心率与重症监护室居民感知的压力之间的关系:使用Fitbit数据的探索性分析
Ruijing Wang1, Olya Rezaeian1, Onur Asan1
1Department of Systems and Enterprises, Stevens Institute of Technology, Hoboken, NJ, United States.
JMIR formative research
|November 27, 2024
概括
重症监护病房 (ICU) 的住户经历了高度的压力. 虽然可穿戴设备的心率数据显示与自我报告的压力存在温和的相关性,但它需要与其他措施结合进行准确的评估.
科学领域:
- 医学生理学 医学生理学
- 职业健康 职业健康 职业健康
- 数字健康数字健康
背景情况:
- 重症监护室 (ICU) 的住户面临着严重的职业压力.
- 这种压力可能会对心理健康和工作表现产生负面影响.
- 可穿戴设备为监测生理应激反应提供了一种潜在的方法.
研究的目的:
- 分析持续心率数据和ICU住院患者自我报告的压力.
- 调查生理反应,压力水平和日常压力因素之间的相关性.
- 探索可穿戴技术在医疗学员压力评估中的实用性.
主要方法:
- 对Fitbit Charge 3数据的二次分析,来自57名ICU住院医生的3周的数据.
- 收集连续心率和日常压力调查数据.
- 采用相关性分析和混合效应模型来研究关系.
主要成果:
- 较低的心率百分位与压力有着适度的相关性;较高的百分位没有.
- 中午与一天结束的压力水平有显著差异,但并不总是反映在心率上.
- 在混合效应模型中,压力水平显著影响了平均心率 (P=.03).
结论:
- 心率作为高压环境中唯一的压力指标,如ICU是复杂的.
- 心率与自我报告的压力有着适度的相关性,特别是在混合效应模型中.
- 为全面的压力评估,建议将心率与其他生理和心理测量相结合.
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