评估泌尿干预期间外科医生的压力:使用心率变化 (uRRology) 的描述性研究
Aamer Alghamlas1, François Kleinclauss2, Eric Chabannes3
1Urology Department, University Hospital Center, Besançon, France; University of Franche-Comte, Besançon, France.
高级外科医生在泌尿外科干预期间经历了更大的生理压力,如心率变化 (HRV) 变化所示. 这项研究表明,HRV可以在临床环境中评估外科医生的压力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术压力监测手术压力监测
- 生理监测 生理监测
背景情况:
- 手术环境会引发严重的压力,影响外科医生的幸福感.
- 心率变化 (HRV) 作为一种经过验证的压力生理指标.
- 了解外科医生的压力对于保持高质量的外科护理至关重要.
研究的目的:
- 通过HRV,量化外科医生在泌尿干预期间的生理压力.
- 调查高级和初级外科医生之间应激反应的差异.
- 确定HRV监测在例行外科实践中的可行性.
主要方法:
- 一项前性,单中心研究,涉及171项泌尿外科干预.
- 使用胸带记录的每次心率 (HR),在时间 (平均HR,RMSSD) 和频率 (FFT频谱HF) 域中分析HRV.
- 基线,切口,关闭和不良事件期间HRV参数的比较,区分高级和初级外科医生.
主要成果:
- 与初级外科医生相比,高级外科医生在切口和关闭期间的HR中位数差异明显高.
- 高级外科医生在切口和关闭过程中显示出明显较低的高频 (HF) 功率.
- 高级外科医生在切口过程中表现出明显较低的连续差异平方根平均值 (RMSSD),这表明压力水平较高.
结论:
- 在标准泌尿外科手术实践中,HRV监测是可行的.
- 与初级外科医生相比,高级外科医生在干预过程中经历了更大的生理应激反应.
- 调查结果强调了外科医生,特别是高级外科医生需要压力管理策略.
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