压力对手术表现的影响:系统性审查
Adam Tam1,2, Samuel Bateman3, Gavin Buckingham3
1Department of Surgery, Royal Cornwall Hospitals NHS Trust, Truro, UK. at930@exeter.ac.uk.
Surgical endoscopy
|December 3, 2024
概括
急性压力会对外科医生的表现产生负面影响,损害技术技能和团队合作等非技术技能. 需要进一步的研究来了解它对患者结果的影响.
科学领域:
- 医学教育 医学教育
- 外科手术的表现
- 心理学 心理学 心理学
背景情况:
- 急性压力在手术室中很常见,可能会对手术性能,团队合作和患者安全产生负面影响.
- 了解急性压力对外科医生的影响对于改善患者的治疗结果至关重要.
研究的目的:
- 审查急性压力对外科医生的技术和非技术表现的影响.
- 探索外科医生压力与患者结果之间的关系.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 包括研究在真实或模拟的手术环境中检查急性压力的研究.
- 评估了技术和非技术技能方面的绩效结果.
主要成果:
- 19项研究符合纳入标准.
- 急性压力会影响技术技能 (例如,错误增加,任务时间延长) 和非技术技能 (例如,团队合作,沟通) 在模拟和真实的外科环境中.
- 没有研究发现外科医生的压力和患者的结果之间存在因果关系.
结论:
- 急性压力在技术和非技术领域显著损害了外科手术的表现.
- 需要进一步的研究来评估压力对患者结果的影响,并制定在手术中有效的压力管理策略.
更多相关视频
07:26Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
3.3K
07:59Using Practice Testing, Public Speaking, and Source Monitoring to Examine the Influences of Learning Strategies and Stress on Episodic Memory
Published on: June 14, 2019
7.9K
相关概念视频
Stress and Mental Health
77
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
77
Psychological Responses to Stress
43
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
43
Introduction to Stress and Lifestyle
79
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...
79
Stress Response System
59
The stress response system, also known as the fight-or-flight response, is the body's automatic physiological reaction to perceived threats. Hans Selye introduced the concept of General Adaptation Syndrome (GAS) to describe the predictable pattern of changes that occur in response to stress. GAS consists of three sequential stages: alarm, resistance, and exhaustion. This model helps explain how chronic stress can contribute to health problems.
Alarm stage
In the alarm stage, the body's...
Alarm stage
In the alarm stage, the body's...
59
Stress Prevention and Stress Management Techniques III
48
Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
48
Physiological Foundation of Stress
44
Stress triggers a coordinated physiological response involving the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. This dual activation ensures that the body is prepared for both immediate and prolonged stress management. The process begins with the perception of a stressor. This initial phase activates the SNS, leading to the rapid release of adrenaline (epinephrine) from the adrenal glands.
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Role of the Sympathetic Nervous System
Adrenaline triggers the...
44
