Alleblas Chantal C J, Formanoy Margriet A G, Könemann Reinier, Radder Celine M, Huirne Judith A, Nieboer Theodoor E
Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.
Netherlands Organization for Applied Scientific Research TNO, Sustainable Productivity and Employability, Leiden, The Netherlands.
Work. 2016;55(4):841-848. doi: 10.3233/WOR-162451.
Gynecologists are exposed to multiple risk factors for developing physical complaints. To enhance the workplace ergonomics in gynecological practice, a more detailed insight about job content and associated demands is necessary to subsequently decrease the exposure to risk factors.
The aim of this study was to investigate the prevalence of physical complaints and the presence of ergonomic constraints in Dutch gynecological practice.
A questionnaire was distributed among the 1200 members of the Dutch Society of Obstetrics and Gynecology. It consisted of 52 Dutch questions derived from the validated Dutch Musculoskeletal Questionnaire.
A total of 227 respondents completed the questionnaire (response rate 18.9%). Overall, 99.5% of the respondents rated their health status as reasonable or good. However, the twelve-month prevalence of physical complaints in one or more body part was 89.4%. Sustained adverse body postures were particularly reported for performing abdominal, and endoscopic surgery, and for assisting in vaginal surgery. Limited workspace, instruments, and patient size were reported by more than 60% of the respondents as constraints for adopting a neutral body posture during vaginal, endoscopic and abdominal surgery respectively.
The results emphasize the necessity of enhancing ergonomics in gynecological practice. Better ergonomic circumstances will most likely benefit both the health of the gynecologists as well as the quality of surgical care.
妇科医生面临多种导致身体不适的风险因素。为了改善妇科诊疗工作场所的人体工程学，有必要更详细地了解工作内容及相关要求，以减少接触风险因素。
本研究旨在调查荷兰妇科诊疗中身体不适的患病率以及人体工程学限制因素的存在情况。
向荷兰妇产科学会的1200名成员发放了一份问卷。问卷由52个源自经过验证的荷兰肌肉骨骼问卷的荷兰语问题组成。
共有227名受访者完成了问卷（回复率18.9%）。总体而言，99.5%的受访者将他们的健康状况评为良好或尚可。然而，一个或多个身体部位出现身体不适的十二个月患病率为89.4%。特别提到在进行腹部手术、内窥镜手术以及协助阴道手术时会持续保持不良身体姿势。超过60%的受访者分别表示，在阴道手术、内窥镜手术和腹部手术期间，有限的工作空间、器械和患者体型是采用中性身体姿势的限制因素。
结果强调了改善妇科诊疗中人体工程学的必要性。更好的人体工程学环境很可能对妇科医生的健康以及手术护理质量都有益处。
