每日体力活动习惯影响外科医生在手术室的压力:一项前性队列研究
Sarah C Skinner1,2, Jake A Awtry3,4, Léa Pascal1,2
1Research on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
外科医生每天更高的步数与手术前更低的压力水平有关. 这表明体力活动对外科专业人员的心脏管调有积极的影响.
科学领域:
- 心脏病学 心脏病学
- 手术压力管理手术压力管理
- 运动生理学 运动生理学
背景情况:
- 运动训练增强了心率变化 (HRV) 并可以减轻压力.
- 外科医生经历了相当大的压力,影响了他们的表现和患者的结果.
- 了解身体活动和外科医生压力之间的联系对于健康至关重要.
研究的目的:
- 调查外科医生身体活动水平与他们的压力之间的关联,用HRV测量.
- 为了确定每天的步数和久坐时间是否与外科医生的心血管静脉音调相关.
- 在手术手术开始时评估外科医生的压力标志物.
主要方法:
- 一项前性队列研究,涉及四所大学医院37名不同专业的外科医生.
- 使用加速度计测量每天的步数和静坐时间在手术前7天.
- 心率变化 (HRV),特别是RMSSD,在722次手术的最初5分钟内记录下来.
- 多变量线性混合效应建模用于数据分析.
主要成果:
- 在较高的每日步数和心脏管调度增加 (lnRMSSD) 之间发现了正相关性,这表明压力减少.
- 每增加1000步每天都与lnRMSSD的显著增加有关 (P=0.026).
- 没有观察到静坐行为和心脏阴道度之间有显著的关联. 外科医生教授和那些手术时间较短的人表现出较低的心脏管音调.
结论:
- 增加体力活动,特别是更高的每日步数,与外科医生在手术开始时的压力水平较低有关.
- 身体活动可以作为对手术压力的保护因素,影响心脏管音调.
- 这些发现强调了促进外科专业人员进行体育活动以应对压力的重要性.
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