干预心脏病学研究员和护理人员的心率的变化以及随着时间的推移发生的变化
Michaella Alexandrou1, Pedro E P Carvalho1, Dimitrios Strepkos1
1Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota.
干预性心脏病学家在复杂和紧急程序期间经历了显著的压力,如心率变化 (HRV) 所示. 在奖学金培训中,压力水平稍后会降低,这表明应适应干预心脏病学的要求.
科学领域:
- 心脏病学 心脏病学
- 生理学 生理学 生理学
- 医学教育 医学教育
背景情况:
- 干预心脏病学家 (IC) 在手术期间的压力水平没有得到充分记录.
- 需要客观和主观的措施来评估IC研究员和参与者的压力.
研究的目的:
- 评估干预心脏病学家在手术过程中所经历的压力.
- 为了比较IC奖学金培训的早期和晚期阶段之间的压力水平.
主要方法:
- 六名干预心脏病学家 (ICs) 参与了这项研究,提供了两次10-14天的数据.
- 用胸带和腕带测量心率变化 (HRV),并计算了LF/HF比率.
- 国家特征焦虑清单 (STAI) 用于主观压力评估.
主要成果:
- 与基线相比,LF/HF比率,一个同情激活生物标志物,在手术期间显著更高 (6.2比4.1).
- 复杂,复杂和突发性手术显示,LF/HF比率的增加高于简单,不复杂或非突发性手术.
- 压力标志物 (LF/HF比率) 较低,休息HRV更高,在奖学金后期 (第二期与第一期) 较低.
结论:
- 干预性心脏病专家在苛刻的手术过程中面临显著的生理压力.
- 压力水平,根据HRV的指标,随着IC在他们的奖学金中取得进展,压力水平会减少.
- 在HRV变化和主观焦虑评分 (STAI) 之间没有发现相关性.
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