DETERMINATION OF CAUSALITY OF OPERATING ROOM EMPLOYEE’S BETWEEN MUSCULOSKELETAL DISORDERS AND BİOMECHANİCAL ERGONOMİC RİSKS
Abstract
Objective: This study is a study to investigate the causality of operating room employee’s musculoskeletal disorders with biomechanical ergonomic risks reported by subject employees.
Method: This sectional descriptive study involved operating room employee (surgeons, surgery assistants, anesthesia specialists, anesthesia assistants, operating room nurses, and anesthesia technicians) working at two training and reaserch hospitals and two state hospitals in Black Sea Region. The data were collected by the researcher using a data collection form prepared in accordance with the literature review and face-to-face interview technique with the Cornell Musculoskeletal System Discomfort Scale.
Results: When the standpoint to screen was evaluated, it was found that 61.83% percent of the operating room workers mostly look the screen with the angle up of 45 degrees which is not ergonomic and the heights of 58.09% percent of used screens are immobilized. It was founded that nurses had more neck pain because the height of the nurses was 12 cm shorter than the surgeons and 7 cm shorter than the anesthesiologists and the monitor heights were not adjustable to meet the needs of the whole team. Biomechanical risks were associated with work-related musculoskeletal disorders. It was observed that, nurses were found to have higher pain in the body part than the anesthetists and surgeons in the Cornell Musculoskeletal System Discomfort Scale. It was found that operating room nurses’ the most painful region is their neck region (69.23%) while surgeons’ (55.86%) and the anesthetists’ (62.67%) the most painful region is waist region.
Conclusion: It was observed that the operating room environment included biomechanical ergonomic risks in terms of the employees and that the risks in the operating room environment had negative effects especially on the musculoskeletal system. It was concluded that ergonomic working environment could be provided to reduce the ergonomic risks for the operating room employees.
Keywords: Operating room ergonomic, Biomechanical risks, Musculoskeletal disorders, Musculoskeletal disorders related to work
Keywords
Operating room ergonomic Biomechanical risks Musculoskeletal disorders Musculoskeletal disorders related to work
References
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- 2.Atıcı H, Gönen D, Oral A. Çalışanlarda zorlanmayaneden olan duruşların REBA yöntemi ile ergonomikanalizi. SDÜ Mühendislik Bilimleri ve Tasarım Dergisi2015; 3 (3): 239-244.
- 3.Choobineh A, Movahed M, Tabatabaie SH,Kumashiro M. Perceived demands and musculoskeletaldisorders in operating room nurses of Shiraz cityhospitals. Ind Health 2010; 48 (1): 74-84.
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- 5.El Ata GA, El Desouky S, Manawil M, Khalifa E.Assessment of work- related musculoskeletalsymptoms in operation room nurses. Current ScienceInternational 2016; 5(2): 215-222.
- 6.Erdemir, F., & Eldem, C. (2020). Bir dökümatölyesindeki çalışma duruşlarının dijital insanmodelleme tabanlı REBA yöntemi ile ergonomikanalizi. Politeknik Dergisi, 23(2), 435-443.
- 7.Gu, J., Ni, J., Ma, Y., Xiong, Y., & Zhou, J. (2023). Theheight of the operating table affects the performanceof residents in combined spinal and epiduralanesthesia training by affecting the vision of thepuncture needle: a randomized controlled trial. BMCanesthesiology, 23(1), 28.https://doi.org/10.1186/s12871-023-01985-6
- 8.Gürüler H, Ayvaz U. Ergonomik bilgisayar kullanımınayönlendiren bir asistan sistem tasarımı. GU J Sci 2017;5 (4): 99-107.
- 9.Güven EO, Akyol TN. Laparaskopik cerrahi veergonomi. Endoüroloji Bülteni 2014; 7: 115-118.
- 10.Jaromi M, Nemeth A, Kranicz J, Laczko T, BetlehemJ.Treatment and ergonomics training of work-relatedlower back pain and body posture problems for nurses.Journal of Clinical Nursing 2012; 21: 1776-1784.
- 11.Kandemir, D., Karaman, A., Uğraş, G. A., & Öztekin,S.D. (2019). Ameliyathane Hemşirelerinde Kas İskeletSistemi Ağrılarının İncelenmesi. Journal of Education &Research in Nursing/Hemşirelikte Eğitim ve AraştırmaDergisi, 16(1).
- 12.Khansa I, Khansa L, Westvik TS, Ahmad J, Lista F.Work-related musculoskeletal injuries in plasticsurgeons in the United States Canada and Norway.American Society of Plastic Surgeons 2018; 141 (1):165-175.
- 13.Macorra MZ, Bernal AR, Alcantara SM.Musculoskeletal disorders and occupational demandsin nurses at a tertiary care hospital in Mexico City. JNurse Manag 2019; 27: 1084-1090.
- 14.Milhem M, Kalichman L, Ezra D, Najenson DA.Work-related musculoskeletal disorders among phsicaltherapists: a comprehensive narrative review. Int JOccup Med Environ Health 2016; 29 (5): 735-747.
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- 16.Özşaker, E. (2018). Ameliyathanede ErgonomikFaktörler ve Çalışan Güvenliği . Sağlık Bilimleri veMeslekleri Dergisi , 5 (3) , 476-484 . DOI:10.17681/hsp.369138
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- 19.Sohn HM, Kim H, Hong JP, Lee KM, Kim J. Higheroperating for optimal needle-entry angle and lessdiscomfort during spinal anesthesia. RegionalAnesthesia and Acute Pain Medicine 2018; 126 (4):1349-1352.
- 20.Sun C, Buchholz B, Quinn M, Punnett L, Galligan C,Gore R. Ergonomic evaluation of slide boards used byhome care aides to assist client transfers. Ergonomics2018; 61 (7): 913-922.
- 21.Thuy-Van TH, Chelsea SH, Kevin JS, Shannon MK.Work-related musculoskeletal symptoms amongotolaryngologists by subspecialty: a national survey.Laryngoscope 2018; 128: 632-640.
- 22.Tjiam IM, Goossens RH, Svhout BM, Koldewijn EL,Hendrikx AJ, Mujitjens AM et all. Ergonomics inendourology and laporoscopy: an overview ofmusculoskeletal problems in urology. J Endourol 2014;28 (5): 605-611.
- 23.Voss RK, Chiang YJ, Cromwell KD, Urbauer DL, LeeJE, Cormier JN, et al. Do no harm, except to ourselves?A survey of symptoms and injuries in oncologicsurgeons and pilot study of an intraoperativeergonomic intervention. J Am Coll Surg 2017; 224(1):16-25.
- 24.Vural F, Sutsunbuloglu E. Ergonomics: an importantfactor in the operating room. Journal of PerioperativePractice 2016; 26:(7-8): 175- 179.
- 25.Yavuz Van Gıersbergen M. Ameliyathanelerdeçevre güvenliği. Yavuz van Gıersbergen M, Kaymakçı Ş.Eds. 1. Baskı, İzmir, Meta Basım Matbaacılık 2015: 209-211.
- 26.Winters, J. N., Sommer, N. Z., Romanelli, M. R.,Marschik, C., Hulcher, L., & Cutler, B. J. (2020).Stretching and Strength Training to Improve PosturalErgonomics and Endurance in the OperatingRoom. Plastic and reconstructive surgery. Global open, 8(5), e2810. https://doi.org/10.1097/GOX.0000000000002810
AMELİYATHANE ÇALIŞANLARINDA BİYOMEKANİK ERGONOMİK RİSKLER İLE KAS İSKELET RAHATSIZLIKLARI ARASINDA NEDENSELLİĞİN BELİRLENMESİ
Abstract
Amaç: Bu çalışma ameliyathane çalışanları tarafından bildirilen biyomekanik ergonomik risklerin, çalışanların kas-iskelet rahatsızlıkları ile arasındaki nedenselliği incelemek amacıyla yapıldı.
Yöntem: Kesitsel tanımlayıcı tipteki çalışma, karadeniz bölgesinde bulunan iki eğitim ve araştırma hastanesi ve iki devlet hastanesi ameliyathanelerinde çalışanlar (hekim, hemşire, tekniker/teknisyenler) ile gerçekleştirildi. Veriler araştırmacı tarafından literatür taraması doğrultusunda oluşturulan veri toplama formu ve Cornell Kas-İskelet Sistemi Rahatsızlık Ölçeği ile yüz yüze görüşülerek toplandı.
Bulgular: Ameliyathane çalışanlarının ekrana bakış açıları incelendiğinde; çalışanların (%61.83) daha çok ergonomik olmayan 45˚ yukarı açısıyla ekrana baktığı ve kullanılan ekranın yüksekliğinin (%58.09) sabit olup ayarlanamadığı bulundu. Hemşirelerin boyunun cerrahlardan 12 cm, anestezistlerden 7 cm daha kısa olması, monitör yüksekliklerinin ekibin tümünün ihtiyaçlarını karşılayacak nitelikte ayarlanabilir olmaması nedeniyle hemşirelerin daha fazla boyun ağrısı yaşadığı (p<0.05) saptandı. Biyomekanik riskler ile işle ilişkili kas-iskelet rahatsızlıkları ilişkili bulundu. Cornell Kas-İskelet Sistemi Rahatsızlıkları Ölçeği’nde hemşirelerin, anestezistlere ve cerrahlara oranla daha fazla vücut bölümünde yüksek ağrı yaşadığı görüldü. Ameliyathane hemşirelerinin en çok ağrı yaşadığı vücut bölgesi boyun (%69.23) iken cerrahlarda (%55.86) ve anestezistlerde (%62.67) bel ağrısı olduğu saptandı.
Sonuç: Ameliyathane ortamının çalışanlar açısından biyomekanik ergonomik riskler içerdiği, bu risklerin ameliyathane çalışanlarının özellikle kas-iskelet sistemi üzerine olumsuz etkilerinin olduğu görüldü. Çalışma ortamında biyomekanik ergonominin sağlanması çalışanlarda kas-iskelet sistemi rahatsızlıklarının gelişimini azaltacağı düşünüldü.
Keywords
Ameliyathane ergonomisi Biyomekanik risk Kas-iskelet rahatsızlığı İşle ilişkili kas-iskelet rahatsızlığı
References
- 1.Abdollahzade F, Mohammadi F, Dianat I, Asghari E,Asghari-Jafarabadi M, Sokhanvar Z. Working postureand its predictors in hospital operating room nurses.Health Promot Perspect 2016; 6 (1):17-22.
- 2.Atıcı H, Gönen D, Oral A. Çalışanlarda zorlanmayaneden olan duruşların REBA yöntemi ile ergonomikanalizi. SDÜ Mühendislik Bilimleri ve Tasarım Dergisi2015; 3 (3): 239-244.
- 3.Choobineh A, Movahed M, Tabatabaie SH,Kumashiro M. Perceived demands and musculoskeletaldisorders in operating room nurses of Shiraz cityhospitals. Ind Health 2010; 48 (1): 74-84.
- 4.De Sio S, Traversini V, Rinaldo F, Colasanti V,Buomprisco G, Perri R and et al. Ergonomic risk andpreventive measures of musculoskeletal disorders inthe dentistry environment: an umbrella review. PeerJ2018; 6: e4154.
- 5.El Ata GA, El Desouky S, Manawil M, Khalifa E.Assessment of work- related musculoskeletalsymptoms in operation room nurses. Current ScienceInternational 2016; 5(2): 215-222.
- 6.Erdemir, F., & Eldem, C. (2020). Bir dökümatölyesindeki çalışma duruşlarının dijital insanmodelleme tabanlı REBA yöntemi ile ergonomikanalizi. Politeknik Dergisi, 23(2), 435-443.
- 7.Gu, J., Ni, J., Ma, Y., Xiong, Y., & Zhou, J. (2023). Theheight of the operating table affects the performanceof residents in combined spinal and epiduralanesthesia training by affecting the vision of thepuncture needle: a randomized controlled trial. BMCanesthesiology, 23(1), 28.https://doi.org/10.1186/s12871-023-01985-6
- 8.Gürüler H, Ayvaz U. Ergonomik bilgisayar kullanımınayönlendiren bir asistan sistem tasarımı. GU J Sci 2017;5 (4): 99-107.
- 9.Güven EO, Akyol TN. Laparaskopik cerrahi veergonomi. Endoüroloji Bülteni 2014; 7: 115-118.
- 10.Jaromi M, Nemeth A, Kranicz J, Laczko T, BetlehemJ.Treatment and ergonomics training of work-relatedlower back pain and body posture problems for nurses.Journal of Clinical Nursing 2012; 21: 1776-1784.
- 11.Kandemir, D., Karaman, A., Uğraş, G. A., & Öztekin,S.D. (2019). Ameliyathane Hemşirelerinde Kas İskeletSistemi Ağrılarının İncelenmesi. Journal of Education &Research in Nursing/Hemşirelikte Eğitim ve AraştırmaDergisi, 16(1).
- 12.Khansa I, Khansa L, Westvik TS, Ahmad J, Lista F.Work-related musculoskeletal injuries in plasticsurgeons in the United States Canada and Norway.American Society of Plastic Surgeons 2018; 141 (1):165-175.
- 13.Macorra MZ, Bernal AR, Alcantara SM.Musculoskeletal disorders and occupational demandsin nurses at a tertiary care hospital in Mexico City. JNurse Manag 2019; 27: 1084-1090.
- 14.Milhem M, Kalichman L, Ezra D, Najenson DA.Work-related musculoskeletal disorders among phsicaltherapists: a comprehensive narrative review. Int JOccup Med Environ Health 2016; 29 (5): 735-747.
- 15.Moazzami Z, Dehdari T, Taghdisi MH, Soltanian A.Effect of an ergonomics-based educationalıntervention based on transtheoretical model inadopting correct body posture among operating roomnurses. Global Journal of Health Science 2016; 8(7): 26-34.
- 16.Özşaker, E. (2018). Ameliyathanede ErgonomikFaktörler ve Çalışan Güvenliği . Sağlık Bilimleri veMeslekleri Dergisi , 5 (3) , 476-484 . DOI:10.17681/hsp.369138
- 17.Passali C, Maniopoulou D, Apostokalis I, Varlamis I.Work-related musculoskeletal disorders among Greekhospital nursing professionals: a cross-sectionalobservational study. Work 2018; 61(3): 489-498.
- 18.Pekpazar, İ. (2021). Cerrahi hemşirelerinde kasiskelet sistemi rahatsızlıkları ve yaşam kalitesiarasındaki ilişkinin incelenmesi (Master's thesis, Ege Üniversitesi, Sağlık Bilimleri Enstitüsü).
- 19.Sohn HM, Kim H, Hong JP, Lee KM, Kim J. Higheroperating for optimal needle-entry angle and lessdiscomfort during spinal anesthesia. RegionalAnesthesia and Acute Pain Medicine 2018; 126 (4):1349-1352.
- 20.Sun C, Buchholz B, Quinn M, Punnett L, Galligan C,Gore R. Ergonomic evaluation of slide boards used byhome care aides to assist client transfers. Ergonomics2018; 61 (7): 913-922.
- 21.Thuy-Van TH, Chelsea SH, Kevin JS, Shannon MK.Work-related musculoskeletal symptoms amongotolaryngologists by subspecialty: a national survey.Laryngoscope 2018; 128: 632-640.
- 22.Tjiam IM, Goossens RH, Svhout BM, Koldewijn EL,Hendrikx AJ, Mujitjens AM et all. Ergonomics inendourology and laporoscopy: an overview ofmusculoskeletal problems in urology. J Endourol 2014;28 (5): 605-611.
- 23.Voss RK, Chiang YJ, Cromwell KD, Urbauer DL, LeeJE, Cormier JN, et al. Do no harm, except to ourselves?A survey of symptoms and injuries in oncologicsurgeons and pilot study of an intraoperativeergonomic intervention. J Am Coll Surg 2017; 224(1):16-25.
- 24.Vural F, Sutsunbuloglu E. Ergonomics: an importantfactor in the operating room. Journal of PerioperativePractice 2016; 26:(7-8): 175- 179.
- 25.Yavuz Van Gıersbergen M. Ameliyathanelerdeçevre güvenliği. Yavuz van Gıersbergen M, Kaymakçı Ş.Eds. 1. Baskı, İzmir, Meta Basım Matbaacılık 2015: 209-211.
- 26.Winters, J. N., Sommer, N. Z., Romanelli, M. R.,Marschik, C., Hulcher, L., & Cutler, B. J. (2020).Stretching and Strength Training to Improve PosturalErgonomics and Endurance in the OperatingRoom. Plastic and reconstructive surgery. Global open, 8(5), e2810. https://doi.org/10.1097/GOX.0000000000002810
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgical Diseases Nursing |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | December 1, 2023 |
| Published in Issue | Year 2023 Volume: 2 Issue: 2 |