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手术体力要求高,并与多部位肌肉骨骼疼痛相关:一项横断面研究。

Surgery Is Physically Demanding and Associated With Multisite Musculoskeletal Pain: A Cross-Sectional Study.

机构信息

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Occupational and Environmental Medicine, Odense University Hospital, Odense, Denmark.

出版信息

J Surg Res. 2019 Aug;240:30-39. doi: 10.1016/j.jss.2019.02.048. Epub 2019 Mar 22.

Abstract

BACKGROUND

Performing surgery involves well-known risk factors for developing musculoskeletal pain. Multisite musculoskeletal pain has shown to have an even higher adverse impact on the individual. We examined prevalence and intensity of multisite musculoskeletal pain in surgeons and identified characteristics associated with two or more painful body sites.

MATERIALS AND METHODS

Information on sociodemographic, work experience, work demands, health status, physical capacity, and prevalence and intensity of musculoskeletal pain were collected from an internet-based questionnaire in 284 surgeons. Descriptive statistics were used to report prevalence and intensity of musculoskeletal pain. A logistic regression model was conducted to assess the characteristics associated with multisite musculoskeletal pain.

RESULTS

Musculoskeletal pain was reported by 93% of the surgeons and 77% experienced multisite pain. The reported median pain intensities ranged from 2 to 4. Multisite musculoskeletal pain was significantly associated with being a female surgeon (OR: 3.4; 95% CI: 1.5-7.4), physical work demands (OR: 1.5 95% CI: 1.2-1.7), work ability (OR: 3.4; 95% CI: 1.6-7.0), and feeling a sense of heaviness in the head/headache (OR:4.8; 95% CI: 2.0-11.5). In addition, 21%-40% of the surgeons who experienced multisite pain reported that pain influenced their work, leisure time, and sleep negatively.

CONCLUSIONS

The observed high prevalence of multisite musculoskeletal pain and high pain intensities adds new knowledge to the emerging literature on surgeons' health. In addition, several characteristics, for example, work ability, were significantly associated with multiple pain sites. This is concerning as pain could ultimately shorten a surgeon's career. Therefore, it is pertinent to develop preventive and rehabilitating strategies.

摘要

背景

手术涉及众所周知的肌肉骨骼疼痛风险因素。多部位肌肉骨骼疼痛对个体的负面影响更大。我们检查了外科医生多部位肌肉骨骼疼痛的患病率和强度,并确定了与两个或更多疼痛部位相关的特征。

材料和方法

从互联网问卷中收集了 284 名外科医生的社会人口统计学、工作经验、工作需求、健康状况、身体能力以及肌肉骨骼疼痛的患病率和强度信息。使用描述性统计数据报告肌肉骨骼疼痛的患病率和强度。进行逻辑回归模型以评估与多部位肌肉骨骼疼痛相关的特征。

结果

93%的外科医生报告有肌肉骨骼疼痛,77%的人经历多部位疼痛。报告的中位数疼痛强度范围为 2 到 4。多部位肌肉骨骼疼痛与女性外科医生(OR:3.4;95%CI:1.5-7.4)、体力工作需求(OR:1.5;95%CI:1.2-1.7)、工作能力(OR:3.4;95%CI:1.6-7.0)和头部沉重感/头痛(OR:4.8;95%CI:2.0-11.5)显著相关。此外,21%-40%经历多部位疼痛的外科医生报告说疼痛对他们的工作、休闲时间和睡眠产生了负面影响。

结论

观察到多部位肌肉骨骼疼痛的高患病率和高疼痛强度为外科医生健康方面的新兴文献增添了新知识。此外,一些特征,例如工作能力,与多个疼痛部位显著相关。这令人担忧,因为疼痛最终可能会缩短外科医生的职业生涯。因此,开发预防和康复策略至关重要。

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