medlitГигиена и санитарияHygiene and Sanitation0016-99002412-0650Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0016-9900-2024-103-1-31-37czcqxpmedlit-3685Research ArticleМЕДИЦИНА ТРУДАOCCUPATIONAL HEALTHПрофессиональные заболевания опорно-двигательного аппарата и оценка эргономических рисков у рентгенологов и гастроэнтерологов с использованием метода оценки эргономических рисков на рабочем местеWork-related musculoskeletal disorders and ergonomic risk assessment among radiologists and gastroenterologists using the workplace ergonomic risk assessment methodhttps://orcid.org/0000-0002-2141-5841Кабир-МокамельхаЭлахеKabir-MokamelkhahElaheh

Доцент, Научно-исследовательский центр медицины труда, отделение медицины труда, медицинский факультет Иранского университета медицинских наук, Тегеран, Иран

Scopus Author ID: 56120964900

e-mail: kabir.e@iums.ac.ir

Associated professor, Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Scopus Author ID: 56120964900

e-mail: kabir.e@iums.ac.ir

kabir.e@iums.ac.irhttps://orcid.org/0000-0003-4329-1541АгхилинеджадМашаллахAghilinejadMashallah

Профессор, Научно-исследовательский центр медицины труда, отделение медицины труда, медицинский факультет Иранского университета медицинских наук, Тегеран, Иран

e-mail: aghilinejad.m@iums.ac.ir

Professor, Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

e-mail: aghilinejad.m@iums.ac.ir

noemail@neicon.ruhttps://orcid.org/0000-0002-1818-5360ДехгханНасерDehghanNaser

Канд. наук, Научно-исследовательский центр медицины труда, отделение медицины труда, медицинский факультет Иранского университета медицинских наук, Тегеран, Иран

Scopus Author ID: 55747756700

e-mail: dehghan.naser@gmail.com

PHD, Occupational Medicine Research Center, Iran University of Medical Sciences, Tehran, Iran

Scopus Author ID: 55747756700

e-mail: dehghan.naser@gmail.com

noemail@neicon.ruhttps://orcid.org/0009-0003-8352-0529СанатиПардисSanatiPardis

Научно-исследовательский центр медицины труда, отделение медицины труда, медицинский факультет Иранского университета медицинских наук, Тегеран, Иран

e-mail: dr.pardissanati@gmail.com

MD, Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

e-mail: dr.pardissanati@gmail.com

noemail@neicon.ruhttps://orcid.org/0000-0002-0443-4717ХоссейнинеджадМахинHosseininejadMahin

Доцент, Научно-исследовательский центр медицины труда, медицинский факультет Иранского университета медицинских наук, Тегеран, Иран

Scopus Author ID: 57211712285

e-mail: hoseininejad.m@iums.ac.ir

Assistant professor, occupational medicine research center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Scopus Author ID: 57211712285

e-mail: hoseininejad.m@iums.ac.ir

noemail@neicon.ruНаучно-исследовательский Центр медицины труда, отделение медицины труда, медицинский факультет Иранского университета медицинских наукИранOccupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical SciencesIslamic Republic of Iran20241202202410313137Copyright © Кабир-Мокамельха Э., Агхилинеджад М., Дехгхан Н., Санати П., Хоссейнинеджад М., 20242024Кабир-Мокамельха Э., Агхилинеджад М., Дехгхан Н., Санати П., Хоссейнинеджад М.Kabir-Mokamelkhah E., Aghilinejad M., Dehghan N., Sanati P., Hosseininejad M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rjhas.ru/jour/article/view/3685Введение

Введение. Факторы эргономических рисков на рабочем месте у гастроэнтерологов и радиологов создают угрозу заболеваний опорно-двигательного аппарата (ПЗОДА).

Цель исследования — сравнить заболеваемость с поражением опорно-двигательного аппарата и эргономические факторы риска у врачей этих специальностей.

Материалы и методы

Материалы и методы. В этом дескриптивном исследовании были обследованы 360 врачей (рентгенологов и гастроэнтерологов) в 5 университетских клиниках Тегерана. Частоту симптомов поражения опорно-двигательного аппарата определяли по Скандинавскому опроснику о состоянии опорно-двигательного аппарата. Метод оценки эргономического риска на рабочем месте (ОЭРРМ) использовали для определения и оценки эргономических факторов риска у каждого врача. На завершающем этапе распространённость поражений опорно-двигательного аппарата у врачей из двух групп сравнили с использованием статистических тестов.

Результаты

Результаты. У радиологов частота болей в плечах (70 и 36,66%, OШ = 4,03 (2,59–6,25), p < 0,001) и в руках (45 и 30%, ОШ = 2,78 (1,80–4,31), p < 0,001) было значительно выше, чем у гастроэнтерологов. Напротив, у гастроэнтерологов боль в верхних (65 и 38,33%, OШ = 2,98 (1,94–4,58), p < 0,001) и нижних отделах позвоночника (67,2 и 49,44%, OШ = 2,55 (2,06–3,17), p < 0,001) отмечалась значительно чаще, чем у радиологов. У радиологов средняя итоговая оценка ОЭРРМ, оценка состояния нижних конечностей, оценка энергетических затрат, стресс при контакте и продолжительность нагрузки были выше, чем у гастроэнтерологов, у последних оценка нагрузки на позвоночник была выше, чем у радиологов (p < 0,05).

Ограничение исследования

Ограничение исследования. В этом исследовании психологические факторы, влияющие на состояние опорно-двигательного аппарата, не исследовались.

Заключение

Заключение. У радиологов частота поражений опорно-двигательного аппарата (боль в плечах и руках) была выше, чем у гастроэнтерологов (верхний и нижний отделы позвоночника). С учётом влияния эргономических факторов риска на эти нарушения на рабочем месте представляется целесообразным разработать эргономические меры для снижения факторов риска профессиональной деятельности.

Соблюдение этических стандартов. Протокол исследования был утверждён Этическим комитетом Иранского университета медицинских наук и здравоохранения (Код: IR.IUMS.FMD.REC.1398.060).

Участие авторов

Участие авторов:Кабир-Мокамельха Э. — концепция и дизайн исследования, анализ и интерпретация, написание и редактирование текста;Агхилинеджад M. — концепция и дизайн исследования, написание текста;Дехгхан Н. — сбор и обработка данных, написание текста;Санати П. — сбор и обработка данных, написание текста;Хоссейнинеджад M. — анализ и интерпретация, написание и редактирование текста.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Поступила

Поступила: 12.10.2023 / Принята к печати: 28.12.2023 / Опубликована: 31.01.2024

Background

Background. Ergonomic risk factors in the workplace expose gastroenterologists and radiologists to Work-related Musculoskeletal Disorders (WRMSDs). This study aims to compare the frequency of musculoskeletal disorders and ergonomic risk factors in these two groups of physicians.

Materials and methods

Materials and methods. This descriptive study was conducted on 360 physicians (radiologists and gastroenterologists) at the 5 University and teaching hospitals in Tehran. The prevalence of musculoskeletal symptoms was detected using the Nordic Musculoskeletal Questionnaire. The Workplace Ergonomic Risk Assessment (WERA) method was used to estimate and evaluate the ergonomic risk factors in each physician. Finally, the frequency of musculoskeletal disorders was compared between the two groups using statistical tests.

Results

Results. The prevalence of shoulder (70% vs 36.66%; OR=4.03 (2.59–6.25); p<0.001) and hand pain (45% vs 30%; OR=2.78 (1.80–4.31); p<0.001) among radiologists was significantly higher than that among gastroenterologists. In contrast, gastroenterologists had a significantly higher prevalence of upper (65% vs 38.33%; OR=2.98 (1.94–4.58); p<0.001) and lower back pain (67.2% vs 49.44%; OR=2.55 (2.06–3.17); p<0.001) than radiologists. The mean WERA final score, the leg score, forceful score, contact stress, and task duration in radiologists were higher than that of gastroenterologists and the back score in gastroenterologists was higher than radiologists (p<0.05).

Limitations

Limitations. In this study, the psychological factors affecting musculoskeletal disorders have not been investigated.

Conclusion

Conclusion. WRMSDs had a relatively high prevalence among radiologists (shoulder and hand pain) and gastroenterologists (upper and lower back). Due to the impact of ergonomic risk factors on these disorders in the workplace, ergonomic interventions should be implemented to reduce these risk factors in occupational settings.

Compliance with ethical standards. The study protocol was reviewed and approved by ethical committee of the Iran University of Medical Sciences and Health Services (code: IR.IUMS.FMD.REC.1398.060.)

Contributions

Contributions:Kabir-Mokamelkhah E. — research concept and design, analysis and interpretation, writing the text, editing the text;Aghilinejad M. — research concept and design, writing the text;Dehghan N. — data collection or processing, writing the text;Sanati P. — data collection or processing, writing the text;Hosseininejad M. — analysis and interpretation, writing the text, editing the text.

Acknowledgments

Acknowledgments. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflicts of interest.

Received

Received: October 12, 2023 / Accepted: December 28, 2023 / Published: January 31, 2023

 

 

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The authors declare that there are no conflicts of interest present.