牙科医护人员肌肉骨骼疾病的患病率:系统评价和荟萃分析。

Prevalence of musculoskeletal disorders among dental healthcare providers: A systematic review and meta-analysis.

机构信息

Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

出版信息

F1000Res. 2022 Sep 16;11:1062. doi: 10.12688/f1000research.124904.2. eCollection 2022.

Abstract

: Work-related musculoskeletal disorders (MSD) are common in dentistry due to the prolonged static work involved during patient care, making dental health care personnel vulnerable to musculoskeletal complaints. We aimed to pool the prevalence estimates of MSD among various dental healthcare providers, including dentists, dental students, dental hygienists, and auxiliaries. : A systematic search of five databases was performed (Scopus, Embase, CINAHL, Web of Science, Dentistry & Oral Sciences Source). The studies that reported the prevalence of MSD among dental healthcare workers and those written in English were selected. Screening and data extraction were performed by two review authors independently. Discrepencies were resolved by another review author. Risk of bias assessment was done using a nine-item questionnaire developed by Hoy . Pooled estimates were calculated using meta-analysis of proportions (random effects model). : Among the 3090 publications screened, 234 publications were included for full-text screening. Meta-analysis was performed for 89 estimates from 88 publications. Females showed significantly higher prevalence [OR = 1.42 (95% CI = 1.09-1.84); I = 66.02; N = 32]. The analysis yielded a pooled estimate of 78.4% (95% CI = 74.8-82). The meta-regression showed similar prevalence over the years (Coefficient: 0.001; P-value: 0.762). : A high prevalence of MSD was noted among dental healthcare providers, with about seven out of ten having experienced MSD in the past. This emphasizes the need for awareness and adoption of appropriate ergonomic postures by dental healthcare providers from early in their careers to minimize work-related MSD.

摘要

工作相关肌肉骨骼疾病(MSD)在牙科中很常见,这是由于在患者护理过程中涉及长时间的静态工作,使牙科保健人员容易出现肌肉骨骼投诉。我们旨在汇总各种牙科保健提供者(包括牙医、牙科学生、牙科保健员和助手)中 MSD 的流行率估计值。

系统地在五个数据库中进行了搜索(Scopus、Embase、CINAHL、Web of Science、Dentistry & Oral Sciences Source)。选择了报告牙科保健工作者中 MSD 流行率的研究和用英语撰写的研究。两名审查员独立进行了筛选和数据提取。通过另一名审查员解决了差异。使用 Hoy 开发的九个问题问卷进行了偏倚风险评估。使用比例的荟萃分析(随机效应模型)计算了汇总估计值。

在筛选的 3090 篇论文中,有 234 篇论文进行了全文筛选。对 88 篇论文中的 89 个估计值进行了荟萃分析。女性的患病率显著更高[OR = 1.42(95% CI = 1.09-1.84);I = 66.02;N = 32]。分析得出的汇总估计值为 78.4%(95% CI = 74.8-82)。元回归显示多年来患病率相似(系数:0.001;P 值:0.762)。

在牙科保健提供者中发现 MSD 的高患病率,约十分之七的人在过去曾经历过 MSD。这强调了需要从早期开始,通过提高对牙科保健提供者的认识和采取适当的人体工程学姿势,减少与工作相关的 MSD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4c/9745635/747261172fb2/f1000research-11-141929-g0000.jpg

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