Psychological and Physical Stress Among Experienced and Inexperienced Surgeons During Laparoscopic Cholecystectomy
Psychological and Physical Stress Among Experienced and Inexperienced Surgeons During Laparoscopic Cholecystectomy
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DOI：
10.1097/sle.0b013e3182420acf
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发表时间：
2012-02-01
影响因子：
1
通讯作者：
Rosenberg, Jacob
中科院分区：
文献类型：
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作者：
Andersen, Lars Peter Holst;Klein, Mads;Rosenberg, Jacob
目的：外科手术对精神和身体的要求很高，手术过程中的压力可能会危及患者的安全。我们调查了手术经验对外科医生压力水平的影响，以及围手术期睡眠质量如何影响手术表现。方法：8名经验丰富的外科医生和8名经验不足的外科医生各行1例腹腔镜胆囊切除术。采用经验证的视觉模拟量表和Borg量表完成围手术期精神和身体压力的问卷测量。记录术前和术后外科医生的睡眠质量，并与围手术期应变参数相关。结果：有经验的外科医生术前至术后的挫败感明显减少，而没有经验的外科医生没有发现这种情况(视觉模拟量表：术前13 (2-65)mm，术后4 (0-51)mm vs术前5(0-10)mm，术后5(1-46)mm；P = 0.04)。两组患者上肢均出现明显的体力劳损。术前和术后睡眠质量与术后精神应变参数显著相关。结论：经验丰富的外科医生与经验不足的外科医生围手术期挫折感程度不同。围手术期睡眠质量可能影响术后精神紧张，应在检查外科医生压力的研究中予以考虑。
Purpose: Surgical procedures are mentally and physically demanding, and stress during surgery may compromise patient safety. We investigated the impact of surgical experience on surgeons' stress levels and how perioperative sleep quality may influence surgical performance.Methods: Eight experienced and 8 inexperienced surgeons each performed 1 laparoscopic cholecystectomy. Questionnaires measuring perioperative mental and physical strain using validated visual analog scale and Borg scales were completed. Preoperative and postoperative sleep quality of the surgeon was registered and correlated to perioperative strain parameters.Results: Preoperative to postoperative frustration among experienced surgeons was significantly reduced and this was not found in the inexperienced surgeons (visual analog scale: preoperative 13 (2-65) mm, postoperative 4 (0-51) mm vs. preoperative 5(0-10) mm, postoperative 5(1-46) mm; P = 0.04). Physical strain was significantly induced in both groups in the upper extremities. Preoperative and postoperative sleep quality was significantly correlated to postoperative mental strain parameters.Conclusions: Perioperative frustration levels were different among inexperienced and experienced surgeons. Perioperative sleep quality may influence postoperative mental strain and should be considered in studies examining surgeons' stress.