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印度外科实习医生对外科手术人体工程学原理及教育的看法:前路漫漫。

Indian surgery Trainee's perspective on surgical ergonomics principles and education: A long road ahead.

作者信息

Yadav Sanjay Kumar, Lal Geeta, Jain Sapana Bothra, Jha Chandan Kumar, Corwin Claudia, Van Gorp Barbara, Sharma Chitresh Kumar, Kumar Amit, Sinha Dipendra Kumar

机构信息

Department of Surgery, NSCB Medical College, Jabalpur, India.

Adult Inpatient, Division of Surgical Oncology and Endocrine Surgery, University of Iowa, USA.

出版信息

Am J Surg. 2023 Nov;226(5):735-740. doi: 10.1016/j.amjsurg.2023.05.037. Epub 2023 Jun 7.

DOI:10.1016/j.amjsurg.2023.05.037
PMID:37308348
Abstract

INTRODUCTION

This study aimed to determine the baseline knowledge and beliefs, along with the impact of incorporating surgical ergonomics lectures during a residency.

METHODS

A cohort of 123 Indian surgical residents participated in this educational intervention, which consisted of two educational webinars on ergonomics. Both pre- and post-intervention surveys were electronically sent to the participants. These included questions related to their demographics, prevalence of musculoskeletal (MSK) symptoms, and factors affecting participant awareness of ergonomic recommendations.

RESULTS

Seventy-one residents responded to the pre-webinar survey. Eighty-five percent of respondents reported MSK symptoms, with the most common being pain (70%) and stiffness (40%), which the residents attributed to their surgical training. Forty-six residents completed the post-webinar survey. The majority of respondents strongly agreed or agreed that surgical ergonomic educational sessions improved their understanding of the fundamental causes of MSK symptoms and increased their awareness of options available for prevention MSK injuries.

CONCLUSION

The rate of MSK symptoms and/or injury was high among this cohort of surgical residents. These surveys and educational session demonstrated there is limited awareness of the comprehension of ergonomics related to surgical procedures. Our study shows that a simple surgical ergonomic educational intervention can lead to improved understanding of prevention and ergonomic changes.

摘要

引言

本研究旨在确定基线知识和信念,以及在住院医师培训期间纳入手术人体工程学讲座的影响。

方法

一组123名印度外科住院医师参与了这项教育干预,该干预包括两场关于人体工程学的教育网络研讨会。干预前后的调查问卷均通过电子方式发送给参与者。这些问题包括与他们的人口统计学、肌肉骨骼(MSK)症状的患病率以及影响参与者对人体工程学建议认识的因素有关的问题。

结果

71名住院医师回复了网络研讨会前的调查问卷。85%的受访者报告有MSK症状,最常见的是疼痛(70%)和僵硬(40%),住院医师将其归因于他们的外科培训。46名住院医师完成了网络研讨会后的调查问卷。大多数受访者强烈同意或同意手术人体工程学教育课程提高了他们对MSK症状根本原因的理解,并增加了他们对预防MSK损伤可用选项的认识。

结论

在这组外科住院医师中,MSK症状和/或损伤的发生率很高。这些调查和教育课程表明,与手术程序相关的人体工程学理解方面的认识有限。我们的研究表明,简单的手术人体工程学教育干预可以提高对预防和人体工程学改变的理解。

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