ErgoEd: a pre-post trial investigating the effect of ergonomic education on laparoscopic surgeons' ergonomic risk scores.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-05-08 DOI:10.1016/j.amjsurg.2025.116398

Frances Dixon, Parveen Vitish-Sharma, Achal Khanna, Barrie D Keeler

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引用次数: 0

Abstract

This pre-post trial investigates whether ergonomic education using the STEPS model (Screen, Table, Equipment, Posture, Stance) can improve laparoscopic surgeons' ergonomic risk. Intraoperative photographs taken at 1-min intervals were used to calculate risk through the objective Rapid Entire Body Assessment (REBA) scale. Surgeons were reobserved immediately after an educational video, then again 4-6 weeks later. Cognitive strain (modified NASA-TLX), subjective outcomes, and knowledge retention were also assessed. Ten surgeons were recruited from colorectal, general, and gynaecology. There was no difference in REBA between baseline (REBA = 5.0) and early reobservation (REBA = 4.5) [0 = 0.058], but between baseline and late reobservation (REBA = 4.5) there was a significant reduction [p = 0.028]. The overall scores for each day remained in the "medium risk" category. Knowledge retention was good (90 % correct answers). All found the education worthwhile and subsequently made changes to their practice. Ergonomic education is desired and deemed very important by surgeons, and reduces both their ergonomic risk and subjective experience of pain, but laparoscopic surgery remains ergonomically "medium risk" overall. Further solutions must be found to reduce risk.

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ErgoEd：一项调查人机工程学教育对腹腔镜外科医生人机工程学风险评分影响的前后试验。

本试验旨在调查使用STEPS模型（屏幕、桌子、设备、姿势、姿态）进行的人体工程学教育是否能提高腹腔镜外科医生的人体工程学风险。术中每隔1分钟拍摄照片，通过客观的快速全身评估（REBA）量表计算风险。外科医生在观看教育视频后立即再次观察，然后在4-6周后再次观察。认知应变（改进的NASA-TLX）、主观结果和知识保留也进行了评估。从结直肠、普通外科和妇科招募了10名外科医生。REBA在基线（REBA = 5.0）和早期再观察（REBA = 4.5）之间无差异[0 = 0.058]，但在基线和晚期再观察（REBA = 4.5）之间有显著降低[p = 0.028]。每天的总体得分保持在“中等风险”类别。知识保留良好（正确率90%）。所有人都认为教育是值得的，并随后改变了他们的做法。人体工程学教育是外科医生所需要的，并且被认为是非常重要的，它可以降低他们的人体工程学风险和主观疼痛体验，但腹腔镜手术总体上仍然是人体工程学的“中等风险”。必须找到进一步的解决办法来降低风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.