Jinekologlarda işe bağlı kas-iskelet hastalıkları ve ergonomi

Öz

Amaç: İşe bağlı kas-iskelet hastalıkları (İBKİH), jinekologlarda sık görülen halk sağlığı sorunudur. Ulusal anket çalışmasında Turkiye’deki jinekologlarda İBKİH ve ağrı sıklığı ve prediktif faktörleri araştırılarak bunun jinekologların aile, sosyal ve iş hayatı üzerine etkisini belirlemek amaçlanmıştır. Gereç ve Yöntemler: Prospektif tanımlayıcı anket çalışmasına Turkiye’de 500 yataktan fazla kapasitesi olan üçüncü basamak hastanelerinde çalışan ve en az 2 yıllık uzman olan jinekologlar çalışmaya dahil edilmiştir. Bulgular: Çalışmaya katılan 390 jinekoloji uzmanının 286’sı (131 kadın) çalışmayı tamamladı.Ağrı lokalizasyon sıklıkları sırasıyla şöyledir: %49,3 boyun, %49,3 % sırt, %44,4 bel, %43,49 omuz, %34,8 el/ el parmakları, %26,8 diz, %21,9 el bileği, %17,3 kalça, %17,8 ayak ve %11,2 başparmak. %11,2 başparmak. Katılımcıların %58,7’sinde en az bir İBKİH tanısı mevcuttu. Kadın cinsiyeti sırt ağrısı (: 3.546 (%95 confidence interval (CI), 1.304-9.645; p=0.013) ve en az iki bölgede ağrı riskini (: 3.847; CI:1.241-11.928; p=0.020) üç kat arttırmakta idi. Sol el hakimiyeti olan jinekologlarda dirsek (:11.360, CI: 2.721-47.422; p=0.001), kalça (:1.155, CI: 1.004-1.283; p=0.045)ve en az iki bölgede ağrı riski (:6.786, CI: 1.246-36.967, p=0.027) artmaktaydı. Haftalık egzersiz saati arttıkça sırt ağrısı ve en az iki bölgede ağrı sıklığı azalmaktaydı. (:1.198, CI:1.005-1.355, p=0.013; :1.286, CI: 1.088-1.441, p=0.007). Sonuç: Jinekologların yaşam kalitesi, iş hayatı ve geliri iş hayatına bağlı kas iskelet hastalıklarından etkilenmektedir. Bu konuda farkındalık ve korunmak için yeni çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• işe bağlı kas iskelet hastalıkları
• ağrı
• jinekolog
• ergonomi
• cerrahi operasyon

Work-related musculoskeletal disorders and ergonomics among gynecologists

Öz

Aim: Work-related musculoskeletal disorders (WMSD) have been a prevalent health issue among gynecologists. The current nationwide survey aimed to establish the prevalence and predictors of pain and WMSD among gynecologists in Turkey, as well as their influence on family, social, and professional life. Material and Methods: The current prospective descriptive study was conducted as a national survey including gynecologists operating as a specialist for at least two years in a tertiary hospital with more than 500 beds. Results: The survey was completed by 286 (131 female) respondents out of a total of 390 participants. The locations of pain were as follows: neck (49.3%), upper back (49.3%), lower back (44.4%), shoulder (43.49%), hand/fingers (34.8%), thumb (11.2%), wrist (21.9%), hip (17.3%), knee (26.8%), and foot (17.8%). 58.7% of the gynecologists discovered at least one diagnosis of WRMD. Female surgeons were at threefold risk of upper back pain (: 3.546 (%95 confidence interval (CI), 1.304-9.645; p=0.013), and at least two regions of pain (: 3.847; CI:1.241-11.928; p=0.020). Left dominant hand increased risk of pain in the elbow (:11.360, CI: 2.721-47.422; p=0.001), hip (:1.155, CI: 1.004-1.283; p=0.045), and pain in the more than two regions (:6.786, CI: 1.246-36.967, p=0.027). Exercise hours per week were found a protective factor for upper back pain and pain in more than two regions (:1.198, CI:1.005-1.355, p=0.013; :1.286, CI: 1.088-1.441, p=0.007). Conclusion: WMSD are potentially affecting the gynecologist’s quality of life, income and professional life. Future research can be conducted to increase awareness and prevention from WMSD among gynecologists.

Anahtar Kelimeler

• work related musuloskeletal disorders
• pain
• gynecologist
• ergonomics
• operation

Kaynakça

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