Stajyer Fizyoterapi Öğrencilerinin Algılanan Kas-İskelet Sistemi Bozuklukları, Ergonomik Farkındalık, Yorgunluk ve Yaşam Kalitesi Perspektifinden Klinik Staj Deneyimleri: Çok Merkezli Kesitsel Bir Çalışma

Abstract

Amaç: Bu çalışmanın amacı, fizyoterapi öğrencilerinin klinik staj uygulamaları sırasında algıladıkları kas-iskelet sistemi rahatsızlıklarını (PMSD), ergonomik farkındalığını, yorgunluğunu ve yaşam kalitesini (QoL) değerlendirmekti. Gereç ve Yöntem: Üç farklı devlet üniversitesinden 163 öğrenci, Cornell Kas İskelet Sistemi Rahatsızlıkları Anketi (CMDQ)’ni, 0-10 arasında puanlanan spesifik ergonomik farkındalık sorularını, Yorgunluk Etki Ölçeği (FIS)’ni ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Kısa Formu-Türkçe Versiyonu (WHOQOL-BREF-TR)’nu yüz yüze tamamladı. Sonuçlar: Öğrencilerin %31,9'u düzenli egzersiz yapmaktaydı ve boyundaki şiddetli kas-iskelet sistemi şikayetleri egzersiz yapmayanlarda anlamlı derecede daha yüksekti (%79,6 vs. %20,4). Şiddetli şikayetler kadınlarda boyunda (p<,001), sağ omuzda (p=,024), sol omuzda (p=,023), üst sırtta (p<,001) ve sağ üst kolda (p=,007) daha yaygındı. Ergonomik farkındalık sorularının ortalama puanları 4,02-6,07 arasında değişkenlik gösterdi. FIS sosyal alt alan puanı diğer alt alanlardan (sosyal vs. bilişsel ve sosyal vs. fiziksel (p<,001)) anlamlı derecede yüksekti. FIS toplam puanı, tüm WHOQOL-BREF alt alanlarıyla anlamlı ve negatif korelasyon gösterdi (fiziksel (r=-.675,p<.001), psikolojik (r=-.431,p<.001), sosyal (r=-321,p<.001), çevresel (r=-.498,p<.001)). WHOQOL-BREF fiziksel alt alanı, düzenli egzersiz alışkanlıklarıyla anlamlı derecede korelasyon gösterdi (r=-.162,p=.039). Tartışma: Erken dönemden itibaren fiziksel aktivite alışkanlıkları edinmek ve ergonomik prensiplere dikkat etmek, fizyoterapistlerin fizyoterapi uygulamaları sırasında deneyimleyebilecekleri PMSD'ler, yorgunluk ve yaşam kalitesi üzerinde olumlu bir etkiye sahip olabilir.

Keywords

• ergonomi
• hastalık izni
• fizyoterapistler
• kas-iskelet ağrısı

Clinical Internship Experiences of Intern Physiotherapy Students From the Perspective of Perceived Musculoskeletal Disorders, Ergonomic Awareness, Fatigue, and Quality of Life: A Multicentered Cross-Sectional Study

Abstract

Purpose: This study aimed to assess the perceived musculoskeletal system disorders (PMSDs), ergonomic awareness, fatigue, and quality of life (QoL) of physiotherapy students during clinical internship practices. Material and Methods: 163 students from three different state universities completed the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), specific ergonomic awareness questions that scored 0-10, the Fatigue Impact Scale (FIS), and the World Health Organization Quality of Life Scale-Brief Form Turkish Version (WHOQOL-BREF-TR) face-to-face. Results: 31.9% of the students were regular exercisers and severe musculoskeletal complaints in the neck were significantly higher in non-exercisers (79.6% vs 20.4%). Severe complaints were more common in females in the neck (p<.001), right shoulder (p=.024), left shoulder (p=.023), upper back (p<.001), and right upper arm (p=.007). The mean scores of ergonomic awareness questions ranged from 4.02-6.07. FIS social subdomain was significantly higher than other subdomains (social vs. cognitive, and social vs. physical(p<.001)). FIS total was significantly and negatively correlated with all WHOQOL-BREF subdomains (physical (r=-.675, p<.001), psychological (r=-.431, p<.001), social (r=-321, p<.001), environmental (r=-.498, p<.001)). The WHOQOL-BREF physical subdomain was significantly correlated with regular exercise habits (r=-.162, p=.039). Discussion: Establishing physical activity habits from an early period and paying attention to ergonomic principles may have a positive impact on PMSDs, fatigue, and the QoL that physiotherapists may experience during their physiotherapy practice.

Keywords

• ergonomic
• sick leave
• musculoskeletal pain
• physical therapists

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