渴望改变：外科实习生在手术室的肌肉骨骼疼痛。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-01 DOI:10.1016/j.jsurg.2024.103405

Robert Bickerton MBChB , Giles Goatly MBChB , Ginny Bowbrick MBBS

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引用次数: 0

摘要

目的：与工作有关的伤害是常见的外科医生高达70 %被发现报告困难。鉴于目前受训人员的职业寿命预期延长，伤害预防比以往任何时候都更加重要。然而，在英国，外科培训生的人体工程学教育是缺乏的。我们的目的是衡量肯特郡、萨里郡和苏塞克斯郡（KSS）目前的受训者在操作时是否会感到疼痛，以及如果有的话，他们采用了什么策略。设计、设置和参与者：向KSS外科学院的学员发放调查问卷，收集与手术和疼痛管理策略相关的疼痛数据。参与者在焦点小组中讨论了他们的手术相关疼痛经历。结果：来自KSS地区的75名受训者做出了回应。平均年龄32岁（范围26-42），中位训练水平为ST4。普通外科（n = 22）、骨科（n = 19）和泌尿外科（n = 13）是最常见的专科。所有受术者都报告了手术引起的肌肉骨骼疼痛，36% % （n = 27）的人“经常”或“总是”经历疼痛。69 % （n = 52）发现这种疼痛“有时”、“经常”或“总是”使他们在手术时分心。最常见的疼痛部位为下背部（73 %）、颈部（49.3% %）、上背部（38.7% %）和肩部（37.3% %）。没有参与者接受过正式的人体工程学培训，大多数（86.7 %）没有与他们的主管讨论过疼痛。焦点小组确定了一种无怨无悔地忍受痛苦、不愿与导师讨论痛苦的文化。结论：手术引起的肌肉骨骼疼痛在这个队列中是一个常见的问题，大多数报告手术时注意力分散。目前，任何正式的培训计划都没有涉及人体工程学，我们建议为KSS的受训者提供区域培训计划，以解决和预防肌肉骨骼损伤。

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Aching for Change: Musculoskeletal Pain in the Operating Theatre Amongst Surgical Trainees

Objectives

Work-related injuries are common among surgeons with up to 70 % being found to report difficulties. Given the extension expected to career longevity for current trainees, injury prevention is more important than ever. However, ergonomics education for surgical trainees in the UK is deficient. We aimed to gauge whether current trainees in Kent, Surrey and Sussex (KSS) experience pain whilst operating and what strategies, if any, they utilise.

Design, setting and participants

A questionnaire was distributed to trainees in the KSS School of Surgery collecting data on pain related to operating and pain management strategies. Participants discussed their experiences of operating-related pain in a focus group.

Results

75 trainees across the KSS region responded. Mean age was 32 years (range 26-42) and median training level was ST4. General surgery (n = 22), orthopaedics (n = 19) and urology (n = 13) were the most prevalent specialties. All trainees reported musculoskeletal pain attributed to operating, with 36 % (n = 27) experiencing pain “frequently” or “always”. 69 % (n = 52) found this pain “sometimes”, “frequently” or “always” distracted them whilst operating. The most common sites for pain were the lower back (73 %), neck (49.3 %), upper back (38.7 %) and shoulders (37.3 %). No participants had received formal ergonomics training and the majority (86.7 %) had not discussed pain with their supervisors. The focus group identified a culture of enduring pain without complaint and a reluctance to discuss it with mentors.

Conclusions

Musculoskeletal pain from operating was found to be a common issue in this cohort with the majority reporting distraction while operating. Ergonomics is not currently addressed by any formal training programmes and we have recommended a regional training initiative for trainees in KSS to address and prevent musculoskeletal injuries.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.