Prevalência de sintomas osteomusculares e síndrome de Burnout em cirurgiões que atuam na cirurgia vídeo assistida no município de Manaus-Amazonas

Abstract

BACKGROUND: The development of video-assisted surgery has brought numerous benefits for patients. However, for surgeons who need differentiated training, a longer time for learning and using of delicate instruments can cause postural vices and musculoskeletal symptoms. At the same time, the high workload and collection of managers and patients for better results can lead to Burnout syndrome affecting the quality of care. GENERAL OBJECTIVE: To evaluate the profile of surgeons working in video-assisted surgery, determine the prevalence of musculoskeletal symptoms and signs of Burnout syndrome, and seek solutions to cope with these diseases. METHOD: Observational, cross-sectional, prospective study with the application of questionnaires answered by 61 surgeons who perform video-assisted procedures in the City of Manaus-AM: 1. Questionnaire for the collecting epidemiological, sociodemographic, and work-related data; 2. Symptom assessment using an adapted version of the Nordic Musculoskeletal Symptoms Questionnaire; 3. Burnout syndrome, by the Maslach Burnout Inventory – Human Services Survey. Statistical analysis: relative and absolute frequencies, central trend measurements, D'Agostinho Person test, F Test, Person Correlation Coefficient, Mann Whitney, Kruskal-Wallis, and Fisher's exact test were use accepting a p-value of 0.05. OUTCOMES: Predominance of males, between 40 and 49 years old, above ideal weight and with regular physical activity, general surgeons and gynecologists, working between 1 and 10 years, performing up to 2 procedures per day lasting between 1 and 3 hours each. Most mentioned difficulties: Height of the operating table, ergonomics of the surgical material, and positioning of the tower. There were complaints of musculoskeletal symptoms in the 9 anatomical regions 12 months before the study. Burnout syndrome in all three dimensions, with a higher incidence in women. The predominance of low and medium scores, except in emotional exhaustion in which low and high scores predominated. Physical activity contributed to lower scores. There was a statistically significant correlation between musculoskeletal symptoms and Burnout syndrome in the emotional exhaustion dimension in the lower back, knees and ankles/feet in the previous 12 months and, during the last 7 days, in shoulders and upper back in emotional exhaustion dimension; knees in depersonalization and wrists/hands in low professional achievement. CONCLUSIONS: Video-assisted procedures may lead to musculoskeletal symptoms and Burnout syndrome in surgeons; the practice of physical activity can be a protective factor; women seem more likely to have higher scores of emotional exhaustion; it is necessary to rethink the work processes, investing in technologies, making the procedures more ergonomic; attention to the physical and mental health of surgeons through multidisciplinary teams, stimulation of physical activity, the introduction of work gymnastics, the offer of places for rest between procedures, early identification and treatment of symptoms that may evolve to complex lesions.