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[痛苦的外科医生——德国外科医生如何保护自己?:德国普通和内脏外科学会关于德国外科医生职业安全措施范围和健康负担的调查]

[The suffering surgeon-How do German surgeons protect themselves? : Survey of the German Society of General and Visceral Surgery on the extent of occupational safety measures and health burden among German surgeons].

作者信息

Kirchberg J, Fritzmann J, Clemens J, Oppermann N, Johannink J, Kirschniak A, Weitz J, Mees S T

机构信息

Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Tübingen, Deutschland.

出版信息

Chirurg. 2021 Dec;92(12):1114-1122. doi: 10.1007/s00104-021-01365-1. Epub 2021 Feb 18.

Abstract

BACKGROUND

There are few data on how surgeons implement occupational safety measures to protect their own health and how they assess their subjective health burden.

OBJECTIVE

In times of a shortage of surgeons it makes sense to examine these relationships in order to evaluate future-oriented adjustments to increase the attractiveness of the profession of "surgeon".

MATERIAL AND METHODS

An online questionnaire was sent to the registered members of the German Society for General and Visceral Surgery (DGAV) in October 2016. The members were asked about the application of occupational safety measures, individual living conditions, working conditions and the subjective health burden depending on the level of training and type of hospital (basic, standard, maximum care).

RESULTS

The response rate was 21% (1065/5011). Occupational safety measures were not strictly implemented: routine use of dosimeters, thyroid radiation protection, smoke extraction and protective goggles only took place in 40% (427/1065), 39% (411/1065), 10% (104/1065) and 5% (55/1065), respectively. The majority of surgeons (51%, 548/1065) rated their lifestyle as unhealthy. The majority of them are senior physicians, 46% (250/548) consider their job to be a health hazard. The proportion of chief physicians and assistant physicians is only 21% (115/548) and 18% (98/548).

CONCLUSION

Guidelines for standardizing the perioperative protection of German surgeons are desirable. Health-promoting behavior could have a positive effect on the occupational safety of surgeons and ultimately also on patient safety. This can contribute to increasing the attractiveness of the profession "surgeon" in the long term.

摘要

背景

关于外科医生如何实施职业安全措施以保护自身健康以及他们如何评估自身主观健康负担的数据很少。

目的

在外科医生短缺的时期,研究这些关系以便评估面向未来的调整措施,从而提高“外科医生”职业的吸引力,这是有意义的。

材料与方法

2016年10月,向德国普通和内脏外科学会(DGAV)的注册会员发送了一份在线问卷。询问会员关于职业安全措施的应用、个人生活条件、工作条件以及根据培训水平和医院类型(基础、标准、重症护理)的主观健康负担。

结果

回复率为21%(1065/5011)。职业安全措施未得到严格执行:剂量计的常规使用、甲状腺辐射防护、烟雾抽吸和护目镜的使用分别仅发生在40%(427/1065)、39%(411/1065)、10%(104/1065)和5%(55/1065)的人中。大多数外科医生(51%,548/1065)认为他们的生活方式不健康。其中大多数是高级医师,46%(250/548)认为他们的工作对健康有危害。主任医师和助理医师的比例分别仅为21%(115/548)和l8%(98/548)。

结论

制定规范德国外科医生围手术期保护的指南是可取的。促进健康的行为可能对外科医生的职业安全产生积极影响,最终也对患者安全产生积极影响。这有助于从长远来看提高“外科医生”职业的吸引力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e173/7890796/2de07cd01434/104_2021_1365_Fig1_HTML.jpg

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