1.陆军军医大学第一附属医院手术室,重庆 400037
2.贵州医科大学附属医院肝胆外科,贵州 贵阳 560004
3.陆军九五八医院手术室,重庆 400020
Published:25 January 2025,
Received:12 May 2024,
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REN LI, REN TING-TING, ZHONG XIANG-DI, et al. Effect of musculoskeletal injuries in operating room doctors on their mental health. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 72-75.
REN LI, REN TING-TING, ZHONG XIANG-DI, et al. Effect of musculoskeletal injuries in operating room doctors on their mental health. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 72-75. DOI: 10.11659/jjssx.05E024052.
目的
2
了解手术室医生工作相关肌肉骨骼疾病(WMSDs)现状,并分析其对心理健康的影响。
方法
2
采用横断面调查研究方法,选择2022年9-12月24个省30家医院手术室医生共1 013人,采用国内肌肉骨骼疾患调查问卷调查手术室医生WMSDs发生情况,症状自评量表-90(SCL-90)评估手术室医生心理状况,分析WMSDs各维度与SCL-90评分的关系,
Pearson
法分析每班休息时间与SCL-90各因子的相关性,多因素
Logistic
回归分析手术室医生心理健康的影响因素。
结果
2
本次调查共发放问卷1 100份,回收有效问卷1 013份,有效率为92.10%。过去1年手术室医生WMSDs发生率为95.06%。不同部位按WMSDs发生率由高到低依次为:腰部(36.92%)、颈部(35.54%)、肩部(33.56%)、上背(32.77%)。手术室医生近1年身体各部位出现肌肉骨骼疼痛、工作时背部长时间保持同一姿势、工作时背部经常在弯腰的同时转身、工作时长时间保持低头姿势、工作时长时间保持屈膝姿势的患者SCL-90各维度评分及总分显著高于未保持者(
P
<
0.05)。每班休息时间较短和背部长时间保持同一姿势是手术室医生心理疾病发生的危险因素。
结论
2
手术室医生WMSDs发生率较高,其可影响手术室医生的心理健康。因此,手术室医生应避免工作时背部长时间保持同一姿势、背部在弯腰的同时转身、长时间保持低头姿势、长时间保持屈膝姿势,并延长每班休息时间等,从而改善手术室医生的心理状况。
Objective
2
To understand the current status of work-related musculoskeletal disorders (WMSDs) among operating room doctors, thereby analyzing its effect on mental health.
Methods
2
A total of 1 013 doctors in the operating rooms of 30 hospitals in 24 provinces from September to December 2022 were selected by cross-sectional survey method. The domestic musculoskeletal disease questionnaire was used to investigate the occurrence of WMSDs in operating room doctors, the symptom check list-90 (SCL-90) was used to evaluate the psychological status of operating room doctors, the relationship between WMSDs related items and SCL-90 scores was analyzed, the correlation between the rest time of each shift and SCL-90 factors was analyzed by
Pearso
n method, and the influencing factors of mental health
of operating room doctors were analyzed by multivariate
Logistic
regression.
Results
2
A total of 1 100 questionnaires were distributed and 1 013 valid questionnaires were recovered, with an effective rate of 92.10%. The incidence of WMSDs among operating room doctors in the past 1 year was 95.06%. The body parts with incidences of WMSDs from high to low were as follows: waist (36.92%), neck (35.54%), shoulder (33.56%), and upper back (32.77%). In the past 1 year, the SCL-90 scores and total scores of patients with musculoskeletal pain in various body parts, keeping the same back posture for a long time while work, bending the back at the same time of turning frequently while working, bowing the head for a long time while working, and bending the knee for a long time while working were significantly higher than those who were without the above conditions (
P
<
0.05). Shorter rest time of each shift and longer periods of keeping the same back posture were the risk factors for the development of mental illness in operating room doctors.
Conclusion
2
The incidence of WMSDs in operating room doctors is high, which can influence the mental health of operating room doctors. Therefore, operating room doctors should avoid keeping the same back posture for a long time, bending the back at the same time of turning frequently, bowing the head for a long time, and bending the knee for a long time while working, and increase the rest time of each shift, in order to improve the mental condition of the operating room doctors.
手术室医生工作相关肌肉骨骼疾病心理健康症状自评量表-90
operating room doctorswork-related musculoskeletal disordersmental healthsymptom check list-90
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