普通外科医生的人体工程学压力与手术表现：腹腔镜手术与开放手术的横断面比较
Ergonomic stress and surgical performance of general surgeons: a cross-sectional comparison of laparoscopic and open procedures.
作者信息
Serag Ibrahim, Sarhan Mohammed Yahia, AlSamhori Jehad Feras, Habash Angelica, Qura'an Batool, Quran Sana'a, Alabbasi Marah, Albustanji Basil, Al-Jafari Mohammad, Nofal Mariam Akram, Abouzid Mohamed, Abu-Jeyyab Mohammad
机构信息
Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Department of Orthopedic Surgery, Hashemite University, Zarqa, Jordan.
出版信息
Langenbecks Arch Surg. 2025 Sep 5;410(1):265. doi: 10.1007/s00423-025-03780-y.
BACKGROUND
Surgeons are actively seeking ways to enhance operating room ergonomics. A comprehensive report on surgeon job-related disease and injuries could raise awareness, encourage workplace improvements, and emphasize the importance of ergonomic practices such as body posture awareness, appropriate operating room setup, and exercise to lessen discomfort and improve general health.
PURPOSE
To address the ergonomic challenges that surgeons in Jordan face during their work and to investigate how demographic variables may impact a surgeon's ability to perform open and laparoscopic procedures proficiently.
METHODS
This cross-sectional observational study investigated the ergonomics of surgical practice and evaluated the impact of demographic factors on the proficiency of surgeons performing both open and laparoscopic procedures. Using a self-administered questionnaire, data were gathered from 150 Jordanian doctors who had completed more than six months of surgical training and were employed by the government, the military, or the private sector.
RESULTS
In this study involving 150 surgeons in Jordan, demographic characteristics were assessed, revealing that male respondents, particularly from the military sector, had higher mean scores in both laparoscopic and open surgical approaches. Multiple linear regression analysis identified private institutions and military affiliation as significant positive predictors for achieving high scores in laparoscopic procedures, while exclusive military affiliation emerged as the sole significant predictor for open procedures.
CONCLUSION
The study highlights surgical ergonomics' role in reducing pain and improving outcomes. Prioritizing appropriate ergonomic training, encouraging discomfort reporting, and raising awareness of official recommendations are critical for the longevity of surgeons' careers, well-being, and, ultimately, better patient outcomes.
背景
外科医生一直在积极寻求改善手术室人体工程学的方法。一份关于外科医生与工作相关的疾病和损伤的综合报告可以提高认识、鼓励工作场所的改进，并强调人体工程学实践的重要性，如身体姿势意识、合适的手术室设置以及锻炼，以减轻不适并改善总体健康状况。
目的
解决约旦外科医生在工作中面临的人体工程学挑战，并调查人口统计学变量如何影响外科医生熟练进行开放手术和腹腔镜手术的能力。
方法
这项横断面观察性研究调查了外科手术实践中的人体工程学，并评估了人口统计学因素对进行开放手术和腹腔镜手术的外科医生熟练程度的影响。使用一份自填式问卷，从150名约旦医生那里收集数据，这些医生完成了超过六个月的外科培训，受雇于政府、军队或私营部门。
结果
在这项涉及150名约旦外科医生的研究中，对人口统计学特征进行了评估，结果显示男性受访者，尤其是来自军事部门的男性，在腹腔镜手术和开放手术方法上的平均得分更高。多元线性回归分析确定私立机构和军事隶属关系是腹腔镜手术获得高分的显著正向预测因素，而唯一的军事隶属关系则是开放手术的唯一显著预测因素。
结论
该研究强调了手术人体工程学在减轻疼痛和改善手术结果方面的作用。优先进行适当的人体工程学培训、鼓励报告不适情况以及提高对官方建议的认识，对于外科医生职业生涯的长久、健康以及最终更好的患者手术结果至关重要。
Zotero 插件