The impact of intraoperative microbreaks with exercises on surgeons: A multi-center cohort study

The impact of intraoperative microbreaks with exercises on surgeons: A multi-center cohort study
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DOI:
10.1016/j.apergo.2016.12.006
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发表时间:
2017-04-01
期刊:
影响因子:
3.2
通讯作者:
Park, A. E.
Park, A. E.
中科院分区:
工程技术2区
文献类型:
--
作者:
Hallbeck, M. S.;Lowndes, B. R.;Park, A. E.

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最近的文献已经证明了手术室中对外科医生的人体工程学风险。在其他行业中使用的减轻这些人体工程学风险的一种方法是加入微裂缝。因此,在非交叉设计中研究了术中微断裂与运动。来自4个医疗中心的五十六名主治外科医生首先在常规手术的第一天自愿参加,然后在第二天进行微休息,可以在无菌区进行练习,在每个病例后回答问题,而不会显著增加手术的持续时间。外科医生自我报告在手术当天结合微休息和锻炼的精神焦点(88%)和身体表现(100%)有所改善或无变化。肩部的不适感显著降低,而分心和流量影响最小。87%的外科医生希望将微断裂与锻炼结合到他们的手术室常规中。术中微休息与锻炼可能是减轻与工作相关的肌肉骨骼疲劳、疼痛和损伤的一种方法。(C)2016作者爱思唯尔有限公司出版
Recent literature has demonstrated ergonomic risk to surgeons in the operating room. One method used in other industries to mitigate these ergonomic risks is the incorporation of microbreaks. Thus, intraoperative microbreaks with exercises in a non-crossover design were studied. Fifty-six attending surgeons from 4 Medical Centers volunteered first in a day of their regular surgeries and then second day where there were microbreaks with exercises that could be performed in the sterile field, answering questions after each case, without significantly increasing the duration of their surgeries. Surgeons self reported improvement or no change in their mental focus (88%) and physical performance (100%) for the surgical day incorporating microbreaks with exercises. Discomfort in the shoulders was significantly reduced while distractions and flow impact was minimal. Eighty-seven percent of the surgeons wanted to incorporate the microbreaks with exercises into their OR routine. Intraoperative microbreaks with exercises may be a way to mitigate work-related musculoskeletal fatigue, pain and injury. (C) 2016 The Authors. Published by Elsevier Ltd.