Journal of Traditional Medical Complementary Therapies

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Diş Hekimlerinde Kas İskelet Rahatsızlıklarının Yaygınlığı: Fiziksel Aktivite ve Tükenmişlik ile İlişkisi
Prevalence of Musculoskeletal Disorders Among Dentists: Correlation of Physical Activity and Burnout
Canan HEKİMOĞLUa, Utku BERBEROĞLUb, Songül ATASAVUN UYSALb, Dinçer GÖKSÜLÜKc, Reha ALPARc, Nigar BAGHIROVAa
aHacettepe Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi ABD, Ankara, TÜRKİYE
bHacettepe Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, TÜRKİYE
cHacettepe Üniversitesi Tıp Fakültesi, Biyoistatistik ABD, Ankara, TÜRKİYE
J Tradit Complem Med. 2020;3(2):150-9
doi: 10.5336/jtracom.2019-71047
Article Language: TR
Full Text
ÖZET
 Amaç: Mesleki nedenlerden dolayı kas-iskelet rahatsızlıkları diş hekimleri arasında yaygındır. Özellikle boyun, omuz ve bel sorunlarının yüksek oranda olduğu vurgulanmıştır. Bu çalışma; ülkemizdeki diş hekimlerinin iş ile ilgili kas-iskelet sorunlarının yaygınlığını saptamak, kas-iskelet sorunlarının bilişsel durum, tükenmişlik ve fiziksel egzersiz alışkanlığı ile olan ilişkisini araştırmak amacıyla planlanmıştır. Gereç ve Yöntemler: Türk Diş Hekimleri Birliğine kayıtlı 17.935 diş hekimine konu ile ilgili hazırlanan elektronik anket formu gönderilmiştir. Katılımcıların demografik bilgileri ve genel sağlık durumları hakkında bilgiler toplanmıştır. Kas-iskelet sistemi rahatsızlıklarının sıklığını belirlemek için Cornell Kas-İskelet Rahatsızlıkları Ölçeği'nden başka Bilişsel Durum ve Tükenmişlik Ölçekleri ile Uluslararası Fiziksel Aktivite Ölçeği-Kısa Formu yöneltilmiştir. İstatistiksel analizlerde kullanılan yöntemler incelenen değişkenin türüne, normal dağılıma uygunluk durumuna ve karşılaştırılacak olan grup sayısına bakılarak belirlenmiştir. Benzer şekilde tanımlayıcı istatistikler, değişkenlerin normal dağılıma uygunluğuna göre uygun olan istatistikler arasından seçilmiştir. İstatistiksel anlamlılık düzeyi 0,05 olarak ele alınmıştır. Bulgular: Kendisine ulaşılan diş hekimleri arasından çalışmaya toplam 603 kişi katılmış, 418 kişi ise anketin tamamını yanıtlamıştır. Değerlendirmeler sonucunda kas-iskelet rahatsızlığı sıklığının cinsiyetler arasında benzer olduğu saptanmıştır (p>0,05; p=0,625). Sorunların yaygınlığı, çalışılan yerlere göre farklı oranlardadır. Logaritmik ölçekte bilişsel durumla fiziksel aktivite düzeyi arasında negatif yönlü ve zayıf (r=-0,072; p=0,231), Cornell toplam puanı ile Tükenmişlik Ölçeği toplam puanı arasında ise pozitif yönlü orta düzey bir ilişki vardır (r=0,381; p<0,001). Sonuç: Diş hekimlerinin kas-iskelet rahatsızlıkları yaşadıkları ve fiziksel aktivite seviyesi yüksek bireylerin bilişsel durumlarının daha iyi olduğu, böylece yaralanma risklerinin ve tükenmişliklerinin daha az olduğu belirlenmiştir.

Anahtar Kelimeler: Diş hekimi; kas iskelet rahatsızlıkları; bilişsel durum; tükenmişlik; ergonomi
ABSTRACT
 Objective: Musculoskeletal disorders are common among dentists for professional reasons. Especially the neck, shoulder and waist problems are emphasized to be high. Therefore; this study was planned to determine the prevalence of musculoskeletal problems related to the work of dentists in our country, and the relationship of musculoskeletal problems with the cognitive status, burnout and physical exercise habits. Material and Methods: A total of 17935 dentists registered to the Turkish Dental Association were sent an electronic questionnaire. Information about demographic and general health status of the participants was gathered. In order to determine the incidence of musculoskeletal disorders, Cornell Musculoskeletal Discomfort Questionnaire and also, Cognitive Failure Questionnaire, Burnout Scales and International Physical Activity Scale-Short Form were asked. The methods used in the statistical analysis were determined by looking at the type of variable examined, the normal distribution and the number of groups to be compared. Similarly, descriptive statistics were selected from the statistics which are appropriate according to the normal distribution of the variables. Statistical significance level was considered 0.05. Pearson Correlation Coefficient and risk determination Linear regression analysis, distribution frequency was analyzed by chi-square test. Results: A total of 603 people were included in the study and 418 people answered the whole questionnaire. As a result of the evaluations, it was observed that the incidence of musculoskeletal disorders was similar between the genders (p>0.05, p=0.625). The prevalence of the problems is different compared to the workplaces. On the logarithmic scale, there was a negative weak correlation between cognitive status and physical activity level (r=- 0.072; p=0.231), and a positive medium correlation between Cornell total score and burnout scale total score (r=0.381; p<0.001). Conclusion: It was determined that dentists suffer from musculoskeletal disorders and individuals with high levels of physical activity had better cognitive status, thus reducing the risk of injury and burnout.

Keywords: Dentist; musculoskeletal disorders; cognitive status; burn out; ergonomics
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