Perceived and measured physical activity and mental stress levels in obstetricians
Perceived and measured physical activity and mental stress levels in obstetricians
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DOI：
10.1016/j.ejogrb.2013.08.020
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发表时间：
2013-11-01
影响因子：
2.6
通讯作者：
Kayser, Bengt
中科院分区：
文献类型：
--
作者：
de Tejada, Begona Martinez;Jastrow, Nicole;Kayser, Bengt
目的：产科工作会产生严重的主观和客观精神压力，产科医生认为这是一项需要体力的活动。本研究的目的是量化产科医生在工作和休闲活动中的身体和精神压力水平，以调查其与整体身体活动水平和专业experience.Study设计：18名产科医生在妇产科的日内瓦大学医院参加了一项前瞻性观察研究。在两个不同的活动部门（产房和门诊）和外部工作中测量了身体活动和压力水平。通过问卷调查、视觉模拟量表（VAS）和加速度计评估体力活动。精神压力水平进行了评估，通过有效的问卷调查，VAS，测量尿儿茶酚胺和唾液皮质醇，夜间心率变异性indices.Results：日常压力水平较高，在工作以外的工作（所有，P = 0.002）。肾上腺素（P = 0.002）和多巴胺（P = 0.09）水平升高后，劳动套房转变和趋势，观察到降低心率变异性在夜间后，这一转变。平均每日步数中位数为7132步（范围：5283-8649）。受试者达到中等或更高强度（>= 1952计数/分钟）的每日体力activity.Conclusions中位数为32分钟（范围，19-49分钟）：相反的看法，产科工作是没有体力要求。然而，它伴随着严重的主观和客观精神压力，如果再加上缺乏日常身体活动，可能对健康产生负面影响。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objectives: Obstetric work generates important subjective and objective mental stress and is perceived as a physically demanding activity by obstetricians. The aim of this study was to quantify physical and mental stress levels in obstetricians at work and during leisure activities to investigate their association with overall physical activity levels and professional experience.Study design: 18 obstetricians at the maternity unit of the University of Geneva Hospitals were enrolled in a prospective observational study. Physical activity and stress levels were measured in two different activity sectors (delivery room and outpatient clinic) and outside work. Physical activity was assessed by questionnaire, visual analogue scale (VAS), and accelerometer. Mental stress levels were assessed by validated questionnaires, VAS, measurement of urine catecholamines and salivary cortisol, and night-time heart rate variability indices.Results: Daily stress levels were higher at work compared to outside work (all, P = 0.002). Adrenalin (P = 0.002) and dopamine (P = 0.09) levels were elevated after a labour suite shift and a trend was observed for reduced heart rate variability during the night after this shift. The median average daily number of steps was 7132 (range, 5283-8649). Subjects reached a median of 32 min (range, 19-49 min) of moderate or higher intensity (>= 1952 counts/min) daily physical activity.Conclusions: Contrary to perception, obstetrics work is not physically demanding. It is, however, accompanied by important subjective and objective mental stress that may have a negative impact on health when combined with a lack of regular daily physical activity. (C) 2013 Elsevier Ireland Ltd. All rights reserved.