摘要
研究背景:肌肉疾病在醫護人員中是一種常見的健康問題,而由於牙科治療的特殊性,牙科醫師必須持續的維持著固定的姿勢,來進行精細的治療動作,所以對於肌肉的負擔比一般醫療人員來的大,肌肉不適的症狀比其他科別的醫師來的更常見。本次研究主要是探討牙醫師肌肉疼痛的情況,並找出與肌肉疼痛相關因素。 研究方法:本研究採橫斷式研究,以問卷訪查高雄市一般開業診所之牙醫師346人,問卷採用一般調查肌肉疼痛常用的NMQ(Nordic Musculoskeletal Questionaire)加以修改而成,主要內容包括四大項:基本資料、看診姿勢、疼痛情況及疼痛影響。 結果討論:問卷調查結果中,牙醫師在頸(46.9%)、肩(50.5%)、背部(45%)均有相當高的疼痛比率,各部位疼痛頻率以偶爾(次/週)為最多;在疼痛程度方面以輕度到中度占了大部分。各變項和疼痛相關因素探討中發現,牙醫師肌肉疼痛會因性別、年齡、工作年數、看診姿勢和助手類型而有差異。 性別方面:女性牙醫師比男性來的高。 年齡及工作年數方面:高年齡及高工作年數的牙醫師,發生疼痛的 比率較低年齡低工作年數的低。 看診姿勢方面:頸、背部脊椎有彎曲的牙醫師疼痛比例也比較高。 助手類型方面:牙科助理能減輕牙醫師左肩及上背部的疼痛。 爲了減輕牙醫師肌肉疼痛發生機會,建議牙醫師在工作時保持正確姿勢,提升工作助手的效率,平時多做運動注意飲食,保持身體的健康。
並列摘要
Muscular pain is a very common health problem among medical professionals, particularly dentists. Modern dentistry requires dentists to do sophisticated procedures which require certain postures that could tense certain muscles and lead to higher rate of muscular pain much higher than that of other health professionals. The main purpose of the study was to investigate the factors of the muscular pain and the condition of the muscular pain among the dentists. The study adopted (used) cross-sectional study with revised NMQ (Nordic Musculoskeletal Questionnaire) based on the sample of 346 dentists in Kaohsiung,Taiwan.The content mainly includes four items: Basic (personal) information, the posture of the dental treatment, the condition of the muscular pain and the effect of the muscular pain. The result of the surveys (interviews/questionnaires) showed the ache proportion of the shoulder, neck and the back were 50.0 %, 46.9 %, 45 % respectively. The frequency of each portion of the body appeared mostly is ‘occasion’ (time/week); the degree of the ache mostly fall in between light to medium. Findings from the variables and the factors of the ache showed that the muscular pain of dentists were different according to the gender, age, working years, posture of the dental treatment and assistant numbers: (1)gender: the pain happened to female dentists more than male dentists. (2)age: the older the dentists, the less proportion of pain happened to them. (3)posture: the proportion of the pain was higher if their neck and back bend. (4)number of assistants:dental assistants could help dentists to alleviate the pain of left shoulder and the upper back. In order to alleviate the muscular pain occuring in the practice of dentistry,dentists are advised to use appropriate postures during treatment, have assistants, exercise regularly and have a healthy diet.