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牙科学生对肌肉骨骼疾病风险因素的认知。

Perception of dental students on risk factors of musculoskeletal disorders.

作者信息

Botta A C, Presoto C D, Wajngarten D, Campos J A D B, Garcia P P N S

机构信息

Department of General Dentistry, Stony Brook School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.

Department of Social Dentistry, School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil.

出版信息

Eur J Dent Educ. 2018 Nov;22(4):209-214. doi: 10.1111/eje.12328. Epub 2018 Feb 13.

Abstract

OBJECTIVE

To evaluate the validity and reliability of the Job Factors Questionnaire, and the influence of gender, academic level and pain/discomfort on dental students' perception regarding risk factors of musculoskeletal disorders.

METHODS

One hundred forty-five dental students from Stony Brook School of Dental Medicine participated voluntarily in this study. The survey was organised in two sections: (i) Job Factors Questionnaire with 15 items that evaluated students' perceptions about job/study environmental risk factors and their potential contribution to musculoskeletal disorders. The tri-factorial structure (repetitiveness, work posture and external factors) was used; (ii) Part of the Nordic Questionnaire with questions referring to 9 body areas: Neck, shoulders, upper back, elbows, lower back, wrists/hands, hips, knees and ankles/feet. Students answered if they have had a job-related pain/discomfort in any of these body areas in the previous 12 months. The data were evaluated statistically by confirmatory factor analysis, convergent and discriminant validities, internal consistency and Z-test (α = .05).

RESULTS

The tri-factorial structure was considered valid and reliable for the sample after excluding item 8 and inserting correlations between items 11 and 12, and between 14 and 15. The academic level presented a significant effect on the factors "Work Posture" (P = .02) and "External Factors" (P = .01). Most of the students reported pain in their neck (73.79%), lower back (62.06%) and shoulders (53.10%) in the previous 12 months.

CONCLUSION

The Work Posture and External Factors were influenced only by academic level. The lower the students' academic level, the higher their perception for both factors of musculoskeletal disorders.

摘要

目的

评估工作因素问卷的有效性和可靠性,以及性别、学术水平和疼痛/不适对牙科学生关于肌肉骨骼疾病危险因素认知的影响。

方法

来自石溪牙医学院的145名牙科学生自愿参与本研究。调查分为两个部分:(i)工作因素问卷,包含15个项目,评估学生对工作/学习环境危险因素及其对肌肉骨骼疾病潜在影响的认知。采用三因素结构(重复性、工作姿势和外部因素);(ii)北欧问卷的部分内容,涉及9个身体部位的问题:颈部、肩部、上背部、肘部、下背部、手腕/手部、臀部、膝盖和脚踝/足部。学生回答在过去12个月内他们在这些身体部位是否有与工作相关的疼痛/不适。数据通过验证性因素分析、收敛效度和区分效度、内部一致性和Z检验进行统计学评估(α = 0.05)。

结果

在排除第8项并插入第11项与第12项以及第14项与第15项之间的相关性后,三因素结构对样本被认为是有效且可靠的。学术水平对“工作姿势”因素(P = 0.02)和“外部因素”(P = 0.01)有显著影响。大多数学生报告在过去12个月内颈部(73.79%)、下背部(62.06%)和肩部(53.10%)疼痛。

结论

工作姿势和外部因素仅受学术水平影响。学生的学术水平越低,他们对肌肉骨骼疾病这两个因素的认知越高。

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