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评估提供家庭护理的牙医的人体工程学风险
Luís Eduardo Genaro1, Suzely Adas Saliba Moimaz2, Aylton Valsecki Junior3
1Postgraduate Program in Collective Health in Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.
Ergonomics
|March 19, 2025
概括
在家中进行牙科手术的牙医面临肌肉骨系统疾病 (MSD) 的中度至高风险. 像Scaling和Root Planing (SRP) 这样的程序显著增加了MSD风险,尤其是女性牙医.
科学领域:
- 职业健康 职业健康 职业健康
- 人体工程学就是人体工程学.
- 牙科医学 牙科医学
背景情况:
- 家庭牙科护理正在增加,人们对牙科专业人员的人体工程学风险感到担忧.
- 肌肉骨疾病 (MSDs) 在医疗保健工作者中很普遍,但在家庭牙科机构的具体风险不太了解.
研究的目的:
- 评估各种家庭牙科手术的牙医肌肉骨疾病 (MSDs) 的风险.
- 确定与MSD风险增加相关的特定程序和人口因素.
主要方法:
- 对114个家庭牙科手术的图像分析,包括创伤性恢复性治疗 (ART),缩放和根平整 (SRP) 和口腔卫生指导 (OHG).
- 使用快速上肢评估 (RULA) 方法评估工作姿势.
- 进行了统计分析,以确定手术类型,人口因素和MSD风险得分之间的关联.
主要成果:
- 在手腕得分和女性性别 (p=0.001) 之间发现了显著的关联,表明MSD风险中等.
- 规模化和根平化 (SRP) 显示了与手臂 (p=0.009),手腕 (p=0.029),部 (p=0.008) 和腿部 (p=0.012) 风险增加的显著关联.
- SRP与最终的MSD风险分类有显著的联系 (p=0.032),其中25.5%的程序被归类为中度风险,38.7%的程序被归类为高风险,35.8%的程序被归类为非常高风险.
结论:
- 在家提供牙科护理的牙医面临中度至高风险的发展MSDs.
- 牙科手术的类型显著影响MSD风险,其中SRP具有最高风险.
- 对于在家庭护理机构工作的牙医来说,人体工程学干预和风险评估至关重要.
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