Arshad Ezaz, Anjum Hadia, Ain Qurat Ul, Kausar Rabbyya, Fatima Kanwal, Afzal Mamoona Tasleem, Kashif Muhammad
Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan.
Institute of Rehabilitation Science, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan.
BMC Musculoskelet Disord. 2025 Apr 22;26(1):400. doi: 10.1186/s12891-025-08651-7.
Healthcare care professionals, particularly surgeons, are at significant risk of acquiring work-related musculoskeletal disorders that can lead to prolonged pain and diminish productivity. This study aimed to identify the prevalence, associated risk factors, and coping strategies for work-related musculoskeletal disorders among general and laparoscopic surgeons in Pakistan.
A cross-sectional survey was conducted to collect data from general and laparoscopic surgeons working in selected tertiary care hospitals located in Sialkot, Pakistan. The self-structured questionnaire consisted of four sections, including demographic information, musculoskeletal risk factors, work posture assessment and coping strategies. Logistic regression was used to determine associations between musculoskeletal disorders and personal and working factors, including postural demands during general and laparoscopic surgery using SPSS software 25.
Out of 171, 76% of the general surgeons and 86% of the laparoscopic surgeons reported suffering from WRMSDs within 1 year, and the 7-day prevalence was 24.5%. A total of 47.4% of the participants were also found to be at high risk or above, according to REBA scoring. Age, lifestyle, working hours, and number of surgeries performed per week were found to be significant (p value < 0.05) risk factors for WRMSDs. Assortment of coping strategies was employed, with changes in table/plinth height reported by 91.2% of the participants.
The current study revealed that surgeons have a high prevalence of developing WRMSDs. Personal factors as well as work-related risk factors were found to be significant in the development of WRMSDs. General and laparoscopic surgeons exhibited different incidences of pain among body regions. Varying degrees of coping strategies were employed, with changing table/plinth height being the most common.
医疗保健专业人员，尤其是外科医生，面临着患上与工作相关的肌肉骨骼疾病的重大风险，这些疾病可能导致长期疼痛并降低工作效率。本研究旨在确定巴基斯坦普通外科医生和腹腔镜外科医生中与工作相关的肌肉骨骼疾病的患病率、相关风险因素及应对策略。
进行了一项横断面调查，以收集在巴基斯坦锡亚尔科特选定的三级护理医院工作的普通外科医生和腹腔镜外科医生的数据。自行设计的问卷包括四个部分，即人口统计学信息、肌肉骨骼危险因素、工作姿势评估和应对策略。使用SPSS 25软件，通过逻辑回归确定肌肉骨骼疾病与个人及工作因素之间的关联，包括普通外科手术和腹腔镜手术期间的姿势要求。
在171名受访者中，76%的普通外科医生和86%的腹腔镜外科医生报告在1年内患有与工作相关的肌肉骨骼疾病（WRMSDs），7天患病率为24.5%。根据REBA评分，共有47.4%的参与者也被发现处于高风险或以上。年龄、生活方式、工作时间和每周进行的手术数量被发现是WRMSDs的显著（p值<0.05）风险因素。采用了多种应对策略，91.2%的参与者报告了手术台/手术台高度的变化。
当前研究表明，外科医生患WRMSDs的患病率很高。个人因素以及与工作相关的风险因素在WRMSDs的发生中被发现具有重要意义。普通外科医生和腹腔镜外科医生在身体各部位的疼痛发生率不同。采用了不同程度的应对策略，其中改变手术台/手术台高度最为常见。
