在内脏外科手术中,重大手术并发症的心理负担
Matthias Mehdorn1, Helge Danker2, Anne-Sophie Mehdorn3
1Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany. Matthias.mehdorn@medizin.uni-leipzig.de.
Langenbeck's archives of surgery
|August 20, 2024
概括
主要的内脏手术并发症对德国外科医生,特别是年轻的外科医生造成了严重的心理痛苦. 虽然朋友,家人和培训是常见的应对策略,但许多外科医生寻求机构支持,以获得心理健康.
科学领域:
- 医学心理学 医学心理学
- 外科教育的外科教育
- 医疗保健管理的管理
背景情况:
- 在重大内脏手术后,手术并发症很常见.
- 由于患者并发症而造成的外科医生的精神负担尚未得到充分研究,特别是对于获得董事会资格的德国内脏外科医生来说.
研究的目的:
- 评估德国经过董事会认证的内脏外科医生在手术并发症后经历的心理负担.
- 确定应对机制并探索潜在的机构支持策略.
主要方法:
- 一项使用在线问卷分发给德国大学医院内脏外科部门的点患病率研究.
- 调查问卷重点关注外科医生对并发症的看法及其应对策略.
主要成果:
- 91.7%的外科医生报告导致严重并发症 (Clavien-Dindo IV或V级).
- 主要的负面情绪包括愤怒,悲伤,自我怀疑和内,担心声誉受损.
- 年轻的外科医生和女性外科医生报告了更高的痛苦水平. 应对包括社会支持 (60.6%) 和培训 (59.6%).
- 只有17.2%的机构提供专业支持,但71.6%的外科医生要求.
结论:
- 手术并发症给德国内脏外科医生带来了相当大的心理负担.
- 社会支持和专业发展是主要的应对机制.
- 需要有结构的机构支持来解决外科医生,特别是脆弱子组所经历的精神痛苦.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
263
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
263
Inflammatory Bowel Disease V: Surgical Management
134
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
134
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
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...
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...
66
Psychosurgery
52
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
52
Esophageal Perforation-II: Clinical Manifestations and Management
54
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
54
Esophageal Varices-I: Introduction
95
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
95


