess the physical work ability and the prevalence of regional musculoskeletal complaints. A purposive sample of 44 surgeons and 82 other hospital physicians were systematically observed during work to quantify the physical job demands for an average working day.

RESULTS

More surgeons found their work to be physically strenuous (41 vs. 13 %, p < .000) and more were bothered by working in uncomfortable or exhausting postures (73 vs. 27 %, p < .001). Both groups reported that most of their physical complaints were in the neck (39 and 32 %) and arm regions (36 and 27 %). The majority of surgeons (86 %) and other hospital physicians (79 %) experienced difficulties coping with their job demands because of their physical state once a month or less. Compared with other hospital physicians, surgeons stand longer (4 vs. 3 h, p = .004) and perform fine repetitive movements longer (80 vs. 3 min, p < .001) during an average working day.

CONCLUSIONS

Exposure to several physical job demands that are perceived as uncomfortable and exhausting and the presence of physical health complaints reduce surgeons' work functioning.

摘要

目的

外科医生较差的身体健康状况和较高的体力工作要求可能会威胁到高质量的医疗服务。我们旨在比较外科医生的身体抱怨、身体工作能力以及身体工作要求的患病率与其他医院医生的患病率。

方法

邀请一家学术医疗中心的所有医生(n=958)完成在线问卷,以评估身体工作能力和区域性肌肉骨骼投诉的流行率。对 44 名外科医生和 82 名其他医院医生进行了有针对性的抽样,以在工作期间对平均工作日的体力工作要求进行量化。

结果

更多的外科医生发现他们的工作非常吃力(41%对 13%,p<0.000),更多的人因工作时姿势不舒服或疲惫而感到困扰(73%对 27%,p<0.001)。这两个群体都报告说,他们的大部分身体投诉都在颈部(39%和 32%)和手臂部位(36%和 27%)。大多数外科医生(86%)和其他医院医生(79%)因为身体状况每月或更少一次而难以应对工作要求。与其他医院医生相比,外科医生站立时间更长(4 对 3 小时,p=0.004),并且在平均工作时间内进行精细重复运动的时间更长(80 对 3 分钟,p<0.001)。

结论

暴露于几种被认为不舒服和疲惫的体力工作要求以及存在身体健康投诉会降低外科医生的工作能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b719/3602608/7d36a84af34f/420_2012_763_Fig1_HTML.jpg

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