在评估外科医生的压力水平时,对心率变量的系统审查和元分析
Abdulaziz Almuhini1,2, Zeeshan Raza2,3, Rossana Castaldo2,4
1Department of Biomedical Technology, College of Applied Medical Sciences in Al-Kharj, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia.
Healthcare (Basel, Switzerland)
|February 27, 2026
概括
这次审查发现,心率变化 (HRV) 测量显示了评估外科医生压力的潜力,但需要更多的研究来标准化在不同年龄和经验水平的外科医生中使用它们.
科学领域:
- 医学科学 医学科学 医学科学
- 外科手术的表现
- 生理监测 生理监测
背景情况:
- 外科医生的压力会影响表现,并可能导致医疗错误.
- 诸如手术复杂性和外科医生的经验等因素会影响压力水平.
- 目前还缺乏一种标准化的方法来衡量外科医生的压力,考虑到年龄和经验.
研究的目的:
- 系统地审查用于评估手术压力的心率变化 (HRV) 措施.
- 根据外科医生的年龄和经验来评估HRV.
主要方法:
- 来自PubMed,Scopus和Web of Science的研究的系统审查.
- 包括在外科手术过程中报告外科医生HRV测量的研究.
- 专注于不同手术或外科医生经验之间的比较.
主要成果:
- 涉及74名受试者的9项研究符合纳入标准.
- 报告了各种HRV测量 (时间域和频率域).
- 初步发现表明时间域特征对压力有负面反应,而频域测量显示一致的模式,但异质性很高.
结论:
- 目前的HRV测量显示了外科医生应激评估的潜力.
- 显著的异质性和小样本大小限制了当前的发现.
- 需要进一步的强有力的研究来标准化HRV用于测量外科医生年龄和经验水平的压力.
相关概念视频
Factors Influencing Heart Rate
7.0K
The heart rate, or pulse rate, is a vital indicator of cardiovascular health. It reflects the number of times the heart beats per minute. Various physiological and environmental factors influence heart rate, increasing or decreasing cardiac output. Understanding these factors is crucial for assessing heart function and identifying potential health issues.
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
7.0K
Physiological Foundation of Stress
802
Stress triggers a coordinated physiological response involving the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. This dual activation ensures that the body is prepared for both immediate and prolonged stress management. The process begins with the perception of a stressor. This initial phase activates the SNS, leading to the rapid release of adrenaline (epinephrine) from the adrenal glands.
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Role of the Sympathetic Nervous System
Adrenaline triggers the...
802
Psychoneuroimmunology: Cardiovascular Disease
617
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
617


