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与大学医学生实验室培训相关的工作相关肌肉骨骼问题:一项横断面调查。

Work-related musculoskeletal problems related to laboratory training in university medical science students: a cross sectional survey.

机构信息

School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, Sydney, NSW, 2751, Australia.

Translational Health Research Institute, Western Sydney University, Locked bag 1797, Penrith, Sydney, NSW, 2751, Australia.

出版信息

BMC Public Health. 2018 Oct 29;18(1):1208. doi: 10.1186/s12889-018-6125-y.

Abstract

BACKGROUND

Work-related musculoskeletal problems impact everyday function, working ability, and quality of life. Unaddressed musculoskeletal problems can lead to major injury and loss of function, contributing to participation restrictions, economic loss and the increasing burden of disease worldwide. Medical science laboratory technicians are not immune with reported work-related musculoskeletal problems between 40 and 80%. Similar data is not available for medical science students, who may be the most vulnerable at the beginning of their careers. This study investigated the prevalence, common sites, impact and potential solutions for work-related musculoskeletal problems in medical science students during their university laboratory training.

METHODS

A Standardised Nordic Musculoskeletal Questionnaire was administered to medical science students at a local university in Sydney, Australia, to evaluate the prevalence, site and impact of work-related musculoskeletal problems. Problems were defined as an ache, pain, discomfort or numbness in body regions within 12 months and last 7 days in this period. The questionnaire was administered between April and June 2017.

RESULTS

The response rate was 38.2% (n = 110/288). Over a third (n = 38/110) reported a laboratory related musculoskeletal problem in the last 12 months and just over a fifth (n = 24/110) within 7 days. The lower back (30% and 17%), neck (24% and 10%) and upper back (21% and 10%) were the most common sites of problems reported within a 12 month and 7 day period respectively. Problems reported in the lower back, neck and upper back prevented daily activities in the majority of cases (between 63 to 83%) with many seeking physician or health professional assistance (between 13 to 83%). Solutions suggested by respondents included better seating designs, rest periods and education about correct working posture.

CONCLUSIONS

Some medical science students during their laboratory training are already experiencing high levels of musculoskeletal problems, even before they enter the workforce. While the response rate was low affecting generalizability, the extent of problems limiting activity and needs to seek assistance of those reporting problems is of concern. Strategies are suggested to address ergonomic and postural training, as part of university curriculums, including the identification of problems for early intervention to facilitate sustainable workforces.

摘要

背景

与工作相关的肌肉骨骼问题会影响日常功能、工作能力和生活质量。未得到解决的肌肉骨骼问题可能导致严重的伤害和功能丧失,从而导致参与受限、经济损失以及全球疾病负担的增加。医学科学实验室技术人员也不能幸免,他们报告的与工作相关的肌肉骨骼问题发生率在 40%到 80%之间。类似的数据在医学科学学生中尚不可用,他们可能在职业生涯的开始时最脆弱。本研究调查了医学科学学生在大学实验室培训期间与工作相关的肌肉骨骼问题的患病率、常见部位、影响和潜在解决方案。问题被定义为在过去 12 个月内身体部位出现疼痛、疼痛、不适或麻木,并在这段时间内持续 7 天。问卷于 2017 年 4 月至 6 月间进行。

方法

在澳大利亚悉尼的一所当地大学,对医学科学专业的学生使用标准化北欧肌肉骨骼问卷来评估与工作相关的肌肉骨骼问题的患病率、部位和影响。问题被定义为在过去 12 个月内身体部位出现疼痛、疼痛、不适或麻木,并在这段时间内持续 7 天。问卷于 2017 年 4 月至 6 月间进行。

结果

回复率为 38.2%(n=110/288)。超过三分之一(n=38/110)的人报告在过去 12 个月内有实验室相关的肌肉骨骼问题,超过五分之一(n=24/110)的人在过去 7 天内有实验室相关的肌肉骨骼问题。下背部(30%和 17%)、颈部(24%和 10%)和上背部(21%和 10%)是报告的最常见部位在 12 个月和 7 天的时间内分别。下背部、颈部和上背部的问题在大多数情况下(63%至 83%)会妨碍日常活动,许多人会寻求医生或健康专业人员的帮助(13%至 83%)。受访者提出的解决方案包括更好的座椅设计、休息时间和正确工作姿势的教育。

结论

一些医学科学学生在实验室培训期间已经经历了高水平的肌肉骨骼问题,甚至在他们进入劳动力市场之前。尽管回复率较低,影响了普遍性,但限制活动的问题的严重程度和需要寻求报告问题的人的帮助令人担忧。建议采取策略解决人体工程学和姿势训练问题,作为大学课程的一部分,包括识别问题以进行早期干预,从而促进可持续的劳动力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cd3/6206935/913039f1c5a8/12889_2018_6125_Fig1_HTML.jpg

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