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阴道外科医生的工作相关肌肉骨骼疾病

Work-related musculoskeletal disorders among vaginal surgeons.

作者信息

Kim-Fine Shunaha, Woolley Sandra M, Weaver Amy L, Killian Jill M, Gebhart John B

机构信息

Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

出版信息

Int Urogynecol J. 2013 Jul;24(7):1191-200. doi: 10.1007/s00192-012-1958-x. Epub 2012 Oct 19.

Abstract

INTRODUCTION AND HYPOTHESIS

Work-related musculoskeletal disorders (MSDs) reportedly affect a large proportion of providers in obstetrics and gynecology. We hypothesize a high MSD prevalence rate among vaginal surgeons associated with surgeon- and work-related characteristics.

METHODS

Surveys were distributed to members of the International Urogynecological Association and American Urogynecological Society. Exclusion criteria included inability to read English, no computer access, invalid or unavailable e-mail address, and missing >50% of responses.

RESULTS

Among respondents, 86.7% (436/503) reported ever having work-related MSDs. On univariate analysis, surgeons involved in surgical teaching were significantly more likely to report work-related MSDs. Female surgeons had more frequent and more severe MSDs in the neck, dominant shoulder, and upper back. Older age and more years of work experience were associated with seeking medical attention. Right-hand dominance was associated with negative consequences on work behavior.

CONCLUSIONS

A large proportion of vaginal surgeon respondents reported work-related MSDs.

摘要

引言与假设

据报道,与工作相关的肌肉骨骼疾病(MSD)影响着很大比例的妇产科医护人员。我们推测,与外科医生及工作相关特征相关的阴道外科医生中,MSD患病率较高。

方法

向国际尿控协会和美国尿控协会的成员发放调查问卷。排除标准包括无法阅读英文、没有电脑、电子邮件地址无效或无法获取,以及回答缺失超过50%。

结果

在受访者中,86.7%(436/503)报告曾患有与工作相关的MSD。单因素分析显示,参与手术教学的外科医生报告与工作相关MSD的可能性显著更高。女外科医生在颈部、优势肩和上背部患MSD的频率更高、病情更严重。年龄较大和工作经验年限较长与寻求医疗护理有关。右手优势与对工作行为的负面影响有关。

结论

很大比例的阴道外科医生受访者报告患有与工作相关的MSD。

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