生物传感器,生物识别和实践中的能力 (CiP):一个WHOOP 4.0视角
E Barlow1, D Robinson2, O James1
1Department of Surgery, Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, UK.
Journal of surgical education
|May 23, 2025
概括
外科住院医生经历了显著的生理压力和倦怠,特别是在紧急班次和夜间值班. 可穿戴技术显示,睡眠质量和数量不佳与训练员增加的压力和倦怠有关.
科学领域:
- 医学生理学 医学生理学
- 职业健康 职业健康 职业健康
- 外科教育的外科教育
背景情况:
- 物理压力和倦怠是外科训练中的重要问题.
- 了解临床工作量对住户福祉的影响对于有效的培训计划至关重要.
研究的目的:
- 量化外科住院医生在各种临床活动和值班期间的生理应激反应.
- 用可穿戴技术调查压力,睡眠模式和倦怠之间的关系.
主要方法:
- 外科住院医生 (n=23) 佩戴WHOOP4.0传感器6周,记录实践能力 (CiP) 事件和缩短的马斯拉赫倦怠清单 (AMBI) 分数.
- 心率变化 (HRV) 和睡眠指标与居民等级,值班班次和CiP类型相关分析.
- 进行了统计分析,以确定显著的相关性和差异.
主要成果:
- 中位数HRV因居住级别 (核心外科培训与高级外科培训) 和职务轮班 (下班,正常工作日,调用日,紧急轮班) 显著不同.
- 紧急班次,特别是夜班,与睡眠数量和质量减少有关,HRV与睡眠效率和REM睡眠相关.
- 观察到高燃烧率 (AMBI评分>3),特别是在核心外科培训居民和女性中,与HRV和睡眠效率相反相关.
结论:
- 生理应激反应因职务轮班和临床活动而有很大差异,这凸显了临床医生对身体的要求.
- 紧急工作,特别是夜班,导致睡眠状况不佳,影响居民的睡眠量和质量.
- 这些发现强调了在外科培训计划中需要采取干预措施来缓解压力和倦怠.
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