Musculoskeletal Disorders among Resident Doctors: An Occupational Hazard in Tertiary Care Hospitals, Gujarat, India: A Cross-Sectional Study

印度古吉拉特邦三级医院住院医师的肌肉骨骼疾病:一项横断面研究

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Abstract

INTRODUCTION: Resident doctors constitute about one-fourth of hospital workforce. They often face high workload and have potential to develop musculoskeletal disorders (MSDs). Hence, this study was planned to estimate prevalence, pattern, and distribution of MSDs, ergonomic-risk-factors and to document coping mechanisms. METHODOLOGY: This cross-sectional study was conducted among 150 residents from tertiary care hospitals of Gujarat. The sociodemographic and occupational details, risk factors, and various coping mechanisms were captured using semistructured questionnaire (google form). "Standardized-Nordic-Questionnaire" was used to assess MSDs. Data were analyzed using Epi-Info-software Version-7.2.2.6. Logistic regression was applied to identify predictors of MSDs. RESULT: MSD prevalence was 67.8% in the last 12 months of which 56.3% were women. Almost half of residents with MSDs were from 1(st) and 2(nd) year and 70% from clinical branches. Major complaint was pain (51%), stiffness (45%), and tingling/numbness (22.6%). Pain and stiffness were reported in lower back (34%) and neck (27%). On univariate analysis (residency period, working for > 48 hours/week, working for long in same position and working near/more than physical limits and bending/twisting back in awkward way) were self-reported risk factors. Modifying position/stopping and pausing activities were coping mechanisms used by most of residents. On multivariate analysis, 2(nd) year residency, working in same position for long time, working near/more than physical limits and bending/twisting back in awkward way were found independent predictors for MSD. CONCLUSION: Residents especially from clinical branches start developing MSDs at very young age. Provision of ergonomically acceptable workplace and appropriate management MSDs at tertiary care hospitals is required.

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