BANU DİLEK, Fatih KORKMAZ, Gizem BAŞ, Bilgesu DENİZ, Nurdan YILMAZ, Seher DOĞAN, Duran ADA, Gül ERGÖR, Elif AKALIN

Bir Üniversite Hastanesinde Çalışan Hekimlerde Kas İskelet Sistemi Problemleri ve Yaşam Kalitesinin Değerlendirilmesi

Amaç: Bu çalışmanın amacı hastanemizde çalışan hekimlerde kas iskelet sistemi (KİS) problemleri ve yaşam kalitesini değerlendirmektir. Yöntem ve Gereçler: Çalışmada 120 hekime ulaşıldı. KİS problemleri 30 sorudan oluşan bir anket formu ile, yaşam kalitesi ise Nothingham Sağlık Profili (NSP) ile değerlendirildi. KİS problemlerine yönelik hazırlanan ankette katılımcıların demografik özellikleri, alışkanlıkları, KİS hastalığının varlığı ve lokalizasyonu, ağrı şiddet ve süresi, kronik hastalıkları, travma öyküsü, çalışma koşulları ve psikolojik stres düzeyleri sorgulandı. Bulgular: Katılımcıların 76’sı asistan, 36’ sı öğretim üyesi ve 8’i uzman hekimdi. %47.5 (57)’ inde KİS problemi vardı ve bu problemler en fazla asistan hekimlerdeydi (30). Bu problemlerin lokalizasyonu ağırlıklı olarak boyun %10 (12) ve bel %11.7 (14) deydi. Psikolojik stres düzeyi en fazla asistan hekimlerde saptandı. KİS problemi olan hekimlerle olmayanlar kıyaslandığında KİS problemi olan hekimlerin NSP alt parametrelerinden ağrı, fiziksel aktivite, emosyonel durum puanları, yaş ortalaması ve hizmet yılı anlamlı olarak daha yüksekti. Lojistik regresyon analizinde KİS probleminin oluşmasında yaş, ergonomi ve stres düzeyi en etkili faktörler olarak saptandı. Tartışma ve Sonuç: KİS problemi olan hekimlerde yaşam kalitesi bozulurken ve yaş, ergonomik koşullar, psikolojik stres düzeyi KİS problemi gelişmesinde en etkili faktörlerdir.

Anahtar Kelimeler:

Kas iskelet sistemi problemi, hekim, yaşam kalitesi, ergonomi

Evaluation Of Musculoskeletal Problems And Quality Of Life In Physicians Who Work In A University Hospital

Introduction: The aim of this study was to evaluate the relationship between musculoskeletal system problems and quality of life in physicians at our hospital.Methods: 120 physicians were enrolled the study. Musculoskeletal problems were evaluated a questionnaire consisting of 30 questions and quality of life (QoL) was evaluated by Nottingham Health Profile (NHP). The demographic characteristics of the participants and in the questionnaire musculoskeletal problems, habits, presence and localization of musculoskeletal disease, pain intensity and duration, chronic diseases, history of trauma, working conditions and psychological stress levels have been questioned.Results: 76 assistants, 36 lecturers and 8 specialist were enrolled. 47,5% (57) participants had musculoskeletal problems which more affect assistants (30). Localizations were neck (12,10%) and back respectively (14, 11,7%). Psychological stress levels were found in most physician assistants. When the comparison of physicians with musculoskeletal system problems and without musculoskeletal system problems, mean of age, working year, NSP subparameters in pain, physical activity and emotional condition were significantly in physicians with musculoskeletal problems. In logistic regression analysis; age, ergonomics, level of psychological stress were found the most effective factors.Discussion and Conclusion: It is shown that, musculoskeletal system problems were found quite common in physicians in this study. Existence of musculoskeletal system problems has been shown to be associated with ergonomics, age, pain and psychological stress levels.

Keywords:

Musculoskeletal problems, physician, quality of life, ergonomics,

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Referans1 Smith DR, Wei N, Zhang YJ, Wang RS. Musculoskeletal complaints and psychosocial risk factors among physicians in mainland China. Int J Indus Ergon 2006;36:599–603.
Referans2 Schüldt K, Ekholm J, Harms-Ringdahl K, Németh G, Arborelius UP. Effects of arm support or suspensıon on neck and shoulder muscle activity during sedantary work. Scand J Rehabil Med 1987;19(2): 77-84
Referans3 Aarås A, Westgaard RH, Stranden E. Postural angles as an indicator of postural load and muscular injury in occupational work situations. Ergonomics 1988;31(6):915-933.
Referans4 Kayıhan H ve ark. Büro çalışanlarında çalışma şartlarına bağlı ergonomik risk faktörlerinin değerlendirilmesi. İstanbul M.P.M. Yayınları, 1995;No: 570:369-375.
Referans5 Hengel KM, Visser B, Sluiter JK. The prevalence and incidence of musculoskeletal symptoms among hospital physicians: a systematic review. Int Arch Occup Environ Health 2011;84:115–119.
Referans6 Carlton. RS. The effects of body mechanics instruction on work performance. The American Journal of Occupational Therapy 1987; 41(1):16-20.
Referans7 Grace P. Y. Szeto Æ Pei Ho Æ Albert C. W. Ting Æ, Jensen T. C. Poon Æ Stephen W. K. Cheng Æ Raymond C. C. Tsang. Work-related Musculoskeletal Symptoms in Surgeons. J Occup Rehabil 2009;19:175–184.
Referans8 Holder NI, Clark JM, DiBlasio JM, DiBlasio JM, Hughes CL, Schrpf JW, Harding L, Shepard KF: Cause, prevelance, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants. Phys Ther 1999;79:642-652. Referans9 Evanoff BA, Bohr PC, Wolf LD. Effects of a participatory ergonomics team among hospital orderlies. Am J Ind Med 1999;35(4):358-365.
Referans10 Küçükdeveci AA, McKenna SP, Kutlay S, Gursel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000;23: 31-8.
Referans11 Büker N, Aslan E, Altuğ F, Cavlak U. An Analysis Study of Musculoskeletal Problems in Medical Doctors. Dumlupınar Üniversitesi Fen Bilimleri Enstitüsü Dergisi 2006;10:163-170.
Referans12 Herman H. Postural and motor strain at video display terminal. Advances in Applied Ergonomics. Özok AF. Solvendy G (Ed). USA Publishing Proceedings of the 1st International Conference on Applied Ergonomics (ICAE’96). İstanbul. Turkey. 1996; May 21-24: 221-226.
Referans13 Başkurt F, Başkurt Z, Gelecek N. Prevalence of self-reported musculoskeletal symptoms in teachers. Sağlık Bilimleri Enstitüsü Dergisi 2011;2:58-64.
Referans14 WHO the world health report 2002: Reducing risks,promoting healty life, World health organization. Geneva; 2002 P.12.
Referans15 İnce S. Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesinde Çalışanların İş Doyum Düzeyleri. Bilim Uzmanlığı Tezi. Hacettepe Üniversitesi. Sağlık Bilimleri Enstitüsü. Ankara; 2005; p.15
Referans16 Bryant C, Fairbrother G, Fenton P. The Relative Influence of Personal and Workplace Descriptors on Stress. British Journal of Nursing 2000;9(13): 876-880.