在手术期间对外科医生急性压力水平的生物变化进行系统审查
Aaron Budden1,2, Sophia Song1,2, Amanda Henry2,3
1Gynaecological Research and Clinical Evaluation (GRACE) Group, Royal Hospital for Women, Sydney, Australia.
Surgery in practice and science
|January 23, 2025
概括
外科医生的过度压力会影响患者的治疗结果和外科医生的幸福感. 这次审查发现心率变化表明急性压力,但需要更好的措施来识别患有倦怠风险的外科医生.
科学领域:
- 医学研究 医学研究
- 手术压力生理学手术压力生理学
- 医学中的职业健康
背景情况:
- 过度的手术压力可能会对患者的结果和外科医生的福祉产生负面影响,可能导致倦怠或自我伤害.
- 了解外科医生在手术过程中的急性生物应激反应对于减轻这些风险至关重要.
研究的目的:
- 系统地审查和综合有关急性生物应激在外科手术过程中如何改变外科医生的措施的发现.
- 确定可靠的生物标志物来评估外科手术压力.
主要方法:
- 在Medline,Embase,Cochrane图书馆和临床试验注册表中进行了系统的文献搜索.
- 关键词包括"压力"",外科医生"",皮质醇"",皮肤导电性"和"心率".
- 包括1996年1月至2022年6月期间发表的研究,报告了手术或模拟手术练习期间的生物应激措施.
主要成果:
- 涉及433名参与者的28项研究报告了皮质醇,心率,心率变化和皮电活动.
- 在不同研究中,唾液皮质醇的变化是不一致的.
- 在九项研究中,平均心率增加,但体力工作的影响没有差异化. 心率变化和皮电活动在特定情况下显示了一些显著的变化.
结论:
- 虽然一些生物压力测量,如心率,显示了在外科医生中检测急性压力的潜力,但确切的标志物仍然难以捉摸.
- 对于有效的方法来识别患有燃烧或自我伤害风险的外科医生,存在着至关重要的未满足的需求.
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