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人体工程学培训和姿势练习在外科医生肌肉骨骼系统疾病中的作用。

The role of ergonomics training and posture exercises in surgeons' musculoskeletal system disorders.

作者信息

Külekçioğlu Sevinç, Dilektaşlı Evren

机构信息

Department of Physiotherapy, Mudanya University Faculty of Health Sciences, Bursa, Türkiye.

Department of General Surgery, İstinye University Faculty of Medicine, İstanbul, Türkiye.

出版信息

Turk J Surg. 2024 Sep 30;40(3):204-211. doi: 10.47717/turkjsurg.2024.6413. eCollection 2024 Sep.

Abstract

OBJECTIVES

The surgeon needs to understand the risks involved in performing surgery with ergonomic errors. Although there are many barriers to ergonomic effectiveness, success begins with the surgeon's awareness, recognition of existing obstacles, and education. The main purpose of the study is to evaluate the effect of ergonomic training and posture exercises on the surgeon's pain, physical workload, psychological state, and quality of life to prevent musculoskeletal system disorders and extend career life.

MATERIAL AND METHODS

Surgeons who had completed at least one year in their profession, worked an average of 40 hours a week, had musculoskeletal pain in at least one area, and volunteered to participate in the study, regardless of gender and age, were included in the study. Researchers carried out the ergonomics training and exercise program individually by giving face-to-face training. Surgeons were asked to complete the physical workload questionnaire (PWQ), Beck depression index (BDI), and short form health survey (SF-36) before and one month after the study. Changes in visual analogue scale (VAS) and activities of daily living were recorded.

RESULTS

Surgeons who received ergonomic training and exercise programs showed significant improvements in pain, physical workload, depression, and quality of life measurements.

CONCLUSION

To prevent fatigue and pain resulting from the accumulation of ergonomic flaws, surgeons should be trained and guided on proper posture and endurance, and encouraged to maintain a comfortable and natural posture.

摘要

目的

外科医生需要了解因人体工程学失误进行手术所涉及的风险。尽管人体工程学有效性存在诸多障碍,但成功始于外科医生的意识、对现有障碍的认识以及教育。本研究的主要目的是评估人体工程学培训和姿势练习对外科医生的疼痛、身体工作量、心理状态和生活质量的影响,以预防肌肉骨骼系统疾病并延长职业生涯。

材料与方法

纳入研究的外科医生需满足以下条件:已从事该职业至少一年,平均每周工作40小时,至少有一个部位存在肌肉骨骼疼痛,且自愿参与研究,不限性别和年龄。研究人员通过面对面培训单独开展人体工程学培训和锻炼计划。要求外科医生在研究前及研究后一个月完成身体工作量问卷(PWQ)、贝克抑郁量表(BDI)和简短健康调查问卷(SF - 36)。记录视觉模拟量表(VAS)和日常生活活动的变化。

结果

接受人体工程学培训和锻炼计划的外科医生在疼痛、身体工作量、抑郁和生活质量测量方面有显著改善。

结论

为防止因人体工程学缺陷积累导致的疲劳和疼痛,应对外科医生进行正确姿势和耐力方面的培训与指导,并鼓励他们保持舒适自然的姿势。

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