Kaup Soujanya, Shivalli Siddharudha, Kulkarni Uma, Arunachalam Cynthia
Department of Ophthalmology, Yenepoya Medical College Hospital, Yenepoya University, Mangalore, India.
Department of Public Health, Yenepoya Medical College, Yenepoya University, Mangalore, India.
Eur J Ophthalmol. 2020 Jan;30(1):196-200. doi: 10.1177/1120672118815107. Epub 2018 Nov 26.
Ergonomics in ophthalmology is neither taught during professional training nor does it readily receive consideration or priority in clinical practice. Owing to a high prevalence of musculoskeletal disorders among ophthalmologists, ergonomic awareness, and practices are vital in averting this modern epidemic.
To assess the ergonomic practices and prevalence of self-reported musculoskeletal disorders among ophthalmologists in India.
An online survey was conducted among ophthalmologists who were registered with the All India Ophthalmological Society of India using a pre-tested and validated questionnaire.
The prevalence of self-reported musculoskeletal disorder in the 377 participants was 75.3% (284; 95% confidence interval: 70.6-79.5). Low back pain (149, 52.9%) was the most commonly reported symptom. Musculoskeletal disorder-attributed productivity loss was reported by 58.45% (166) of the respondents. Musculoskeletal disorder was most frequently associated with less than 10 years of work experience (odds ratio: 1.2; 95% confidence interval: 1.1-1.3, p = 0.01) and lack of good clinic (odds ratio: 1.7; 95% confidence interval: 1.1-2.7, p = 0.03) and operation room ergonomic practices (odds ratio: 1.8; 95% confidence interval: 1.1-2.9, p = 0.03). Only 27.9% (105) of the respondents had accessed information related to ergonomics in ophthalmic practice.
The self-reported musculoskeletal disorder among ophthalmologists in India is quite high and significant enough to cause some degree of productivity loss. It is thus imperative to emphasize the implementation of good ergonomic practices, especially among relatively young ophthalmologists.
眼科学中的人体工程学在专业培训期间并未被教授,在临床实践中也未得到充分的考虑或重视。由于眼科医生中肌肉骨骼疾病的患病率较高,人体工程学意识和实践对于避免这一现代流行病至关重要。
评估印度眼科医生的人体工程学实践情况以及自我报告的肌肉骨骼疾病患病率。
使用经过预测试和验证的问卷,对在印度全印眼科协会注册的眼科医生进行了在线调查。
377名参与者中自我报告的肌肉骨骼疾病患病率为75.3%(284例;95%置信区间:70.6 - 79.5)。腰痛(149例,52.9%)是最常报告的症状。58.45%(166例)的受访者报告了因肌肉骨骼疾病导致的生产力损失。肌肉骨骼疾病最常与工作经验少于10年(优势比:1.2;95%置信区间:1.1 - 1.3,p = 0.01)、缺乏良好的诊所人体工程学实践(优势比:1.7;95%置信区间:1.1 - 2.7,p = 0.03)和手术室人体工程学实践(优势比:1.8;95%置信区间:1.1 - 2.9,p = 0.03)相关。只有27.9%(105例)的受访者获取过与眼科实践中的人体工程学相关的信息。
印度眼科医生自我报告的肌肉骨骼疾病患病率相当高,足以导致一定程度的生产力损失。因此,必须强调实施良好的人体工程学实践,尤其是在相对年轻的眼科医生中。