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澳大利亚牙医和正畸医生的工作相关肌肉骨骼疾病:风险评估与预防。

Work-related musculoskeletal disorders in Australian dentists and orthodontists: Risk assessment and prevention.

作者信息

Sakzewski Lisa, Naser-ud-Din Shazia

出版信息

Work. 2015;52(3):559-79. doi: 10.3233/WOR-152122.

Abstract

BACKGROUND

As professionals work longer hours and live longer there have been concerns regarding the Work related Musculoskeletal Disorders (WMSD) affecting both professional and personal lives. Moreover, past decade has seen a surge in interest in all allied health sciences personnel with self reporting cross sectional studies.

OBJECTIVE

Health professionals often suffer WMSD due to occupational stress. It is important to assess the problem in order to find ways to prevent it. Hence, the focus of this cross-sectional survey. The aim was to investigate the prevalence and risk factors of WMSD between Australian dentists and orthodontists.

MATERIALS AND METHOD

A postal survey was sent to 447 Australian orthodontists and 450 Queensland dentists using the universal Nordic scale previously piloted at UQ and refined for this cross-sectional study. Questions were directed towards individuals, workplace and psychosocial variables and were designed to gather information regarding health, lifestyle, education, awareness of musculoskeletal problems and current preventative strategies.

RESULTS

A high prevalence of musculoskeletal problems was found for both dentists (88.9%) and orthodontists (83.6%) reported in the last 12 months. The main predictor in both groups was increased work stress. Less than a third of those professionals surveyed had received education regarding dental practice ergonomics during their tertiary education.

CONCLUSION

Dentists and orthodontists experienced a high rate of musculoskeletal problems which were associated with increased levels of stress at work. Further research should be directed toward interventions aimed at reducing stress in the work environment as well as improving work posture.

摘要

背景

随着专业人员工作时间延长且寿命增加,人们开始关注与工作相关的肌肉骨骼疾病(WMSD)对职业和个人生活的影响。此外,在过去十年中,自我报告的横断面研究使人们对所有健康科学相关人员的兴趣激增。

目的

健康专业人员常因职业压力而患WMSD。评估该问题以找到预防方法很重要。因此,本次横断面调查聚焦于此。目的是调查澳大利亚牙医和正畸医生中WMSD的患病率及风险因素。

材料与方法

采用先前在昆士兰大学试用并针对本次横断面研究进行完善的通用北欧量表,向447名澳大利亚正畸医生和450名昆士兰牙医发送邮政调查问卷。问题涉及个人、工作场所和社会心理变量,旨在收集有关健康、生活方式、教育、肌肉骨骼问题认知及当前预防策略的信息。

结果

在过去12个月中,牙医(88.9%)和正畸医生(83.6%)的肌肉骨骼问题患病率均较高。两组的主要预测因素都是工作压力增加。接受调查的专业人员中,不到三分之一在高等教育期间接受过牙科实践人体工程学方面的教育。

结论

牙医和正畸医生的肌肉骨骼问题发生率较高,这与工作压力增加有关。应进一步开展研究,针对旨在减少工作环境压力以及改善工作姿势的干预措施。

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