残疾外科医生确实存在。

Pub Date : 2024-10-01 Epub Date: 2024-07-04 DOI:10.1080/00015458.2024.2369745
Michael El Boghdady, Béatrice Marianne Ewalds-Kvist
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引用次数: 0

摘要

导言残疾医生很可能会面临重大的生活危机和因意外情况而产生的痛苦情绪,从而威胁到他们的身体健康。我们旨在通过对残疾外科医生的研究,找出可能导致外科医生疼痛和残疾的与工作相关的风险因素。我们还重点关注了遭遇意外灾难导致残疾的外科医生。有关外科医生身体残疾的引文均来自灰色文献,并附有残疾外科医生的评论。通过 MERSQI 评分对定量引文进行了质量评估。在定性研究部分,通过库尔伯格的危机阶段(CCP)对遭受严重创伤的外科医生进行了评估,并从特德斯基和卡尔霍恩的创伤后成长视角(PTG)进行了分析。我们共纳入了 6 名外科医生,他们在医疗生涯中都经历过严重的创伤事件。我们的定量引文的 MERSQI 平均得分为 11.73(SD .79)。我们发现,我们的定量研究结果属于证据等级 II(中等质量 = 11.26 - 12.00 分)。结论外科医生是与工作相关的肌肉骨骼疾病的高危人群,这种疾病会发展为慢性疼痛,并影响外科医生的职业生涯。残疾外科医生在职业生涯中面临严重障碍。医疗机构和医疗保健系统必须立即为残疾外科医生制定支持策略。
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Surgeons with disabilities, they do exist.

Introduction: Doctors with disability are likely to face major life crises, challenges and distressing emotions from unforeseen circumstances that threaten their physical well-being. We aimed to identify the existence of work-related pain and discomfort that may cause surgeon's disability. Surgeons who were struck with unpredictable disasters leading to disabilities were also reviewed.

Methods: We conducted a 10-year literature review. In addition, citations about surgeons' physical disabilities were complemented with commentaries about disabled surgeons from gray literature. The quantitative citations were quality assessed by MERSQI scores and evidence graded according to GRADE. For the qualitative study part, the severely traumatized surgeons were analysed by means of Cullberg's crisis phases (CCP) and analysed from Tedeschi and Calhoun's post-traumatic growth perspective (PTG).

Results: Altogether 3593 citations from PubMed were studied, and 10 citations met inclusion criteria with a total of 11591 participants. We included 6 surgeons subjected to highly traumatic events complicating their medical career. Our quantitative citations' mean MERSQI score was 11.73 (SD .79) and the citations' evidence value completed grade II (moderate quality: 11.26 to 12.00 scores). Work-related musculoskeletal pain and occupational injuries may lead to physical disabilities. The accidentally traumatized surgeons fought through the four CCP phases and reached successfully the PTG stage.

Conclusions: The surgical workforce is at high risk of work-related musculoskeletal morbidity which can progress to chronic pain and disruption of surgeon's career. Surgeons with disabilities faced serious barriers in their career. Institutions and healthcare systems must urgently develop support strategies for surgeons with disabilities.

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