相关实验视频

Updated: Jun 28, 2025

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

在腹腔镜基于模拟的培训课程中,手术学员的压力反应

Maria Suong Tjønnås^1,2, Sébastien Muller³, Cecilie Våpenstad^3,4,5

¹Department of Neuromedicine and Movement Science (INB), Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, N-7491, Norway. lethi@stud.ntnu.no.

BMC medical education

|April 12, 2024

概括

外科实习生在腹腔镜模拟训练期间经历了更高的压力,模拟器之间没有显著差异. 更多的经验与更高的生理压力相关,但自我报告的压力较低.

科学领域:

医学教育医学教育
进行外科手术培训.
人体生理学人体生理学

背景情况:

腹腔镜模拟培训对于外科教育至关重要.
掌握腹腔镜技巧具有挑战性,并会引起学员的压力.
有限的数据存在于模拟训练期间的应激反应和先前经验的影响.

研究的目的:

在基于模拟的腹腔镜技能培训期间,研究外科实习生在生理,内分泌和自我报告的压力反应.
探索以前的腹腔镜经验和压力反应之间的相关性.

主要方法:

在为期三天的腹腔镜基本技能课程中,对24名外科实习生进行了前性观察性研究.
实习生使用D-box,P.O.P. 培训器,以及LAPMentorTM模拟器.
使用心率变化 (HRV),唾液皮质醇和国家特征焦虑库-6 (STAI-6) 测量压力.

主要成果:

在所有模拟器中,与休息相比,模拟训练期间的压力指标 (HRV,STAI-6) 显著更高.
在D-box模拟过程中观察到唾液皮质醇的显著增加.
在三个模拟器之间没有发现应激反应的显著差异.
手术经验显示,与生理和内分泌压力测量和自我报告的压力有适度的相关性.

结论:

与休息条件相比,基于模拟的腹腔镜训练显著增加了训练员的压力.
没有一个模拟器表现出比其他模拟器更高的应激反应.
D-box模拟器,可能是由于时间压力,诱导了更高的皮质醇水平.
增加的外科经验与更高的生理压力有关,但在模拟训练期间感知压力较低.

关键词:

皮质醇是一种皮质醇.心率变化心率的变化.laparoscopic 技能拉巴洛斯科普技能拉巴洛斯科普技能这是STAI-6的标准.基于模拟的学习学习压力反应应对压力.手术实习生手术实习生

更多相关视频

Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing

Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing

Published on: August 17, 2022

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Introduction to Stress and Lifestyle

Introduction to Stress and Lifestyle

Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...