Surgeons' mental distress and risks after severe complications following radical gastrectomy in China: a nationwide cross-sectional questionnaire.
Surgeons' mental distress and risks after severe complications following radical gastrectomy in China: a nationwide cross-sectional questionnaire.
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DOI：
10.1097/js9.0000000000000463
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发表时间：
2023-08-01
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本研究旨在调查根治性胃切除术后严重并发症后外科医生精神困扰的发生率。 2021年6月1日至2021年9月30日期间，对根治性胃切除术后出现严重并发症的中国普通和/或胃肠外科医生进行了一项横断面调查。问卷中收集的临床特征包括：（i）感到倦怠、焦虑或抑郁； (ii) 避免进行根治性胃切除术或感到压力，减慢根治性胃切除术过程中的进程； (iii) 回忆时出现身体反应，包括心跳加速、呼吸困难或出汗； (iv) 有放弃成为一名外科医生的冲动； (v) 服用精神科药物； (vi) 寻求心理咨询。进行分析以确定严重精神困扰的危险因素，严重精神困扰的定义为满足三个或更多上述临床特征。共收到有效问卷1062份。调查显示，大多数参与的外科医生（69.02%）在胃癌根治术后出现严重并发症后，至少有一种精神困扰的临床特征，超过25%的外科医生患有严重的精神困扰。非大学附属医院的外科医生、初级外科医生以及现有的暴力医患冲突被认为是外科医生与根治性胃切除术后严重并发症相关的严重精神困扰的独立危险因素。约70%的外科医生因根治性胃切除术后出现严重并发症而出现心理健康问题，超过25%的外科医生遭受严重的精神困扰。在此类事件发生后，需要更多的策略和政策来改善这些外科医生的心理健康。
This study was designed to investigate incidences of surgeons’ mental distress following severe complications after radical gastrectomy. A cross-sectional survey was conducted between 1 June 2021 and 30 September 2021 among Chinese general and/or gastrointestinal surgeons who experienced severe complications after radical gastrectomy. The clinical features collected in the questionnaire included: (i) feeling burnout, anxiety, or depression; (ii) avoiding radical gastrectomy or feeling stress, slowing down the process during radical gastrectomy operations; (iii) having physical reactions, including heart pounding, trouble breathing, or sweating while recalling; (iv) having urges to quit being a surgeon; (v) taking psychiatric medications; and (vi) seeking psychological counselling. Analyses were performed to identify risk factors of severe mental distress, which was defined as meeting three or more of the above-mentioned clinical features. A total of 1062 valid questionnaires were received. The survey showed that most of the participating surgeons (69.02%) had at least one clinical feature of mental distress following severe complications after radical gastrectomy, and more than 25% of the surgeons suffered from severe mental distress. Surgeons from non-university affiliated hospitals, the junior surgeons, and existing violent doctor–patient conflicts were recognized as independent risk factors for surgeons’ severe mental distress related to the severe complications after radical gastrectomy. About 70% of surgeons had mental health problems following severe complications after radical gastrectomy, and more than 25% of the surgeons suffered from severe mental distress. More strategies and policies are needed to improve the mental well-being of these surgeons after such incidences.