Gilbert Christopher R, Akulian Jason A, Feller-Kopman David, Yarmus Lonny
Department of Pulmonary, Allergy, and Critical Care Medicine, Bronchoscopy and Interventional Pulmonology, Penn State College of Medicine-Milton S. Hershey Medical Center, Hershey, PA 17033-0850, USA.
J Bronchology Interv Pulmonol. 2013 Apr;20(2):113-20. doi: 10.1097/LBR.0b013e3182912c4d.
Ergonomics is defined by the United States Department of Labor as "the science of fitting workplace conditions and job demands to the capabilities of the working population." Currently, there remains a deficiency in available data regarding the impact that musculoskeletal pain and ergonomics have within the field of pulmonary endoscopic procedures. We sought to define the impact of musculoskeletal pain and ergonomics in physicians with an interest in interventional pulmonology.
A 25-question Internet-based survey was distributed to current members of the American Association of Bronchology and Interventional Pulmonology.
A total of 199 surveys were distributed to members, with an overall response rate of 81% (161/199). The majority of respondents were male (85.6%) and classified themselves as interventional pulmonologists (49%). Musculoskeletal pain was present in 50.6% of the respondents, with a minority (12.3%) of respondents reporting significant adverse events related to this pain. Risks factors for work-related musculoskeletal pain included small glove size (P=0.01), younger age (P=0.02), and years in practice (P=0.01).
The presence of musculoskeletal pain seems to be common within a cohort of pulmonologists performing procedures. Although only a minority of bronchoscopists experienced adverse events related to pain directly impacting patient care, long-term outcomes impacting both patient care and the long-term careers of physicians remain uncertain. Further research regarding the role of musculoskeletal pain and ergonomics remains paramount in the continued development of technology and equipment within the field.
美国劳工部将人体工程学定义为“使工作场所条件和工作要求适应劳动人口能力的科学”。目前，关于肌肉骨骼疼痛和人体工程学在肺内镜手术领域的影响，现有数据仍然不足。我们试图确定肌肉骨骼疼痛和人体工程学对介入肺病学领域医生的影响。
向美国支气管学和介入肺病学协会的现任成员发放了一份包含25个问题的在线调查问卷。
共向成员发放了199份调查问卷，总体回复率为81%（161/199）。大多数受访者为男性（85.6%），并将自己归类为介入肺病学家（49%）。50.6%的受访者存在肌肉骨骼疼痛，少数受访者（12.3%）报告了与此疼痛相关的重大不良事件。与工作相关的肌肉骨骼疼痛的风险因素包括手套尺寸小（P=0.01）、年龄较小（P=0.02）和从业年限（P=0.01）。
在进行手术的肺病学家群体中，肌肉骨骼疼痛似乎很常见。虽然只有少数支气管镜检查师经历了与疼痛相关的不良事件，直接影响患者护理，但对患者护理和医生长期职业生涯的长期影响仍不确定。在该领域技术和设备的持续发展中，关于肌肉骨骼疼痛和人体工程学作用的进一步研究仍然至关重要。
