Surgeon´s Work: Risk Factors and Effects on Health
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Date
2021
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Journal Title
Journal ISSN
Volume Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
IEVADS: Ķirurga ikdiena ir pilna ar potenciāliem veselības apdraudējumiem.
Pieaugot zinātnisko pētījumu skaitam, šai profesijai tiek atklāts ievērojams daudzums arodrisku. Ir svarīgi informēt par fiziskiem, ķīmiskiem un psihosociāliem riskiem, kuriem ķirurgi tiek pakļauti katru dienu, jo no viņiem tiek sagaidīts augstākā līmeņa darba kvalitāte. Ir nepieciešams pilnīgs pārskats par dažādiem šīs tēmas aspektiem.
MĒRĶIS: Apkopojiet sistemātisku pārskatu par būtiskākajiem riska faktoriem un arodrisku, kas potenciāli apdraud ķirurga veselību, vienlaikus mēģinot atrast praktiskus preventīvus pasākumus un sasniedzamus drošības inovācijas.
METODOLOĢIJA: Šis zinātniskais darbs tika veidots kā literatūras apskats, izmantojot informāciju, kas ir atrodama arhīvos, žurnālos, likumdošanas tekstos, publikācijās un pētnieciskajos darbos, kas atrodami tiešsaistē. Šajā darbā izmantotie materiāli ir nākuši no Eiropas, Ziemeļamerikas, Āzijas un Tuvo Austrumu reģioniem. Kā informācijas avots galvenokārt tika izmantota pētījumu platforma “PubMed”.
GALVENIE REZULTĀTI: Netiek pietiekami ziņots par gadījumiem, kad ir izveidojusies saskarsme ar asinīm vai ķermeņa šķidrumiem, taču vakcinēšanās, dubultu cimdu un briļļu valkāšana var samazināt risku inficēties ar nopietnām slimībām. Ķirurgi ir pakļauti trokšņa izraisīta dzirdes zuduma riskam, it īpaši, ja viņi tiek pastāvīgi pakļauti troksnim (šobrīd ir arī vispārīgs preventīvo pasākumu iztrūkums). Jaunāko paaudžu fluoroskopu izstrāde ir rezultējusies ar pastiprinātu ķirurgu pakļaušanu radiācijai. Pat tad, ja ir iztrūkums ilgtermiņa radiācijas pētījumos, par noderīgām preventīvām pasākumiem ir uzskatāmas aizsargājošu apģērbu ar svinu (piemēram, priekšautu un briļļu) valkāšana, kā arī palielināta redzamība un izglītošana par radiāciju. Vairums ķirurgu izjūt muskuļu-skeleta sāpes. Mūsdienīgas operācijas, kurās tiek izmantoti roboti, fiziskā aktivitāte un fizioterapija ir noderīgi risinājumi. Ķirurģiskajos dūmos var būt dažādas baktērijas un vīrusi, tādēļ ir ieteicams lietot N95 maskas un pastāvīgi izmantot vietējo izplūdes ventilāciju. Pieaugot stresa un izdegšanas sindroma gadījumiem un to negatīvajai ietekmei, ārstu apmācībā būtu vairāk jāaptver šīs tēmas un sevis apzināšanos.
SECINĀJUMI: Katrā apakšnozarē ir izteikti fiziskie, ķīmiskie un psihosociālie riski. Smaga nasta tiek uzkrauta uz ķirurgu fizisko, emocionālo un garīgo veselību. Apzināšanās un izglītība ir stūrakmeņi, lai atbalstītu veselīgu privāto dzīvi un darba vidi.
BACKGROUND: The surgeon's daily routine is filled with potential health hazards. While new scientific research is emerging, a great amount of occupational risk factors is discovered. It is important to elaborate on the accidental, physical, chemical, and psychosocial threats to surgeons while they are expected to perform at their highest level every day. There is an imminent need for a conclusive overview of the various aspects of this topic. AIM: To compile a systematic overview of the most significant risk factors and occupational hazards representing a potential danger to the surgeon's health while attempting to find practical preventive measures and achievable safety innovations. METHODOLOGY: This scientific thesis was created as a literature review from material found in archives, journals, legislative texts, publications, and scientific research papers found online. The utilized materials originated from Europe, North America, Asia, and the Middle East. Mostly, the research platform PubMed served as an information source. KEY RESULTS: Blood and body fluid exposures are underreported, but vaccinations, double-gloving, and the use of glasses can lower the risk of contracting a serious illness. Surgeons are at risk of developing noise-induced hearing loss especially following chronic noise exposure, while there is a general lack of preventive measures. The development of new fluoroscopes led to increased exposure to the surgeon. Although sufficient long-term radiation studies are scarce, leaded apparel (e.g., aprons and glasses), increased awareness, and education regarding radiation is helpful. Most surgeons experience musculoskeletal pain. However, modern robotic-assisted surgeries, physical activity, and physiotherapy are beneficial. Various bacteria and viruses can be contained in surgical smoke. The use of N95 masks and constant application of LEV's is favorable. While the incidence and negative effects of stress and burnout syndrome are rising, more education and self-awareness should be included in a physician's training. CONCLUSIONS: Physical, accidental, chemical, and psychosocial hazards are pronounced in each sub-specialty. An extensive burden is established upon the surgeon's physical, emotional, and mental health. Awareness and education are the cornerstones of supporting a healthy personal life and work environment.
BACKGROUND: The surgeon's daily routine is filled with potential health hazards. While new scientific research is emerging, a great amount of occupational risk factors is discovered. It is important to elaborate on the accidental, physical, chemical, and psychosocial threats to surgeons while they are expected to perform at their highest level every day. There is an imminent need for a conclusive overview of the various aspects of this topic. AIM: To compile a systematic overview of the most significant risk factors and occupational hazards representing a potential danger to the surgeon's health while attempting to find practical preventive measures and achievable safety innovations. METHODOLOGY: This scientific thesis was created as a literature review from material found in archives, journals, legislative texts, publications, and scientific research papers found online. The utilized materials originated from Europe, North America, Asia, and the Middle East. Mostly, the research platform PubMed served as an information source. KEY RESULTS: Blood and body fluid exposures are underreported, but vaccinations, double-gloving, and the use of glasses can lower the risk of contracting a serious illness. Surgeons are at risk of developing noise-induced hearing loss especially following chronic noise exposure, while there is a general lack of preventive measures. The development of new fluoroscopes led to increased exposure to the surgeon. Although sufficient long-term radiation studies are scarce, leaded apparel (e.g., aprons and glasses), increased awareness, and education regarding radiation is helpful. Most surgeons experience musculoskeletal pain. However, modern robotic-assisted surgeries, physical activity, and physiotherapy are beneficial. Various bacteria and viruses can be contained in surgical smoke. The use of N95 masks and constant application of LEV's is favorable. While the incidence and negative effects of stress and burnout syndrome are rising, more education and self-awareness should be included in a physician's training. CONCLUSIONS: Physical, accidental, chemical, and psychosocial hazards are pronounced in each sub-specialty. An extensive burden is established upon the surgeon's physical, emotional, and mental health. Awareness and education are the cornerstones of supporting a healthy personal life and work environment.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Ķirurga darbs: riska faktori un ietekme uz veselību, surgeon hazard, surgeon risk factor, occupational risk surgeon, blood and body fluid exposure, needlestick injury, double-gloving, percutaneous injury, noise-induced hearing loss orthopedics, noise in surgery, fluoroscopy radiation surgery, surgeon cancer risk, radiation exposure surgeon