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一种用于全面评估口腔卫生工作的标准化方案。

A standardized protocol for the comprehensive assessment of dental hygiene work.

机构信息

Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.

Occupational Therapy Graduate Program, University of New Mexico, Albuquerque, NM, USA.

出版信息

Work. 2021;69(3):1041-1052. doi: 10.3233/WOR-213534.

DOI:10.3233/WOR-213534
PMID:34219697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8316250/
Abstract

BACKGROUND

Work-related musculoskeletal disorders are prevalent in dental hygienists. Although engineering controls and ergonomic training is available, it is unclear why this intransigent problem continues. One possible barrier is that a comprehensive, standardized protocol for evaluating dental hygiene work does not exist.

OBJECTIVE

This study aimed to generate a valid and reliable observational protocol for the assessment of dental hygiene work.

METHODS

An iterative process was used to establish and refine an ecologically valid video acquisition and observation protocol to assess key activities, tasks, and performance components of dental hygiene work.

RESULTS

Good inter-rater reliability was achieved across all variables when the final coding scheme was completed by three independent raters.

CONCLUSIONS

This work provides an exemplar of the process required to generate a comprehensive protocol for evaluating the work components of a particular job, and provides standardized nomenclature for use by scientists and practitioners interested in understanding and addressing the pervasive issue of work-related disorders in dental hygienists.

摘要

背景

与工作相关的肌肉骨骼疾病在牙科保健师中很常见。尽管有工程控制和人体工程学培训,但为什么这个顽固的问题仍在继续,目前还不清楚。一个可能的障碍是,缺乏用于评估牙科保健工作的全面、标准化的方案。

目的

本研究旨在制定一种用于评估牙科保健工作的有效且可靠的观察方案。

方法

采用迭代方法建立和完善一种具有生态效度的视频采集和观察方案,以评估牙科保健工作的关键活动、任务和绩效组成部分。

结果

当由三位独立评估员完成最终编码方案时,所有变量的组内一致性都很好。

结论

这项工作为生成全面的方案以评估特定工作的工作组成部分提供了范例,并为有兴趣了解和解决牙科保健师中普遍存在的与工作相关疾病问题的科学家和从业者提供了标准化的命名法。

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本文引用的文献

1
Characterization of Tasks and Time Efficiency of Dental Hygiene Students During Clinical Training.口腔卫生专业学生临床培训期间任务特征及时间效率研究
J Dent Hyg. 2020 Oct;94(5):30-37.
2
Identifying an Optimal Sampling Method to Estimate Postural Risk in a Dynamic Work Task.确定一种最佳抽样方法以评估动态工作任务中的姿势风险。
Proc Hum Factors Ergon Soc Annu Meet. 2019 Nov;63(2):1028-1033. doi: 10.1177/1071181319631180. Epub 2019 Nov 20.
3
Prevention and rehabilitation of musculoskeletal disorders in oral health care professionals: A systematic review.口腔保健专业人员肌肉骨骼疾病的预防和康复:系统评价。
J Am Dent Assoc. 2019 Jun;150(6):489-502. doi: 10.1016/j.adaj.2019.01.031. Epub 2019 Apr 25.
4
Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in Western countries: A systematic literature review and meta-analysis.西方国家牙科专业人员肌肉骨骼疾病和疼痛的患病率及职业风险因素:系统文献回顾和荟萃分析。
PLoS One. 2018 Dec 18;13(12):e0208628. doi: 10.1371/journal.pone.0208628. eCollection 2018.
5
Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners.牙科护理从业者预防肌肉骨骼疾病的人体工程学干预措施。
Cochrane Database Syst Rev. 2018 Oct 15;10(10):CD011261. doi: 10.1002/14651858.CD011261.pub2.
6
Using motion capture technology to measure the effects of magnification loupes on dental operator posture: A pilot study.利用动作捕捉技术测量放大倍率放大镜对牙科操作人员姿势的影响:一项初步研究。
Work. 2018;59(1):131-139. doi: 10.3233/WOR-172681.
7
The Effect of Stainless Steel and Silicone Instruments on Hand Comfort and Strength: A pilot study.不锈钢器械和硅胶器械对手部舒适度及力量的影响:一项初步研究。
J Dent Hyg. 2017 Apr;91(2):40-44.
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Effects of Instrument Handle Design on Dental Hygienists' Forearm Muscle Activity During Scaling.洁治过程中器械手柄设计对口腔卫生士前臂肌肉活动的影响
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Influence of different stool types on muscle activity and lumbar posture among dentists during a simulated dental screening task.模拟牙科筛查任务中不同粪便类型对牙医肌肉活动和腰椎姿势的影响。 (注:原文中“stool types”表述有误,可能应该是“posture types”之类的,这里按照给定原文翻译)
Appl Ergon. 2016 Sep;56:220-6. doi: 10.1016/j.apergo.2016.02.014. Epub 2016 Mar 11.
10
Risk factors associated with musculoskeletal symptoms in Korean dental practitioners.韩国牙科医生肌肉骨骼症状的相关危险因素。
J Phys Ther Sci. 2016 Jan;28(1):56-62. doi: 10.1589/jpts.28.56. Epub 2016 Jan 30.